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(860 found)

Practical Methods for Strength Evaluation in Oncology Patients

Quiz

Resistance training (RT) is a nonpharmacological complement to cancer treatments due to its effectiveness in attenuating sarcopenia, cardiotoxicity, fatigue, and emotional disorders common in oncology patients. To adequately program and evaluate the acute or long-term effects of this type of training, a proper evaluation of the patients’ strength levels is necessary. Strength evaluations traditionally applied to this population required reaching muscle or technical failure, which could increase their discomfort levels, risk of injury, or other complications associated with the disease. In this regard, this manuscript described different dynamic and isometric evaluations recommended to accurately and safely evaluate the strength of the oncology population. Concerning dynamic evaluations, the velocity based method is recommended to determine the capacity of the patient to apply force against maximal (i.e., 1 repetition maximum) and submaximal loads. The sit-to-stand or vertical jump tests are also proposed as alternatives to evaluate dynamic strength using body weight. For isometric assessments, the knee extension and handgrip tests could complement dynamic evaluations or replace them for patients with very low strength levels. Besides describing in depth the aforementioned evaluations, the current review proposes important methodological aspects to ensure their accurate, reliable, and safe implementation.

NSCA Named NYSS Champion

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The U.S. Department of Health and Human Services (HHS) recently recognized the National Strength and Conditioning Association (NSCA) as one of the first organizations to join the National Youth Sports Strategy (NYSS) Champion℠ program. HHS released the NYSS in September 2019 in response to Presidential Executive Order 13824, which called for a national strategy to increase youth sports participation. The NYSS is the first Federal roadmap with actionable strategies to increase participation in youth sports, increase awareness of the benefits of youth sports participation, monitor and evaluate youth sports participation, and recruit and engage volunteers in youth sports programming.

A Performance Analysis of HYROX: A Review of the Physiologic, Mechanical, and Technical Demands

Quiz

Hybrid fitness competitions such as HYROX have rapidly gained popularity, blending aerobic endurance running with a variety of high-intensity resistance and ergometer-based stations in a globally standardized format. The sport’s unique structure, comprising eight 1-kilometer runs interspersed with diverse workload stations, presents distinct physiologic, biomechanical, and technical demands. This review synthesizes existing research on hybrid fitness events to identify the key determinants of HYROX performance, emphasizing aerobic capacity, anaerobic power, local muscular endurance, and maximal strength. The aerobic system is foundational, enabling recovery between high-intensity efforts and sustaining performance during the event’s prolonged duration. Conversely, anaerobic capacity is critical for executing the high-intensity efforts demanded by each fitness station. Local muscular endurance supports repeated submaximal contractions, while strength and power underpin performance in movements such as sled pushes and running economy. Technical proficiency and injury prevention strategies are also discussed, alongside targeted programming recommendations, including high-intensity interval training, circuit training, and blood flow restriction methods. Despite its growing popularity, limited sport-specific research exists, necessitating further investigation to refine training and performance strategies. This review provides a comprehensive framework for athletes and coaches to optimize preparation and performance in HYROX, contributing to the broader understanding of hybrid fitness competitions.

The Relationship of Lower-Body, Multijoint, Isometric and Dynamic Neuromuscular Assessment Variables With Snatch, and Clean and Jerk Performance in Competitive Weightlifters: A Meta-Analysis

Quiz

The purpose of this meta-analysis was to synthesize the literature and provide a robust estimate of the correlations between lower-body, multijoint, isometric and dynamic neuromuscular assessment variables and snatch (SN) and clean and jerk (C&J) performance in competitive weightlifters. A comprehensive search through 3 electronic databases (PubMed, SPORTDiscus, and Web of Science) returned 12 studies that met the inclusion criteria. Meta-analyses were performed on Pearson’s correlations between SN and C&J performance and 15 variables from 5 neuromuscular assessments— countermovement jump (CMJ), squat jump (SJ), isometric midthigh pull (IMTP), back squat (BS), and front squat (FS) one repetition maximum (1RM). The FS and BS 1RM exhibited nearly perfect correlations (r 5 0.93 to 0.94), whereas the IMTP peak force exhibited very large correlations (r 5 0.83 to 0.85). The IMTP force at 250 ms exhibited very large correlations (r 5 0.77 to 0.78), and the CMJ and SJ peak power exhibited very large to nearly perfect correlations (r 5 0.88 to 0.92). These findings illustrate the importance of lower-body maximal and time-limited force-producing capabilities in weightlifters. Moreover, each assessment offers at least one variable that exhibits a correlation of .0.70. Therefore, these assessments may be used to gauge weightlifting performance potential.

SCJ 48.3 Reframing LTAD as LTActD: Long-Term Activity Development

Quiz

Long-Term Athletic Development (LTAD) models have provided a youth sport framework for more than 2 decades, aimed at improving skill progression, training outcomes, and athlete preparation. Although influential, traditional LTAD approaches are limited by their sport-centric orientation, linear design, and focus on elite performance, leaving them less relevant for most youth and adults who do not pursue competitive sport. In response, we propose reframing LTAD as Long-Term Activity Development (LTActD), an accessible and flexible model designed to promote lifelong engagement in physical activity, including recreation, exercise, and sport. LTActD emphasizes 5 dynamic phases—Explore, Develop, Apply, Sustain, and Thrive—that accommodate diverse pathways, periods of inactivity, and opportunities to re-enter active living at any age. Represented as a curvy road, the new model underscores that participation in physical activity is rarely linear, more like a winding journey shaped by health, motivation, environment, and social context. LTActD bridges sport science and public health, positioning physical activity as a lifelong resource for health, independence, and fulfillment. LTActD offers a practical framework to empower individuals of all ages and abilities to discover meaningful ways to move, re-engage, and embrace active living throughout the life course.

Comparison of Muscle Adaptation to Blood Flow-Restricted Versus Traditional Resistance Training in Healthy Adults: A Brief Systematic Review and Meta-analysis

Quiz

The primary aim of this study was to systematically compare the effectiveness of blood flow restriction training (BFR) versus traditional resistance training (TRT) to improve muscle size in healthy adults. Secondary outcomes were improvements in muscle strength and endurance. We performed a systematic searchwithmeta-analysis. Using predetermined criteria, 541 unique articles were identified through databases and bibliographies. After screening titles, abstracts, and full texts, 20 articles were included in the review. All 20 articles evaluated muscle hypertrophy, 19 evaluated strength, and 1 evaluated endurance in response to BFR and TRT. Data from 10 articles were included in the meta-analysis. In the qualitative analysis, TRT and BFR increased muscle size without differences between conditions for at least 1 hypertrophy outcome in 13 studies, and TRT or BFR differentially improved hypertrophy in 5 studies. TRT and BFR increased strength without differences between conditions for at least 1 outcome in 15 studies, and TRT or BFR differentially improved strength in 9 studies. Results from the meta-analysis indicate no differences in muscle size (ES 5 0.045, 95% CI [20.278 to 0.367]) or strength (ES520.149, 95% CI [20.439 to 0.141]) improvements with BFR versus TRT. Practitioners can implement BFR training to increase muscle size and strength as appropriate, especially for training periods of 8 weeks or longer.

SCJ 47.5 Managing Fatigue in Team Sports: A Brief Review of Concurrent Training Effects Within the Microcycle

Quiz

Concurrent training (CT), which combines resistance exercise and energy systems conditioning, is the default approach to preparation in high-intensity intermittent (“stop and go”) team sports. This review provides an overview of CT, emphasizing its complexities and challenges in managing fatigue and optimizing performance. These complexities are specifically compounded by the variability in game demands across the season, where the presence of intensified and nonintensified competition periods necessitates a flexible and adaptive training approach. In this context, there are essential training variables to consider, including intensity, volume, session order, and recovery intervals between sessions. In addition, nontraining variables such as travel, sleep, and nutrition play a role in the fatigue experienced while training and competing. These variables interact to influence acute performance and training adaptations and can be strategically adjusted by strength and conditioning practitioners. The aim of this review is to provide a comprehensive understanding of fatigue management for practitioners in team sports, emphasizing the complexities and challenges of CT and offering simplified practical recommendations for adjusting training variables within any given microcycle.

The Effects and Impact of Breath Holding During Exercise

Quiz

The physiological response to breath holding includes bradycardia and peripheral vasoconstriction, which contrasts with that of exercise which includes tachycardia and peripheral vasodilation. This raises the question as to what the physiological response is to breath holding during exercise. During low-intensity exercise, the breath holding response of bradycardia and peripheral vasoconstriction prevails over the exercise response of tachycardia and peripheral vasodilation, but nevertheless the exercise may be sustained. Due to the lack of availability of extrinsic oxygen (O 2 ) from the atmosphere during breath holding, the energy demands can be met by increased reliance on intrinsic O 2 stores (i.e., O 2 that was in the body before the breath hold) via increased O 2 extraction at the muscle compared with exercise while breathing, or increased contributions from anaerobic energy systems. During high intensity exercise of short duration, the exercise response may prevail over the breath holding response due to the increased parasympathetic withdrawal and sympathetic drive of higher intensity exercise. If breath holding during high-intensity exercise was sustained for long enough, the breath holding response may eventually overcome the exercise response, although this may be difficult due to the inverse relationship between exercise intensity and breath hold duration.
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