PT 2022

Many personal trainers work with clients who are dealing with musculoskeletal pain that has negative consequences both on the client’s ability to exercise and their activities of daily living. This article discusses the different types of pain, and describes targeted approaches for training clients with persistent musculoskeletal pain.

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.

Netball is a team sport played worldwide. High-risk landing events containing biomechanical potential for noncontact knee soft-tissue injury (STI) occur frequently. Subsequently, noncontact knee STI is common after knee abduction collapse during landing tasks. Lower-limb mobility, strength, balance, movement, and hop test characteristics (intrinsic, modifiable risk factors) are associated with high-risk landing biomechanics and noncontact knee STI events. Such risk factors should be considered in netball-specific noncontact knee STI prevention preparticipation screening. Corresponding training methods should be included as indicated in netball-specific multimodal noncontact knee STI prevention programs. This article provides insight into noncontact knee injury–related aspects of netball and gives detailed suggestions for injury prevention screening and programming.

This article explores the possible causes of low back pain, as well as three potential strategies that a personal trainer may use to work with someone dealing with low back pain.

CC 2022

High knee drills help develop coordinated front-side mechanics and are often used as part of a warm-up. This article details several high knee drills that you can use with your athletes.

Tactical 2019

For those dealing with clients who have back pain, this article focuses on non-specific low-back pain and potential exercise solutions for it.

TAT22