Home Posts tagged "Core Stability Exercises"

Exercise of the Week: Acumobility Ball on Quadratus Lumborum

I posted five years ago about How to Use the Acumobility Ball for Upper Extremity Health and Performance, so it seems long overdue for me to share one of the ways we're using it a bit further down the chain: on quadratus lumborum (QL). Here's a quick tutorial, courtesy of Cressey Sports Performance - Florida coaches Andrew Lysy and Ian Connors:

As a brief follow-up, take a look at the anatomy of QL, which has attachments on the ilium (pelvis), L1-L4 (spine), and 12th rib:

It can contribute to lateral flexion and extension of the spine, and also is a accessory muscle of inhalation. And it can hike the pelvis. In short, it'll often serve as a "fake" glute that substitutes lumbar extension (low back arching) and hip hiking for motion that should be occurring at the hip. It's a common player in extension based low back pain, and can limit thoracic rotation. QL trigger points can refer all over the place, too; it's not uncommon for it to present as a sciatica pain pattern, or even refer to the anterior hip.

It's a slam dunk when you see one hip that's hiked up on static posture assessment, and we'll follow this self-myofascial release drill up with some hip shifting drills based on what we see on our assessment (particularly with respect to hip rotation and straight leg raise). We'll usually integrate some positional breathing drills that emphasize posterior pelvic tilt as well. All that said, two drills that you probably can't go wrong with on this front are a lean away lateral line stretch (5 full exhales) and prone hip extension iso hold off table.

This one is a "keeper" in our daily warm-up series, so give it a shot and see how you like it. You can get one HERE.

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The Best of 2022: Guest Posts

I've already highlighted the top articles I put out at EricCressey.com in 2022, so now it's time for the top guest posts of the year. Here goes…

1. Exercise of the Week: Barbell Drop Split-Squat - Cressey Sports Performance - MA coach Ethan Dyer introduced a single-leg progression that delivers some extra benefits over classic lunges and split squats.

2. 5 Warm-up Options to Improve Hip Extension - The ability to access hip extension while the opposite hip flexes is crucial in sprinting, throwing, hitting, and a myriad of other athletic endeavors. In this article, Cressey Sports Performance - Florida coach Dylan Lidge outlined a few dynamic ways to challenge hip extension in a warm-up.

3. 5 Drills for Dynamic Trunk Deceleration - Cressey Sports Performance - Florida coach Eduardo Valle shared five deceleration drills that are helpful for just about any type of athletes, but especially in the rotational realm we live in on a daily basis.

4. 4 Training Principles to Make the Most of Your Speed Work - There's a heavy bias toward contralateral pressing and rowing in today's strength and community world, and as Ethan Dyer (again!) shared in this article, we need to give ipsilateral options some love.

5. Wall March Variations for the Win - Wall marches are drills that have been used commonly over the years in the strength and conditioning and track and field communities. Unfortunately, many coaches don’t appreciate how much you can build on the basic wall march to teach a number of different movement competencies. In this article,  Dylan Lidge shared some of our favorite variations on this classic drill.

I'll be back soon with more highlights from 2022.

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5 Drills for Dynamic Trunk Deceleration

Today's guest post comes from Cressey Sports Performance - Florida coach, Eduardo Valle.

Coaches and athletes often get fixated on power production and forget about force absorption, or deceleration. Deceleration is an important quality for athletes to possess, as it will help them stay within themselves when performing a task and lessen injury risk. A pitcher or a hitter that can't decelerate may spin wildly out of control. A rotator cuff that can't slow your arm action down is a recipe for an arm injury. A hitter that can't decelerate sufficiently can't check his swing. There are countless other examples - and this is why we take deceleration training quite seriously. With that in mind, here are five non-traditional drills to implement dynamic trunk deceleration into your training.

1. Anti-Rotation Landmine Windmill: With this drill, you are trying to control the weight on the way down without rotating through your hip, as this will promote trunk deceleration without hip involvement. This is also a good strengthening exercise as you have to then rotate back to the center and repeat to the other side. Choose your weight carefully, as this is an easy one to cheat.

2. Split Stance High to Low Aquabag Chop (over Front Leg): This is a more dynamic exercise overall and one that has immediate transfer to the field, as every baseball player throws and needs to be able to decelerate properly to avoid spinning out of control or missing their target. This will also help athletes to learn how to absorb force into that lead hip.

3. Pallof Press with Deceleration: This exercise is reactive in nature. You're going to set-up like a normal Pallof Press, and then you're going to let go and rapidly catch the handle again. This will challenge your core to quickly stop your trunk from going into excess rotation.

4. Proteus Straight Arm Anti-Rotations: This is a more dynamic progression from the landmine anti-rotation drill I demonstrated earlier. Here, we're rotating our upper body as fast as possible and coming to an immediate stop at end-range. This is extremely challenging because if you are unable to stop properly, you simply lose your balance and fall off to the side. We want to ensure that our trunk can stop itself independently from our hips so as to not put too much stress or rely too much on our hips when everything is working together.

5. Proteus Split Stance High to Low Chop (over Front Leg): Similar to the Aquabag chop, we are going through a modified throwing motion, trying to exert as much force as possible. If we are able to properly absorb our high output here, then we should be able to have more success on the mound maintaining good posture after a pitch instead of spinning uncontrollably.

The lighter/faster drills here typically work well as part of "pre-work." In other words, we'll integrate them after warm-ups and before we get to our lifting for the day. They pair well as fillers between medicine ball drills, too. Conversely, if the loads are heavier, they're best integrated as assistance exercises during strength training sessions.

About the Author

Eduardo Valle is a strength and conditioning coach at Cressey Sports Performance - Florida. He graduated from the University of Virginia with a BS.Ed in Kinesiology. A Certified Strength and Conditioning Specialist through the NSCA, Eduardo also works as part of the UVA Sports Medicine Staff as an Athletic Training Student; this experience helped shape his view of exercise as medicine being an integral part of both mitigating injury and maximizing performance. He's currently in a Master's program at Florida Atlantic University for Exercise Science and Health Promotion. You can follow him on Instagram at @edu_valle2.

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Exercise of the Week: Step-up Rotational Cable Lift

Today's guest post comes from Cressey Sports Performance - Florida Director of Performance, Tim Geromini.

Cable chops and lifts have been an integral part of strength and conditioning programs for many years, and will continue to be for good reason. They establish proper kneeling and split stance hip positions, create anti-rotation and anti-extension core control, train thoracic mobility, and teach us how to absorb force in multiple planes. To that end, seeking variations where we can challenge clients in new ways led us to the step-up rotational cable lift.

Here is how to make sure you’re doing this properly and seeing the benefits:

1. The box should align your hip to about 90 degrees of flexion; more is not always better in this instance. At this depth you should still be able to create force pushing down through the box and feel your hip extensors engage.

2. Make sure you are in a neutral spine position. In too much hip flexion, it’s very easy to either lean back into lumbar extension or round forward into lumbar flexion. Neither of these positions allows you to create stability in your lower half.

3. The inside foot should be pointing straight ahead and that hip should be extended.

4. The foot on the box should not remain “rooted” the entire set; imagine trying to pick up a basketball with that foot. Focus on keeping your knee from caving in or bowing out. If I’m looking straight at you, there should be a straight line from your toes, knee, hip, and shoulder.

5. Both hip flexors should be pointing straight ahead avoiding any lateral flexion or hips bailing out to the side. Keep your arms in tight on the initial pull and your rotational component will come from your thoracic spine, not lumbar spine.

We typically program these for 8 reps per side towards the end-portion of a training session.

About the Author

Tim Geromini is the Director of Performance at Cressey Sports Performance - Florida. Prior to joining the CSP team; Tim spent time with the Lowell Spinners (Class A Affiliate of the Boston Red Sox), Nashua Silver Knights (Futures Collegiate Baseball League), Cotuit Kettleers of (Cape Cod Baseball League), and UMass-Lowell Sports Performance. You can contact him at timgero@gmail.com and on Twitter (@timgeromini24).

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Exercise of the Week: Adductor Slides

Today's guest post comes from Cressey Sports Performance - Florida Director of Performance, Tim Geromini.

One of the more forgotten muscle groups in the lower extremity is the adductor (groin) complex. Often, there is so much focus on glute activation and hamstrings range of motion that we overlook the adductors. As Eric has written in the past (all the way back in 2004!), depending on the population, adductors can get injured because they're either overactive or weak. In other words, they need to be both "long and strong." Enter an exercise that not only works on eccentrically creating range of motion at the adductors, but concentrically strengthening them, too!

Some of the benefits of Adductor Slides - and the associated coaching cues needed to make the most of your efforts:

1. Eccentric Control: The adductors are mostly known to absorb force in change of direction movements as they experience a ton of eccentric stress when an athlete has to cut or adjust his position. This exercise is not a traditional passive stretch as we are actively stretching the adductors into hip abduction. This should be a slow and controlled purposeful movement, keeping the hips in line with the knees. A cue that works well is “pretend there is a band attaching the Valslides together; now stretch that band.” This cue helps you understand to put force into the ground as you spread your knees as far apart as possible (another helpful cue). You are only going to go as low as your range of motion allows, so work within the range you have. Keeping your feet on the ground is a good starting point. As your range of motion and strength increases, try keeping them off the ground to progress the exercise.

2. Concentric Strength: Now that you have a sufficient stretch of the adductors, it’s time to strengthen them driving up into hip adduction. A helpful cue would be “pull the turf together on the way up.” The adductors play a big and often overlooked role in creating rotational power. At CSP, we often talk about shifting your weight from your back hip to your front hip on a medicine ball exercise, on the mound, and even in the cage. In this instance the role of the adductors is to help internally rotate the femur to create power in the lower half. Without sufficient adductor strength, you’re going to leave a lot of power on the table.

3. Anterior Core Strength: Neither of the two benefits listed above work very well if you can’t maintain a neutral spine while doing them. In other words, don't let the lower back arch. It’s important to note that the adductor muscles originate on the pubis (the bottom portion of the pelvis) and are vital in controlling pelvic stability. If you are doing this exercise on your own, it may be helpful to place an object on your low back and make sure it doesn’t fall off as you go through the movement.  Again, think slow on the way down and fast on the way up.

We typically program this exercise for 8 reps either in a warm-up or as a pairing with a rotational med ball exercise. As a regression, you can do one leg at a time while the non-Valslide knee is positioned on the ground/pad.

About the Author

Tim Geromini is the Director of Performance at Cressey Sports Performance - Florida. Prior to joining the CSP team; Tim spent time with the Lowell Spinners (Class A Affiliate of the Boston Red Sox), Nashua Silver Knights (Futures Collegiate Baseball League), Cotuit Kettleers of (Cape Cod Baseball League), and UMass-Lowell Sports Performance. You can contact him at timgero@gmail.com and on Twitter (@timgeromini24).

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What is Stability Training?

Today's guest post comes from Josh Henkin. After Dan Swinscoe's guest post earlier in the week, it seemed like a good follow-up to have Josh speak to the more general principles of stability training.

And, as a friendly reminder, you can get 10% off both sandbag products and educational resources folks at Ultimate Sandbag Training through tomorrow (Sunday) at midnight. Just head HERE and enter the coupon code cressey10.

Enjoy! - EC

Teaching is something that is my passion; it is in my blood, as almost everyone is my family has been a teacher of some sort. Having the wonderful fortune of being able to teach continuing education programs for over a decade, I’ve loved helping professionals find solutions to problems. How do I know what the problems are? Being a coach for 25 years, owning my own gym for a decade, and working with diverse populations has taught me that our true job as a strength coach, fitness professional, or clinician is to be a solution to problems.

Even though we may be looking at solutions to different issues, there tend to be concepts that are key for a wide variety of goals. In order to accomplish our goals in helping people,
we look at the what gives us the “biggest bang for the buck.” Stability training is something that can deliver on that front. In this article, I address stability training methods because they are sorely misunderstood and often lead us to performing exercises we THINK are based around acquiring better stability in a given situation, but we are often missing the goal.

What Is Stability Training?

We could have a LONG dissertation discussing stability training, but I want to focus on some key concepts, how they impact our programming, and the exercises we select. Stability can be something we look at in regard to isolated joints or the whole body. For the sake of this post, we are referencing more of whole body stability.

When you say the words “stability training,” most of us think of exercises that make us wobble or shake a lot. Sadly, that isn’t stability training. In order to address stability, we need a much better understanding of what we are trying to achieve.

Go on the internet and look up stability training or even most textbooks, and you’ll get a wide array of definitions. Probably the best and most simple can be thought of as “allowing wanted movement while resisting unwanted movement.” That seems really simple, but it has been said by some of the best coaches in the industry. If you find that too vague for your liking (don’t overlook simplicity in delivering great concepts), I tend to really like what performance expert, Dr. Brandon Marcello says: “Stability is about timing and sequential activation of muscles.” (1)

Hmm, what is Dr. Marcello referring to in such a statement? Motor control is probably the concept with which many professionals are least familiar. If we look at much of the research on causes of injuries, we tend to see a common theme of a muscle isn’t working at the right time. This flies in the face of the fact that we think if we just make a singular muscle strong it will fix all the problems in movement. Just looking back at all the focus we placed in training the Transverse Abdominis (TVA) is a great example.

While most thought the result of all the studies on the TVA meant we had to isolate and strengthen the TVA, they ignored the points the researchers were making. In a 2017 study by Selkow et. al, they concluded, “TrA activation and timing were altered following a four-week core stability program in people with and without LBP” (2). See the key word of timing, not strength?

What does this really mean for most creating fitness and strength training programs? Our energy in developing stability should be focused upon foundational movement patterns and how we progress them. Dr. Marcello’s makes the complex digestible by defining stability training around three important concepts…

-Feedforward (this is more reactive)
-Static
-Dynamic

With these three concepts there is also one more caveat: they should be multi-planar. Most people are unaware of these ideas when they are creating their stability drills, especially when it comes to being more multi-planar. While I would love to address these all in detail, I’d rather bring some of these concepts to life with a special emphasis on how we go from building a pattern to making it more multi-planar.

Movement Patterns and Planes of Motion

When I created our Dynamic Variable Resistance Training system (DVRT), it was thinking about how we address training movement and not so focused upon specific exercises or muscles. In order to do so, we have to offer concepts that get us all on the same page and speaking the same language. There are three ideas we need to better understand so we can have our training come to life!

Most roll their eyes when you say “functional training,” but it is an actual method that sadly has been hijacked by clever marketing. Spine expert Dr. Stuart McGill sums it up best, “functional training incorporates the goal of enhancing strength throughout the body segment linkage” (3).

That sounds great, but what is Dr. McGill referring to when he says “linkage?” If you have heard about fascial lines, I believe that is a great way to help us better understand that we have specific chains that coordinate the use of different muscles for ways to help us achieve stability so we can demonstrate strength.

If you aren’t familiar with fascial lines, how can we make these concepts meaningful and provide the “Cliff’s Notes” on these concepts? I like to sum it up with these ideas as the following;

1. Hands/Feet: Half of our bones are in our hands and feet, and that is very significant. The contact we have with our environment usually comes from our hands and feet, so coaching them has a huge impact in making these important connections in the body. Renowned physical therapist, Gray Cook says it best!

“If the feet are sloppy and the grip is off, not only will the person not activate the right muscles, but he or she is not even up taking the right sensory information. Let me say that again. If there are any mobility or stability compromises between the foot and the brain, it’s like standing on two garden hoses wondering where all the water is. The information pathway is broken two ways… up and down.”

How does it apply to our training? When I created the Ultimate Sandbag, it was in an effort to create a tool specifically made to address movement, not create a tool and then try to invent a purpose. Simple concepts make our training so much better and teach our clients how to move better instantly! Pretty cool if we can use load as a teaching tool and to provide feedback, not just stress the system.

Examples: Press Out Squats, Arc Press, and Bird Dog Drags

2. Lat/Core/Glutes: While the concepts of fascial lines can make for an entire post, I like to introduce complex subjects with easy to grasp ideas. One of the best examples is the connection of our lat/trunk/ and opposing gluteals to create what is known as the Posterior Oblique Sling (POS). We use this system all the time to create stability for the spine as we perform complex locomotive motion. If you look at an anatomy chart, you can see the fibers of the right lat go right into our thoracolumbar fascia, and travel into the opposing gluteals.

This is why before you do a deadlift, you should try to “break the bar.” With this concept, we have an improved understanding how to develop better exercises and re-think maybe familiar ones. Change is never easy, but appreciating the science should help. This is especially true when we think how the glutes help create stability in what is known as “force closure” of the SI joint.

“Force closure is the term used to describe the other forces acting across the joint to create stability. This force is generated by structures with a fibre direction perpendicular to the sacroiliac joint and is adjustable according to the loading situation. Muscles, ligaments and the thoracolumbar facia all contribute to force closure. Force closure is particularly important during activities such as walking when unilateral loading of the legs creates shear forces.
Force closure creates greater friction and therefore increased form closure and what is called “self-bracing” or “self-locking” of the joint. According to Willard et al. force closure reduces the joint’s ‘neutral zone’ thereby facilitating stabilization.”

Examples: Lift/Chop Hip March, Front Loaded Good Mornings, Deadlift Matrix

3. Progressing Planes of Motion: While we know planes of motion are relevant to what we do in any exercise or real life/sporting movement, we don’t have good systems of actually progressing these concepts. The sagittal plane is not a “bad guy;” it is the most stable plane (why so many like lifting in it) and should be our foundation to teach foundational movement patterns. However, where do we go from there?

In DVRT, we move to focusing on moving through the sagittal plane while resisting the frontal and transverse plane. Then, moving into the frontal plane, and eventually the transverse plane. There are many steps in between, but the highest level in our system is moving one segment of the body in one plane of motion while resisting at another segment. This concept can be applied to any of our seven movment patterns (squat, hip hinge, push, pull, lunge, rotate, and gait) in what we call our MAX (multiple axis) drills. The overall point is that we should think about planes of motion as a training variable with the same value and need of progression as load, volume, etc.

Examples: MAX Lunge, MAX Front Loaded Rear Step Good Morning, Front Loaded Rotations

This is probably a lot of information and a very different way for people to think. Even though questioning what we are doing is difficult, I think of the famous Maya Angelou quote, “Do the best you can, until you know better. Then, when you know better, do better.” Our profession is a rather young one, especially in regard to strength and conditioning and fitness. Evolving and growing only allows us to create better solutions for the people that come to us for help. We have to be open to growing if we are going to make the impact we all desire and that is at the heart of all our goals!

Note from EC: Don’t forget about the great discount in place on sandbags and the associated educational resources at Ultimate Sandbag Training through Sunday at midnight. You can get 10% off by heading HERE and enter the coupon code cressey10.

About the Author

Josh Henkin, CSCS has been in the fitness and performance industry for 25 years. He has been highly sought after for his functional training concepts and DVRT system which has seen him teach in over 13 countries worldwide. Josh has also served as a consultant for the U.S. Marines HITT program, U.S. Army Special Forces Recruiting Battalion, as well as numerous Fire & Police Departments as well as Division 1 programs and Rehabilitation Clinics around the country. You can follow him on Instagram at @UltimateSandbag.

References:

1. The Why’s, What’s, How’s and When’s of Stability Training, “Power & Resiliency Summit”, October 19, 2019, Results Fitness, Newhall, CA.
2. Selkow, Noelle M et al. “Transversus abdominis Activatioin And Timing Improves Following Core Stability Training: A Randomized Trial. “International Journal of Sports Physical Therapy. Volume 12, 7 (2017): 1048-1056.
3. McGill, Stuart, Ultimate Back Fitness and Performance. Waterloo, ON: Wabuno Publishers; 2004 ISBN 0-9735018-0-4. 329p., illustrated Can
4. https://www.otpbooks.com/gray-cook-expanding-on-the-joint-by-joint-approach-part-2-of-3/
5. https://www.physio-pedia.com/Sacroiliac_Joint_Force_and_Form_Closure

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The Best of 2019: Guest Posts

I've already highlighted the top articles and videos I put out at EricCressey.com in 2019, so now it's time for the top guest posts of the year. Here goes…

1. The Biggest Mistake in Program Design - Kevin Neeld, Head Performance Coach for the Boston Bruins, reminds us to make sure that our programs evolve as our knowledge and experience in the field accumulate.

2. 5 Non-Traditional Exercises for Catchers - CSP-Florida Director of Performance Tim Geromini works with all our catchers in Florida, and he's devised some creative ways to help them feel, move, and play better. This article includes a few of them.

3. 10 Reasons We Use Wall Slides - Wall slide variations are a mainstay in all of our upper body training and rehabilitation programs. Eric Schoenberg, who serves as the physical therapist at our Palm Beach Gardens, FL location, shares why that's the case.

4. 5 Great Kettlebell Exercises for Baseball Players - Dan Swinscoe is a great physical therapist in the Seattle area, and in this article, he shares some of the KB variations he likes to use with his baseball players.

5. Exercise of the Week: Side Bridge with Top Leg March - CSP-Massachusetts coach Cole Russo shared this great lateral core stability progression. We're using it a lot this offseason.

I'll be back soon with the top strength and conditioning features from 2019.

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The Best of 2019: Strength and Conditioning Videos

With my last post, I kicked off the "Best of 2019" series with my top articles of the year. Today, we'll highlight the top five videos of the year.

1. Glute-Ham Raise with Banded Reach

If you've followed this blog for any length of time, you'll know that I'm a big fan of training the posterior chain and also working on getting serratus anterior firing to improve scapular upward rotation. So, you can imagine how excited I am to present to you a video that hits both. Mets pitcher Noah Syndergaard offered a great demo: 

2. Subscapularis 101

The subscapularis is the largest of the four rotator cuff muscles, but it might also be the most misunderstood. This excerpt from my Sturdy Shoulder Solutions resource will bring you up to speed on it.

3. 1-leg Dumbbell Pullover - The 1-leg dumbbell pullover is a nice variation on a classic. It’ll add a rotary stability challenge to what is normally considered an upper body and anterior core drill. I’m using this variation a bit more in the late offseason (with throwing volume and intensity ramping up), as you can get a good training effect with less external loading.

4. Half-kneeling Cable Lift with Flexion-Rotation Hold

The half-kneeling cable lift w/flexion-rotation hold is a new variation on an old drill, and we've been implementing it quite a bit with athletes this year. It's a creation of CSP-FL co-founder and pitching coordinator Brian Kaplan.

5. Landmine Squat to 1-arm Press

It's not secret that I love landmine presses, and this is a great progression. This drill fits well as a first exercise on a full body day and pairs well with horizontal or vertical pulling. I really like it late in the offseason when we’re trying to keep sessions a bit shorter and get extra bang for our training buck. I’d do sets of 3-5 reps per side.

I'll be back soon with the top guest posts of 2019!

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

We skipped a week of recommended reading/listening, but the good news is that it gave me some time to stockpile some good stuff for you!

Trusting the New Coach: A Challenging Conversation with Clients - This might be my favorite article my business partner, Pete Dupuis, has ever written. That's because it's one of the biggest challenges our business has faced over the past 12 years, and he's navigated it masterfully. If you own or manage a training facility, this is a must-read.

Keith Baar on the Physical Preparation Podcast - Mike Robertson's interview with Keith was fascinating, as he's done some great research on tendon function and adaptation.

Adam Grant: The Man Who Does Everything - This was an outstanding podcast from Tim Ferriss with Adam Grant on the topic of time management. Regardless of your industry, you'll take away some great nuggets.

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Strength and Conditioning Stuff You Should Read: 10/14/19

We're long overdue for a recommended reading/listening feature, so here goes!

Does "Feel" Matter with Core Stability Exercises? - I had a good conversation with one of our adult clients on this one just last week, and it reminded me to reincarnate this from the archives.

Ian Kadish on Athleticism, Work Capacity, and Arm Care in Baseball - This was a great podcast from Mike Robertson with my buddy, Ian Kadish. Ian did a great job in his first year as strength and conditioning coach for the Minnesota Twins in 2019.

The New Frontier in Baseball Rehab: Part 1 - This was a good podcast that serves as an excellent follow-up to my chat with Alan Jaeger a few weeks ago. Alan and Josh Heenan delve in further on the topic of rehab throwing programs on the Robby Row Show.

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