Home 2013 (Page 6)

Training Athletes with Funky Elbows: What a Valgus Carrying Angle Means

I talk a lot about how there's a difference between simply "training baseball players" and actually training baseball players with a genuine appreciation of the unique demands they encounter - as well as their bodies' responses to those demands.  Today's post will be a great example of how you can't just throw every throwing arm into a generic program.

One of the adaptations you'll commonly see in throwers is an acquired valgus carrying angle at the elbow.  For the laymen in the crowd, take note of how the throwing arm (in this case, the right arm, which is to the left side of the picture) has a "sharper" angle: 

 

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This is an adaptation to the incredible valgus stress during the lay-back portion of throwing.

layback

While the research on the subject isn't really out there, it's widely believed that a sharper valgus carrying angle predisposes throwers to elbow injuries, particularly ulnar collateral ligament (UCL) tears.  My good friend Mike Reinold actually has a lot of very good unpublished data on the topic, too. In my eyes, this verifies that we need need to treat throwers like this with extra care in light of this increased susceptibility to injury. 

From my perspective, I think it means more time off from throwing each off-season in order to regain passive stability, as the UCL is already stretched out more than in the normal pitcher.  Additionally, it may take longer for these athletes to regain good soft tissue quality, as the musculature at the medial elbow is likely working harder to make up for this loss of passive stability and the increased range-of-motion demands.  Another key point is that this valgus carrying angle may increase the likelihood of ulnar nerve hypermobility (snapping back and forth over the medial epicondyle during flexion/extension) or ulnar neuritis (irritation of the nerve from excessive stretch). If this nerve only has a limited number of flexion/extension cycles before it really gets irritated, then we need to use each throw wisely to put off the possibility of needing an ulnar nerve transposition surgery to set it where it needs to be.

Additionally, I think it means less aggressive throwing programs, particularly with respect to extreme long toss.  I think long toss has a ton of merit for a lot of throwers, but one concern with it is that it does increase valgus stress slightly as compared to throwing on a line at shorter distances.  With that in mind, these folks might respond better to other throwing initiatives, or simply less long toss than they otherwise might do.

From a training standpoint, we need to work to gain more active external rotation to ensure that more of the range-of-motion is occuring is at the shoulder than the elbow.  This should not be confused with simply stretching the shoulder into external rotation, which does much more harm than good in 99% of cases.  Rather, we need to educate athletes on how to get to lay-back without compensation. I like supine external rotation - an exercise I learned from physical therapist Eric Schoenberg - as a starting point.

Once we've been successful working with gravity, we'll progress this drills to prone to work against gravity, and then add in various holds at end-ranges of motion to strengthen athletes in external rotation closer to end-range.  Here's an example you can try at home:

In terms of contraindications, I can't say that it changes much as compared to what we avoid - back squats, Olympic lifts, etc. - with the rest of our throwers.  However, I think the fallout could be even more dramatic; just imagine these elbows catching a snatch overhead in the off-season after 200+ innings of wear and tear.

crazyvalgus

This picture also teaches us that one can simply be born with a more significant valgus carrying angle, but throwing during the adolescent and teenage years would make it more extreme.

Beyond training implications, for the reasons I noted above, it's also extremely important to take care of tissue quality at the common flexor tendon and pronator teres. I like a combination of instrument-assisted soft tissue mobilization and hands-on work like Active Release.

I hope this post brings to light an additional assessment and follow-up training principles you can use to give your throwers the quality training and (p)rehabilitation they need. If you're looking for more insights on training throwers, I'd highly recommend you check out our Elite Baseball Mentorships; the next course takes place on December 8-10.

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Cressey Performance Camo Shirts: 2013 Edition Now Available!

It's September, which means we just introduced our new edition Cressey Performance Elite Baseball Development t-shirts!  This go-round, you can rock the black with red camoflauge. 

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These shirts are 90% cotton and 10% polyester and insanely comfortable.  They do, however, run a bit small.  So, if you normally wear a large, order a XL.  If you're normally a XL, get a XXL.

Each shirt is $24.99 + S&H, and you can click the links below to add shirts to your cart:

XXL

Extra Large

Large

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Strength and Conditioning Stuff You Should Read: 9/20/13

It's time for this week's recommended strength and conditioning reading:

Insider Secrets to Movement Prep - This is a new "compilation" product from all of us at Elite Training Mentorship.  It's a series of videos from all the guys - me, Mike Robertson, Tyler English, Vaughn Bethell, Dave Schmitz, Steve Long, and Jared Woolever - who regularly contribute on this membership site.  If you have questions about planning a training, practice, or competition warm-up, this is a great resource for you.  The package includes 10 videos, plus several articles and exercise demonstrations.  It's on sale today through Sunday for just $29.95.

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9 Great Ideas to Improve Your Workouts - Everyone loves Dan John - and rightfully so: his articles are always great.  This one was no exception.

Who Says You Can't Get After it After 80? - This was a fun blog post from my business partner, Tony Gentilcore, about a client of ours who is over the age of 80 and still crushing it in the weight room. 

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Regaining Scapular Control: Always Good Intentions, Often Bad Technique

The prone 1-arm trap raise (also known as the prone Y) is one of my favorite arm care drills. Unfortunately, it's also a drill that can be performed incorrectly in a number of different ways.  Additionally, as with most exercises, there's a big difference between "decent" and "optimal," and when it comes to taking care of throwing arms, even the most subtle adjustment can reduce injury risk or take away someone's pain.  A key part of being able to adjust on the fly is to appreciate how an athlete's resting posture looks.

With all these important considerations in mind, check out this detailed video tutorial so that you can make the most of this awesome exercise.

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How to Use Block Pulls to Improve Your Deadlift

Today's guest post comes from CP coach, Greg Robins.


In the past 2.5 years, I have made some pretty solid strides with my deadlift. I’m still no world record holder, but I’m continuing to make progress. Most of this can be credited to a much more focused effort on raising the max number I can lift. Another large amount is likely the result of gaining about 30lbs.

That aside, anyone can eat a lot and want to lift more. Below is something I find has been key in my ability to pull 3x my body weight (595lbs at 197lbs), and over 600lbs since then.

If you want to lift more weight you need to learn to
intelligently overload from time to time.

I like to read the training logs and watch interviews with lifters who are stronger than me. One commonality I find with a lot of them is the waved use of overload techniques. Once someone has garnered a decent amount of strength, I have my reservations on “speed” training – namely, its use for the acquisition of more maximal strength. [Note from EC: I disagree completely, but this blog is all about being open-minded to new thoughts and techniques!].

Instead, I have seen more carryover from using block pulls. A block pull is simply an elevated deadlift, with heights from 1-6 inches in height.

I prefer the blocks to rack pulls because the technique is more true to a conventional pull. Most notably, the slack remains in the bar, and must be pulled out by the lifter. This is really crucial, because you want to attack these heavier weights and learn what it’s like to initiate a lot of force into a heavier bar.

In a 12-week block of training, I might use block pulls for 3-4 weeks. My training partner and I generally hit these the month before a meet, or the month before hitting weights off the floor upwards towards 90-100%. Thinking back, every weight that I have ever pulled from the floor in the past two years has come off the blocks first. 

Over the rest of the article, I want to give you some guidelines on how to fit these in, as well as how to perform them correctly.

Let’s start with the technique. Below is a video detailing the proper technique, as well as some common flaws in the block pull.

Now that you know how to do them, the obvious next question is, “where do they fit in?”

As I alluded to before, I usually place these in after eight weeks of focused training. In those previous eight weeks I would recommend you work from a high volume-low intensity phase to a mid volume-mid intensity phase, and then insert the block pull after your regular deadlifts during a high intensity-low volume phase.

The first way to overload with block pulls is by adding weight to the bar. For example, let’s say you pull a single from the floor at 90% of your 1RM. Then you could finish the session with pulling a single or two from blocks at over 90%. With this approach, the blocks should be used to eventually pull a weight over 100% of your predicted max from the ground. I have been successful hitting 110% of a 1RM from 4.5in blocks. It’s important to note, though, that on a day where you will be over-reaching on the block pull, you’d want to make that your lightest day from the ground.

The next is to overload your training through the addition of volume. This can be done via adding reps to a set, or by adding sets. In either case, we are going to use the blocks to increase the volume, as opposed to doing more volume from the floor. In this approach, let’s say you hit the same 90% of your 1RM from the floor. From there, you could go in either of two directions:

1. You could hit and additional 2–3 singles from blocks at that 90%.

2. You could take that 90% for a set (or sets) of 2 to 3 reps from the blocks.

In both scenarios, we are overloading. Personally, I tend to go more in the direction of adding reps to a single set, because that is overloading in the sense that you might not be able to do that from the ground.

There you have it: a single lift that has had tremendous carry-over into my maximal strength on the deadlift. And, it’s helped out a lot of lifters even better than me! Be careful not to abuse the block pull or make into a “ego-booster” rather than an intelligent tool to add overload in both intensity and volume to your strategy for improving the deadlift.

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Fine-Tuning Deadlift Technique

I often do technique critiques for my online consulting clients by having them send me video demonstrations of them performing their exercises.  With that in mind, I recently did one as a favor to a friend, and in the process, came across what I thought was a great example of how some quick adjustments could yield big-time benefits.  Hopefully this serves as a good "teaching moment."  First, here's his report to me:

"I've been lifting around this weight for a while - 120kgs 1x5. Think my best might have been late last year around the 130kg mark, but have had a niggling back injury that's been slowing things down a bit."

Here's his video:

Here was my feedback:

1. I would bring the feet a bit closer together. You always want your elbows outside your knees, but not in front of them...like this:

Front1

2. Along those same lines, try to get your hands in tight to the sides of the legs, too. If you were to keep your hands where they are, but bring the feet in to where they should be, the gap between your arms and the sides of your thighs would be too much.  You want them essentially touching.

3. Think of trying to use the weight of the bar to pull yourself into the bottom position and puff the chest up. I should see the logo on your shirt a lot easier from the front position.  You're kind of just dropping into that bottom position, not going down to get it.

4. The double overhand grip is fine, but you don't see a lot of people pulling huge weights with it outside of the super freaks. Unless you're willing to put in the time and effort to master the hook grip, I'd go to alternate grip.

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5. Think about putting force into the ground, not just lifting the bar.  This is the big one for you, and it's why the bar wants to drift away from you instead of staying closer to the body, which is a bar path you want.

If I was programming for you, in month 1, I'd do speed deadlifts (10-12 sets of 1) at 60-75% of one-rep max on one lower body day; the heavy focus would be on driving the heels through the floor and being fast at the start.  Then, I'd let you pull heavier with the trap bar on the other day for sets of 2-4 - just to keep strength up while you're grooving the pattern.  The trap bar doesn't allow you to get out in front with the load quite as much.  

If you're looking for some great programming advice, I'd encourage you to look into Dave Dellanave's great manual, Off the Floor: A Manual for Deadlift Domination.  If you're looking for more coaching cues like I outlined above, definitely check out my free video, Mastering Deadlift Technique.  You can get it by subscribing to my free newsletter in the opt-in box below.

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Strength and Conditioning Stuff You Should Read: 9/12/13

Here's this week's recommended strength and conditioning reading:

How Concern Over Pitcher Usage Can Actually Give College Coaches a Recruiting Advantage - I've been very outspoken in the past about how prior overuse invariably winds up predicting future injury, and this article reflects on the topic as well - including a mention of CP athlete and Vanderbilt Tyler Beede. If you're looking for a good complementary resource, check out this page, which tracks the highest pitch counts in D1 baseball each season.

Real Core Training: Offset Loading: I have to show some love for former CP intern Kyle Arsenault for having his first article published at T-Nation.  It came out great!

Interview with Me - I appeared on the "Smart Science of Slim" podcast.  You can check it out here on YouTube:

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Exercise of the Week: 1-arm Bottoms-Up Kettlebell Carry

I've talked quite a bit in the past about how much I like bottoms-up kettlebell exercises to get great "reflexive" firing of the rotator cuff and scapular stabilizers in a more unstable environment. I'm also a big fan of carrying variations - so it gets me pretty pumped up when I can combine the two!  With that in mind, today, I want to talk about the 1-arm Bottoms-up Kettlebell Carry.

This is an exercise that I really like to utilize with a lot of our baseball players early in the off-season, as it teaches them to relax the latissimus dorsi to allow proper scapular upward rotation to take place.  My two biggest cues are to "keep the biceps quiet" and "don't let the lower back arch."  If you do these two things, chances are that everything else will "click" just right.  Check out this video for a more detailed coaching tutorial:

I like to program 2-4 sets of 30-40yds on each arm. We'll often use this in place of a pressing exercise with our baseball guys, particularly in the early off-season when we're working to establish optimal scapular upward rotation after a long season.  Give it a shot for yourself and you'll find that it'll quickly be a great addition to your strength training programs, whether you're a throwing athlete or not!

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Quick and Easy Ways to Feel and Move Better: Installment 51 (Set-Up Edition)

Today's guest post comes from CP Coach, Greg Robins.

Since this website first launched, Eric has gone to great lengths to focus on coaching cues you can use to fine-tune your technique on a number of strength exercises.  If you check out his YouTube page, you’ll be greeted with hundreds of videos, many with thorough instructions on now only the “how,” but also the why.

With that said, when I’m working with lifters in person, I always find myself stressing the “little” things to them. In reality, these “little” tips are a really BIG deal. They’re not something taught in the typical exercise science curriculum, nor are they something that crosses the mind of someone who hasn’t taught hundreds of people how to do an exercise. In fact, even people who have spent decades in the gym tend to pass over these sorts of things because they have just become second nature to them.

Taking the time to teach someone these things will set them up for continued success, as well as keep them from having to learn many small lessons the “hard way.”

The number one thing I stress to lifters is to not overlook the set-up. It’s imperative that lifters know how to get in place for an exercise before actually demonstrating the movement. I will usually reference the following phrase:

“Hard start, easy finish”

I’m not sure where I heard this phrase originally, but it has stuck with me for many years. It is obviously applicable to more than lifting weights, and a solid reminder that the harder we work at the start, the smoother the sailing thereafter.

In terms of exercise technique, the more stock you put into your set-up, the better your form and performance will be thereafter.

If you are a coach, MAKE IT A POINT to teach people where to set the pins on the squat rack, how to position the body, their feet, the bar, the weights, etc.  These small tips will make an enormous difference in shortening the learning curve and making exercises more effective as well as safer.

Below, I’ll discuss and demonstrate five set-up points for different lifts. These tips should help out with your own efforts in the gym, as well as with those you may be instructing.

1. Watch your foot position on Bulgarian split squats.

2. Make sure the pins are set correctly to allow you to “get tight” on back squats.

3. Teach the hip thrust from the finish position.

4. Don’t butcher the feet-elevated inverted row set-up.

5. Avoid these common rotary stability set-up mistakes.

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How to Know You’re Not a Deadlift Beginner Anymore

Today, we've got an outstanding guest post from Dave Dellanave, author of the awesome new resource, Off the Floor: A Manual for Deadlift Domination.

There is a lot of really fantastic deadlift information available on the internet. To be fair, there’s a lot of bad information, too, but that’s another post. The only downside is that it seems like every article falls into one of two camps: either it’s for raw beginners, or for advanced lifters. This is great if you’re just getting started, or tweaking your program to find a few more pounds, but if you’re just on the cusp of surpassing beginner status, it might leave you scratching your head.

Next to people simply lifting too much weight, the most common “mistake” I see from beginners is that they’re afraid to add weight to the bar or to shift to a better starting position. Usually these are people who have diligently put in a fair amount of practice reps, have been reading all the right authors online, and have a desire to do things properly. Whether for fear of injury, or simply because of the desire to do it “right,” they hesitate to make the leap. I’ll come back to what those changes might be in a moment.

My good friend Bret Contreras and I had a long conversation about this in a call we did for Off The Floor. Ultimately, the conclusion we came to on the call is that you’d do well to connect with a qualified coach and get an evaluation. That way, they can see how you move in general and how you deadlift, and hopefully give you the green light to add weight without further hesitation. If you’re not ready, they can tell you what to work on or fix to get there.

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Upon thinking about this question more, I stand by my original answer, but I think with the visual aid of some stills stolen from YouTube, I can offer a good rule of thumb for when you can take the next step. First, let’s talk about the two big changes that people need to make when they transition from “beginner form” to more “advanced deadlifter form.”

The first big change is starting from a higher hip position. The way most people are taught to deadlift (and this is how I teach clients at my gym) is to start with the hips very low, chest and shoulders “high” relative to the hips and to “squat” the weight up for the initial portion of the lift, and then finish by extending the hips. This is good because it keeps the back in a nice neutral or slightly extended position throughout the hardest part of the lift on the back. This allows a beginner with a relatively weak back to strengthen it. If you look at the form of the very strongest deadlifters in the world, however (Bret did a great post on this with tons of still frames), you will see that every single one of them starts with a higher hip position. At some point you, too, are likely to need to make this change.

Here’s a guy who has (unsuccessfully) made the transition from a higher starting position. He loses position more and more throughout the lift. Luckily for him, he knows it’s bad so presumably he’ll drop the weight and work on getting stronger.

405 Dead Lift (Form Check_ Bad) - YouTube

The second change is the actual addition of more weight to the bar. It sounds simple, but I have added 50 or more pounds to a person’s best deadlift in one training session in the past. As much as I’d like to take credit for that as “trainer mojo,” the reality is that they had never even come close to even approaching their limits in the past. Now, keep in mind, I’m not advocating that everyone go out and explore their outer limits — in fact, I am a staunch advocate of always working within your limits. However, if you could potentially lift 350 pounds and you’ve never lifted more than 250 pounds because you were hesitant, you don’t have to get even near your limit to lift 300.

Things start to feel different when you get closer to your limit, and that sometimes makes people uneasy. The fact is, the lift does change. A fantastic 2011 study by Swinton et al. tracked the path of the bar from the floor to lockout at weights ranging from 10 percent to 80 percent of one-rep max. In theory, the path of the bar is a straight line. In reality, there is about a 7-centimeter (nearly 3 inches) difference in the path from the lightest of weights to 80 percent of max, with the heavier weight drifting farther away. If that doesn’t seem like a lot, try deadlifting with the bar 3 inches away from your shins — on second thought, don’t do that and just take my word for it. Changing the bar path by that much changes everything about how the lift feels. And that’s not even 90 or 100 percent.

A BIOMECHANICAL ANALYSIS OF STRAIGHT AND HEXAGONAL BARBELL DEADLIFTS USING SUBMAXIMAL LOADS.pdf (page 4 of 10)-1

(Source: Swinton, PA et al. J Strength Cond Res. 2011 Jul;25(7):2000-9.)

These two changes are not independent of one another, either. At some point, to be able to lift more weight, you will need to make changes that put you in a more favorable position to lift bigger loads.

Here is someone who has clearly put in the time to hone his technique, but he needs to put more weight on the bar and possibly even start with a higher hip position. Either way, he’s ready for more weight.

Deadlift form check - YouTube

So, how do you know when it’s time? Here are two questions you can use to make the call:

  1. Can you maintain your back position throughout the lift up to the heaviest weights with which you’re comfortable? If your back rounds or arches more and more as you lift the weight, you need a stronger back. A lift at 80 or 90 percent of your current max should look the same as 40 percent of your max.  Nearly everyone has a phone with video capabilities now, so shoot a video from the side and compare. If your form is significantly changing as the weight rises, you’re adding too much weight. If your form doesn’t change – it’s time to put more weight on the bar.
  2. Can you lift 1.5x your bodyweight (for men) or 1x your bodyweight (for women) with form that looks the same as half that? If so, you have probably laid enough of a strength foundation to move on to a more favorable starting position with higher hips. When you do so, keep in mind that you still want to keep a good, solid back position that doesn’t go anywhere near end range of motion in either flexion or extension.

Look, these heuristics aren’t perfect — remember I said your best bet is a good coach — but if that isn’t an option then you have a few guidelines to help you move forward. Work within your limits, respect them, and listen to the feedback your body gives you. If it hurts, don’t do it. But if you’ve built a solid base of strength, you can’t get any stronger without moving forward.

Looking for more insights like these on the deadlift - as well as a great program to help you improve your pull?  Be sure to check out Dave's new product, Off the Floor: A Manual for Deadlift Domination, which is on sale at a great price until Saturday at midnight. I've read it beginning to end, and it's fantastic.

About the Author

David Dellanave is a lifter, coach, and owner of The Movement Minneapolis in the Twin Cities. He implements biofeedback techniques, teaching his clients, ranging from athletes to general population, to truly understand what their bodies are telling them. He writes articles to make you stronger, look better naked, and definitely deadlift more at http://www.dellanave.com/. You can follow him on Twitter at @ddn.

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LEARN HOW TO DEADLIFT
  • Avoid the most common deadlifting mistakes
  • 9 - minute instructional video
  • 3 part follow up series