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6 Reasons Anterior Core Stability Exercises Are Essential

This time of year, I'm doing a lot of assessments on college baseball players who are just wrapping up their seasons.  One of the biggest issues that I note in just about every "new" athlete I see is a lack of anterior core control. In other words, these athletes sit in an exaggerated extension pattern that usually looks something like this:

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And, when they take their arms overhead, they usually can't do so without the ribs "flaring" up like crazy.

This is really just one way an athlete will demonstrate an extension posture, though. Some athletes will stand in knee hyperextension. Others will live in a forward head posture. Others may have elbows that sit behind their body at rest because their lats are so "on" all the time.

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This isn't just about resting posture, though; most of these athletes will have faulty compensatory movement patterns, too. Once we've educated them on what better posture actually is for them, we need to include drills to make these changes "stick." Anterior core drills - ranging from prone bridges, to positional breathing, to dead bugs, to reverse crunches, to rollouts/fallouts - are a great place to start. Here's why they're so important:

1. Breathing

The muscles of your anterior core are incredibly important for getting air out. The folks at the Postural Restoration Institute often discuss how individuals are stuck in a state of inhalation, with each faulty breath creating problematic accessory tone in muscles like scalenes, lats, sternocleidomastoid, pec minor, etc. These muscles aren't really meant to do the bulk of the breathing work; we should be using our diaphragm. Unfortunately, when the rib cage flies up like we saw earlier, we lose our Zone of Apposition (ZOA), a term the PRI folks have coined to describe the region into which our diaphragm must expand to function.

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(Source: PosturalRestoration.com)

Step 1 is to get the ribs down and pelvis into some posterior tilt to reestablish this good zone. Step 2 is to learn how to breathe in this position, emphasizing full exhalation.

Step 3, as you may have guessed, is to strengthen these "newly rediscovered" patterns with good anterior core training.

2. Resisting extension.

This one is the most obvious benefit, as the muscles of the anterior core directly combat too much arching of the lower back. If you aren't controlling excessive lumbar extension, it's only a matter of time until you wind up with lower back irritation - whether it's just annoying tightness, a stress fracture, a disc issue, or something else.

3. Better force transfer and lower back injury risk reduction.

The research on core function is pretty clear: its job is to transfer force between the lower and upper body. Spine expert Dr. Stuart McGill has spoken at length about how spine range of motion and power are positively correlated with injury risk. In other words, the more your spine moves (to create force, as opposed to simply transferring it), the more likely you are to get hurt. How do you prevent your spine from moving excessively? You stabilize your core.

4. Indirect effects on rotary stability.

For a long time, I looked at control of extension as "separate" from control of rotation at the spine. In other words, we did our anterior core drills to manage the front of the body, and our chops, lifts, side bridges, etc. to resist unwanted rotation. However, the truth is that these two approaches need to be treated as synergistic.

As an example, every time I've seen an athlete come our way with an oblique strain, he's sat in an extension posture and had poor anterior core control - even though an oblique strain is an injury that occurs during excessive rotation. All you need to do is take a quick glance at the anatomy, and you'll see that external obliques (like many, many other muscles) don't function only in one plane of motion; they have implications in all threes - including resisting excessive anterior pelvic tilt and extension of the lower back.

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What this means is that you can't simply ignore coaching in one plane when you think you're training in another one. When you do your chops and lifts, you need to prevent lumbar hyperextension (arching) . And, when you do your rollouts, you can't allow twisting as the athlete descends. Finally, you can add full exhales (a predominantly anterior core challenge) to increase the difficulty on rotary stability exercises.

5. Improved lower extremity function and injury risk reduction.

Lack of anterior core control directly interferes with lower extremity function, too. If the pelvis "dumps" too far forward into anterior tilt, the front of the hip can get closed down. As I described at length here, this can lead to hip impingement.

With a squat variation, while some athletes will stop dead in their tracks with this hip "block," others will slam into posterior tilt to continue descending. This is the "butt wink" we've come to see over and over again in lifting populations. When neutral core positioning is introduced and athletes also learn to manage other extension-based compensations, the squat pattern often improves dramatically. This can "artificially" be created transiently elevating the heels, turning the toes out, or by having an athlete hold a weight in front as a counterbalance.

Additionally, athletes in heavy extension patterns often carry their weight too far forward, throwing more shear stress on the knees during lunging and squatting. The more we can keep their weight back to effectively recruit the posterior chain, the better.

6. Improved shoulder function and injury risk reduction.

The lats can be your best friend and worst enemy. On one hand, they have tremendous implications for athletic performance and aesthetics. On the other hand, if they're "on" all the time (as we often see in extension-based postures), you can't get to important positions with the right movement quality. Overactive lats will limit not only shoulder flexion (overhead reaching), but also upward rotation of the shoulder blades. I covered this in quite a bit of detail in Are Pull-ups THAT Essential?. Moreover, with respect to elbow function, overactive lats can be a big issue with allowing throwers to get true external rotation, as I discussed here:

If you're using your lats as an "all the time" core stabilizer, you aren't just at risk of extension-based low back pain, but also problems at the shoulder and elbow. If you can get your anterior core control under control and normalize the length and tone of the lats, your "healthy exercise pool" for the upper body expands dramatically. Getting overhead is easier, and you'll feel stronger in that position. The same goes for external rotation; not surprisingly, pitchers always say that their lay-back feels smoother after soft tissue work on the lats, as an example.

Wrap-up

These are just six benefits of training the anterior core, but the truth is that they could have been broken down in much more detail as they relate to specific injuries and functional deficits. If you're looking to learn more on this front - and get a feel for how I like to train the anterior core - I'd encourage you to check out my presentation, Understanding and Coaching the Anterior Core.

AnteriorCore

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Timing Adjustments and Their Impact on the Pitching Delivery: A Case Study

Today's guest post comes from Matt Blake, the pitching coordinator at Cressey Sports Performance in Massachusetts. Matt is an integral part of the Elite Baseball Mentorships team.

I recently Tweeted out a picture of some mechanical changes a pitcher had made and it received a lot of responses. As such, I decided I would follow up with a little more depth and context to this particular picture to help shed some light on the thought process that goes into making mechanical adjustments. So, for starters, here’s the picture in question, with the left side being the original delivery and the right side being the revised version.

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Typically, when discussing pitching mechanics, I avoid using still shots, because they can be very misleading. In this particular case, there were some substantial changes that were made in this landing position, which I thought encapsulated a lot about the enhanced movement quality of the delivery as a whole, which we’ll unpack in further detail here.

For those familiar with the pitching delivery, the first thing that should jump out at you is the extremely late arm action in the initial delivery. This could be classified as an “inverted arm action” at landing, where in this case, the elbow isn’t necessarily hyper-abducted (elevated) above the shoulder, but the hand is definitely below the elbow. In a Cliff's Notes version, this positioning is generally regarded as increasing stress on the shoulder and elbow. This is in part due to the orientation of the humeral head in the socket at landing, as it’s in a position of excessive internal rotation and pinned into the front of the socket. As a result, we’re not in an optimal position to get the rotator cuff to function to center the head for a clean ball in socket rotation.

This is coupled with the fact that we’re adding more torque to the joint since we have more range of motion involved in getting the hand to full lay-back before accelerating to release. That being said, there are plenty of pitchers who throw very hard and have successful big league careers pitching with an inverted pattern, and the reason they throw so hard may very well be due to their inverted pattern, so you have to constantly weigh the risk/reward of making mechanical adjustments for pitchers.

As an example, Billy Wagner had an inverted pattern and multiple injuries, but was hitting 100mph before it was industry standard to hit 100mph - and he accumulated 422 saves in a successful big league career.

wagner1024px-Billy_Wagner_on_September_15,_2009

When weighing this potential risk/reward, some of the questions might include:

  • Where is this pitcher currently in the developmental process?
  • What type of stress does he currently report during or after throwing?
  • What can we gain by making adjustments?
  • What do we have to lose by adjusting this current delivery?

These are important questions to consider, because you’re obviously not going to take a big leaguer at the tail end of his career, and adjust what has got him to that point. Conversely, you might adjust a 15yr old high school pitcher, who throws hard, but has erratic command and reports a high level of stress after he’s done throwing.

In this particular case, we had a sophomore in college, who had a track record of success in high school, and was looking to establish his role in a very competitive program with a strong history of winning. His contributions as a freshman were limited in part due to command issues and his velocity would be erratic going anywhere from 82-90mph on any given day.

With these considerations in mind, it became apparent in looking at the the delivery in its current state, that these mechanics might be a limiting factor in commanding the ball at a competitive level, as well as sustaining his velocity on a consistent basis. On the flip side, though, if we reduce the inversion in his arm action, we may lose a mph or two of velocity initially, as we learn to “re-tension” the delivery and create force in a different manner. In order to fully comprehend these issues, let’s take a look at this delivery in full:

As I stated in the video, the crazy thing about this delivery is that for how extremely late that arm action looks in that still shot, it’s really a misrepresentation for how much I like the feel of this delivery as a whole. There’s a lot of quality movement that’s “loose” in nature, and this athlete has a good feel for creating “extension” in the throw, so we really don’t have to adjust the integrity of his movements, but more the timing associated with some of the actions, and at the crux of it, the athlete’s mindset for creating leverage in his throw.

If you look at where this delivery starts to break down, it’s in the excessive “counter-rotation” of his shoulders that creates too much length in the throwing arm and that couples with an exaggerated extension of the back leg into landing.

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As a result, the hand can’t catch up and “get on top of the ball” at landing and our pressure into the ground ends up being poor. This combines to create an issue for the stabilization pattern as a whole now, because the front leg can’t brace to create a fixed point of rotation to anchor the throw, as it has to allow for the torso to translate forward in an effort to create time for the hand to get into position behind the ball. So, as you can see, by the front knee ending up working into a more flexed position, we’re diffusing the ground force reaction we’re trying to convert into rotational power, and the pelvis loses its leverage on that front hip, flattening out our rotation. When this happens, you’ll notice that the path of the hand is actually diverted wide instead of keeping an efficient driveline through the target. Without a firm landing position that allows us to accept force properly, and keep the rhythm of our sequencing intact, our command and velocity will continue to be erratic in nature.

delivery3

Once we identified these issues, we had to rule out that there wasn’t a mobility or stability issue that was limiting our ability to move through more functional positions. In this particular case, mobility definitely wasn’t the issue, and even though the stabilization pattern was currently poor, the athlete did have the ability to stabilize. It really just came down to his awareness for what he was trying to accomplish. So, once we came to agreement that these were things that could be fixed and would be beneficial to his development in the long run, we had to start re-organizing the focus of his repetitions.

Anytime you’re making changes, it’s essential to understand root causes and not just symptoms. For me, the inverted arm action was a symptom of a misdirected focus in the delivery. We needed to make the focus less on length and extension in the throw and more on strength in the landing and properly sequencing his rotations through the chain. By creating a stronger stride pattern and tying the timing of the arm path into the lower half sequencing, we would have a more connected and repeatable delivery that had a more efficient stabilization pattern. Let’s take a look at what shook out over the next seven weeks and then we’ll discuss some of the altered components.

As discussed in the video, the first thing that should stand out in the revised delivery is the compactness of the arm action, and from there, the angle of the ball flight out of his hand. And, to be honest, I could run through every drill that we did to get him to this point, but I don’t know if it’s really the drills themselves that are important. I think we could have accomplished this in a multitude of ways, as long as we kept the focus on cueing him to be “strong into the floor.”

deliver4

Now, that being said, we definitely used versions of the “stride drill” to coordinate the rhythm of the back-hip rotation and arm action, and we did our share of step-behind shuffles to speed up his timing and learn to accept force properly upon landing, but if the focus on trying to create force into the ground and working from “top-to-bottom” on the baseball wasn’t in place, I don’t think either of those drills would have mattered.

Changing his focus and “pre-throw vision” for what his ball flight should look like helped him organize his body into this revised delivery. By placing the importance on being “strong into the floor”, it didn’t allow him to put himself into these overly extended positions, whether it be the lower half or the arm action, as he came to understand these weren’t “strong” positions. Ultimately, understanding the importance of landing in a position that allowed him to accept the force and transfer it up the chain was crucial in this process.

delivery5

At the end of the day, the most important part of making any type of delivery change is getting “buy-in” from the athlete himself. It doesn’t matter what I think a delivery should look like unless the athlete understands and accepts why it’s important for him to make these changes, because ultimately he’s the one who has to throw the baseball.

In this particular case, we had a college pitcher who is on the cusp of turning himself into an impact pitcher in a competitive college program. If getting himself into more efficient positions in his delivery allows him to command the baseball more consistently, and he can reduce the erratic nature of his velocity, he’ll give himself a real chance to be a reliable college performer and we can begin to entertain the possibility of becoming a pro prospect.

All in all, I’m really proud of the work this athlete put in over the summer and I think these rapid changes speak volumes about the level of commitment he has to his development, as changes of this magnitude aren’t common in this time frame and they certainly don’t happen by accident. Needless to say, there’s still a lot of work to be done to “own” this remodeled delivery. It needs to become second nature and highly repeatable in order for this athlete to be able shift into a narrow-minded focus on just competing in the strike zone, but I’m certainly excited to see where his continued effort leads him.

For more pitching discussion, you can follow Matt on Twitter.

Looking for more video analysis and training insights like this? I'd encourage you to sign up for one of our upcoming Elite Baseball Mentorships. We have an upper extremity course in November, and you won't find a more intensive baseball educational experience.

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Strength and Conditioning Stuff You Should Read: 10/15/14

For this week's installment of "Strength and Conditioning Stuff You Should Read," we've got something for just about every taste in the health and human performance industry: nutrition, sports performance, and psychology/mentality:

Blood Sugar Management: What Your Doctor Doesn't Know About Glucose Testing - Dr. Brian Walsh of Precision Nutrition discusses how monitoring blood glucose is more complex than one might think.

17 Helpful Things Hyper-Neurotic People Can Do for a Better Life - Miguel Aragoncillo is the newest edition to the Cressey Sports Performance team, and here, he talks about ways to relax instead of overanalyzing.

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Exercise of the Week: Heidens with External Rotation Stick - We were talking about this exercise in quite a bit of detail yesterday at our Elite Baseball Mentorship, as it's one I really like to work in with our pitchers to teach them to accept force. 

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The Overhead Lunge Walk: My Favorite “Catch-All” Assessment

We spend a good chunk of our lives standing on one-leg. Obviously, that means we need to train on one leg, but it's also important that fitness professionals and rehabilitation specialists assess folks when they're in single-leg stance, too. Enter the overhead lunge walk, which is likely my favorite assessment because of just how comprehensive it is.

Why is it so great? Let's examine it, working from the upper extremity to the lower extremity.

First, you can evaluate whether someone has full extension of the elbows. Just tell folks to "reach the fingers to the sky." In a baseball population, as an example, you can quickly pick up on an elbow flexion contracture, as it's quick and easy to make a comparison to the non-throwing side.

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Additionally, you can screen for congenital laxity, as a lot of hypermobile (loose jointed) folks will actually hyperextend the elbows during the overhead reach.

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At the shoulder girdle, you can evaluate whether an individual has full shoulder flexion range of motion:

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You can also tell whether the aforementioned hypermobile folks actually move excessively at the ball-and-socket joint of the shoulder, as they'll actually go too far into flexion instead of moving through the shoulder blades.

You can determine whether an individual has an excessively kyphotic, neutral, or extended thoracic spine. If they're kyphotic, they'll struggle to get overhead without compensation (arching the lower back or going into forward head posture). If they've got an excessively extended thoracic spine, they'll actually go too far with the overhead reach (hands will actually wind up behind the head if it's combined with a very "loose" shoulder).

You can tell whether an individual is able to fully upwardly rotate the shoulder blades in the overhead position.

You can tell whether someone preferentially goes into forward head posture as a compensation for limited shoulder flexion, poor anterior core control, or a lack of thoracic spine extension or scapular posterior tilt.

You can evaluate whether an individual has enough anterior core control to resist extension of the lumbar spine (lower back) during overhead reaching. This is a great test of relative stiffness of the rectus abdominus and external obliques relative to the latissimus dorsi.

You can evaluate whether an individual is in excessive anterior or posterior pelvic tilt from the side view.

Also from the side view, you can determine whether the athlete hyperextends the knees in the standing position.

With the lunge, you can see if an athlete is quad dominant - which is clearly evidenced if the stride is short and the knee drifts out past the toes of the front leg. You can also venture a guess as to whether he or she has full hip extension range of motion.

Also with the lunge, you can determine how much control the athlete has over the frontal and tranverse planes; does the knee cave in significantly?

You can make a reasonably good evaluation of foot and ankle function. Does the ankle collapse excessively into pronation? Or, does he stay in supination and "thud" down?

Does the athlete handle the deceleration component effectively, indicating solid eccentric strength in the lower extremity?

As you can see, this assessment can tell you a ton about someone's movement capabilities and provide you with useful information for improving your program design. Taking it a step further, though, it goes to show you that if you select the right "general" assessments, you can make your assessment process much more efficient.

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7 Random Thoughts on Corrective Exercise and Post-Rehab Training

If you've read much of my stuff (most notably this article), you likely appreciate that I think it's really important for fitness professionals to understand corrective exercise and post-rehab training. Folks are demonstrating poorer movement quality than ever before, and injuries are getting more and more prevalent and specific. For the fitness professional, corrective exercise can quickly become a tremendous opportunity - or a huge weakness. To that end, given that Dean Somerset put his great resource, Post-Rehab Essentials, on sale for $50 off through the end of the day, I wanted to devote some thoughts to the subject with these seven points of "Eric Cressey Randomness."

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1. Refer out. - With more and more certifications and seminars devoted to corrective work, the industry has a lot more "corrective cowboys:" people who are excited to be able to "fix" everything. Unfortunately, while this passion is admirable, it can lead to folks taking on too much and refusing to refer out. To that end, I think it's important for us to constantly remind fitness professionals to not work outside their scope of practice.

Referring out is AWESOME. I do it every single day - and to a wide variety of professionals. It provides me with more information, and more importantly, helps me toward the ultimate goal of getting the client/athlete better. Trainers often worry that if they refer out, they'll lose money. This generally isn't true, but even if it was, it's a short-term thing. If you appreciate the lifetime value of the client, you'll realize that getting him/her healthy will make you more profitable over the long-term.

Additionally, I've developed an awesome network of orthopedic specialists in the greater Boston area. As a result, I can generally get a client in to see a specialized doctor for any joint in about 24-48 hours. It's an awesome opportunity to "overdeliver" to a client - but it never would have come about if I hadn't been willing to refer out. As an added bonus, we'll often get referrals from these doctors as well.

2. Ancillary treatments are key. - For my entire career, I've been motivated by the fact that I absolutely hate not knowing something. It's pushed me to always continue my education and not get comfortable with what I know, and it's helped me to be open-minded to new ideas. However, I'm humble enough to recognize my limitations. I know a lot about elbows, but I'm not going to do your Tommy John surgery. I've worked with more pitchers than I can count, but I'm not a pitching coach. And, even if I was able to do all these things, there's no way I'd have time to do them all and leverage my true strengths. In other words, I rely heavily on competent professionals around me for everything from sport-specific training, to manual therapy, to diagnostic imaging, to surgery, to physical therapy, to nutritional recommendations. Surround yourself with great people with great skillsets, and corrective exercise quickly becomes a lot easier.

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3. Soft tissue work is effective.

Here's what I know: people feel better after they foam roll, and their range of motion improves. Additionally, soft tissue treatments have been around for thousands of years for one reason: they work!

For some reason, though, every 4-6 months, somebody with a blog claims that foam rolling is the devil and doesn't work, and then dozens of people blow up my email address with questions about whether the world is going to end.

The truth is that we know very little about why various soft tissue approaches work. I recall a seminar with bodywork expert and fascial researcher Thomas Myers from a few year back, and he commented that we "know about 25% of what we need to know about the fascial system." If Myers doesn't have all the answers, then Johnny Raincloud, CPT probably hasn't found the secrets during his long-term stay in his parents' basement.

With that in mind, I do think it's safe to say that not all people respond the same to soft tissue work, and certainly not all soft tissue approaches are created equal. Foam rolling doesn't deliver the same results as an instrument-assisted approach, and dry needling likely works through dramatically different physiological avenues than cupping. As a result, we're left asking the client: "does it make you feel and move better?" If the answer continues to be "yes," then I'll keep recommending various soft tissue treatments - including foam rolling - until someone gives me a convincing contrarian argument with anecdotal evidence.

4. Strength can be corrective.

Ever had a friend with anterior knee pain (patellar tendinopathy) who went to physical therapy, did a bunch of leg extensions, and somehow managed to leave asymptomatic? It was brutally "non-functional" and short-sighted rehab, but it worked. Why?

Very simply, the affected (degenerative or inflamed) tissues had an opportunity to rest, and they came back stronger than previously. A stronger tissue is less likely to become degenerative or inflamed as it takes on life's demands.

Good rehab would have obviously focused on redistributing stress throughout the body so that this one tissue wouldn't get overloaded moving forward. In the patellar tendon example, developing better ankle and hip mobility would be key, and strength and motor control at the hip and lumbar spine would be huge as well. Certainly, cleaning up tissue quality would be a great addition, too. However, that doesn't diminish the fact that a stronger tissue is a healthier tissue.

This also extends to the concept of relative stiffness. As an example, a stronger lower trapezius can help to overcome the stiffness in the latissimus dorsi during various upper extremity tasks.

And, a stronger anterior core can ensure corrective spine and rib positioning during overhead reaching - again, to overcome stiff lats.

Don't ever forget that it's your job to make people stronger. If you get too "corrective" in your mindset, pretty soon, you've got clients who just come in and foam roll and stretch for 60 minutes, then leave without actually sweating. You still have to deliver a training effect!

5. Minimalist sneakers might be your worst nightmare if you have high arches.

I love minimalist sneakers for my sprint and change-of-direction work. I don't, however, love to wear them on hard floors for 8-10 hours a day. I'm part of the small percentage of the population that has super high arches and doesn't decelerate very well, so cushioning is my best friend. Throwing in a $2 "cut-to-fit" padding in my sneakers has done wonders for my knees over the years, and I'll actually wear through them every 4-6 weeks.

The New Balance Minimus 00 is a sneaker I've been wearing recently to overcome this. It's a zero drop shoe (no slope down from the heel to the toe), and while lightweight, it offers a bit more cushioning (and lateral support, for change of direction) than typical minimal options.

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All that said, just don't force a round peg in a square hole with respect to footwear. Some people just aren't ready for minimalist footwear - and even if they are ready to try them out, make sure you integrate usage gradually.

6. The pendulum needs to swing back to center with respect to thoracic spine mobilizations. - Thoracic spine mobility deficits are a big problem in the general population, given the number of people who spend too much time sitting at a computer. Athletes are a bit of a different situation, though, as some actually have flat (excessively extended) thoracic spines and don't need more mobility. As an example, check out the top of this yoga push-up before we corrected it.

yoga

This athlete has a flat thoracic spine, limited shoulder flexion, and insufficient scapular upward rotation. So, he'll logically go to the path of least resistance: excessive thoracic motion (as evidenced by the "arch" in his upper back). The shoulder blades don't rotate up sufficiently, and he's also "riding" on the superior aspect of his glenohumeral (shoulder ball-and-socket) joint. Here is it, "mostly" corrected a few seconds later:

yoga1

By getting him to "fill up" the space between his shoulder blades with his rib cage (encouraging more thoracic flexion) and cueing better upward rotation of his scapula, we can quickly recognize how limited his shoulder flexion is. In the first photo, he's forcing shoulder ROM that isn't there, whereas in the second one, he's working within the context of his current mobility limitations.

If we just feed into his thoracic spine hypermobility with more mobilizations, we'll just be teaching him to move even worse.

7. You'll never address movement impairments optimally unless nutrition and supplementation are spot on. - It never ceases to amaze me how many athletes will bust their butts in the gym and in rehab, following those programs to a "T" - but supplement that work with a steady diet of energy drinks and crappy food. I'm not talking about debating whether grains and dairy are bad, and whether "paleo" is too extreme for an athlete; those are calculus questions when we should be talking about basic math. A lot of athletes literally don't eat vegetables or drink enough water. That's as basic as it comes. Movement quality will never improve optimally unless you're healthy on the inside, too.

This article was actually a lot of fun to write, so I'll probably turn it into a series for a bit down the road. In the meantime, though, I'd encourage you to check out Dean Somerset's Post-Rehab Essentials resource to learn more in this regard. I don't hesitate to endorse this comprehensive corrective exercise resource, as the content is fantastic, Dean is an excellent teacher, and the product provides some continuing education credits. The $50 off just sweetens the deal. Check it out HERE.

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Aggressive Throwing Programs: Are You Asking the Right Questions?

Today's guest post comes from former Cressey Sports Performance intern, James Cerbie. In this post, James builds on a point I'd made a few weeks ago in an installment of Random Thoughts on Sports Performance. Enjoy! -EC

Everyone wants to throw gas.

If you throw 80mph, you want to throw 85mph. If you throw 85,mph you want to throw 90mph. If you throw 90, you want to throw 95mph…and so on and so forth.

For a pitcher, it’s the ultimate attention grabber. The radar gun doesn’t lie, and lighting one up is the quickest way to turn heads.

Assuming you have any semblance of control, throwing hard helps you get a college scholarship, helps you get drafted, and helps you toward the big leagues.

Sorry, but they aren’t handing out many signing bonuses for an 85mph fastball.

Think of it like the 40-yard dash at the NFL combine—everyone is looking for that 4.3 speed because it’s a game changer.

Due to the high premium baseball places on velocity, and the paychecks that can come along with it, weighted ball programs have gained a tremendous amount of popularity over the past several years. Not only that, they can deliver great results. By playing with the force velocity curve, you can see some pretty impressive jumps in velocity over a relatively short period of time.

Eric has written about weighted ball programs in the past, and I’ll just refer you here if you want to read more on the subject.

Unfortunately, a lot of high school and college athletes are jumping into aggressive weighted ball programs without asking the right questions—they end up chasing short-term gains as opposed to setting themselves up for long-term success.

Building a Pyramid

If I asked you to build a pyramid, how would you do it?

Would you start with the base of the pyramid, also known as your foundation, and gradually work your way up? Slowly adding on a layer at a time until you arrive at the top?


 

Or, would you skimp on the base and spend the majority of your time building the top of the pyramid?

I’m no expert in building pyramids, but I think we can all agree that the first example wins out: a pyramid without a base may get up in the beginning, but it’ll lose out over the long haul.

General vs. Specific Training

The above example illustrates the difference between general and specific training.

The base of pyramid represents general fitness qualities, while the top of the pyramid represents specific fitness qualities (specific in relation to your sport of choice):

For example, a deadlift represents a general fitness quality for a baseball player because we’re developing strength and stability in the sagittal plane while working on the ability to “hip hinge.” None of those qualities are necessarily specific to throwing a baseball, but they lay the foundation for higher-level performance.

A weighted ball program, on the other hand, is about as specific as you can get: you’re performing the exact skill from your sport and doing so with heavier and lighter implements.

This is why so much effort goes into the assessment process before an athlete starts a training program. It gives us a good feel for where they are on the pyramid:

  • How’s their baseline movement capacity?
  • Are they lacking scapular upward rotation?

  • Can they get their hands overhead without driving into extension?
  • Are they strong and stable in the sagittal plane?
  • Can they get “in” and “out” of both hips sufficiently?
  • Do they have appropriate amounts of “core” control?
  • Do they have the capacity to control movement in multiple planes of motion?
  • Can they stand on one leg?
  • Do they have symmetrical total shoulder motion and shoulder flexion?

These represent only a few of the questions we want answers to, but they are all important because it tells us what an athlete is prepared to do at this moment in time, and what they need to work on to progress further up the pyramid.

What can happen in the world of performance training, however, is the inverted pyramid:


This is what it looks like when people rush straight for the weighted ball program. They skip over the all-important base of pyramid and go straight to the top because that’s what’s sexy. Although this structure will produce results in the short run, it doesn’t bode well for long-term success.

General Expresses Specific

If you walk away from this article remembering one thing, please let it be this: your general fitness qualities (the base of your pyramid) puts you in a position to express your sport specific skill.

In other words, they put you in a position to be successful—they give you the ability to get your body in the best position to throw a baseball.

For a baseball player, building up those qualities usually happens off the baseball field. It’s the free play you engaged in and the multiple sports you enjoyed growing up. And, it’s what you do in the weight room. It means doing deadlifts, lunges, push-ups, prone trap raises, and a host of other exercises because it builds your body up towards the ultimate goal: throwing a baseball to best of your ability.

If you skip over that stage and rush straight towards the top of the pyramid, then you’re not only setting yourself up for injury, you’re also leaving gobs of untapped performance on the table.

Tying it All Together

It’s incredibly tempting to jump into the latest and greatest program on the market that’s boasting to add 8mph to your fastball in two months. Before jumping into that program, you have to ask yourself if you’re physically prepared to do so.

Aggressive throwing programs are not bad. In fact, they are one of the more exciting developments in baseball over the past several years. But, it’s vital to remember where they fall with regards to development.

If you’ve put in the time and built yourself a solid foundation, then by all means get on a well-managed weighted ball program. If you haven’t put in the time building yourself a foundation, then start there and work your way up. Your performance and arm will thank you down the road.

About the Author

James Cerbie (@JamesCerbie) is certified by the National Strength and Conditioning Association, Precision Nutrition, USA Weightlifting, and Crossfit, and is the owner ofRebel Performance. He has worked with athletes at all levels, and currently coaches in Charlotte, North Carolina. You can also find him on him on Facebook.

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How Can Pitchers Ever Be “Elite” If They Take Time Off from Throwing?

The other day, the following comment/question was posted as a reply to one of my articles:

"How does an elite pitcher take 2-3 months off from throwing and stay an elite pitcher? I can see shutting down for one month from any throwing, but any more than that and atrophy and loss of neuro patterns kick in."

The short answer is, "They just can - and have - for a long time." I absolutely appreciate the question, and think it's an excellent one. Unfortunately, high level throwers have shown time and time again that they can do it. I'll give you a few examples among Cressey Sports Performance guys from the 2014 season.

Corey Kluber (Indians) made his last appearance of 2013 on September 27, and he didn't start his off-season throwing program until December 9. According to FanGraphs, his average fastball velocity was up from 92.9mph in 2013 to 93.2mph in 2014 - in spite of the fact that he threw 235 innings in 2014, which was 47 more than he's ever thrown in his career. Corey's saw his average fastball velocity increase in each of his four seasons in the big leagues - and he took 2-3 months off from throwing in each of those off-seasons. Clearly, the time off didn't hurt him, as he won the American League Cy Young in 2014.

Sam Dyson (then Marlins, now Rangers) made his last appearance of 2013 on September 22, and also didn't start a throwing program until mid-December. Check out his FanGraphs velocity improvement from 2013 to 2014 "in spite of" his lengthy time off in the fall/winter.

dysonvelo

Corey and Sam are just a few examples, and I've got dozens more. Elite pitchers don't struggle to stay elite; in fact, time off from throwing allows them to recharge and get their strength and mobility back to prepare for becoming "more elite" in the subsequent season.

With that point made, there are three perspectives I think are important to consider on this front.

1. Health vs. Mechanics

As I've written previously in 7 Reasons Pitchers Shouldn't Do Year-Round Throwing Programs - Part 1 and Part 2, there are a lot of physical adaptations that simply can't happen (at least not optimally) when an athlete is still throwing. You can't regain passive stiffness of the anterior shoulder capsule or ulnar collateral ligament. You can't make significant improvements to elbow and shoulder range-of-motion. You can't get rotator cuff strength/timing up, or improve scapular control. Trying to fix these things when a guy is always in-season is like trying to teach a 16-year-old to drive in the middle of the Daytona 500; things might get a little better, but don't expect great results when stressful situations are still in play.

Conversely, we can't optimize mechanics if a pitcher isn't throwing; we know that. However, I'd argue that having a healthy, strong, powerful, and mobile athlete is an important prerequisite to learning correct mechanics. Most players are really tired at this time of year - even if they don't appreciate it (more on this later). Motor learning never happens optimally under conditions of fatigue. I'm all for aggressive throwing programs and meticulous video analysis, but if mechanics and throwing programs are the only tools you have in your toolbox, then you're like a carpenter who only has a hammer: everything looks like a nail. If you understand structure, function, and adaptation, though, you've got a many resources at your fingertips to make an athlete better - and do so safely.

ECCishek

2. The Psychological Component

An example likely best illustrates this point. I recently saw a minor league pitcher who had an outstanding season: an ERA under 3.00 and a career high of 170+ innings. You'd think a guy like that would be wildly enthusiastic about baseball after such an awesome season, and even want to continue playing in any way possible.

That wasn't the case, though. He told me that for the first five days after the season, he avoided everything baseball. In fact, he was so worn out on baseball that he didn't do anything except watch TV and relax for two days. Only after that did he even feel like going for walks with his girlfriend - and he just started up his off-season training three weeks later. This is not uncommon.

It might come as a surprise, but a lot of players are completely "over" baseball by this time of year, particularly if they played for a team that wasn't in a playoff race, or pitched a career high in innings. Forcing them to continue throwing is a quick way to make them really apathetic to baseball and your coaching. If you need proof, ask any minor leaguer how he feels about being sent to Instructional League. A lot of necessary work happens there, but that doesn't mean they enjoy it.

3. Athletes might not know the difference between feeling "good" and "bad."

I'd argue that there are a lot of pitchers who say they feel great at the end of the season, but actually present really poorly in their post-season evaluations. I think a big part of the problem is that we can't necessarily perceive the issues - mobility and stability deficits - that lead to baseball injuries on a daily basis, as most arm injuries involve mechanical pain. In other words, they usually don't hurt unless you're throwing. I've seen athletes who claim they feel awesome at the end of the season, but they actually have experienced big losses in range of motion, stability, and power.

To apply this to kids who play year-round baseball, I think it's safe to say that we have a generation of kids who legitimately have no idea what it's like to feel good/fresh. They've never thrown a baseball with excellent rotator cuff strength or full scapular upward rotation. They don't know how to effectively create separation because their hip and thoracic mobility is so subpar, and even if they actually had good mobility, their poor core control wouldn't allow them to make use of it. You could make the argument that it's a "subclinical epidemic;" we just have a lot of "unathletic athletes" who aren't willing to take a step back to set themselves up for many steps forward. Build a big foundation and stay healthy, and you'll always pick up the specific mechanics corrections much easier.

Wrap-up

This article was a long response that could have been summed up with the sentence, "Don't be afraid to take time off from throwing." The research is very much in support of it helping to keep pitchers healthy, but the anecdotal evidence also supports the notion that it supports the long-term baseball development process, too.

Are you an athlete looking to learn more about Cressey Sports Performance's services at our Hudson, MA or Jupiter, FL locations? Check out www.CresseySportsPerformance.com.

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Strength and Conditioning Stuff You Should Read: 9/30/14

This week's recommended reading is a day late in light of my travels, but fortunately, I've got some good content to make up for my tardiness. Here you go!

Contagious: Why Things Catch On - I listened to this audio book from Jonah Berger on my ride down to FL in early September, and really enjoyed it. If you like Chip and Dan Heath's writing, you'll like Berger's, too.

41Kb1PPrtoL._SY344_BO1,204,203,200_

The Return of the Oriole Way - I'm a big Buck Showalter fan. I think his preparation and leadership is very admirable, and every guy I've ever trained has raved about how we'll he's prepared his team. This article delves into how his approach - and Dan Duquette's effective work as GM - helped to get the Orioles to where they are.

Fitness and Menstrual Health - Dr. Spencer Nadolsky presents a comprehensive look at a topic that has a significant influence on how our female readers feel, look, and perform. I especially like the fact that he differentiated between "energy deficit" and "nutrient deficiency" as causes.

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Get with the Program: Strategies for Individualizing Baseball Development

Today's guest post comes from physical therapist Eric Schoenberg, who is an integral part of the Elite Baseball Mentorships team. Enjoy! -EC

Regardless of your profession with respect to the baseball world, chances are that you spend a good portion of your days writing programs. Whether it is a home exercise program for a physical therapist, a training program for the strength and conditioning specialist, a throwing program for the pitching instructor, or a practice plan for a head coach, the quality of your programs can differentiate you from your competition. As opposed to writing a daily “workout,” a detailed, individualized program gives the athlete structure and sets expectations similar to a curriculum in education.

Each time we host an Elite Baseball Mentorship, the topic of programming comes up in our wrap-up roundtable discussion. As professionals, our job is to add value to our services and give our athletes a competitive advantage over their peers. A big way in which we can do this is by writing great programs for our athletes. It should be noted that writing such detailed and specific programs takes a lot of time and effort, but the athletes that we work with deserve nothing less. A “one size fits all” program with empty promises may sell well online, but most are a disservice to the athlete. This article will outline examples of different programs that we write on a daily basis.

There are many ways to subdivide programs to suit the needs of your athletes. For the purposes of this article, I’ve divided programs into three different categories: Temporal (length of program), Age, and Time of year/Season.

Within each category, athletes are divided into into three sub-categories: Lax, “Middle of the road”, and Stiff. Determining an athlete’s degree of laxity or stiffness is critical to determine whether an athlete needs to focus on mobility (“loosen up”) or stability (“tighten up”).

In addition, it serves as a more logical way to group athletes together when an individualized program is not possible based on time, space, and resources – most notably in the high school or college team settings.

Let’s take a look at each category, starting with temporal, and hit on some different points worth considering when designing programs for your athletes.

temporalchart

Daily programming:
• Practice vs. Gameday
• Prehab/Rehab
• Pre-game warm-up
• Pre-throwing
• Throwing (Long toss, bullpen, in-game)
• In-game (between innings, reliever warm-up)
• Nutrition
• Post-game/Recovery

Weekly:
• Strength and Conditioning – frequency of strength and mobility sessions
• Rehab/Physical Therapy treatments (includes soft tissue work)
• Home exercise programs
• Throwing (5-day, 7-day, Reliever)
• Recovery work

Monthly/Season:
• Early season vs. late season (adaptive changes will require change in programming)

Year:
• Pre-season, in-season, post-season, time off

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Next, age must be appreciated when considering program design. There are major differences between these age groups in terms of laxity, injury history, injury predisposition, activity tolerance, recovery time, and a host of other factors that must be considered when programming for your athletes. As an athlete gets older, the number of games played in a season dramatically increases and must be accounted for in their programs. The table below illustrates a breakdown of the age category:

agechart

Lastly, we need to pay attention to season when designing programs. An interesting study by Posner et al, found that MLB injuries were 10x more likely to occur in April than September. It is critical to appreciate that exercise selection needs to change based on season out of respect for throwing volume. In addition, the importance of adaptive changes such as decreased (or increased) ROM, pain, fatigue, weight loss, among others must be appreciated. Also, competing demands such as multiple sports in season, travel, schoolwork, and family commitments need to be taken into consideration as we create programs for our athletes.

seasonchart

Other considerations for varying volume, duration, and intensity in your programs include:
• Position (pitcher, catcher, IF, OF)
• History of injury in past year
• Multi-Sport vs. Early Specialized (include multi-sports in same season – high school athlete)
• Geography: Athletes from the Northeast will have a shorter competitive season with less games vs. their southern counterparts.

In conclusion, once you determine an athlete’s degree of laxity and define time, age, and seasonal considerations, you can use these templates in combination to help organize your programming and become more efficient.
For example:

➢ A daily in-season program for a lax 17 year old left-handed pitcher (and 3-sport high school athlete) with a history of medial elbow pain.

It is important to appreciate that this program design will vary greatly from:

➢ A weekly off-season program for a stiff 30 year old RHP (big leaguer) with a medical history of 2 shoulder surgeries and currently experiencing left knee pain.

If you found this information helpful in organizing your thoughts when it comes to managing the baseball players with whom you work, we encourage you to sign up for one of our upcoming Elite Baseball Mentorships. We have events in both October and November, and you won't find a more intensive baseball educational course.

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Random Thoughts on Sports Performance Training: Installment 6

It's time for this month's sports performance training musings. Many of these thoughts came about because we have a lot of our professional baseball guys back to kick off their off-season training, so I'm doing quite a few assessments each week. In no particular order...

1. There is a difference between "informative" assessments and "specific" assessments.

I recently spoke with a professional baseball pitcher who told me that his post-season evaluation included a 7-site body fat assessment, but absolutely no evaluation of scapular control or rotator cuff strength/timing.  Skinfold calipers (especially in the hands of someone without a ton of experience using them) are hardly accurate or precise, but they can at least be "informative." In other words, they tell you something about an athlete. 

However, I wouldn't call a body fat assessment a "specific" assessment. In other words, it's really hard to say that "Player X" is going to get injured because his body fat is 17% instead of 15%.

Body_Fat_Caliper

Conversely, we absolutely know that having poor scapular control and rotator cuff function is associated with a dramatically increased risk of injury in throwers. Checking out upper extremity function is a "specific" assessment.

This example, to me, illustrates why good assessments really are athlete- and sport-specific. Body fat assessments mean a lot more to hockey players than they do to baseball players, but nobody ever attributed a successful NHL career to having great rotator cuff strength.

Don't assess just for the sake of assessing; instead, assess to acquire pertinent information that'll help guide your program design to reduce injury risk and enhance performance.

2. Extremes rarely work.

Obviously, in a baseball population, most athletes have at least some kind of injury history. It's generally a lot of elbows and shoulders, but core and lower extremity injuries definitely show up on health histories. When I see these issues, I always try to ask plenty of questions to get a feel for what kind of training preceded these injuries. In the majority of cases, injuries seem to come after a very narrow focus - or specialization period.

Earlier this week, I saw a pro baseball guy with chronic on-and-off low back pain. He commented on how it flared up heavily in two different instances: once in college, and the second time during his first off-season. In both cases, it was after periods when he really heavily emphasized squatting 2-3 times per week in an effort to add mass to his lower body. Squats were the round peg, and his movement faults made his body the square hole. Had he only squatted once a week, he might have gotten away with it - but the extreme nature of the approach (high volume and frequency) pushed him over the edge.

I've seen command issues in pitchers who threw exclusively weighted balls, but rarely played catch with another human being. I've seen plenty of medial elbow discomfort in athletes who got too married to the idea of adding a ton of extra weight to their pull-ups.

General fitness folks, powerlifters, and other strength sport athletes can get away with "extreme" specialization programs. Heck, I even co-created a resource called The Specialization Success Guide!

SSG

However, athletes in sports that require a wide array of movements just don't seem to do well with a narrow training focus over an extended period of time. Their bodies seem to crave a rich proprioceptive environment. I think this is why "clean-squat-bench press only" programs leave so many athletes feeling beat-up, unathletic, and apathetic about training.  

3. Consider athletes' training experience before you determine their learning styles.

I'm a big believer in categorizing all athletes by their dominant learning styles: visual, kinesthetic, and auditory.

Visual learners can watch you demonstrate an exercise, and then go right to it.

Auditory learners can simply hear you say a cue, and then pick up the desired movement or position.

Kinesthetic learners seem to do best when they're actually put in a position to appreciate what it feels like, and then they can crush it.

ECCishek

In young athletes and inexperienced clients, you definitely want to try to determine what learning style predominates with them so that you can improve your coaching. Conversely, in a more advanced athlete with considerable training experience, I always default to a combination of visual and auditory coaching. I'll simply get into the position I want from them, and try to say something to the point (less than ten words) to attempt to incorporate it into a schema they likely already have.

This approach effectively allows me to leverage their previous learning to make coaching easier. Chances are that they've done a comparable exercise - or at least another drill that requires similar patterns - in previous training. As such, they might be able to get it 90% correct on the first rep, so my coaching is just tinkering.

Sure, there will still be kinesthetic learners out there, but I find that they just aren't as common in advanced athletes with significant training experience. As such, I view kinesthetic awareness coaching as a means to the ultimate end of "subconsciously" training athletes to be more in tune with visual and auditory cues that are easier to deliver, especially in a group setting.

4. Separate training age from chronological age.

This can be a difficult concept to relate, so I'll try an example.

I have some 16-year-old athletes who have trained with us at Cressey Sports Performance for 3-4 years and have great anterior core awareness and control. I'd have no problem giving them the slideboard bodysaw push-up, which I'd consider a reasonably advanced anterior core and upper body strength challenge that requires considerable athleticism.

Conversely, I've had professional baseball players in their mid 20s who've shown up on their first day with us and been unable to do a single quality push-up. The professional athlete designation might make you think that they require advanced progressions, but the basics still work with the pros. You might just find that they picked things up quicker - and therefore can advance to new progressions a bit more rapidly than the novice 13-year-old.

Quality years of training means a lot more than simply the number of years a young athlete has been alive, so make sure you're working off the right number!

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