Home 2015 August

Random Thoughts on Sports Performance Training – Installment 13

Things have been a bit quieter on the blog of late, as I'm working with the Team USA 18U baseball squad for the World Cup. I'm actually in Osaka, Japan now, and while the days have been very full, but it's been a fantastic experience on a number of fronts. And, it's gotten me to thinking a lot about athletic development in many contexts - some of which I'll touch on with this August edition of Random Thoughts on Sports Performance.

1. Nutrition is still king.

While my official title is "strength and conditioning coach," you can't possibly expect to do a good job in this role unless you're also willing to be an advocate for proper nutrition with your athletes. Especially with teenage athletes, though, it's important to meet them where they are - and address the most pressing issues first. If a kid is only getting in 1,500 calories/day and has been losing weight all summer, it'd be silly for me to hone in on his fatty acid balance and nitpick that he chose pasta over rice. Rather, the first step is to figure out how to conveniently get in some healthy calories in his day.

Nutrition can get incredibly complex over time, but it doesn't need to be early on. If you overwhelm young athletes by throwing too many changes at them early on, they'll tune you out and nothing will be accomplished. I'll often have an athlete focus on three habits for 21 days before we move on to the next three. It doesn't overwhelm them, and you can quickly build on previous successes.

2. Learn to "bias" exercises toward individual needs.

The bench t-spine mobilization is one of my favorite exercises. We typically use it for folks who have a shoulder flexion deficit or lack thoracic extension.

What a lot of people don't understand is that you can quickly take good exercises like the bench t-spine mobilization and make them great by adding in subtle changes. In this example, if someone has stiff/short adductors, we can have them move the knees out wider for a groin stretch. If someone is really lordotic (heavily arched lower back posture), we can have them exhale before they descend to get a bit more anterior core activation to pull the ribs down and pelvis into posterior tilt.

Obviously, this is just good coaching - but it illustrates the need for assessment. If you're not assessing, you're just guessing on which "quick fixes" can make a good exercise into a great exercise.

3. With overhead athletes, stick with the overhand grip on the dominant side during alternate grip movements.

The typical pitcher's long head of the biceps tendon gets a lot of abuse during the throwing motion. At the lay-back position, it's helping out the rotator cuff and anterior capsule by working as an anterior and superior stabilizer of the glenohumeral (ball and socket) joint.

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Then, at ball release, it's continuing these stabilizing functions, but also in more of a compressive role to keep the humeral head from distracting from the joint - and this is happening while it's trying to help slow elbow extension.

With this in mind, my rule of thumb is to always try to take stress off the biceps tendon in our training. One way we can do so is to avoid using the "underhand" grip on the dominant side with deadlifts. If you're going to use the alternate grip, keep that dominant hand as the "over" hand (or just pull with a double overhand grip, or use the trap bar). It's also important to take the slack out of the bar so that the biceps isn't aggressively stretching from a flexed-to-extended elbow position at the initiation of a deadlift.

4. Work capacity is incredibly important for teenage athletes - possibly even more than with college and professional athletes.

In the high school years, athletic development should be linear improvements with the occasional "flat line" of progression, but there should never be noteworthy falloffs in fitness qualities. This is the case because young athletes have a larger window of adaptation and can be very responsive to even minimal doses of training. They're also more resilient and can bounce back quickly from session to session, making it possible to do more work during the in-season period - particularly in a setting that may be more developmental (junior varsity) than competitive (playoffs).

Once athletes have a solid training foundation, it becomes impossible to maintain every fitness quality throughout the competitive year, which obviously gets more and more grueling in college and professional sports. We have to learn how to prioritize fitness qualities throughout the year, and just as importantly, we need to appreciate how to optimize recovery so that athletes can best display these qualities from day to day.

Revisiting the high school athlete, though, the linear progression "ideal" that we seek is heavily dependent on an athlete building an appreciable level of work capacity in the "true" off-season that exists. In a baseball model, if the athlete has the initial work capacity to "fall back on," we can get in more quality work in July and August to at least preserve the "flat line" or even gain a small amount of fitness. If that work capacity was never there, pushing an athlete - even if it's just a little bit - can set back performance substantially. In short, it's much easier to impose fatigue on someone who's never experienced enough fatigue to get desensitized to it.

This point illustrates why working with the 18U National Team has been a good challenge. All the players are 16-17 years old, so we have a wide variety of training experience - and certainly different starting levels of work capacity. Some pitchers have thrown twice as many innings as other ones. We have some two-way players (pitch and play the field). Different athletes come from different climates (this is very significant, given how hot and humid it is in Asia right now). Needless to say, determining who needs to be pushed and who needs to be held back from day to day is a solid challenge. I'm really enjoying it - and it's definitely gotten me back to my roots of pushing rest, recovery modalities, and quality nutrition and hydration.

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Does “Feel” Matter with Core Stability Exercises?

Just the other day, an online consulting client asked me why he didn't "feel" an anti-rotation chop in his abs if it was supposed to be a core stability exercise. This is a common question in folks who are being exposed to more "functional" core training for the first time.

Really, there are multiple reasons why you won't necessarily feel chops, lifts, and other drills in this regard. I figured I'd use today's article to highlight why that's the case.

1. You're not near the end-range of a muscular action.

The muscular "burn" we're accustomed to feeling at the top of a dumbbell fly or top of a biceps curl is occurring because it's the completion of the concentric phase and the muscle is fully shortened. The length of the rectus abdominus, external obliques, etc. shouldn't change if the drill is done correctly.

2. You're working isometrically.

Most of the time, the "pump" lifters feel with various exercises coming from the "pistoning" action of going through concentric and eccentric motions to bring blood flow to the area. You won't get that feeling as easily when you aren't bringing a muscle in and out of these positions - and with a chop like the one featured above, the goal is to keep the core positioning unchanged. You're working to resist extension and rotation.

Additionally, while you can get a good feel of muscular activation on some isometric drills (e.g., holding the top of a supine bridge with the glutes activated), it can prove to be difficult on drills where adjacent joints are moving simultaneously - as with a chop or lift. With the chops and lifts, you want good rigidity - but not outrageous rigidity that doesn't allow for good movement through the thoracic spine (upper back).

Think about a prone bridge. I can make it be a drill with incredible core stiffness by adding full exhalation and an aggressive bracing strategy; this would really light up the "abs."

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If, however, I want to add a reaching component, or even just transfer this bridge into a push-up variation, then I need to tone down my rigidity a bit. The reach can't happen if I don't.

On this front, spine expert Dr. Stuart McGill has spoken about the importance of learning to differentiate between high-threshold and low-threshold core stability exercises. You don't need to brace as hard on a bowler squat as you do on half-kneeling cable chop, and you don't need to brace as hard on a cable chop as you do on a heavy deadlift. Different movement challenges and external loading parameters must equate to different core stabilization patterns. Nobody ever worries about feeling their abs on a heavy deadlift - and it's because it's so far to one end of this low-to-high-threshold continuum.

3. Some muscles can't get a "pump" easily - and potentially without risk - from an anatomical standpoint.

If you do a biceps curl, you can feel a good burn "feel" at the top of the rep because it's not hard to get full elbow flexion and supination. It's easy to shorten the muscle and go through sufficient reps to make that pump happen.

Your spine is a lot different. You've got to go through quite a bit of spinal flexion to truly shorten your rectus abdominus to get that burn - and some people (particularly those who sit all day) don't handle this position well, especially if repeated "cycles" of flexion-extension are needed to get to this burning point. In fact, if you look at the research, repeated flexion/extension cycles is how you herniate an intervertebral disc in a laboratory setting. This is why a lot of military recruits develop back pain with sit-ups.

In short, sometimes, finding that "feel" is a quick path to musculoskeletal pain - so don't force it.

The take-home message is that you don't have to necessarily "feel" an exercise in a particular place in order to have it be a productive inclusion in your training programs. Sometimes, we have to fall back on the fact that if the movement looks good, the muscles are doing what they're supposed to be doing.

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How Gravity Impacts Exercise Progressions and Regressions

It goes without saying that if you want to help trainees of all experience levels succeed with strength and conditioning programs, you have to understand progressions and regressions. And, whether we're talking about mobility drills or strength exercises, coaches need to understand how gravity impacts one's ability to perform a specific drill. As you'll learn in today's video, it can either make an exercise easier or harder, depending on how we position the individual performing the drill:

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5 Lessons Learned From Training Those With Low Back Pain

Today's guest post comes from Dean Somerset. Dean's made a name for himself as a "low back and hip" guy, and this post demonstrates this expertise. It's especially timely, given the release of his new resource, Advanced Core Training.

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I’ve had the distinct honor of working with a wide variety of clients. Some have been fresh from spinal surgical intervention following an injury, others had congenital issues where they were born with some sort of spinal irregularity, others just had low back pain. I’ve also worked with some Olympic champions, Paralympic hopefuls, professional sports teams, and pretty well every type of client in between, and today’s post is all about highlighting some of the commonalities among these very broad and different types of clients.

#1: They Usually Do Something Poorly.

I had the opportunity to do end-of-season testing on a local professional hockey team a few years ago. This meant I had direct access to some of the best hockey players in the world to see how they moved. While they could likely outskate and maneuver anyone on the ice, their ability to control their movements in the specific tasks asked were somewhat shaky on occasion, and in some instances, consistently so through the entire team.

Consider hockey players live their entire lives with their sticks on the ice and bent over. Shoulder pads prevent a lot of overhead movement, and getting checked into the boards frequently can cause some significant wear and tear on the shoulder joints, not to mention the rest of the body. Its no surprise very few of them had the ability to score well on an overhead squat assessment since they only ever put their arms overhead when they score a goal, and if you’re on an offensively challenged tem, that won’t happen much.

Additionally, since flexion is such as important position for their sports, they had no problem doing that, but had a lot of trouble controlling their spines into extension. The goalies could hit the splits in any direction, but many of their leg movement testing would have indicated that they were “tight” and required more stretching. If someone can go in and out of the splits in multiple directions, they don’t need more stretching.

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With many people who aren’t elite athletes, they’ll also have some sort of a wonky movement pattern here or there. These may not directly cause injury, but they might increase the relative risk that something could happen. Think of a hip hinge, for example. A known mechanism of injury is low back flexion with loading and some degree of rotation. This is the common first timer setting up for a deadlift and not knowing what the heck they’re doing. In fact, that’s how Rob Gronkowski injured his back when he was a standout at Arizona and almost cost him a shot at the NFL.

The thing about increased risk is it won’t guarantee an injury occurs, just that there’s more likelihood that it would. If I bought a lottery ticket, there’s a 1 in 15,000,000 chance that I win big. If I bought 1000 tickets, there’s now a 1,000 in 15,000,000 million chance that I win, or 1 in 15,000 chance. It doesn’t mean I will win, just that my odds are higher.

Now, if I were to teach that beginner how to hip hinge well and reduce the pressure on their low back while also using their hips to produce the power for lifting the weight, there’s a greater chance that they will be successful and less of a chance they will get injured. Gronk showed even a great athlete who is unfamiliar with a certain movement can still do it with risk, and still get injured, just like a beginner stepping foot inside a weight room for the first time.

#2: The Value of Isometric Exercise Can’t be Overstated.

Dr. Stuart McGill’s lab at The University of Waterloo just released a very interesting study that looked at the effects of using isometric exercises like planks and dead bugs as well as more dynamic exercises such as Russian twists and rotational throws to train the core in two very different groups:

a) beginners who were naïve to resistance training and exercise in general,

b) Muay Thai athletes who were savvy to training concepts and instructions.

Half of the naïve group did isometric training and half did more dynamic training, and the same went for the savvy group. There was a control group as well; they didn’t train for the 6-week duration of the study.

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Afterwards, all training groups saw improvements in both their fixed core strength and range of motion, and also in their response to more reactive stress to the spine. The isometric groups in both the naïve and savvy groups saw bigger improvements than the dynamic training groups.

While isometric exercises may seem very rudimentary and “beginner,” they can still prove beneficial to more advanced athletes and lifters, especially in terms of ease of set-up, relative risk to the individual doing them, and - most importantly - in quantitative outcomes, such as those measured in McGill’s research. It’s very exciting to see that a basic staple exercise, performed well, can benefit individuals of all experience level.

#3: Breathing is More Than Just Inhale/Exhale.

Getting beginners to do core-intensive training usually results in one question from me, repeated consistently through the entire series:

“Are you breathing?”

A go-to response for many is to hold their breath through core intensive movements. While this isn’t a bad response per se - especially if they’re trying to use a valsalva to increase spinal stability during a movement like a deadlift - not being able to inhale and exhale in pace with an exercise can actually reduce the effectiveness of the exercise. Additionally, the speed of breathing can dictate whether a movement is more of a relaxation or mobility movement or whether the goal is speed and reactive capability development. In either case, being able to breathe through an entire set is vitally important to see the best potential improvements.

When breathing for improving mobility or parasympathetic activity, inhales and exhales should be long and full. I usually recommend 3-5 second inhalations and 3-5 second exhalations. For speed and power development, inhales are best with more of a sniffing action where air is taken in quickly and with some development of negative pressure through the ribs and abdomen, and exhaled forcefully and quickly, much like a martial artist throwing a strike. Boxers do this very well, exhaling on impacts to improve not only their ability to not gas out, but to improve the stiffness of their spine to improve the power of their punches.

This short, sharp exhale causes the abdominal muscles to brace very hard and very quickly, essentially momentarily turning the core into stone to allow for a solid strike to generate some impact.

Try this while you’re reading this article: place a hand on your stomach and sniff in quickly through your nose and feel what the abdominal muscles do. Then exhale sharply through pursed lips, like you would if you were throwing a very crisp jab. Did you feel how hard the abs became for the second you inhaled and exhaled? That’s your power center.

Clients along the entire continuum from rehab to elite performance can benefit from learning how to use their breathing to develop the specific goals they’re looking to accomplish. Rehab clients can use the sniff inhale and hard exhale effectively, as it doesn’t necessarily apply aberrant stressors to the spine or connective tissue, but does have a beneficial effect on the strength and reactivity of the core girdle as an entire unit. Simply doing forceful breathing, when appropriate to do so, is itself an effective conditioning tool for many.

#4: Core Strength Training Should Trump Core Endurance Training.

What’s more likely to lead to problems: having to lift 5 pounds 50 times, or having to lift 50 pounds 5 times? Most people would say lifting the heavier weight would be riskier, and I would say if the person didn’t know how to move it to reduce their risks and to take advantage of their leverages, then yes.

However, many training programs heavily prioritize development of core endurance, with higher rep ranges and longer duration isometric holds. While endurance is important, I would argue the ability to generate repeated bouts of higher threshold contractions would have much greater implications to spinal protection, athletic development, and resiliency, while also making the lower threshold contractions less stressful to the body.

A simple way to do this is to alter the methods used to get to a specific volume of training. For instance, let’s say you want to do three minutes of planking. You could do one long sustained plank for 180 seconds, or you could do 18 bouts of maximum intensity 10 second holds, where the goal is to try to contract everything so hard that your hair follicles turn into diamonds and you make it rain like never before. The three-minute sustained plank will challenge you, but you’ll be able to still do something afterwards. The 18 rounds of 10 seconds max effort planks will wreck you.

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Consider it for strength training as well. Instead of doing 3 sets of 10 with a moderate weight, use a more challenging weight to get through 6 sets of 5 and using an appreciably heavier weight.

For lower capacity clients, this can be a great way of building up volume for those who may not have the endurance to go through longer sets or bigger volumes all at once. It also allows for more set-up and learning opportunities for each exercise than doing one or two larger volume sets would allow.

#5: Core Training Should be Vector, Speed, and Intensity-Specific, Not Just Muscle Specific.

Training a movement like an anti-rotation press to overhead raise sounds awesome and does a lot to work on controlling stability through transverse and frontal plane, all in a relatively slow and controlled manner. Asking, “What does this work? Like, your obliques or something?” can be a fair question, but only scratches the surface of what’s going on.

For athletes who compete in relatively specific directions and actions without the elements of contact and chaos, they can benefit from training with a high degree of specificity to their goal activities. For the less specific athlete or for the non-athletic client, they can still benefit from more variable-dependent training, depending on their goals. For instance, a 50-year-old accountant with a history of low back pain may not need to do max velocity rotational throws, but they could still benefit from some rotational velocity training to help prepare them for the eventual frozen sidewalks that they’ll have to walk around in Edmonton in a few months, or perhaps for the games of golf they’ll play when they Snow Bird south for the winter.

For rehab clients, the direction-specific element speaks volumes to whether they have a directional intolerance to certain movements. For instance, some clients can’t handle flexion-based movements very well, so involving some flexion progressions they can work with would be good, whereas full range crunches probably wouldn’t be beneficial. Slower movements to develop control would be important, but involving some higher velocity movements they could control and replicate would also be beneficial in case they encountered those kinds of scenarios on their own. An example would be if they stepped off a curb and had to catch their balance before falling or jerking their spine into a potentially disastrous situation.

Closing Thoughts

To recap, everyone from elite athletes to recovering spinal injury clients and everyone in between can involve core training into their programs in very similar ways, but with minor differences here and there to accomplish their specific goals. Most of the time it’s pretty easy to do, if you know how to do it.

This is where Advanced Core Training comes in. Dean has created a comprehensive, user-friendly guide to programming and coaching core stability exercises. You'll pick up new assessment ideas, innovative exercises, and coaching strategies you can employ to improve outcomes with your clients and athletes. The resource also includes NSCA CEUs. Click here for more information.  
 

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10 Random Thoughts on Core Stability Training

I'm collaborating with Cressey Sports Performance coach Tim Geromini on today's post, as we both reviewed Dean Somerset's new resource, Advanced Core Training, over the weekend. Today, we'll highlight some of the biggest takeaways from the product - and how it relates to what we do at CSP on a daily basis.

Let me preface this article by saying that I think the world needs another "core training" product, seminar, or article like I need a hole in my head. Seriously, it's the most hackneyed topic in the fitness industry today. However, Dean is a super bright guy and his stuff never disappoints, so Tim and I gave him the benefit of the doubt, especially since the resource clocks in at a hair over four hours and therefore wouldn't destroy an entire day if it was less-than-stellar.

Fortunately, Dean put on a great show. Check out some key takeaways we wanted to highlight:

1. Training your core isn’t just about being stiff and stable: Core training is also about being elastic and malleable. We have to be able to get into positions and then lock down into them to prevent injury. However, we also have to be resilient enough to move through the continuum while being able to control movements. Freedom of the movement you have available is key.

2. The end of pain usually does not mean you have restored structure and function. More often than not, the end of pain just means you aren’t currently irritating those tissues enough to have pain. How many times have your client’s symptoms gone away and came back shortly after? Although the symptoms and pain may be gone, the injury is still there. Progressing exercises too fast can lead to a return in pain.

There is nothing wrong with owning basic exercises for long periods of time.

3. Your diaphragm is the roof and main anchor point for most core muscles: psoas, rectus, multifidus, and transverse abdominis. They also attach to the pelvic floor. When you can control breathing through your diaphragm, you can put yourself in a better position to express core strength.

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4. Rotary stability exercises are incredibly important, but they usually occur with the lower body fixed and upper body creating the destabilizing torques. Chops and lifts are perfect examples.

However, in functional activities like the rotation that occurs with golf, tennis, baseball, track and field throwing, and hockey slapshots, there is a separation that takes place between the torso and hips. Effectively, they rotate in opposite directions – so it makes sense to have both “ends” of the chain moving in some of our exercises. A good example is the Dead Bug Anti-Rotation Press, which also offers some anterior core benefits.

5. If you’re always doing relaxed parasympathetic breathing, you won’t generate power. Likewise, if you’re always doing short and choppy breathing, you’ll never relax and will fatigue faster. Let’s take the squat, for example: if your breathing is slow and parasympathetic, your body is not primed to express the absolute force it can. On the other hand, if you’re performing a deadbug as part of your warm-up, you need to relax to activate your core.

6. Try programming for breaths instead of time. During a plank, instead of asking your client to hold the position for 30 seconds, try having them hold the plank for 5 full breaths. This forces them to actually breathe since their focus is getting 5 full breaths out as opposed to trying to survive for 30 seconds. It's an instant shift to quality over quantity.

7. Neutral, Brace, Breathe: when you’re changing positions or setting up for an exercise, the best way to put yourself in the correct position is to own your starting point. In order to do that, you need to reset to a neutral spine, brace your core, and breathe.

8. We really like quadruped walkouts as a “bridge” exercise that can be used as a progression from all fours belly lift toward bear crawls.

This awesome drill gets you not only an anterior core challenge, but also a means of building good serratus anterior function. You can't have good upper extremity function without quality core control!

9. Think set-up, execution, and recovery: to piggy back on the previous point, let’s take the deadlift as an example here. You wouldn’t perform repetition after repetition in rapid fire without resetting. Before going on to your next rep, you reset to a neutral spine, brace your core, and breathe. Instead of thinking of one set of five reps, think of performing five singles. Each repetition is a set in itself.

10. Producing force from lower body to upper body is core dependent. Here at CSP we talk a lot with our athletes about the importance of their core in their pitching delivery. You may have a strong lower half, but without a stable and strong core, that force from your lower body can’t be expressed all the way up the chain if your core gives out.

Wrap-up

Advanced Core Training covers the gambit of core training: everything from how to tune breathing patterns to the desired goal outcome (mobility, strength, reactive speed, etc) to assessing core function. There is a huge hands-on component, which provides a lot of different ideas on how to use exercises and - more importantly - when to use them.To sweeten the deal, Dean's locked down NSCA CEUs for it. In short, I think it's a great resource that has merit for fitness professionals, strength and conditioning coaches, rehab specialists, and fitness enthusiasts alike. Click here to learn more.

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