This article is the eleventh in a continuing series of tactical strength and conditioning (TSAC) research reviews. It is designed to bring awareness to new research findings of relevance to tactical strength and conditioning communities.

A problem facing personal trainers is the lack of awareness needed to work with clients who suffer from attention deficit hyperactivity disorder (ADHD). This article aims to bring awareness of the symptoms of ADHD to personal trainers, discuss how they potentially affect training of various clients, and present programing considerations for training clients with ADHD.

Personal trainers should be aware of the physiological changes during pregnancy for each trimester in order to provide appropriate exercise modifications and alternatives for their prenatal clients, to positively influence overall health.

This article serves to educate people about the menstrual cycle in the tactical female population. It provides a framework for how to work through the phases of menstruation to increase training response, and thus, overall success in military training.

The path to the top is not always linear. For Jill Costanza, it included returning to school and stops in collegiate and military performance before becoming Director of Sport Science and Assistant Strength and Conditioning Coach with the National Football League (NFL) Detroit Lions. Costanza describes today’s sport science landscape as a “Wild West,” where definitions differ by perspective. Her focus centers on assessing the athlete and program effectiveness against the demands of the game to identify holistic interventions. She outlines how intentional systems, a clear communication funnel, and data visualizations help athletes and stakeholders understand the “why,” build buy-in, and tap into competitiveness. Addressing common misconceptions, Costanza clarifies that elite athletes can still have foundational qualities that need rewiring. She emphasizes movement quality, proprioception, and breathing while adapting for individual needs and neurological fatigue. Learn how to build sport science systems, turn insights into action, and keep progressing on your professional path. Reach out to Jill by email at: jill.costanza@lions.nfl.net | Find Eric on Instagram: @ericmcmahoncscs and LinkedIn: @ericmcmahoncscs Join the NSCA Football Special Interest Group (SIG) and explore 24 other specialized communities designed to support your development on the Special Interest Groups page.

This career series article focuses on the calling of the tactical strength and conditioning facilitator. It touches on the drive, commitment, and dedication necessary to work with tactical populations.

Guy Leahy writes a review of the research relating to the tactical population from presentations and research from the 65th Annual Meeting of the American College of Sports Medicine (ACSM).

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.

This article will present a sample program that was implemented successfully by a group of older women in competition, and discuss the general exercise principles utilized to increase BMD in postmenopausal women.