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Random Thoughts on Long-Term Fitness Industry Success: Installment 2

Written on June 28, 2016 at 7:32 pm, by Eric Cressey

I published a post on this topic a few months ago, and it was really popular. With that in mind, I figured I'd do another quick brain dump on the subject - and have it serve as the second installment of what will become a semi-regular series.

1. Use people's names as much as possible.

Tony Bonvechio is an outstanding coach at our Massachusetts location, and he does this better than any coach I've ever seen. I don't know if he does it intentionally, but it's simple, yet powerful strategy that allows him to really connect with clients - and I'm confident that it makes his coaching more efficient. 

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This "strategy" does' just apply to coaching, though; it makes all your dealings with other people more positive. As Dale Carnegie wrote in How to Win Friends and Influence People, “A person’s name is to them the sweetest sound in any language.”

2. What you don't say matters just as much as what you say.

Body language means a lot in the world of coaching. Crossing your arms screams, "I'm not interested in talking to you." Hands in your pockets gives off the "I don't really know why I'm here, and I don't have anything of value to contribute." If you don't know how to stand, move! If you're bouncing around and interaction with a lot of athletes (in the group setting) or working from multiple coaching angles (when working with a single athlete/client), you can't give off any vibe other than, "I really care and want to help."

3. "In business, you either grow fast or die slowly." 

Robert Herjavec dropped this quote in his new book, You Don't Have to Be a Shark, and I definitely think it holds true in the fitness industry.

you dont have to be a shark

You see, the fields of health and human performance are remarkably dynamic. New research emerges every day, and we learn better ways to do things. Likewise, the dynamics of the business of fitness is changing dramatically as well; you don't have to look any further than the growth of semi-private training opportunities over the past decade as an example of that.

These changes aren't going to slow down anytime soon, so you better stay openminded and flexible so that you can adapt and grow in the decades ahead. The second you think you have it all figured out, the fitness and business games will quickly humble you.

4. This is likely the best progression for learning how to be a complete strength and conditioning coach...

Step 1: learn functional anatomy.

Step 2: learn exercises and how to coach them (note: most coaches cover a big chunk of this step by being athletes themselves).

Step 3: learn assessments.

Step 4: refine exercise selection and coaching strategies in light of the assessments.

Step 5: learn programming strategies.

Step 5: write programs based on steps 3, 4 and 5.

Step 6: keep refining points 3-6 for the rest of your career. Tinker, but never overhaul.

Everyone thinks they can write great programs right off the bat, but the truth is that there is a lot of foundational knowledge that has to be in place before they'll deliver a great training effect. The best coaches are the ones who've had years of going through steps 3-6 over and over again. For the young coaches out there, a good internship should take you from step 1 all the way through step 5.

5. Recognize your individual weaknesses, and coach accordingly.

I'm a fast talker and I often fall into the trap of mumbling. It's something that I really had to work to overcome for my speaking at seminars, but when I'm bouncing around on the training floor and the gym is busy, I often fall back into the trap of speaking too quickly. Recognizing this, at least 2-3 times per day, I have to remind myself of the cues "clear, concise, and firm" in my head to make sure that my brain doesn't get going too fast for my mouth.

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Some coaches are too mellow and need reminders to step up their energy levels. Some need reminders to maintain eye contact with their athletes. Every coach has weaknesses like these - and you have to be honest with yourself about what they are so that you can be cognizant of not slipping back into your old traps.

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Strength and Conditioning Stuff You Should Read: 6/27/16

Written on June 27, 2016 at 5:12 am, by Eric Cressey

Happy Monday, everyone! I hope you all had an awesome weekend. Just in case you didn't, here is some good strength and conditioning material from around the 'net over the past week:

My 5 Least Favorite Coaching Cues - Mike Robertson wrote up this great article on well-intentioned, but inappropriate coaching cues.

Autonomic Dysfunction: Real or Not Real? - This was an outstanding post from Seth Oberst and Dr. Ben House. I love the emphasis on multiple practitioners from different disciplines collaborating to assist those dealing with chronic stress.

Gym Owner Musings: 5 Random Lessons Learned - My business partner, Pete Dupuis, pulled together this blog on a few lessons we've learned in nine years in business at Cressey Sports Performance.  

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Facebook Live Q&A with EC and Tony Bonvechio - I forgot to post this last week, but Tony and I did a lengthy Q&A to celebrate one year of his "Technique Tuesday" videos. You can watch it here:

Top Tweet of the Week:

sledpush

Top Instagram Post of the Week

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Big Toe, Big Problems

Written on June 25, 2016 at 5:55 am, by Eric Cressey

Today's guest post comes from Cressey Sports Performance colleague, Dr. James Spencer. Enjoy! -EC

Epidemiological research suggests that the incidence of foot problems, specifically issues with the first metatarsalphalangeal joint (MTP) is common (1). These common big toe and foot problems are exposed in the systematic approach of the Selective Functional Movement Assessment (SFMA) and Functional Movement Screen (FMS). The big toe condition I would like to highlight is Functional Hallux Limitus (FHL). FHL is a separate distinct diagnosis from Structural Hallux Limitus (SHL). FHL is characterized by a lack of dorsiflexion of the first MTP joint during the gait cycle only (2).

mtpjoint

The one problem that I typically see with this condition is how infrequently diagnosed it is. The reason for this may be that patients may not have experienced pain in their toe or a drastic compensation pattern. Additional research also reported that the presence in foot symptoms does not necessarily correlate with the presence of dysfunction and that patients may be experiencing dysfunction without having any accompanying symptoms (1).

The big toe is a very underestimated player in the Joint by Joint Theory. Popularized by Gray Cook and Mike Boyle, the Joint by Joint approach is alternating series of stable segments on mobile joints, where (generally):

1st MTP: Needs Mobility
Mid-Foot: Needs Stability
Ankle: Needs Mobility
Knee: Needs Stability
Hip: Needs Mobility
Lumbar Spine: Needs Stability
Thoracic Spine: Needs Mobility
Cervical Spine (lower): Needs Stability
Cervical Spine (upper): Needs Mobility
Shoulder: Needs Mobility
Elbow: Needs Stability
Wrist: Needs Mobility

You could see how an alteration in this Joint by Joint approach could affect the mechanics and joints up and down the kinetic chain. In this article I would like to explore FHL and its interplay with Regional Interdependence, which refers to the concept that seemingly unrelated impairments in a remote anatomical region may contribute to, or be associated with, the patient’s primary complaint (3). Therefore, you could see how a lack of big toe mobility can lead to a wide spread of conditions locally, at the joint, and systemically, up the kinetic chain and beyond. For example, some associated signs and conditions may include overpronation, ankle mobility restrictions, toe out posture, posterior tibialis tendinosis, achilles tendinosis, plantar fasciitis and patellar tendinosis, just to name a few. Regional interdependence displays the amazing anatomical and biomechanical interconnection throughout the human body.

Functional Anatomy

The first metatarsal is the shortest and thickest of the metatarsals. Two sesamoid bones, encased in the tendons of the intrinsic muscles, lie beneath the head of the first metatarsal. Suggested sesamoid function for the first metatarsal allows the big toe to plantar flex during extension of the hallux, enhance the load-bearing capacity of the first metatarsal, and to improve the mechanical leverage for the attached intrinsic muscles (4). Depending on the literature you read, the first ray is designed for 50-70 degrees of big toe extension during static evaluation. However, I would argue that 45 degrees of big toe extension is actually adequate during the gait cycle. This is supported with the work of Nawoczenski in the Journal of Bone and Joint Surgery. I could not find any published research on if these values were different during the running cycle. If you look at Thomas Myers’ work with the Superficial Back Line (SBL), you can see how the lack of big toe extension could wreak havoc on the entire kinetic chain via regional interdependence.

anatomy-trains

Originating from the plantar aspect of the calcaneus, the plantar fascia is more than just a passive band of connective tissue. As the plantar fascia travels distally towards the toes, it separates into five slips of fascia. Each plantar fascia slip inserts plantarly onto each of the five digits. As the foot transitions from midstance into push-off, the toes begin to dorsiflex and the plantar fascia is activated. This activation of the plantar fascia upon hallux dorsiflexion is referred to as the “windlass mechanism” and is the second step in preparing the foot for propulsion.

Gray443

Since power during propulsion is dependent upon the foot’s ability to become a rigid lever, ensuring proper hallux dorsiflexion during the gait is key to achieving full foot supination (5). Considering that during gait, the entire body is advancing past this single joint, the ability to dorsiflex, and subsequently raise the heel during single support phase while simultaneously supporting against the developing forces for forward motion is essential for normal, efficient gait. If this mechanism fails, sagittal plane compensation will be forced to occur (6). When the first MTP joint motion is disrupted enough to prevent stabilization of the foot structure during maximal hallux dorsiflexion, through the effect of the windlass mechanism, then normal foot stabilization during propulsion is disrupted, and becomes clinically significant (7).

Aside from the specific biomechanics that are addressed in the lower quarter, looking at mobility loss more globally will always relate to an anterior weight shift. Repetitive function with an anterior weight shift yields facilitation and inhibition in a very predictable pattern.

Common Compensations with FHL

Compensations will occur due to injuries, faulty mechanics and previous experiences. We have to take a step back and realize our CNS (Central Nervous System) is a high-speed train moving forward with “Life;” therefore, compensations will inevitably occur throughout our lives. We could blame previous injuries, posture, ergonomics, it really doesn’t matter what we point the finger at, but our CNS will continue to move forward whether the movement is mechanically advantageous to us or not. The key is not allowing compensatory patterns to become engraved as movement patterns. The CNS loves stimulation and constant feedback for neuroplasticity.

This video displays amazing neurological changes and shows how habits, movement patterns and previous experiences influence our neurological systems. Plus, you have to appreciate the MacGyver Mullet comment! I also want this to be an eye opener for people to see how long it can take to learn new motor skills and how easily it is to revert right back in to an old pattern.

Some of the most common compensations that I see consist of limited proprioception in the midfoot, limited ankle mobility, and limited hip extension. Limited proprioception in the midfoot can lead to plantar fascitis or medial arch stress. Limited ankle mobility - typically dorsiflexion - is another common imbalance that must be assessed in a client seeking power at propulsion. Normal gait requires at least 10 degrees of ankle dorsiflexion with maximum ankle dorsiflexion occurring during late midstance. Limited ankle mobility can lead to a myriad of compensations including midfoot pronation, knee hyperextension and an early heel rise during gait (5). Limited hip extension can lead to abduction compensation and produce the classic overpronated foot type and abducted stance position. The stride length shortens and reduces hip extension and glute activation. As Charlie Weingroff has noted, this is caused when the correct pathway of motion is blocked by the lack of 1st ray dorsiflexion, the person will produce an abducted foot in order to roll off the inside of the toe in order to allow for hip extension (8). I find that this compensation is most often related to the development of Hallux Valgus and bunion formation.

Corrective Strategies

Here's one of my favorite simple drills to use (in combination with manual therapy) with folks with FHL:

I also like to progress individuals to 2x4 walks to integrate this pattern in balance training:

Final Thoughts

Your big toe is essential for proper balance, running, walking and many other athletic activities or exercises. As the foundation to human movement, optimal power during propulsion is dependent upon proper foot posture and muscle activation patterns. With every step, the human foot must convert from a mobile adaptor at midstance to a rigid lever for propulsion. Integrating foot-specific exercises sets the foundation for sufficient foot strength and forefoot re-supination. The quicker the foot can become a rigid lever, the greater the power that is unleashed during propulsion (5). I believe that there is inadequate diagnostic criteria for clinicians to properly diagnose FHL. Since FHL is diagnosed during closed kinetic chain, we should look in to a more definitive way to diagnose this functional condition. Moreover, a dynamic gait analysis that shows timing and pressure differences in the foot may be a good source of objective measurement for future diagnostic criteria.

My goal of this article is to raise awareness of how important the big toe mobility and stability is for every day life and function. Please don’t take the movement algorithm of walking for granted because it is one of the most complex movements the human body performs. Let this final picture be a reminder to never chase pain when evaluating or treating someone and keep the thought of regional interdependence in mind.

Note: references for this article will be posted as the first comment below.

About the Author

spencerBased in South Florida, Dr. James Spencer is a Sports Performance Chiropractor, Certified Athletic Trainer, and Fellow of the International Academy of Medical Acupuncture. He has formal training in Active Release Techniques, Graston Technique, Kinetacore Functional Dry Needling, SpiderTech Kinesiology Tape, RockTape Fascial Movement Taping, Postural Restoration Institute, Y-Balance Test, FMS, SFMA, Mike Boyle’s Certified Functional Strength Coach and the Onnit Academy of Unconventional Training. You can find Dr. Spencer on Facebook, Instagram and at www.DrJamesSpencer.com


 

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2016 CSP Elite Baseball Development Shirts Now Available!

Written on June 23, 2016 at 12:55 pm, by Eric Cressey

I’m excited to announce that the 2016 edition of the Cressey Sports Performance Elite Baseball Development t-shirts (powered by New Balance Baseball) are now available for sale.  Here's the front-back design:

cspshirt

And a real-life shot:

cspshirt2

These shirts are insanely comfortable and run true to size.

Each shirt is $24.99 + S&H. Click the links below to add shirts to your cart:

Extra Large

Large

Medium

Small

Note: XXL is SOLD OUT. We do, however, have it available in both these color options:

IMG_5101

Click here to purchase, and please just specific GREY or RED in the notes section.  

These usually sell very quickly, so don’t delay if you’re interested in picking one up. Enjoy!
 


8 Training Tips for the New Dad

Written on June 21, 2016 at 5:24 am, by Eric Cressey

When I first started getting some noteworthy publications back in 2003, I was a green-around-the-gills 22-year-old graduate student. I had a decent foundation of knowledge in a very specific realm, but in reality, I knew very little about the real world.

In the years that followed, I learned a lot about a lot of things. I competed extensively in powerlifting, read and wrote a ton, and attended and spoke at loads of seminars. We opened Cressey Sports Performance in 2007, and went through three expansions – and trained athletes from all walks of life, including baseball players from all 30 Major League organizations.

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In spite of all these experiences, it wasn’t until the fall of 2014 that I really learned about true responsibility. That September, my very pregnant wife and I moved to Jupiter, FL to open up our second Cressey Sports Performance location.

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Three weeks after the new facility opened, amidst the chaos of moving to a new state and opening a new business, I awoke one morning at 5AM to my wife yelling, “Eric, my water broke!” Five hours later, we were proud parent of twin daughters – and I was in for more lessons than I’d learned in the previous 14 years of coursework, reading, seminars, training, and business.

twins

It was at that point that I realized I’d never had any empathy for clients I’d trained who had kids at home. I’d always been selfish; I ate, slept, and trained whenever I wanted to do so – and I had assumed that they could always do the same. When you have kids, you back-burner your own needs for good.

As you can probably infer, having twins dominated me. For the first 12 weeks, I typically slept 8:30PM through midnight each night, with any other shut-eye during the day serving as bonus. The quality of my training suffered, and my nutrition slipped as my meal-prep time went by the wayside. I ate more protein bars on the fly, and consumed way too much caffeine to get through the days.

By the time the girls were six months old, I was down roughly ten pounds and a fair amount of strength in spite of the fact that I’d tried like crazy to not miss a beat with my training. It was far and away the most challenging six months of my life, but it was also remarkably rewarding on a number of fronts.

Our daughters are about 18 months old now, and the new facility is much more established – so things are a lot easier today. It’s given me some time to reflect on what I learned, and what I would have done differently in the way I took care of myself during that initial phase. Whether you’re a new father or planning/hoping to become one, I sincerely hope that you’ll take these strategies to heart.

1. Use caffeine to make up for sleep deprivation, but not for crappy diet.

Fatigue during exercise is an extremely complex topic, and we’re still somewhat unclear of all the mechanisms for it. By contrast, fatigue in your daily life is remarkably simple: outside of medical conditions that may cause it, you’re tired because you either a) aren’t sleeping enough or b) aren’t putting the right stuff in your body. The former is a normal part of parenting, but the latter doesn’t have to be.

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The two biggest culprits we see with the athletes we encounter always seem to be dehydration and too many of the wrong carbs at the wrong times. If you aren’t drinking enough water, and you’re letting your blood sugar bounce all over the place, you’re going to get tired.

Having a few cups of coffee a day isn’t a problem; having 27 of them plus five energy drinks is. If your nutrition is reasonably good, you won’t have to go to this excess.

2. Clearly communicate a reasonable training schedule.

The old adage goes, “Failing to plan is planning to fail.” This is as true in training with a newborn at home as it is in almost any other part of your life.

I’ll be direct with you: if you try to find time, you’ll fail miserably. If you make time, you’ll do a lot better. However, that’s easier said than done, as there are a lot more competing demands for your attention when you have a baby at home.

This is where I was very fortunate: my wife is a gym rat herself. In fact, I had to hold her back from kicking down the door to the gym to train just 7-10 days after her C-section. To that end, we had some gym schedule reciprocity going; I’d watch the kids while she trained, and she’d watch them while I trained. Sometimes, when the girls were very young, we could bring them with us while we both trained. We also had a nanny who could help out to make sure that we had time when we needed it.

twins2

Regardless of how you approach it, it only works if you schedule it. Trust me on this one, as it will endure for a long-time.

3. Pare back on frequency.

Get the delusion of training six days a week out of your head right now. I tried to do it while sleeping 3-4 hours per night, and it went over like a fart in church. You can’t just keep adding when your recovery capacity is compromised.

For most people, three full-body lifts per week is a good bet. You might be able to get away with four if you aren’t doing much, if any, metabolic conditioning. If you have to pare back to two lifts per week in the short-term, you can certainly get away with that, too.

The point is that you have to be realistic with your training goals. Maintenance is an acceptable goal in this situation, as much as it might be unchartered waters for you.

4. Fluctuate intensity and volume.

One lesson I’ve learned over the years that never ceases to amaze me is that the more experienced you are, the less frequently you need to lift to maintain your strength. It’s really hard to improve your strength, but surprisingly easy to maintain it. Even just taking a few heavy singles over 90% of your max each month seems to do the trick for most intermediate and advanced lifters.

This is an especially important “phenomenon” to remember during a period of sleep deprivation. “Fatigue masks fitness,” so the chances of you feeling good enough to push huge weights aren’t very high. You just have to do “enough.”

A good general guideline I would put out there is to always work high or low, but rarely in the middle. This has two meanings:

a. With your metabolic conditioning, either do high-intensity interval training, or stick to low-key aerobic work to help with recovery. Spending a lot of time doing work at 80% of your max heart rate is like trying to ride two horses with one saddle (check out my old article, Cardio Confusion, for details on why).

b. You need to cycle sessions of higher intensity or volume in to your training program to maintain a training effect. I think a good rule of thumb at this time frame in your life is to hit the higher intensity portion once a month and higher volume once a month. The other two weeks would be lower key in a format like this:

Week 1: lower intensity and volume
Week 2: higher intensity, lower volume
Week 3: lower intensity and volume
Week 4: higher volume, lower intensity

Note: for more information on deloading strategies, check out my e-book, The Art of the Deload.

5. Condition at home.

This is one way in which you might be able to slightly up the training frequency without adding a ton of stress. If you can score a quick 20-30 minute conditioning session at home (or sprinting at a park nearby), it can definitely go a long way. I use my rowing machine at home once a week year-round. Additionally, if you’re really badass, you can throw on a 100-pound weight-vest while pushing the double stroller and walking the dog.

stroller

6. Outsource wherever possible, and welcome help.

I often tell our athletes that “stress is stress.” At the end of the day, your body doesn’t really care whether you have a big project due at work or you’re trying to squat 405 for 10 reps; both are stressful to your system.

Having a kid shifts a big chunk of your “stress allotment” to outside the gym. And, it pushes out a lot of the important stress management approaches – sleep, quality nutrition, massage – that you might normally employ to manage the stress the body encounters.

With that in mind, it’s to your advantage to deflect some of this stress here and there. I’m not encouraging you to have a nanny raise your kid for you; I’m simply saying that it’s okay to ask for help. Nobody is going to judge you as a bad parent if a babysitter or family member watches your kid for a few hours while you get a lift in. And, if you have the financial resources, outsourcing food preparation can ensure that you’ve got healthy nutrition options at your fingertips. My mother-in-law lived with us for six weeks after our daughters were born, and it was a game-changer for us.

Just as Bill Gates doesn’t waste his precious time mowing his own lawn, you shouldn’t try to handle absolutely everything. It’s okay to ask for help.

7. Embrace simplicity – and do the simple things savagely well.

In my early days as a father, I had a habit of trying to take complex solutions to simple problems. The babies would cry, so I’d try to change the setting on their swing, turn on some music, give them an elaborate toy, or make a bunch of silly faces. Usually, the solution was just to feed them, change a diaper, or simply hold them.

A simple approach has merit for your training – especially during this crazy time of your life. When you have a newborn at home, it’s not the time for an elaborate squat specialization program, loads of direct arm work, or a 45-minute feel-good foam rolling session. Stick to the meat and potatoes: squats, deadlifts, presses, rows, lunges, chin-ups, etc.

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I’d even argue that if you were ever going to embark on a one-set-to-failure machine based training block, this would be the time to do it. There’s quick adjustments on most selectorized equipment and the prospects of doing 6-8 sets in a training session will sound pretty appealing with you are working on three hours sleep and only have 30 minutes to get a training session in. Simplicity works.

It also works on the nutrition front. Make sure drink plenty of water and eat protein and veggies at every meal. Nobody is going to judge you if you have eggs for dinner because you didn’t have time to prepare something elaborate.

8. Remember that someone always has it harder than you do.

Strategies are all well and good, but perspective is invaluable.

Very simply, your significant other has it as lot worse than you. Pregnancy and childbirth are tremendously hard on women.

First, a lot of women deal with nausea (“morning sickness”) early in pregnancy. Constantly wanting to vomit isn’t exactly good for consistent, high-quality training. The truth is that this is the tip of the iceberg, though; they may experience heartburn, constipation, or any of the other fun symptoms elevated progesterone can deliver.

Second, as the baby grows during pregnancy, the woman’s center of mass is displaced forward relative to the base of support. This effectively rewires a long-term, engrained pattern of stabilization – and explains why many pregnant women wind up with back pain.

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Third, remember that the baby grows under the rectus abdominus. So, the muscles of the anterior core are heavily overstretched and in a tough position to provide much support. I can remember when my wife – who can normally bang out 10-12 chin-ups – tried to do one when she was about six months pregnant. She did a half a rep, told me that it didn’t feel good at all – and she didn’t attempt another one for the rest of her pregnancy. Just putting the arms overhead can really stretch and already-lengthened anterior core significantly.

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Fourth, during pregnancy, concentrations of the hormone relaxin increase dramatically to prepare the “lower quarters” for the stretching that takes place during childbirth. This hormone also works on ligaments at other joints, so women – who are normally more loose-jointed than man, anyway – become even more hypermobile. Less passive stability – combined with the anterior weight shift and lengthened core musculature – is a recipe for pain.

Just when you think things can’t get any physically harder for women, though, they have to go through the trauma of childbirth – or have a hole cut in their abdomen for a C-section. And, instead of the rehabilitation they deserve at this point, they get to start breastfeeding – and encountering sleep deprivation that’s far worse than yours.

Sorry, dude; someone has it rougher than you.

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Strength and Conditioning Stuff You Should Read: 6/20/16

Written on June 20, 2016 at 5:23 am, by Eric Cressey

Happy Monday! And, to all the Dads out there, I hope you had a great Father's Day. Here's some good strength and conditioning content from around the web as a belated gift:

Physical Preparation Podcast with Greg Robins - Mike Robertson interviewed Cressey Sports Performance coach Greg Robins, and not surprisingly, it came out great. 

10 Lessons from 10 Years of Lifting - Part 2 - Another CSP coach, Tony Bonvechio, continues with this excellent two-part series on invaluable training lessons he's learned.

How I Accidentally Raised a Professional Athlete - This awesome ESPNW article was written by Edie Ravenelle - who happens to be the mother of long-time Cressey Sports Performance athlete Adam Ravenelle. Adam has trained with us since he was in 8th grade, and won a national championship with Vanderbilt before being drafted by the Detroit Tigers.

Cressey Sports Performance on Snapchat! - CSP just started up a Snapchat account; you can follow us at CresseySP.

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Top Tweet of the Week:

toptw

Top Instagram Post of the Week:

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Random Thoughts on Sports Performance Training – Installment 19

Written on June 17, 2016 at 7:33 am, by Eric Cressey

It's time for the June installment of "Random Thoughts on Sports Performance Training."  With the introductory sale on Functional Stability Training: Optimizing Movement ending on Sunday at midnight, I'm going to use this post as an opportunity to highlight one of the key concepts that resounds throughout the product: relative stiffness.

FST-DVD-COVER-OPTIMOVE

1. All successful coaching hinges on relative stiffness - whether you're aware of it or not.

I first came across the concept of relative stiffness in reading Shirley Sahrmann's work. This principle holds that the stiffness in one region (muscles/tendons, ligaments, or joint) has can have a functional impact on the compensatory motion at an adjacent joint that may have more or less stiffness. You'll also hear it referred to as "regional interdependence" and the "joint-by-joint" approach by the FMS/SFMA and Mike Boyle, respectively.

For those who do best with examples, think of lower back pain in someone who has an immobile thoracic spine and hips. They don't move through these regions (excessive stiffness), so the lumbar spine (insufficient stiffness) just compensate with excessive motion. Likewise, a female soccer player with insufficient "good stiffness" in the hip external rotators and hamstrings might be more likely to suffer an ACL injury, as this deficit allows excessive motion into knee valgus and hyperextension.

This is why a knowledge of functional anatomy is so key for strength and conditioning coaches. Every cue you use is an attempt to either increase or decrease stiffness. When you hear Dr. Stuart McGill say, "lock the ribs to the pelvis," he's encouraging more (anterior) core stiffness. When you hear "double chin," it's to increase stiffness of the deep neck flexors. When you ask an athlete to take the arms overhead during a mobility drill, you're looking to decrease stiffness through the lats, thoracic spine, pec minor, etc. - and increase stiffness through the scapular upward rotators, anterior core, deep neck flexors, etc. 

laterallunge

In short, absolutely everything we do in training and in life is impacted by this relative stiffness.

2. Remember that elbow hyperextension doesn't only occur because of joint hypermobility.

I've written frequently about how elbow hyperextension at the top of push-ups is a big problem, especially in hypermobile athletes who may be more predisposed to the issue. Typically, this is simply a technique issue; you tell athletes to stop doing it, and they do.

elbowhyperextension

However, this doesn't mean that they'll automatically correct the tendency on other movements - like catching a snatch overhead, or throwing a baseball. It's when we look at the problem through a larger lens that we realize there is a big relationship to a lack of scapular motion. If you don't have enough good stiffness in serratus anterior to get the scapula to "wrap" around the rib cage and upwardly rotate, you'll have to go elsewhere to find this motion (elbow hypermobility). This is why I'm a huge stickler for getting good scapular movement on the rib cage - and the yoga push-up is a great way to train it. Think "more scap, less elbow."

3. If you want job security, become a hip surgeon.

The other day, I was speaking with a good friend who works with a lot of strength competitors - powerlifting, Olympic lifting, and Crossfit - and he made a comment that really stood out to me: "I'm seeing uglier hips than ever - even with females."

This has some pretty crazy clinical implications. Most females of "strength sport competitor age" have quite a bit of natural joint hypermobility, so they typically present with excellent hip range-of-motion prior to the age of 40. Even females who sit at computers all day rarely present with brutal hip ROM before they're middle-aged. What does this tell us? We have a lot of females who are developing reactive changes (bony overgrowth = bad stiffness) in their hips well too early, and when they later add increased ligamentous stiffness and a greater tendency toward degenerative changes (both normal with aging), we are going to see some really bad clinical hip presentations.

As an aside, it’s widely debated whether those with femoracetabular impingement (FAI) are born with it, or whether it becomes part of “normal” development in some individuals. World-renowned hip specialist Marc Phillipon put that debate to rest with a 2013 study that examined how the incidence of FAI changed across various stages of youth hockey. At the PeeWee (10-12 years old) level, 37% had FAI and 48% had labral tears. These numbers went to 63% and 63% at the Bantam level (ages 13-15), and 93% and 93% at the Midget (ages 16-19) levels, respectively. The longer one played hockey, the messier the hip – and the greater the likelihood that the FAI would “chew up” the labrum.

fai

Source: Lavigne et al.: http://www.ncbi.nlm.nih.gov/pubmed/15043094

So, whether it's strength sport athletes, hockey players, or some other kind of athlete, if you want job security, become a hip surgeon - and expect to do a lot of hip replacements in 2040 and beyond. There's a good chance these folks will need multiple replacements over the course of their life, too, if the longevity of the hardware doesn't improve before then. The same can probably be said for shoulders, too.

How does it relate to relative stiffness? Once you've used up all the "bad" stiffness you can acquire - muscles, tendons, ligaments, and joint - there's a good chance that you'll have beaten at least some structure up enough to warrant a surgery.

Wrap-up

I could go on and on with other examples of relative stiffness in action, but the truth is that they are countless - and that's why it's so important to appreciate this concept. To that end, I'd highly recommend you check out Mike Reinold and my new resource, Functional Stability Training: Optimizing Movement. It's on sale at an introductory $30 off discount through this Sunday at midnight.

eric and mike squat

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Hip Extension, Core Stability, and the Split Squat

Written on June 15, 2016 at 5:17 am, by Eric Cressey

Here's another teaser from Mike Reinold and my new resource, Functional Stability Training: Optimizing Movement. While the Bulgarian Split Squat (also known as the Rear-Foot Elevated Split Squat) has always been viewed as a "generally safe" exercise, it does require good hip extension range-of-motion that you can't just always assume is present. Check out this video to learn more:

Also, don't forget, the introductory $30 off sale on FST: Optimizing Movement ends this weekend.  Click here to learn more.

FST-DVD-COVER-OPTIMOVE

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Strength and Conditioning Stuff You Should Read: 6/14/16

Written on June 14, 2016 at 5:14 am, by Eric Cressey

Here's some recommended strength and conditioning reading/viewing to get your Tuesday started off on the right foot:

How Neural Tension Influences Hamstrings Flexibility - This Mike Reinold video is an excerpt from our new resource, Functional Stability Training: Optimizing Movement. It's on sale for $30 off through the end of the week.

10 Lessons from 10 Years of Lifting - Part 1

TonyB_070715-kl-80-2

Why Physical Therapists are Movement System Experts? - I thought this was an excellent article from my good friend and colleague, Eric Schoenberg. I collaborate with Eric on a weekly basis with various rehab cases and he's an outstanding therapist and even better friend.

Top Tweet of the Week:

lomoquote

Top Instagram Post of the Week: (this week's come from the @CresseySportsPerformance account):

 

Another exciting 1st Year Player Draft in the books. Odds are looking pretty good that we break into triple digits in '17. #cspfamily #mlbdraft

A photo posted by Cressey Sports Performance (@cresseysportsperformance) on

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Chicago Seminar Announcement: July 31, 2016

Written on June 13, 2016 at 11:25 am, by Eric Cressey

I just wanted to give you a heads-up on one-day seminar with me in Chicago, IL on Sunday, July 31, 2016.

Cressey scapula

We’ll be spending the day geeking out on shoulders, as the event will cover Shoulder Assessment, Corrective Exercise, and Programming.  The event will be geared toward personal trainers, strength and conditioning professionals, rehabilitation specialists, and fitness enthusiasts alike.

Agenda

9:00AM-9:30AM – Inefficiency vs. Pathology (Lecture)
9:30AM-10:15AM – Understanding Common Shoulder Injuries and Conditions (Lecture)
10:15AM-10:30AM – Break
10:30AM-12:30PM – Upper Extremity Assessment (Lab)
12:30PM-1:30PM – Lunch
1:30PM-3:30PM – Upper Extremity Mobility/Activation/Strength Drills (Lab)
3:30PM-3:45PM – Break
3:45PM-4:45PM – Upper Extremity Strength and Conditioning Programming: What Really Is Appropriate? (Lecture)
4:45PM-5:00PM – Q&A to Wrap Up

Location

TC Boost Sports Performance
600 Waukegan Road
Unit 108 
Northbrook, IL 60062

tcboost

Continuing Education Credits

The event has  been approved for 0.7 CEUs (7 contact hours) through the National Strength and Conditioning Association (NSCA).

Cost:

Early Bird (before July 1) – $149.99
Regular (after July 1) - $199.99

Note: we'll be capping the number of participants to ensure that there is a lot of presenter/attendee interaction - particularly during the hands-on workshop portion - so be sure to register early, as the previous offering sold out well in advance of the early-bird registration deadline.

Registration

Click here to register using our 100% secure server!

Looking forward to seeing you there!

Questions? Please email ec@ericcressey.com.


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