Home Posts tagged "Assess and Correct" (Page 7)

Mobility Exercise of the Week: Calf Self Massage

For more mobility exercises, be sure to check out Assess and Correct: Breaking Barriers to Unlock Performance.

Read more

Pulled Quad – or is it?

Q: How should I warm up properly before sprinting sessions? Back in the day when I did sports my quads were always prone to injuries. Funny thing is I haven't had any problems when doing squats of any kind. Recently I decided to involve some alactic work in my workout and immediately pulled a quad doing sprints. It's obviously something wrong with my warm-up! A: Saying "pulled quad" might be a little bit too general.  In reality, most of the time, you're looking at a rectus femoris strain.  While it is one of the quadriceps, the rectus femoris is also active as a hip flexor.  So, as the picture below shows, it crosses two joints.

rectus-femoris

The rectus femoris is responsible for both hip flexion and knee extension.  So, as you can imagine, it is placed on a huge stretch when an athlete goes into a position of hip extension and knee flexion - kind of like this:

lewis

You're asking the rectus femoris to go on a huge stretch there - and under very high velocities.  With a squat, you're not putting it on full stretch, as the hip and knee are both flexed.  So, with that in mind, it's not surprising at all that sprinting would bother your "quad" when squatting doesn't - especially since we know the overwhelming majority of folks out there are tight in the rectus femoris.  Why?

Well, first, you don't need to be a rocket scientist to know that, as a society, we sit far too much.  Second, though, is the fact that most people never really get above 90 degrees of hip flexion in anything that they do.  Mike Boyle has done a great job of outlining how we can develop imbalanced hip flexion patterns; essentially, we never use our psoas, the only hip flexor active above 90 degrees of hip flexion. The picture below is kind of rudimentary (and somewhat awkward), but it shows what I'm getting at with respect to the advantageous attachment points for psoas with respect to hip flexion above 90 degrees:

psoas1

How many of the folks at your gym are getting 90+ degrees of hip flexion with their treadmill, stairclimber, and elliptical work?  None.  So, we underuse psoas, and overuse rectus - and it shortens up over time.  Take a short muscle through a maximal stretch at high-velocities, and it's going to hate you.  So, what to do?

Well, first, I'd recommend running through some warm-ups from Assess and Correct, and that'll cover a lot of the fundamentals (especially if you go through the assessments to figure out what else is going on).  One important thing that'll cover is activation work for psoas; Kevin Neeld demonstrates one option here:

Second, just add in some targeted static stretching for the rectus femoris a few times a day using this stretch (don't start using it until the "pulled quad" has settled down, though).

kneelingheeltobuttstretch

Third, and most importantly, ease your way into sprinting.  Not everyone is prepared to just jump right in full-throttle.  I discuss this in further detail in my contribution to the most recent Mythbusters article at T-Nation.  Basically, just get out there twice a week and do some 60-yd build-ups at 80% of your best on a grass field.

Sign-up Today for our FREE newsletter and receive a deadlift technique video!
Name
Email
Read more

Hip Pain In Athletes: Understanding Femoral Anterior Glide Syndrome

Hip pain - particularly of the anterior (front of the hip) variety - is a very common problem in the weight training population.

In her book, Diagnosis and Treatment of Movement Impairment Syndromes, Shirley Sahrmann discusses Femoral Anterior Glide Syndrome in excellent detail.  And, while it may seem like an obscure diagnosis, it's actually a really common inefficiency we see in a weight training population.

In order to understand this syndrome, you have to appreciate the attachment points and functions of the hamstrings and gluteus maximus.  With the hamstrings, you'll notice that they attach to the ischial tuberosity of the pelvis (with the exception of the short head of the biceps femoris, which attaches on the femur), and then run down to a point inferior to (below) the knee.  In other words, they are a two-joint muscle group.  All of the hamstrings aid in knee flexion, and all but the short head of the biceps femoris also aid in hip extension.

Conversely, the glutes attach on the pelvis and the femur; they're a one-joint muscle - and this is why they can so directly impact hip health.

You see, when the hamstrings extend the hip (imagine the hip motion that happens when one comes out of the bottom of a squat), they do so in a "gross" fashion.  In other words, the entire leg extends.  In the process, there is little control over the movement of the femoral head ("ball" in the "ball-and-socket" hip joint) - and it tends to migrate forward during hip extension, giving you a femoral anterior glide syndrome.  In the process, it can irritate the anterior joint capsule, and this irritation can give a sensation of tightness in the front of the hip.

Fortunately, the glutes can help prevent the problem.  Thanks to their point of attachment on the superior aspect of the femur (closer to the hip), they have more direct control over the femur as it extends on the hip.  As a result, they can posteriorly pull the femoral head during hip extension.  So, in an ideal world, you get effective co-contraction of the hamstrings and glutes as one extends the hip; they are a system of checks and balances on one another.  If you use the hamstrings too much in hip extension, you're just waiting to develop not only femoral anterior glide syndrome, but also hamstrings and adductor magnus (groin) strains and extension-based back pain.

As an aside, this hamstrings/glutes relationship is somewhat analogous to what you see at the shoulder with the subscapularis posteriorly pulling the humeral head as the infraspinatus and teres minor allow it to drift forward.  That's another newsletter altogether, though!

Once the femoral anterior glide issue is in place, the first course of action is to stop aggressively stretching the hip flexors.  While the issue gives a sensation of hip flexor "tightness," in reality, stretching the area only exacerbates the anterior hip pain.  A better bet is to just ditch the stretching for a few days, and instead incorporate extra glute activation work.  Eventually, though, one can reintegrate both static and dynamic hip flexor stretches.

Just as importantly, it's important to identify the causes.  We'll see this issue in runners who have no glute function, but more commonly, I'll see it in a weight training population that doesn't understand how to complete hip extension.  Here's what a hamstrings-dominant hip extension pattern would look like with squatting.

The final portion of hip extension is when the glutes are most active, so it's important to "pop the hips through" at lockout of deadlifts, squats, pull-throughs, and other exercises like these.  In the same squat example, it's really just as simple as standing tall:

Of course, this is just the tip of the iceberg when it comes to hip issues in athletes, but it's definitely something we see quite a bit. If you'd like to learn more, I'd highly recommend you check out our Functional Stability Training series, particularly the Lower Body and Optimizing Movement editions. They're on sale for 25% off through tonight (Cyber Monday) at midnight.

Enter your email below to subscribe to our FREE newsletter and you'll receive a detailed video tutorial on how to deadlift!

Name
Email
Read more

Static Posture Assessment Mistakes: Part 1

One of the big mistakes many people make in assessing static postures is that they think they can determine that the humerii are internally rotated just from looking at someone from in front, and seeing the tops of their hands (as opposed to the thumb-side, which would be more neutral).  So, in these folks' minds, this individual would need to stretch more into external rotation:

abdscap

In reality, this individual is a professional pitcher and actually has far more external rotation (roughly 130 degrees on his throwing side) than ordinary folks.  Stretching him into external rotation could actually cause injury.

So, why are his palms turned backward like that?  Well, it's very simple: his scapulae are abducted, or winged.  When the scapular stabilizers - particularly the serratus anterior and lower trapezius are weak - the shoulder blades sit further out to the sides.  The humerii are in normal, but their "foundation" (the scapulae) have been moved.

For more information on optimal assessment techniques, check out Assess and Correct.

Layout 1

Read more

Medicine Ball Madness

EricCressey.com Subscriber-Only Q&A Q: My question pertains to medicine ball workouts for pitchers.   Are they only off-season training drills, or can I do them with my pitchers between starts? And, are there good ones for pitchers arms, in particular?  I know you mentioned doing some one-arm drills with your pitchers. A: It's safe to say that we probably do more medicine ball work than anyone on the planet.  In fact, we've broken 17 medicine balls (16 featured in this photo) thus far this off-season.

img_5315

Our destruction of medicine balls has been so epic that our equipment supplier actually asked us if we were throwing them against a wall with "jagged edges," as nobody had ever had similar problems, much less with as much regularity.  So, suffice it to say that we hammer on medicine ball work a ton in the off-season, and the useful life of a ball around here is 4-6 weeks.  But, I don't want to digress... After the season ends, pitchers usually get a two-week break from anything that involves overhead throwing or rapid elbow extension after they are done throwing before we integrate any of this.  Position players start right up with it. I think it's crucial to start up right away so that you can teach proper scap and hip loading so that guys will get the most out of it when the time comes to throw with more volume and complex exercises that help to maintain pitching-specific mobility, as Stanford-bound Sahil Bloom shows:

We typically go 3x/week medicine ball work with anywhere from 80 to 120 throws (never more than eight per set) per session from October through December (the last month overlaps with throwing programs where these guys are just tossing - nothing too challenging).  This continues right up through spring training for all our position players.  For pitchers, though, as January rolls around, we add in more bullpens and aggressive long tossing (and weighted balls, for some guys), and the medicine ball work drops off to two times a week with less volume and a more conservative exercise selection.  This twice a week set-up goes right through Spring Training. We always pair our medicine ball work with various mobilizations so that guys are addressing flexibility deficits instead of just standing around.  It might be thoracic spine and hip mobility drills from Assess and Correct.  Combining these mobilizations with all our medicine ball work, warm-ups, foam rolling/massage, and the static stretching programs guys are on, we have no concerns about pitchers "tightening up" with lifting.  Blue Jays prospect Tim Collins doesn't seem to be all "muscle-bound" here, for instance:

I don't do a ton of medicine ball work in-season with my higher level guys; it's usually once every five days.  A lot of the focus is on the non-dominant side.  So, a right-handed pitcher would do more rotational stuff from the left side to keep as much symmetry as possible.  With high school athletes, on the other hand, I see no reason why you can't use a slightly higher volume of medicine ball drills in-season.  Kids are resilient and in many cases, undertrained, so there is always a big window of adaptation ahead of them. With respect to the one-arm smaller medicine ball work, we use those two variations around this time of year.  It's usually just two sets of eight reps right after throwing sessions twice a week.  I like the idea of consolidating the stress with throwing outings.  That said, there are some people that do them as warm-ups prior to throwing.  Here, Atlanta Braves prospect Chad Rodgers demonstrates a few with a 1kg (2.2lb) ball.

As a random aside, off to the side in this video, you'll see how we tend to pair mobility/activation movements with power training, as Royals catching prospect Matt Morizio goes back and forth from clap push-ups to scapular wall slides.

This is really just the tip of the iceberg, so for more information, I would encourage you to check out our resource, Functional Stability Training; it is incredibly thorough, including plenty of options for both off- and in-season medicine ball work. Enter your email below to subscribe to our FREE newsletter:
Name
Email
Read more
Page 1 5 6 7
LEARN HOW TO DEADLIFT
  • Avoid the most common deadlifting mistakes
  • 9 - minute instructional video
  • 3 part follow up series