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.

Canoe slalom requires technical ability, well-developed energetics, a high level of maximum force production, and range of movement to perform a variety of complex paddle stokes, while maneuvering through a challenging whitewater course. The strength and conditioning (S&C) coach should provide strategic direction across a network or department including S&C coaches working toward identified outcomes and measures. S&C coaches should collaborate with a multidisciplinary support team (i.e., sport coaches, physiotherapists, physiologists, etc.) to develop a technical framework. The technical framework may allow for development of training strategies that provide a clear breakdown of the outcomes, adaptations, exercises, and testing methods. The current article articulates this process related to a canoe slalom national performance program. You must pass this quiz (by answering at least 7 out of 10 questions correctly) to earn 0.2 CEU in Category D. Upon passing, your CEUs will be recorded automatically. You are given only ONE attempt per purchase to pass the quiz.

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.

Various methods of eccentric training that aim to increase muscle mass or reduce ground contact time during a landing task have been extensively researched and practically examined. However, multiple methods to implement eccentric training currently exist; they differ in execution and intended training adaptions. There is a clear differentiation between an eccentric muscle action and an eccentric motion whereby a motion alludes to a downward movement of an exercise. The proposed eccentric motions are dissipating eccentrics, deceleration eccentrics, overcoming eccentrics, maximal eccentrics, and rebound eccentrics. These motions formulate into training methods and cues to allow practitioners to clearly differentiate the various eccentric training methods used in research and practice. This review proposes a new conceptual framework that clearly outlines the different forms of eccentric motions that fall into a desired eccentric training method.

Early sport specialization involves physically immature children participating in intensive year-round training and/or competition for a single sport. The lack of sport exposure and diversification during the developmental years may underlie the increased risk of overuse injuries, blunting of motor skill development, psychosocial issues, overtraining syndrome, burnout, and potential dropout from sport. With increasing number of youth choosing, or being encouraged, to specialize at an early age, we aim to provide evidence based recommendations for the integration of strength and conditioning into the development programs of young athletes who participate in sports with a culture of early specialization. In addition to the principles of programming, strategies are provided relative to monitoring of growth, maturation, and training load to illustrate the potential complexities of attempting to optimize long-term athletic development in early specializing athletes.

Typically, a coach may follow a process in which they first identify the key performance indicators of their sport, determine the physical attributes that map back to them, and then distribute the development of those capacities over the allocated timeframe. Furthermore, effective training plans are based on a theoretical or biological basis for how we move and adapt to exercise stimuli, coupled with an understanding of how these are best sequenced, such that one stimulus and subsequent adaptation can potentiate the next. Thus, reverse or backward engineering, when appropriately converged with the plans of those devised around nutrition, conditioning, technical, and tactical training, for example, likely gives athletes the best chance of attaining their performance goals. The aim of this article is to describe the application of reverse engineering, exampling it within the context of developing an athlete who can demonstrate a high level of agility.

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.

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.

Falls resulting from trips are a leading cause of injury and can sometimes result in death, especially in the older population. Numerous researchers have studied the biomechanical mechanisms that differentiate fallers from nonfallers and determined whether training can beneficially impact those outcomes. Exercise and task-specific interventions have demonstrated fewer falls after trips but can be costly and often require specialized equipment, making their applicability less practical. Qualified health and fitness practitioners can develop evidence-informed, exercise-based programs focusing on 3 components (balance training, task-specific training, and resistance exercise). Such programs may help to reduce fall risk in older adults based on previously documented studies identifying the biomechanical demands of a successful fall arrest after a trip perturbation. These multicomponent programs should include a safe task-specific training element that does not require specialized equipment.

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.