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.

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.

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In this session from the NSCA’s 2017 TSAC Annual Training, Mick Stierli discusses the new 12-week structured exercise program for law enforcement that was recently implemented in New South Wales, Australia. Stierli explains how to integrate a similar program into an organization and how to gain buy-in from tactical athletes.

This column from TSAC Report 76, examines the performance benefits of supplementing creatine monohydrate for tactical athletes. Visit NSCA online to learn about nutrition, and performance fitness.

There can be no doubt that protein is important and this article reviews the current research to help further understand the recommendations for protein intake.

Hear from two-time Olympian, Meg Stone, the first female strength and conditioning coach to head both men’s and women’s strength programs at a major American university. Stone shares her story from being an elite discus thrower towards an unexpected coaching career, with NSCA Coaching and Sport Science Manager, Eric McMahon. She discusses what she believes needs to change to further the strength and conditioning field in support of athlete health and safety. Stone also tells us about what makes the Sport Science Program at East Tennessee State University (ETSU) so unique and beneficial for students. The episode highlights the ongoing work of the NSCA for the prevention of catastrophic injury and sudden death in sport. You can read more about this topic in a recent NSCA press release: NSCA Reaffirms Position on Appropriate Qualifications for Collegiate Strength and Conditioning Coaches. Connect with Meg by email at stoneme@etsu.edu| Find Eric on Instagram: @ericmcmahoncscs and Twitter: @ericmcmahoncscs

The purpose of this case study was to assess a one-day peer fitness leaders workshop for firefighters and law enforcement officers to test the feasibility of creating a “Train the Trainer” program, which could be implemented for continued intervention.

NSCA-Certified Personal Trainers® (NSCA-CPT)® are health/fitness professionals who use an individualized approach to train clients for the primary goal of improving their personal health and fitness. Learn more about becoming a certified personal trainer with the NSCA's CPT certification! Visit NSCA.com for information on personal trainer jobs, personal training certifications, personal trainer insurance and continuing education as you pursue one of the best personal trainer certifications.

This article describes how introduction of evidence-based practices requires today’s fitness professional to raise the bar of his or her education and analytical experience by actively and consistently using techniques of research in order to perform their job as a fitness professional.