An anterior cruciate ligament (ACL) tear is one of the most frequent injuries experienced by athletes of all levels. Because so many variables are at play, there is a great deal of controversy about how and why this occurs. In addition, there are various suggested appropriate steps to take to return to sport in the fastest and safest possible way. However, a major issue in injury recovery and return to sport practices is the lack of a gold-standard method or a consistent course of action that an athlete should undertake after suffering an ACL injury. Therefore, the purpose of this paper is to review the literature to determine evidence-based methods for return to sport after ACL reconstruction and provide practical recommendations to guide the process.

The first step in preparing a comprehensive periodized strength and conditioning program is the needs analysis —that is a formal process for determining the general and specific needs of the athlete based on their sport or task. It involves many more pieces than most consider and is not simply about goal setting. Depth and specificity of event requirements and details are important because there will be variability in needs and program design due to the task and level of prior experience and participation. The specifics of the task and the particulars of the individual athlete may lead to the need for significant study and reading of evidence-based research. The benefit of a well-developed needs analysis is that it can lead to better program planning with greater opportunity for success.

Dietary supplement use is quite prevalent among bodybuilders to enhance their physiques for competition. Many of the dietary supplements used by these athletes are neither safe nor effective. Several reviews have been published detailing the efficacy of dietary supplements for athletes; however, none have been written specifically for bodybuilders and physique athletes. Therefore, the aim of this article is to provide an evidence-based review of the top 5 dietary supplements for bodybuilding competitors: creatine, caffeine, protein powders, free-form essential amino acids, and beta-alanine. This review will provide bodybuilders, coaches, and practitioners with information on each supplement’s mechanism of action, seasonal benefits, protocol for use, and special considerations to optimize supplement strategies for performance, physique, and overall competitive success.

Although fatigue is commonly experienced in many highly demanding occupations (e.g., military, first responders, etc.), it is poorly defined. Fatigue can strongly affect occupational performance by negatively influencing the ability to interact with the world by altering the capacity to think, move, feel, see, and speak. The first step in fatigue risk management strategies is to establish a context. The context of this narrative review is to specifically describe and discuss the 6 overarching types of occupational fatigue: cognitive, physical, burnout, emotional, visual, and vocal fatigue, and how each affects varying occupations. Furthermore, fatigue type can be influenced by several intrinsic factors, such as sleep deprivation, circadian alignment, ultradian process, sleep homeostasis, and health factors. Similarly, extrinsic factors influence fatigue, such as workload, shift work, and environmental issues. Understanding the types and contributors to occupational fatigue may help clarify the context of occupational fatigue and serve to guide future occupational fatigue management.

This continuing education opportunity explores a variety of topics as they pertain to running. To earn your CEUs, it will be necessary to review several articles and pass a 50-question quiz. Please note: this quiz awards 1.0 CEU (10 contact hours). Articles 1. Running in Cold Weather: Exercise Performance and Cold Injury Risk 2. Running in the Heat: Performance Consequences and Strategies to Prepare for Hot-Weather Racing 3. Influence of Gait Retraining on Running Economy: A Review and Potential Applications 4. Stiffness in Running: A Narrative Integrative Review 5. Keeping Pace: A Practitioner-Focused Review of Pacing Strategies in Running 6. The Importance of the Foot and Ankle in Athletic Performance

Nutrition and dietary intake are key factors for exercise and sport performance. While a substantial body of research highlights the impact of nutrition on exercise, many dietary and nutrient recommendations are based on research studies only conducted in men. However, the distinct physiological, neurological, and hormonal changes across a woman’s life cycle significantly affect nutritional needs. This narrative review explores key recommendations for calories, carbohydrates, fats, proteins, and select supplements, highlighting the absence of sex-specific guidelines in current dietary frameworks for strength and conditioning female athletes. The review synthesizes current literature to provide practical guidance for coaches, sport dietitians, and health practitioners to optimize both performance and health outcomes for female athletes.

This course is an introduction to force plates and performance testing. This course covers the basics of setup and calibration of force plates, and then walks through several fundamental performance tests including squat jumps, countermovement jumps, drop jumps and loaded jumps. Two versions of the isometric mid-thigh pull as well as an isometric squat are also covered in the course. Real-time data collection from the software is also shown as the athletes are performing the tests. A module on data analysis rounds out the course, which includes five metrics collected from the force plate, as well as calculations from this data, including relative strength index - modified, and dynamic strength index.

Interest in investigating minimalist footwear (MF) has grown exponentially in recent years. This article systematically reviews the benefits of MF for physical fitness, biomechanical factors, and injury incidence in middle and long distance runners. A systematic review of PubMed and FECYT (Web of Sciences, CCC, DIIDW, KJD, MEDLINE, RSCI, and SCIELO) was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines before 26 April of 2022. From the 583 studies initially found, 23 were included in the qualitative synthesis. The use of MF induces improvements in running economy and stride frequency in middle and long distance races and reduces the oscillations of a runner’s center of gravity and support time. From a biomechanical viewpoint, MF enhances forefoot support and increases knee stability, leading to greater foot and ankle mobility. In addition, MF reduces impact load at the knee joint.

Key performance indicators (KPIs) are commonplace in business and sport. They offer an objective means to link data and processes with performance outcomes. Yet, their application in sports performance, particularly team sports, is not without issue. Here, we review 4 key issues relating to KPI application in team sports; lack of a universal definition, complexity of performance, drifting from on-field performance goals with off-field targets, and agency issues across different key stakeholders. With these issues relating to sports performance KPIs in mind, we propose a complementary approach to help practitioners focus on implementing the conditions that create performance environments and opportunities for success in a complex sporting environment. Ongoing process trackers (OPTs) are quantifiable measures of the execution of behaviors and processes that create the environments, cultures, and conditions for successful performance outcomes. This approach equips sports science practitioners with key questions they can ask themselves and their team when starting to select and use OPTs in their program.

Firefighting is a profession that has the potential to be extremely demanding, both physically and mentally. More specifically, these tactical personnel must be physically fit to perform their occupational requirements, all while they are exposed to daily stressors. This is likely to include everything from physical strain and shift work to interrupted sleep and witnessing potentially traumatizing events. Failure to prepare and mitigate these occupational demands can have long-lasting implications to overall performance as well as health and wellness. Unfortunately, many of these elements often go unaddressed. As such, considerations for collaborative and overarching cross-disciplinary allied health teams should be made. Human performance optimization (HPO) is a model that has been successfully adopted by the U.S. military to enhance the overarching health, wellness, and performance of soldiers. This article proposes the utilization of a similar HPO model by providing a rationale for how it can be used to reduce premature morbidity and mortality, as well as increasing overall readiness and resilience within the firefighting profession.