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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.

Nutritional Strategies to Balance Exercise-Induced Inflammation

April 20, 2018by Laurel Wentz, PhD, RD, CSSD

Article Members Only

While acute inflammation is a normal response to high-intensity training, chronic inflammation results in depressed immunity and impaired muscle response. Learn about nutritional strategies to help balance exercise-induced inflammation to optimize performance outcomes.

Coaches Nutrition Basic Pathophysiology and Science of Health Status or Condition, Disorder, or Disease

Integrating Whole Health in Veterans Affairs Healthcare – The Role and Application of the TSAC-F

August 15, 2025by Mark Young, MS, TSAC-F, and Dalan Zydel, MS, MBA, CSPS

Article

This article from the TSAC Report shares dietary guidance, customized exercise programs, and strategies for integrating whole health for veterans. Visit NSCA online to learn more about exercise science.

TSAC Facilitators Exercise Science Nutrition Program design Organization and Administration Testing and Evaluation Client Consultation|Assessment Basic Pathophysiology and Science of Health Status or Condition, Disorder, or Disease Professional Development

Mindset and Nutrition – How Different Emotional States Affect the Way People Interact with and Make Food Choices

March 28, 2020by Nicole Vitola, NSCA-CPT and Jonathan Mike, PhD, CSCS,*D, NSCA-CPT,*D

Article Members Only

The purpose of this article is to evaluate the leading mindset, behavioral, and psychological factors controlling food intake, as well as, educate professionals on how to assist with developing healthier nutrition practices.

Personal trainers Nutrition

Interval Workouts

June 14, 2021by Developing Endurance

Article

This excerpt briefly discusses components of interval workouts, including recommended volume and intensity, to increase overall endurance in athletes.

Personal trainers Coaches Program design

SCJ 47.1 A Discussion of the Combined Effect of Resistance Training and Time-Restricted Eating on Body Composition and Neuromuscular Adaptations

Quiz

Time-restricted eating (TRE) is an application of intermittent fasting where an individual consumes their calories in a specific eating window (e.g., 8 hours) followed by a prolonged fasting window (e.g., 16 hours). Several randomized controlled trials have analyzed the combined effect of resistance training (RT) and TRE on physical adaptations, including fat mass (FM) loss, fat-free mass (FFM) retention, hypertrophy, local muscular endurance, power, and strength. In this mini review, we highlight the methodology and results from these studies and conclude by providing practical application suggestions for fitness professionals striving to maximize RT + TRE with their clientele. Generally, RT + TRE leads to positive body composition changes, including FM loss and FFM retention, which culminates in improved body fat percentage. Similarly, RT + TRE consistently stimulates positive neuromuscular adaptations, such as increased hypertrophy, local muscular endurance, power, and strength. When positive changes are not observed, and when safely implemented, RT + TRE rarely confers negative effects on the abovementioned adaptations. In short, RT + TRE may be a beneficial dietary and exercise strategy to improve body composition and muscular fitness. However, there are several caveats for practitioners to consider, which are discussed at length in this article.

Optimizing Performance – Strategic Approaches to Nutrition for Soccer Players

September 6, 2024by Varun Ghosh, MSc, CSCS

Article

The purpose of this article is to emphasize the critical need for a nutrition strategy that aligns with the specific demands inherent in the sport of soccer.

Coaches Nutrition

Foam Rolling for Performance and Recovery

April 6, 2018by Sean Kratchman

Article

Self-myofascial release (SMR) through the use of foam rolling or other implements is a time and cost-efficient method of increasing performance and recovery.

Personal trainers Exercise Technique

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