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

Quiz

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.

Hamstring Electromyography during Kettlebell Swings

June 19, 2018by Yann Le Meur, PhD

Article

According to a recent study, the hip hinge kettlebell swing produced the greatest amount of hamstring surface electromyography of the three styles of kettlebell swings that were assessed. These findings have implications for the application of kettlebell swing exercises in strength and conditioning, injury prevention, and rehabilitation programs.

Coaches Exercise Science Exercise Technique

Integrating Motor Patterns into Exercise for Performance and Prevention

May 10, 2018by Barton Bishop, DPT, CSCS

Video

In this session from the 2014 NSCA Personal Trainers Conference, Barton Bishop explains how to utilize the body’s natural way of learning movement. This will help athletes become more efficient at movement for improvements in exercise and athletic performance, and help in preventing future injuries.

Personal trainers Exercise Technique Program design

Tire Flipping—A Method of Assessing Functional Power Output for Firefighters

April 24, 2018by Jason L. Mims, Kyle T. Ebersole, PhD, ATC/L, and David J. Cornell, PhD, CSCS, TSAC-F

Article Members Only

The movement pattern utilized when flipping a tire is similar to the movements required during firefighting. Learn not only how to flip a tire, but how to assess functional power output among firefighters through the use of tire flipping.

TSAC Facilitators Exercise Science Exercise Technique Client Consultation|Assessment

Advanced Weightlifting Exercises for Improved Performance

May 9, 2018by Michael Conroy and Doug Berninger, MEd, CSCS,*D, RSCC

Video

See demonstrations of weightlifting derivatives for improved athletic performance. Mike Conroy from USAW and Doug Berninger from the NSCA explain coaching cues and corrections so that your athletes can benefit from training in a safe and time-effective manner.

Coaches Exercise Technique Program design

Optimizing Trunk Qualities to Heighten Resiliency, Maximize Performance, and Mitigate Injury

June 24, 2019by Joel Raether, MAEd, CSCS,*D, TSAC-F,*D

Video

In this hands-on session from the 2018 Tactical Annual Training, Joel Raether, owner of Authentic Performance, discusses strategies and exercises he utilizes to improve trunk performance and resiliency, while subsequently demonstrating his progressions and regressions for these exercises.

TSAC Facilitators Exercise Science Exercise Technique Program design

ACL Protocols with Deceleration Drills for High School Athletes

October 24, 2020by Scott Schultz, MS, CSCS, RSCC*D and Beau Smith, CSCS

Video Members Only

From the NSCA’s 2020 Coaches Conference, Scott Schultz and Beau Smith show hands-on drills for prehabilitation of the anterior cruciate ligament (ACL) to reduce the risk of injury in sport. These drills include posterior chain warm-up exercises, plyometric and balance exercises, and proper landing mechanics to reinforce proper hip and knee positions.

Coaches Exercise Technique Program design

Bridge: Unconventional Training for Combat Athletes, with JC Santana

May 4, 2018by JC Santana, MEd, CSCS,*D, FNSCA

Video

JC Santana, of the Institute of Human Performance, demonstrates some unconventional methods he uses to train combat athletes.

Personal trainers TSAC Facilitators Coaches Exercise Technique Program design

Creating Power – Alternative Bilateral and Unilateral Triple Extension Exercises

November 29, 2020by Dr Lawrence Judge, PhD, CSCS,*D, NSCA-CPT, RSCC*E, FNSCA, Josh Wildeman, MA, CSCS, RSCC, William Hawkins, and Makenzie Schoeff

Article Members Only

This article demonstrates how strength and conditioning coaches can coach power through non-traditional weightlifting exercises that can be taught quickly, to large groups, with less extensive technique correction.

Coaches Exercise Technique Program design

Light Sled Pulls

June 11, 2018by NSCA's Guide to Program Design

Article

Learn how to perform a light sled pull, which can help increase speed strength, power, and stride length.

Coaches Exercise Science Exercise Technique Program design

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