Home 2009 September (Page 3)

Summer Interns Gone Diesel…well, okay, not really diesel…Part 3

And then there was Roger "Double Your Pleasure, Double Your Fun" Lawson.  He doesn't get a new nickname because in this second go-round, he still couldn't manage to get the entire medley into one clip because my memory card actually filled up.  Consider yourself forewarned: this isn't pretty. I'll give him some style points for the outfit, but the repeated spills and bellowing during the overhead keg lunge walks made me feel like I was watching a rhino give birth at the zoo - while standing on one leg.

The good news, however, is that Roger requested a chance at redemption, so we agreed to let him try to improve his time with a Thursday night effort.  We'll post it tomorrow.  Any predictions on what his next time will be (this one was 7:40).

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Summer Interns Gone Diesel: Installment 2

It's time for another intern end-of-summer finale.  Alex went the other night, but tonight, it was Phil "Gunzzzz for Hire" Gauthier's turn to work his mojo on this medley (his effort put him in second place, just behind Alex's time). Phil also completed the Maximum Strength program with some big gains in size (over ten pounds) and strength while fixing up a bum shoulder this summer and turning himself into one heck of a coach.   Some credit goes out to Phil for: a) doing this circuit after he'd already trained lower body easlier in the day (including a HUGE front squat personal best) b) rocking his high school colors (Go Maynard!) and NOT wearing a Power Rangers t-shirt and spandex (watch the video; you'll understand) c) naming a professional hockey player as his emergency contact ("Sorry, Mom!") d) doing better push-ups than in the first go-round f) giving us an even better frame of reference from which to appreciate just how bad Roger got dominated later this afternoon (more on that in a future blog; stay tuned)... So, without further ado...

Give our man a little love in the comments section!  I know you're out there, Maynard!

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Getting Geeky with AC Joint Injuries

Getting Geeky with AC Joint Injuries Lately, I've gotten quite a few in-person evaluations and emails relating to acromioclavicular (AC) joint issues.  As such, I figured I'd devote a newsletter to talking about why these injuries are such a pain in the butt, what to do to train around them, and how to prevent them in the first place (or address the issue once it's in place). First off, there is a little bit about the joint that you ought to know.  While the glenohumeral joint (ball-and-socket) is stabilized by a combination of ligamentous and muscular (rotator cuff) restraints, the AC joint doesn't really have the benefit of muscles directly crossing the joint to stabilize it.  As such, it has to rely on ligaments almost exclusively to prevent against "shifting."

ac-joint

As you can imagine, then, a traumatic injury or a significant dysfunction that affects clavicle positioning can easily make that joint chronically hypermobile.  This is why many significant traumatic injuries may require surgery.  While almost all Grade 4-6 separations are treated surgically, Grades 1-2 separations are generally left alone to heal - with Grade 3 surgeries going in either direction. In many cases, you'll actually see a "piano key sign," which occurs when the separation allows the clavicle to ride up higher relative to the acromion.  Here's one I saw last year that was completely asymptomatic after conservative treatment.  It won't win him any beauty contests, and it may become arthritic way down the road, but for now, it's no problem.

pianokeysign

Now that I've grossed you out, let's talk about how an AC joint gets injured.  First, we've got traumatic (contact) injuries, and we can also see it in people who bench like this:

Actually, that's probably a fractured sternum, but you can probably get the takeaway point: don't bounce the bar off your chest, you weenie.  But I digress... Insidious (gradual) onset injuries occur just as frequently, and even moreso in a lifting population.  Most of the insidious onset AC joint problems I've encountered have been individuals with glaring scapular instability.  With lower trapezius and serratus anterior weakness in combination with shortness of pec minor, the scapula anteriorly tilts and abducts (wings out) - and you'll see that this leads to a more inferior (lower) resting posture.

scapanteriortilt

In the process, the interaction between the acromion (part of the scapula) and clavicle can go a little haywire.  The acromion and clavicle can get pulled apart slightly, or the entire complex can get pulled downward a bit.  In this latter situation, you can also see thoracic outlet syndrome (several important nerves track under the clavicle) and sternoclavicular joint issues in addition to the AC joint problems we're discussing. As such, regardless of whether we're dealing with a chronic or insidious onset AC joint issue, it's imperative to implement a good scapular stabilization program focusing on lower trapezius and serratus anterior to get the acromion "back in line" with the clavicle.  Likewise, soft tissue and flexibility work for the pec minor can also help the cause tremendously. Anecdotally, a good chunk of the insidious onset AC joint problems I've seen have been individuals with significant glenohumeral internal rotation deficits (GIRD).  The images below demonstrate a 34-degree GIRD on the right side.

gird1gird2

It isn't hard to understand why, either; if you lack internal rotation, you'll substitute scapular anterior tilt and abduction as a compensation pattern - whether you're lifting heavy stuff or just reaching for something.  And, as I discussed in the paragraph above, a scapular dyskinesis can definitely have a negative effect on the AC joint. Lastly, you can't ever overlook the role of thoracic spine mobility.  If your thoracic spine doesn't move, you'll get hypermobile at the scapulae as a compensation - and we already know that's not good.  And, as Bill Hartman discussed previously, simply mobilizing the thoracic spine can actually improve glenohumeral rotation range-of-motion, particularly in internal rotation.  Inside-Out is a fantastic resource in this regard - and is on sale this week, conveniently! So, as you can see, everything is interconnected!  In part 2 of this series, I'll discuss training modifications to work around acromioclavicular joint problems and progress back to more "normal" training programs. New Blog Content Birddogs, Continuing Education, and Terrible Journalism Stuff You Should Read Exercise of the Week: Dumbbell Reverse Lunge Random Friday Thoughts It's All About Specialization All the Best, EC Sign-up Today for our FREE Baseball Newsletter and Receive a Copy of the Exact Stretches used by Cressey Performance Pitchers after they Throw!
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Posterized!

Earlier this year, I left my camera on my desk while I was out of the office for the morning to speak at a seminar, and I returned to find this surprise video on it from Royals prospect Matt Morizio.

Well, as it turns out, it was just the very tip of the creativity iceberg for Matt.  He and a teammate pulled together this hilarious little bit that had everyone in our office laughing so hard we couldn't talk; you've got to check it out.

Make sure you turn up the volume, and watch the entire thing; it picks up after the first 60s or so...

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Summer Interns Gone Diesel: Installment 1

Earlier this year, I introduced you to the "before" videos of our summer interns.  Needless to say, they weren't pretty. The good news is that they've gotten a lot better over the past three months, and to prove my point, we'll be featuring each of them individually over the next few days.  First up, we've got the guy who went from Alex "Nash and Burn" to Alex "Straight Nash, Homey."  Over the summer, Alex added 12 pounds to his frame, and some serious poundages to all his lifts (don't have the numbers in front of me, but let's just say that we were all stunned to see him front squatting 300+ pounds the other day).  He got 3/4 of the way through the Maximum Strength program. Below, we've first featured his original video, and then the subsequent video from just a few days ago.  First, I should mention that we put the cage/net back up in our facility, which effectively shortened the sled distance - so we just added some sledgehammer and kettlebell swings at the end.  Second, you'll notice that the weights on the sled are on the front, and not the back; this subtle change in positioning makes the exercise exponentially harder (especially on the floor and not the turf).  Third, you'll notice that his push-ups look a heck of a lot better, particularly with a ton of fatigue.  Fourth, he doesn't look like a newborn horse when doing the overhead lunge walk with the keg. Fifth, he doesn't stop at all to rest; he just crushes it.  Sixth, and most importantly, chicks want him, and dudes want to be him.

The Before: Alex "Nash and Burn"

The After: Alex "Straight Nash, Homey"

Alex has already moved back to Minnesota to start a new job; we're really proud of all he accomplished and wish him well.  Give our boy some love in the comments section.

Tonight, the rest of the interns have their "final exams"...

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