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SCJ 48.1 Quantifying Pain: A Methodological Review of Pain Assessment in Exercise Science

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Exercise is increasingly recognized as an effective, nonpharmacological approach for managing both acute and chronic pain. However, accurate pain assessment methods tailored to different exercise settings and populations are essential. This review evaluates existing pain assessment techniques, highlighting self-report measures such as the Visual Analog Scale and Numerical Rating Scale, as well as quantitative measures, such as Pressure Pain Threshold and Conditioned Pain Modulation. These techniques provide valuable insights into the neurophysiological mechanisms behind pain reduction. Although exercise commonly produces a temporary reduction in pain sensitivity known as exercise-induced hypoalgesia (EIH), the effectiveness of this response depends on various factors, such as exercise intensity, psychological state, and pre-existing pain conditions. In addition, exercise itself can sometimes lead to short-term discomfort due to muscle fatigue or delayed-onset muscle soreness. This review offers strength and conditioning providers, as well as researchers, a clear framework for (a) selecting appropriate pain assessment tools, (b) designing research protocols, and (c) customizing exercise interventions for specific populations and pain conditions. By examining self-report and quantitative assessment techniques, along with considerations for data analysis and practical application, this review helps strength and conditioning professionals interpret the literature surrounding EIH and apply practical pain monitoring strategies to guide training and recovery in various populations.

NSCA and Volt Athletics Announce RSCC Ring Program Sponsorship

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Colorado Springs, CO; Seattle, WA – Volt Athletics® (Volt), the global leader in technology solutions for sport performance training, and the National Strength and Conditioning Association® (NSCA), the worldwide authority on strength and conditioning, today announced Volt will sponsor the RSCC Ring Program at the 39th Annual NSCA National Conference.

Readership Survey Results

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Readership Survey Results

CASCE Announces New Accredited Programs in 2026

July 21, 2026

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CASCE announces 23 accredited strength and conditioning programs in 2026. See the institutions ahead of 2030 CSCS® requirements and supporting career readiness.

NSCA Announces 2019 Annual Awards

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Colorado Springs, CO — National Strength and Conditioning Association recognizes several professionals for their outstanding achievement at the National Conference in Washington D.C.

Lee Brown to Receive the 2014 Boyd Epley Award for Lifetime Achievement

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Colorado Springs, CO - Lee Brown to receive the 2014 Boyd Epley Award for Lifetime Achievement at the National Strength and Conditioning Association's 37th National Conference on July 10-12, 2014 in Las Vegas, NV.

SCJ 47.4 The Rationale and Application of Eccentric-Based Exercises in Sports: Practical Suggestions for Its Implementation

Quiz

Considering the great popularity of eccentric-based training, the purpose of this review is to first provide the scientific rationale for its use; second, summarize the eccentric-based training modalities that can be used; and finally, offer practical recommendations on how to implement eccentricbased modalities to enhance sports performance. The molecular and neural mechanisms underlying eccentric actions are partially distinct from those of concentric and isometric actions. During eccentric actions, theories suggest a strain-induced modulation of actin-myosin interactions at the crossbridge level, activation of structural protein titin, and winding of titin on actin. Eccentric acute physiological responses differ from concentric exercise responses, including variations in neuromuscular, metabolic, hormonal, and anabolic signaling. Eccentric training elicits greater improvements in muscle strength, power, and stretch-shortening cycle function compared with concentric-only or traditional resistance training. Therefore, eccentric-based training can lead to unique neuromuscular (e.g., improved coordination of motor units) and morphological (e.g., increased muscle fascicle length and enhanced distal cross-sectional area) adaptations that could play a key role in sport performance. Practitioners may implement eccentric exercises with external loads, fully eccentric-based exercises (e.g., Nordic hamstring curl), accentuated eccentric loading, flywheel resistance exercise, and plyometrics to develop specific physical adaptations in line with their goals. Eccentric work (e.g., for hamstrings) can be obtained during other exercises such as downhill running tasks, decelerations, and sprinting activities. Practitioners need to be aware that no single “silver bullet” training modality exists; consequently, practitioners should use a combination of eccentric-based training approaches with their athletes to obtain the desired adaptations.

How CASCE Accreditation Will Elevate Your Strength and Conditioning Program

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CASCE accreditation is designed to help your program recruit more high-caliber students and prepare them for fulfilling careers in the strength and conditioning industry.
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