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Strength and Conditioning Stuff You Should Read: 12/19/16

It's been a quiet week on the blog, as my wife and I traveled up to Massachusetts for a long-time client's wedding and the last Elite Baseball Mentorship of the year.

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I'll have some new content for you later in the week, but in the meantime, here's some great stuff to cover:

30 Days of Arm Care - I wrapped this up a few days ago. You can view all the videos on Twitter and Instagram using the #30DaysOfArmCare hashtag.

Are Weighted Baseballs a Wave of the Future? - Lindsay Berra wrote this article for MLB.com and interviewed me about our work with pro guys with weighted balls.

The Fitness Entrepreneur's Handbook - Pat Rigsby is one of the brightest business minds I've ever met - and certainly among the top guys in the business of fitness. I was thrilled when he asked me to write the foreword to this new book. This is a must read if you're in the fitness industry. 

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5 Lessons on Coaching - I published this guest blog from former Cressey Sports Performance intern John O'Neil one year ago, and it was a huge hit. There are definitely some great coaching lessons in here. 

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Today is Day 28 of #30DaysOfArmCare. My two-year-old daughter Addison is my special guest. Key takeaways: 1. As I noted in day 12 of this series, a more retroverted humerus (upper arm) gives rise to more lay-back during the throwing motion. It is theorized that this adaptation can protect both the shoulder and elbow. 2. We are all born with retroverted humerii (plural of humerus?), but over the course of our lives, we become more anteverted. 3. Throwing at a young age actually help to preserve this retroversion. It's why you will see more laid-back on a throwing shoulder than on a non-dominant shoulder. It's also why you will probably never see someone pick up baseball in their 20s and become a superstar pitcher. Basically, you need to warp bones to throw gas. 4. The secret is to do just enough throwing to preserve this positioning, but not so much as to create growth plate injuries. 5. "Throwing like a girl" is actually related to the amount of retroversion in place. If you don't have a retroverted humerus, you won't lay the arm back, and will instead just lead with the elbow. To that end, lots of dudes who never played overhead throwing sports actually "throw like girls." See first pitches from President Obama, 50 Cent, Carl Lewis, etc. 6. My kids are going to throw cheddar. Follow #30DaysOfArmCare and @cresseysportsperformance for more tips to keep throwing arms healthy. #cspfamily #armcare #baseball #mlb

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Strength and Conditioning Stuff You Should Read: 12/12/16

Good morning! I hope everyone had a great weekend. This week's "Stuff to Read" was a breeze to pull together, as there was some outstanding content on the 'Net since our last installment. Before we get to it, though, just a friendly reminder that my 30 Days of Arm Care feature is currently at Day 28. You can view all the videos on Twitter and Instagram using the #30DaysOfArmCare hashtag. Now, on to the good stuff!

Physical Preparation Podcast with Dr. Stuart McGill - Bold statement: this was probably the best podcast to which I've ever listened. Dr. McGill is so smart and cutting-edge that you can't drive while listening to his stuff or else you'll find yourself pulling over constantly to scribble notes.

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Physical Preparation Podcast with Shane Rye - Yes, Mike Robertson's podcast actually scored a double dip in the recommended reading for the week. This chat with my business partner, Shane, 

The Best Calorie Control Guide - Precision Nutrition shares an insightful infographic just in time for the holidays.

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Prioritization and Concession for Strength and Conditioning Success

As you’ve probably already noticed, it’s been a bit quieter on the blog of late. Normally, I try to get up at least two – and usually three – new posts per week. Over the past few months, it’s been more like 1-2 posts.

With two facilities in two states – and a pair of two-year-olds at home – life has a very brisk pace to it right now. The baseball off-season keeps me very busy, so when October through February rolls around, some things just have to take a back seat. For me, that’s usually writing and traveling for speaking engagements. In-person coaching is what I love, and this is the absolute best time of year for it.

Fortunately, though, it doesn’t have to be “either/or” for me; rather, it can be “and” if I select a convenient medium. To that end, I’ve done more video content on the social media front with my 30 Days of Arm Care series and some random videos of our pro guys training.

Right now, I’m prioritizing the most time-sensitive demands (in-person training), particularly because they’re the part of my professional responsibilities that I love the most. And, obviously, it’s a goal to prioritize family time above all else, and I need to get my own training in.

Simultaneously, while I’d much rather write detailed content and film longer videos, it’s not always feasible – so I’ve conceded that some quick social media posts and even the occasional guest contribution from another writer are solid ways to keep the ball rolling in the right direction with my online brand while I manage the pro baseball off-season.

As I thought more and more about this time crunch conundrum, it goes me to thinking about how it parallels what folks deal with on the training front. Two key principles – prioritization and concession – really stand out in my mind.

The best training programs are the ones that clearly identify and address the highest priorities for the lifter. If a 14-year-old kid can’t even execute a solid body push-up, putting him on a 3x/week bench press specialization program probably isn’t the best idea. Likewise, if a 65-year-old women can’t even walk from the car to the gym without back pain, she probably shouldn’t be learning how to power clean on her first day. These prioritization principle examples might seem obvious, but not all scenarios are as clearly defined. There are loads of factors that have to be considered on the prioritization front once someone has more training experience: duration of the window to train (off-season length), injury history, personal preferences, equipment availability, etc. It’s not always so black and white.

If you’re going to prioritize, it invariably means that you have to concede; very simply, you can’t give 100% to absolutely everything. If you go on a squat specialization program, you need to concede that you’re going to train your deadlift and bench press with less volume/intensity and later in your training sessions. Not everything can be prioritized all the time because of our limited recovery capacities.

Looking back, while I didn’t realize it at the time, these two principles help explain some of the popularity of my High Performance Handbook. By giving individuals various options in terms of both lifting frequency (2x/week, 3x/week, and 4x/week) and supplemental conditioning protocols, it afforded them the opportunity to prioritize and concede as they saw fit while still sticking to the primary principles that drive an effective program.

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Additionally, because they were the ones selecting which route to pursue, it gave them an ownership role in the training process. My good friend (and Purdue Basketball Strength and Conditioning Coach) Josh Bonhotal went to great lengths to highlight how important this is to the training process in this article. I love this quote in particular:

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As I wrap my head around this even more, it makes me realize that when we educate an athlete about prioritization and concession - usually in the form of a thorough evaluation where we demonstrate that we want to individualize our programs to their needs - we're empowering them as part of the decision-making process. And that's where "buy-in" and, in turn, results follow.

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Strength and Conditioning Stuff You Should Read: 12/6/16

I hope your week is going well. I had a blast in Nashville this past weekend while speaking at the Pitchapalooza event, but now it's back to the regular craziness of the baseball off-season. I'll have some new content later in the week, but in the meantime, here are some good reads for the week: 

30 Days of Arm Care Updates - You can see all these videos (currently on day 23) via the hashtag #30DaysOfArmCare on both Twitter and Instagram.

Pre-Suasion - This is the second book I've read from Robert Cialdini, and while neither of them were directly written for strength and conditioning coaches, they can both really help the way we interact with our athletes.

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The Ideal Business Show with Pete Dupuis - Pat Rigsby interviewed my business partner, Pete Dupuis. This is a great listen for all fitness professionals interested in the business side of the industry.

New Boss Derek Falvey Looks to Make an Imprint with Twins - Derek Falvey is the new team president of the Minnesota Twins - at age 33. That's an incredible accomplishment, and this article sheds some light on how he quickly ascended through the MLB front office ranks. There are great lessons in here for up-and-comers in any field. Derek has become a good friend, and I'm really excited to see where the Twins go in the years ahead behind his leadership.

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#Yankees prospect Austin DeCarr reminds us that pitchers are athletes, too. #cspfamily

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3 Factors that Contribute to Arm Injuries in Softball Players

Today's guest post comes from Cressey Sports Performance coach, Nancy Newell. Nancy is a rock star when it comes to working with our softball players, and today you'll see why. Enjoy! - EC

The conventional belief in fast-pitch softball has been that the underhand throwing motion places minimal stress on the shoulder and pitching-related injuries are therefore rare. As such, unlike its baseball counterparts, the Amateur Softball Association (ASA) has zero pitching regulations in place to monitor pitches thrown per game, innings played, rest between appearances, and number of required pitchers per team. This mindset puts these young athletes at a higher risk of injury. Here’s why:

1) Significant forces and torques are experienced at the shoulder and elbow.

It’s true the forces and torques experienced at the shoulder for females do not match the forces produced with overhand pitching in males. Males typically have bigger frames (height x weight) and muscle mass to produce higher forces than their female counterparts, so we should expect to see higher forces in males verse females. However, the forces produced by females relative to their height and weight are significant enough to cause injury to their bodies over time.

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During the deceleration phase, baseball pitchers create forces at the shoulder measured as high as 108% of body weight in professional pitchers. Softball pitchers on the other hand have to resist glenohumeral distraction forces of up to 80-94% of bodyweight while also controlling a maximum internal rotation torque velocity greater than 5,000 degrees per second. The combination of high rotational forces at the shoulder and elbow place a stressful workload on the biceps tendon, pectoralis major, and subscapularis to resist internal rotation and forward translation of the humerus along with pronation of the forearm. Consequently, Shanley et al. noted up to 80% of all girls playing high school softball reported having shoulder injuries (discomfort, pain, or strains). Barrentine et al. (college pitchers) and Werner et al. (youth pitchers) both demonstrated that compression forces needed to resist distraction at the shoulder were close to 1x body weight.  Furthermore, the Werner group noted, "Excessive distraction stress and joint torques at the throwing-arm elbow and shoulder are similar to those found in baseball pitchers."

Note from EC: as an interesting aside, another study from the Werner group demonstrated shoulder stress almost 20% lower in elite (Olympic) softball pitchers even though their velocity was significantly (5mph) higher. This parallels what we see in high-level baseball pitchers; the best athletes out there find more efficient ways to pitch, and understand how to effectively distribute stress across multiple joints. They're also generally stronger, and therefore able to tolerate higher training and competition loads. This is just a friendly reminder that your untrained 14-year-old isn't highly trained, biomechanically efficient, or skeletally mature.

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2) Pitch counts are extremely high.
 
Young female athletes are now specializing in softball year round and playing at least 52 and sometimes upwards of 72 games per year. These athletes play for their high school team (12 games); participate in summer ball or tournament play which have around six 3-day showcases with up to nine games per tournament (30-54 games); fall ball (10 games); then attend numerous winter clinics.

A 2016 Lear et al. study helped shed some much needed light on daunting pitch count numbers being thrown by young women. It has been reported that high school softball pitchers may average about 99 pitches over 5 innings of work. Lear additionally stated, “In tournament play, youth players may throw every game of a weekend tournament, reaching upwards of 1,200 pitches in a 3-day event.”

Dr. James Andrews, a renowned orthopedic surgeon and authority on the topic of throwing injuries, had this to say in his 2013 writing of Any Given Monday: “There is a common belief that the throwing underhand is a natural way to keep a player safe from injury, but this is definitely not true. The repeated movement and velocity of pitches thrown, even in the windmill style, are now even tearing the ‘Tommy John ligament,’ resulting in a UCL injury. Pitching limits matter in softball as much as they do in baseball.”

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3) Kids are lacking in the strength and conditioning department.
 
Compounding these issues is the fact that many young athletes do not get exposed to strength training until their freshman year of college, resulting in poor rotator cuff strength, scapular control, and a lack of both muscular and kinesthetic awareness. These factors, coupled with kids spending less time outdoors and more time on their couch absorbed in a digital reality, is not helping the situation either. Just to put this in perspective, WebMD noted that 85% of kids aged 14-17 own cell phones and spend an average of 6 hours per day checking social media and playing games. Without a solid foundation of strength and conditioning, young athletes are at a higher risk for injuries to begin with; with a program, their bodies are more prepared for the demands their sport places on them. Take three of those hours staring at a screen and devote them to a consistent strength and conditioning program and we have a different story.

Closing Thoughts

Softball pitchers will continue to be negatively impacted by the effects of overuse unless associations above implement a change. Until then, softball pitchers need to focus on:
 
• Getting stronger
• Tracking pitches thrown
• Effective and honest communication with coaches and parents
• Putting the softball down for a few months

About the Author

Nancy Newell (@NancyNewell2) is a strength and conditioning coach at Cressey Sports Performance in Hudson, MA. Nancy earned her Bachelors Degree in Fitness Development from the State University of New York at Cortland. You can read more from her at www.NancyNewell.com.
 

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Strength and Conditioning Stuff You Should Read: 11/30/16

After a week in Massachusetts for Thanksgiving, the Cressey family is back in Florida. While up there, we celebrated our twin daughters' second birthday. I'm not sure they're fans of the cold yet...

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With that said, let's get to the recommended reading!

30 Days of Arm Care Updates - You can see all these videos (currently on day 17) via the hashtag #30DaysOfArmCare on both Twitter and Instagram.

Settling the Great Grain Debate - Here's some great stuff on the nutrition front from Precision Nutrition's Brian St. Pierre.  

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Professional Communication: Delivery and Context Matter - Whether you're a fitness professional or rehabilitation specialist, you'll want to read this great article from physical therapist Doug Kechijian.

Jim Harbaugh's Circle of Friends Is Even Cooler Than You Think - I often say that successful people find value in unexpected places. I love the discussion about how Harbaugh pries to ask questions and elicit deeper responses in his conversations with friends from all walks of life. The best coaches I know are always looking outside their fields to find ways to improve.

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First offseason program for @ckluber28 is ready! #cspfamily #250IP #backtowork

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Random Thoughts on Sports Performance Training – Installment 24

With only a few days to spare, here is the November 2016 edition of randomness!

1. Don’t let bad movement become cemented joints.

As I presented in Functional Stability Training of the Upper Body, mobility can be restricted for a lot of reasons.

One thing I didn't note in this video is that if you have muscular, capsular, or alignment issues that persist for an extended period of time, you'll eventually develop changes to the joint (bony overgrowth). In a 2013 study, world-renowned hip specialist Marc Phillipon examined how the incidence of femoroacetabular impingment (FAI) - bony overgrowth at the hip - 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.

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Source: Lavigne et al. 2004

It's imperative for strength and conditioning coaches to understand these issues. On evaluation, if an athlete already has changes to the joint, we need to create training programs to deliver a training effect while working around these issues. If you squat an entire team of football players even though you know 4-5 of them already have significant FAI and associated pathologies in their hips, you're probably going to be funding some hip surgeon's retirement. Work on deadlifting and single-leg work instead, though, and you'll probably kick the can down the road for those athletes.

Conversely, if your assessment reveals that an athlete is out of alignment and has some tissue density and core control issues that are preventing quality hip flexion and internal rotation, you need to design a program to get to work on those problems before they can develop bony blocks at the hip. As my buddy Mike Reinold often says, "Assess, don't guess." 

2. We might be seeing the end of the versatile strength and conditioning coach.

One thing I've noticed in the strength and conditioning field over the past decade is an increased tendency toward specialization among coaches. Over the years, there have some been really bright coaches - Al Vermeil, Mike Boyle, and Bob Alejo come to mind - who've had success across multiple sports at the highest levels. They were few and far between, but it was still something that was feasible if someone was educated and motivated enough. I think that's changing and this versatility will be obsolete very soon.

We're seeing a much bigger focus on analytics in all professional sports; the focus on minute details has never been greater. In college sports, we are seeing more "baseball only" and "hockey only" guys to build on the years of the football strength and conditioning coach typically not working with other teams. At every level, specialization among strength coaches (and rehabilitation specialists, for that matter) is increasing. As a result, if a coach tries to venture out into another sport at a high level, it takes longer to get up to speed. 

If a guy leaves basketball to go to baseball, he's got to learn about thoracic outlet syndrome, ulnar collateral ligament injuries, and lat strains; these just don't happen very often in hoops. He won't have to worry much about humeral retroversion in his programming for shooting guards, either - but it has a huge influence on how he manages functional mobility in pitchers.

 

Today is Day 12 of #30DaysOfArmCare. Thanks to #Tigers pitcher @adamrav12 for the assist! Key takeaways: 1. Retroversion is a common finding and throwing shoulders. It gives rise to greater lay-back at max external rotation. 2. The more passive range of motion you have, the more consistently you must work to maintain active stability of that ROM. ROM without stability is injury risk. 3. Perform your cuff work in the positions that matter - and keep in mind that individual differences in passive ROM may be present. 4. Don't stretch throwers into external rotation, especially if they already have this much lay-back! Follow #30DaysOfArmCare and @cresseysportsperformance for more tips to keep throwing arms healthy. #cspfamily #armcare #baseball #mlb

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Likewise, just because I have a solid handle on managing shoulders in overhead athletes doesn't mean that I'm equipped to handle the metabolic demands that swimmers encounter.

Versatility is still important; a well-rounded professional will never go hungry. However, at the higher levels, I just see fewer and fewer professional teams and colleges valuing it highly when the quickest option is to seek out specialists in specific realms.

3. Create context not only to improve coaching, but also to improve adherence.

Recently, I saw a professional pitcher who noted that his team had commented on how limited his extension on each pitch was. For those who aren't familiar, in recent years, teams have started tracking the actual release point of various pitchers. Basically, if two pitchers both throw 95mph, but one releases the ball closer to the plate, the one with more extension is actually releasing the ball closer to the plate, so it "gets on" the hitter faster. All things considered, a higher extension is generally better. You can view it as part of the Statcast panel on each MLB pitchers' page; here's CSP athlete Steve Cishek's, as a frame of reference. Steve's extension is well above MLB average, so the perceived velocity of his pitches are over one mph higher than their actual velocity.

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Returning to the pitcher I evaluated recently, he commented that although his fastball velocity is among the best in the minor leagues and he has quite a bit of movement, he doesn't strike a lot of guys out. While there are a lot of reasons for this, one consideration has to be physical limitations that don't allow him to get extension out in front. In his case, on evaluation, we saw a pseudo military posture; his shoulder blades were tugged back into adduction, and he lacked the upward rotation to effectively "get out front."

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Additionally, in the lower extremity, he had significant bilateral muscular/alignment limitations to hip internal rotation. If you don't have sufficient hip internal rotation on your back leg, you aren't going to ride your hip down the mound very far. If you don't have internal rotation on the front hip, you won't be able to accept force on the front leg, so you'll effectively cut off your deceleration arc, also shortening your extension out front. These are usually the guys who "miss" up-and-armside, or cut balls off in an attempt to correct the issue.

If I had just told him he needed to fix these for the sake of fixing them - or even just to prevent injury - it probably wouldn't hold much water. However, by relating these movement inefficiencies back to aspects of his delivery with which he struggles, the buy-in is a lot higher. Striking guys out is a lot "sexier" than avoiding injury or conforming to some range-of-motion norm. 

4. This is a great weekend to be an up-and-coming fitness professional or rehabilitation specialist on a limited budget.

Black Friday/Cyber Monday might be annoying if you're in stores and dealing with a bunch of crazy Moms who are fighting over the last Tickle-Me-Elmo, but in an online context, it's pretty darn awesome - especially if you're an aspiring coach looking to get your hands on some quality educational material.

I did my undergraduate education at a smaller Division 3 school in Southern Maine. We didn't have a varsity weight room where I could observe or volunteer, and there weren't tip top internship opportunities right down the road where I could've found opportunities like that. Looking back, I realize that one of the main reasons I got on the right path was that I was willing to search high and low for those learning opportunities. I spent hours reading T-Nation and hard copy books I'd bought, not to mention driving to whatever seminars I could find.

Nowadays, education is much, more more accessible. Instead of driving nine hours to Buffalo or dropping $1,000 on a plane right, hotel, rental car, and seminar registration, you can spend 10% of that amount and get an awesome education - and you can pick and choose what you want to learn. This weekend, you can do it super affordably, too.

Want a crash course in relative stiffness? Check out my presentations in Functional Stability Training: Optimizing Movement (on sale for 20% off with coupon code BF2016). 

Looking to patch up the holes in your college anatomy course by learning about functional anatomy instead? Pick up Building the Efficient Athlete from Mike Robertson and me (20% off this weekend; no coupon code needed).

Need some cutting-edge hip mobility strategies? Watch Dean Somerset's presentations in The Complete Shoulder and Hip Blueprint (on sale for $30 off through Monday).

Interested in taking a peek into the mind of a successful NFL strength and conditioning coach? Soak up Joe Kenn's knowledge in Elite Athletic Development (20% off this weekend; no coupon code needed).

It's an amazing age in strength and conditioning; short of actual hands-on coaching experience, all the information you need to be successful is at your fingertips in a digital medium - and this is the weekend to get it at the best price.

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Strength and Conditioning Stuff You Should Read: 11/22/16

Yesterday was a busy travel day for our family as we headed up to Massachusetts for Thanksgiving week, so this list of recommended reading comes a day late. It turned out well, as I updated the list with a few articles that were just posted yesterday.

Before we get to the reading list, though, I wanted to give you two quick reminders:

1. Our Black Friday sale is currently taking place. You can get 20% off on a bunch of my products using the coupon code BF2016. Click here for more information.

2. My 30 Days of Arm Care series is also ongoing. You can see all these videos (currently on day 9) via the hashtag #30DaysOfArmCare on both Twitter and Instagram

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Now, we're on to the content...

30 Seconds of Undivided Attention - I'd argue that this might be the single most important blog many novice trainees can do to take their strength and conditioning results to the next level. The ability to "flip the switch" and train hard is essential - and it's one reason why so many individuals make huge strides when they get in the right training environment. Huge thumbs up to CSP coach Tony Bonvechio for pulling this together.

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3 Reasons Athletes Get Injured - Mike Robertson delivered some great stuff in this week's article. Injuries are multifactorial, but Mike hits on some of the big rocks in this one.

How to Quite Weakend Overeating - Krista Scott-Dixon wrote up this outstanding practical article for Precision Nutrition just in time for the holidays.

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Today is Day 5 of #30DaysOfArmCare. Thanks to #Brewers prospect Monte Harrison for his help with this demo. Key takeaways: 1. Optimal scapular (shoulder blade) function is dependent on appropriate core positioning. Doing arm care with poor core positioning is like trying to shoot a cannon from a canoe. 2. As the arms go overhead, the lats are put on stretch - and the challenge to the anterior core and scapular upward rotators increases. 3. You need strong lats for a variety of athletic endeavors - including throwing - but you also need to be able to tone them down when they aren't needed. Follow #30DaysOfArmCare and @cresseysportsperformance for more tips to keep throwing arms healthy. #cspfamily #armcare #baseball #mlb

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Here’s a Black Friday Sale Even Though It’s Not Friday Yet

Everyone on the planet is having a Black Friday sale this week, so we figured we wouldn't even attempt to keep you in suspense on this one. With that in mind, you can save 20% on the following products through Cyber Monday at midnightk by entering the coupon code BF2016 (case sensitive) at checkout. Just click on the links below to learn more and add them to your cart:

Functional Stability Training: Individual Programs or a Bundle Pack

Optimal Shoulder Performance

Understanding and Coaching the Anterior Core

Everything Elbow

The Ultimate Off-Season Training Manual

The Specialization Success Guide

The Art of the Deload

Again, that coupon code is BF2016.

Additionally, my products with Mike Robertson are on sale, too. You can pick up Assess and Correct, Building the Efficient Athlete, and Magnificent Mobility for 20% off (no coupon code needed) HERE.

Enjoy - and thank you for your support!

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3 Tips for Improving Shoulder Health and Performance

Today's guest post comes from my good friend and Elite Baseball Mentorships colleague, Eric Schoenberg. Enjoy! -EC

It is well documented that shoulder pain/injury is a primary reason for lost time in the gym and on the baseball field. Often times, the culprit is not poor exercise selection, but instead poor exercise execution. Most high level performers are going to do the work that we ask them to do, the issue is whether they are practicing getting better or practicing getting worse.

The following three tips will be useful for any strength coach or physical therapist to help ensure optimal function of the shoulder.

1. Understand and Appreciate Relative Stiffness.

There are several examples of relative stiffness around the shoulder that can result in faulty movement, pain and/or decreased performance.

A primary culprit occurs when the relative stiffness of the deltoid is greater than the rotator cuff. The result of this will be superior translation of the humeral head.

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This can lead to undersurface rotator cuff tears, biceps tendon irritation, cyst formation, inferior glenohumeral ligament tears, or humeral head abnormalities – all of which are common to throwers.

Consider this when attempting to strengthen the cuff. Check to see if the humerus is in extension, as demonstrated in this photo. This faulty "elbow behind the body" pattern will lead to over-recruitment of the posterior deltoid:

humeralextension

You also want to cue the athlete away from excessive horizontal abduction, as demonstrated in the next photo. Prone external rotation with no support results in increased use of deltoid to support the arm against gravity:

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Here it is corrected with support:

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More times than not, we see athletes doing the correct exercise with the wrong execution and getting poor results. We want to avoid allowing an athlete to practice getting better at moving incorrectly.

2. Stop rowing so much, especially if your rowing technique is incorrect!

Rowing variations are generally the safest and easiest upper body exercises to program. However, even though a row is usually pain free, it can sometimes lead to patterns that result in injury down the road.

For example: If the rhomboids and lats are too stiff, you will see limited upward rotation of the scapula. Regardless of how much you strengthen the serratus anterior and lower trapezius, these smaller muscles will never match the force production of the lats and rhomboids.

With this in mind, the best “fix” is to increase stiffness and muscle performance of serratus and lower trapezius while simultaneously decreasing the stiffness and use of the lats/rhomboids.

This can be done by modifying the way we row. In this great video, EC discusses how to correct the row and ensure the scapula is moving properly on the ribcage with both phases of the rowing pattern.

In addition, we should program pressing or reaching exercises such as landmines, kettlebell presses, overhead carry variations.

3. Don’t let good lower body days double as “bad” upper body days.

We sometimes see athletes come in complaining about an increase in symptoms following lower body days. They will report something like “I don’t know what I did to my shoulder; I lifted lower body yesterday.” 

By now we know that a common cause of shoulder pain is the scapula being too depressed and downwardly rotated.

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If an athlete performed deadlifts, back squats, or any lower body exercise where the weight was held by their sides (DB reverse lunges, step ups, RDLs, Bulgarian split squats, etc.), chances are they were feeding the pattern of depression and downward rotation.

Taking this a step further, we commonly see these exercises resulting in postures and stabilization strategies that present with increased lumbar lordosis and anterior pelvic tilt. When this goes uncorrected, scapular alignment suffers. Here’s a look at a reverse lunge with excessive hip extension, lumbar extension, and anterior pelvic tilt:

revlunge

Remember, there is no “corrective’ in the world that will counteract the stress of carrying 120-pound DBs by your side while training on a lower body day. This does not mean that you shouldn’t program it; instead, it means that we should just be aware of the consequences.

The solution to this is to consider alternate loading strategies (such as a Safety Squat Bar, KB Goblet set-up, or weight vests) that will allow the shoulder girdle to be freed up and positioned more optimally.  If we pair this with consistent attention to proper alignment and movement strategies, we can use lower body days as another opportunity to enhance shoulder function.

Looking to learn more about our unique approach to assessing and managing throwing athletes? Check out the upcoming Elite Baseball Mentorship Upper Extremity Course on December 18-20. For more information, click here. Don't delay, though; the early-bird registration deadline is November 18.

About the Author

Eric Schoenberg (@PTMomentum) is a physical therapist and strength coach located in Milford, MA where he is co-owner of Momentum Physical Therapy. Eric is addicted to baseball and plays a part in the Elite Baseball Mentorship Seminars at Cressey Sports Performance. He can be reached at eric@momentumpt.com.

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