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Notice: The NSCA website is scheduled to undergo system maintenance from 12:00 AM - 2:30 AM EST. During this time, there may be short service interruptions across the site and some parts of the site may not be accessible. We apologize for any inconvenience while we work to improve the website experience and security.

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

Quiz CATD 0.2

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’s Coaching Podcast, Episode 99: Matthew Ibrahim

Podcast

Matthew Ibrahim, Co-Owner of TD Athletes Edge, talks to the NSCA Coaching and Sport Science Program Manager, Eric McMahon, about using setbacks as a learning opportunity. Topics under discussion include creating a holistic approach to a client’s training by collaborating with other professionals, and the importance of deceleration technique and eccentrics in his programs for skill acquisition. Find Matthew on Instagram: @matthewibrahim_ | Find Eric on Instagram: @ericmcmahoncscs or Twitter: @ericmcmahoncscs

Coaches Professional Development

2026 NSCA Performance Science Integration Summit

Join the 2026 NSCA Performance Science Integration Summit in Austin, TX, on March 28. Explore applied sport science research, train hands-on, and earn 0.8 CEUs.

Sedentariness, Deconditioning, and Practical Considerations for Personal Trainers

January 28, 2019

Article Members Only

This article summarizes current populations and descriptions of sedentariness and deconditioning, and offers practical considerations for personal trainers working with these behaviors.

Personal trainers Program design Client Consultation|Assessment Deconditioning Sedentary Clients Sedentariness Client Behaviors

Bridging the Gap between Personal Training and Physical Therapy

April 22, 2019

Article Members Only

The purpose of this article is to define the roles of personal trainers and physical therapists and to learn how their combined expertise can influence long-term physical health improvements for their clients.

Personal trainers Program design Testing and Evaluation Client Consultation|Assessment Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Physical Therapy Client Assessment Client Needs

A Review of Musculoskeletal Injuries in the United States Army

April 27, 2015

Article

Despite best efforts, musculoskeletal injuries among active duty service members continue to be pervasive and on the rise. Tactical facilitators can each do their part as a member of one team to avoid the injuries that are preventable and to rehabilitate, recondition, and optimize performance in the ones that do occur and are treatable.

TSAC Facilitators Exercise Science Program design Organization and Administration

Protein and Amino Acid Requirements for Elderly Clients

July 25, 2025

Article Members Only

This Personal Trainers Quarterly article presents protein dosing strategies to maximize wellness for the aging population. Visit NSCA online to read more on nutrition, health, and wellness.

Personal trainers Exercise Science Exercise Technique Program design Client Consultation|Assessment Basic Pathophysiology and Science of Health Status or Condition and Disorder or Disease Professional Development Muscle Protein Synthesis Daily Nutrition Anabolic Response Sarcopenia Animal Proteins Leucine EAA BCAA

NSCA’s Coaching Podcast, Episode 91: Dr. Tim Suchomel

Podcast

Dr. Tim Suchomel, Assistant Professor at Carroll University and Wisconsin State Director for the NSCA, talks to the NSCA Coaching and Sport Science Program Manager, Eric McMahon, about the emerging role of sport science in strength and conditioning. Topics under discussion include Suchomel’s growing involvement with the NSCA, as well as weightlifting derivatives and their benefits for more individualized performance adaptations. Find Dr. Suchomel on Twitter: @DrTSuchomel or Instagram: @drtsuchomel or NSCA Sport Science and Performance Technology Special Interest Group | Find Eric on Instagram: @ericmcmahoncscs or Twitter: @ericmcmahoncscs

Coaches Professional Development

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