Home Posts tagged "Cressey Sports Performance"

CSP Summer Training Strategies for College Baseball Players

I recently received an email from someone asking if I could delve into how we approach summer training with our college baseball players. It's a pretty loaded question, as we have to consider a number of factors in making the recommendation:

Is it a position player or a pitcher?

Is the highest priority getting bigger, stronger, and faster? Or is it getting as much game experience as possible?

Is it a pitcher who needs to make a mechanical adjustment or learn a new pitch? A hitter who needs to rework his swing?

Does the player have an injury history?

What are the player's plans after college? Is professional baseball a goal and/or legitimate possibility?

What are the player's geographic and fiscal constraints?

To attempt to remedy this, we've got a few options we employ with respect to college baseball guys and training with Cressey Sports Performance. Whether you plan to train with us or not, it should help you work through some options for your short- and long-term development.

Option 1: The Collegiate Elite Baseball Development Program at Cressey Sports Performance - Massachusetts

This will be the third summer in which we run this all-encompassing program at our Hudson, MA location. It's a perfect fit for pitchers who need to develop a new pitch and/or improve their physiques and athleticism. It's a 10-week program where players have a predictable schedule conducive to development. The guys train six days per week with a combination of throwing and strength and conditioning work, and we utilize considerable technology (Rapsodo, high-speed cameras) and incorporate classroom education sessions covering everything from nutrition, to sports psychology, to pitch design, to game preparation. We've routinely had athletes gain over 20 pounds and add 6-8mph over the course of ten weeks as part of this program. For more information, click here or email cspmass@gmail.com.

Option 2: The Collegiate League of the Palm Beaches (CLPB) or other nearby league -

The CLPB was co-founded by Cressey Sports Performance - Florida co-founder Brian Kaplan ("Kap") when he saw a large gap in the college summer baseball market. All too often, players who really needed game experience would have to go to the middle of nowhere to get at-bats or innings, and those experiences would come on an unpredictable schedule and with lengthy road trips for away games. They'd often be miles from a good gym or even a solid restaurant, and host family situations were often not all that favorable.

To overcome these challenges, Kap and his team established a league in Palm Beach County, Florida, where teams had predictable schedules of 3x/week games. Most of the players train at CSP-FL 3x/week, have access to manual therapy, and receive nutritional direction. Plus, the host family and food options nearby are outstanding. It's ideal for the athlete who wants to develop physically while still getting at-bats and/or innings on the mound - as well as some exposure in the process. And, it's a good fit for players who feel like they're a year away from being ready to play on the Cape. This league has seen plenty of players from SEC and ACC schools, and also has included some rising college freshmen. To learn more, check out www.clpalmbeaches.com.

I should not that we have also regularly trained athletes participating in several leagues - the Futures League, New England Collegiate Baseball League, Park League, Yawkey League, and Cranberry League, and Central England Baseball Association - located in the greater Boston area. Effectively, we meet you "where you're at." You can email cspmass@gmail.com for more information on that.

Option 3: One-Time Consultations at CSP-MA or CSP-FL

We also see many players who come to one of our facilities for 2-3 day stints to get assessed and receive distance-based programs that they can utilize while playing in various college leagues in other parts of the country. This is particularly common for players in the prestigious Cape Cod Baseball League. Most of the teams are a 60-120 minute drive from CSP-MA, so players will come up in the morning or on an off-day. Over the years, we've seen a lot of big name eventual draft picks who have taken advantage of this proximity. Travis Shaw (Brewers) and Walker Buehler (Dodgers) are a few CSP Cape League visit alums, as examples.

As I noted, we also see a lot of one-time consultations in May and June at both our facilities for players before they head off to summer ball. Our goal with one-time consultations is to teach you as much as possible about your body in a short amount of time - and get you set up with safe, effective program you can execute from afar.

For FL, please email cspflorida@gmail.com, and for MA, please email cspmass@gmail.com.

Option 4: Just train.

Sometimes, a player's workload during the season is high enough that the best move is simply to shut down baseball for the summer and instead focus on building the body. To that end, we often have athletes move to FL or MA just to train. On the pitching side, I think that any pitcher who tops 100 innings on the mound in the spring season ought to nix summer ball and instead use the summer to get the body right. And, of course, injured athletes may use the summer to get healthy and prepare for the fall.

For FL, please email cspflorida@gmail.com, and for MA, please email cspmass@gmail.com.

Of course, every situation is unique, so if you have questions about your specific case, feel free to email us and we'll work through the decision with you.

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5 Non-Traditional Exercises for Catchers

Today's guest post comes from Cressey Sports Performance - Florida Director of Performance, Tim Geromini. Tim takes the lead with our catchers at CSP-FL, so I'm excited that you'll get a chance to take a glimpse into the expertise he brings to the table each day. Enjoy! -EC

With spring training right around the corner, most of the media attention is on the pitchers coming in to camp, but what about the guys catching them? The demands of catching a full season are unique and with that in mind, here are 5 non-traditional exercises we use with our catchers at Cressey Sports Performance.

1. Catcher Pop-up to Shotput

Although nothing can truly simulate working on technique like being in pads and actually being on the field, you’ll see a number of things in this exercise that look similar to what a catcher might do in a game situation. We start by getting into the catcher’s stance with a runner on base and have them close their eyes. I will then roll or place the ball to a random spot, forcing them to react when I clap my hands and they open their eyes. From there, the goal is to get to the ball as fast as possible and in a position to throw the ball as hard as possible into the wall. The reason we have them close their eyes and find the ball is to work on reaction time and identifying a loose ball. In game situations, a catcher doesn’t always know where the ball is after the initial block. One of the main benefits of the exercises is working on hip mobility and being strong getting from the crouch position to an upright throwing position. We usually program this for 3 sets with 3 reps per side with a 6-8 pound med ball.

2. 1-leg Kettlebell Switches

A lot of focus for catchers is centered around hip mobility, as it should be. However, losing sight of ankle stability is a mistake. Enter the 1-leg Kettleell Switches. In order to execute the exercise properly and get the most out of it, I recommend being in just socks or barefoot. The kettlebell doesn’t have to be heavy at all for this to be effective; most of the time, I start athletes with 10 pounds.

As you can see, the first movement is a hip hinge with a slight knee bend. From there, we cue the client to “grab the ground” with their feet and make sure the toes stay down. Go as wide with your arms as you can while maintaining balance, and switch the kettlebell from side to side. Your goal is to keep your foot from deviating into pronation/supination and your hips to stay level. From the side view, you want to make sure the athlete maintains a neutral spine. You may notice that if your client has a flatter foot, this can be more challenging to stay away from the foot pronating in. Likewise, if your client has a high arch, it can be challenging to maintain the big toe staying down.

We usually program this as part of a warm-up or paired with an explosive lower body exercise. We'll do 3 sets of 8 reps per side.

3. High Tension Ankle Mobilization

A Functional Range Conditioning (FRC) inspired exercise, the high tension ankle mobilization is working on taking your ankle through end-ranges of dorsiflexion with control of that range. It is important to go through this exercise slowly, as rushing through it generally doesn’t lead to as much tension or control of your range.

Start by getting into a good half-kneeling position, making sure not to sit your hips into abduction or adduction. From there, imagine pushing your foot through the floor and slowly take your knee as far over your middle toes as you can without your heel coming off the ground or the ankle pronating in. Then, slowly lift your heel off the ground maintaining your knee staying out in front of your toes as much as possible. Once you go as far as you can then slowly return while driving your foot through the floor. Now that you are back to the original starting position with your knee over your toe pause, the lift your toes towards your shin and start to lift the front of your foot off the ground, still pushing your heel through the ground. Once you can’t go back anymore, slowly return to the starting position.

Because this exercise requires a lot of tension and effort, we usually program this for 2-3 reps. You can put this in a warm-up or pair it with an ankle stability exercise such as the 1-leg kettlebell switch. If you deem the client has sufficient ankle mobility, this exercise isn’t always necessary and the focus can be more on stability.

4. Seated 90-90 Hip Switches w/Hip Extension

Another drill of FRC origin, seated 90/90 hip switches are a great hip mobility exercise, but often are not performed correctly if they are rushed. What do we get out of this exercise? Hip internal rotation, external rotation, flexion, extension, abduction, and adduction...all while maintaining a neutral spine. It doesn’t get any better than that!

Before prescribing this exercise, make sure to check your client’s hip range of motion and medical history first. If your client has femoroacetabular impingement or some other pain in their hip, this may not be the best fit for them.

The key coaching cues are to keep your hips as far separated as possible during the exercise and maintain a neutral spine. If you notice your lumbar or thoracic spine flexes, then use your hands on the ground as support. We usually program this exercise for 3 reps per side.

5. Deep Squat Anti-Rotation Press

There are many variations of the anti-rotation press (better known as the “Pallof Press”), but this version gets as specific to catching as any of them. Make sure the cable or band is set up at sternum height. When you press out, make sure your hips and feet stay neutral (don’t rotate toward one side). From the side view, you want to make sure the spine is neutral. You can hold this for breaths, time, or reps.

Wrap-up

These are just a small piece of the puzzle that is training catchers, but hopefully it gets your mind working to innovate and individualize for these athletes!

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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Cressey Sports Performance Elite Baseball Mentorship: June 23-25, 2019

We're excited to announce our next Elite Baseball Mentorship offering: an upper-extremity course that will take place on June 23-25, 2019 at our Hudson, MA facility.

2013.01.26 - CP (139)

The Cressey Sports Performance Elite Baseball Mentorships provide an educational opportunity to become a trusted resource to this dramatically underserved athletic population. Through a combination of classroom presentations, practical demonstrations, case studies, video analysis, and observation of training, you’ll learn about our integrated system for performance enhancement and injury prevention and rehabilitation in baseball athletes. Cressey Sports Performance has become a trusted resource for over 100 professional players from all over the country each off-season, and this is your opportunity to experience “why” first-hand at our state-of-the-art facility.

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Course Description:

This Cressey Sports Performance Elite Baseball Mentorship has a heavy upper extremity assessment and corrective exercise focus while familiarizing participants with the unique demands of the throwing motion. You’ll be introduced to the most common injuries faced by throwers, learn about the movement impairments and mechanical issues that contribute to these issues, and receive programming strategies, exercise recommendations, and the coaching cues to meet these challenges. 

Course Agenda

Sunday

Morning Session: Lecture

8:30-9:00AM – Registration and Introduction (Eric Cressey)
9:00-10:00AM – Understanding the Status Quo: Why the Current System is Broken (Eric Schoenberg)
10:00-11:00AM – Common Injuries and their Mechanisms (Eric Schoenberg)
11:00-11:15AM – Break
11:15AM-12:15PM – Flawed Perceptions on “Specific” Pitching Assessments and Training Modalities (Eric Cressey)
12:15-1:00PM – Lunch (provided)

Afternoon Session: Lecture and Practical

1:00-3:00PM – Physical Assessment of Pitchers: Static and Dynamic (Eric Cressey and Eric Schoenberg)
3:00-3:15PM – Break
3:15-5:15PM – Prehabilitation/Rehabilitation Exercises for the Thrower (Eric Cressey and Eric Schoenberg)
5:15-5:30PM – Case Studies and Q&A

5:30PM Reception (Dinner Provided)

Monday

Morning Session: Lecture and Video Analysis

8:00-9:00AM – Strength Training Considerations for the Throwing Athlete (Eric Cressey)
9:00-10:00AM – Key Positions in the Pitching Delivery: Understanding How Physical Maturity and Athletic Ability Govern Mechanics (Christian Wonders)
10:00-10:15AM – Break
10:15-11:30AM – Video Evaluation of Pitchers: Relationship of Mechanical Dysfunction to Injury Risk and Performance (Christian Wonders)

11:30AM-12:00PM – Lunch (on your own)

Afternoon Session: Observation at Cressey Sports Performance – 12PM-5PM*

Tuesday

Morning Session: Practical

8:00-9:00AM – Preparing for the Throwing Session: Optimal Warm-up Protocols for Different Arms (Eric Cressey and Eric Schoenberg)
9:00-11:00AM – Individualizing Drill Work to the Pitcher and Live Bullpens from CSP Pitchers (Christian Wonders)
11:00-11:30AM – Closing Thoughts and Q&A (Eric Cressey, Eric Schoenberg, and Christian Wonders)
11:30AM-12:00PM – Lunch (on your own)

Afternoon Session: Observation at Cressey Sports Performance – 12PM-5PM*

* The afternoon observation sessions on Monday and Tuesday will allow attendees to see in real-time the day-to-day operation of the comprehensive baseball training programs unique to Cressey Sports Performance. This observation of live training on the CSP floor with our professional, college, and high school baseball players will allow you to experience firsthand our approaches to:

• Programming
• Proper coaching cues for optimal results
• Soft tissue techniques
• Activation and mobility drills
• Strength/power development
• Medicine ball work
• Multi-directional stability
• Metabolic conditioning
• Sprint/agility programs
• Base stealing technique

In addition, you will experience:

• Live throwing sessions
• Biomechanical video analysis
• Movement evaluation
• Live evaluations of attendees with Eric Schoenberg

Location:

Cressey Sports Performance
577 Main St.
Suite 310
Hudson, MA 01749

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Cost:

$899.99 early-bird (through May 23), $999.99 regular rate (after May 23)

No sign-ups will be accepted on the day of the event.

Continuing Education Credits:

2.0 NSCA CEUs (20 contact hours)

Registration Information:

Click here to register using our 100% secure server.

Notes:

• No prerequisites required.
• Participants will receive a manual of notes from the event’s presentations.
• Space is extremely limited
• We are keeping the size of this seminar small so that we can make it a far more productive educational experience.
•This event will not be videotaped.

For details about travel, accommodations, and other logistics, please email cspmass@gmail.com.

We hope to see you there!
  

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2019 Cressey Sports Performance Collegiate Elite Baseball Development Program

Registration is now open for the 2019 Cressey Sports Performance Collegiate Elite Baseball Development Program. This event takes place at our Hudson, MA facility, and runs from 6/3/19 through 8/10/19.

During last year's offering, we had pitchers move to Massachusetts from sixteen different states. This summer, we anticipate another awesome collection of motivated athletes who'll push each other to get better in conjunction with the same training opportunities and expertise we provide to our professional athletes.

This program is a good fit for pitchers who need to prioritize development over just getting innings or exposure. In other words, it's a suitable replacement for those who still need to throw, but also need to gain 20 pounds, learn a new pitch, sort out old aches and pains, or improve their mobility.

Each athlete will begin with a thorough initial movement and pitching assessment that will set the stage for individualized strength and conditioning and throwing programs, respectively. These programs correspond to six days a week of training. Generally, four of the six training days per week are double sessions, with throwing in the morning and strength and conditioning in the afternoons. A typical training week would look like the following:

Monday: AM throwing, PM Strength and Conditioning
Tuesday: AM throwing, PM Strength and Conditioning
Wednesday: Late AM throwing and movement training (at field)
Thursday: AM throwing, PM Strength and Conditioning
Friday: AM throwing, PM Strength and Conditioning
Saturday: Optional AM Mobility Work and Recovery Session, AM Throwing and movement training
Sunday: Off

In our throwing programs, we integrate weighted ball work, long toss, and bullpens (including video analysis). We'll integrate Rapsodo in these bullpens as well.

All the athletes will receive manual therapy with our licensed massage therapist, and nutritional guidance throughout the program. Also to help with recovery, athletes have access to MarcPro, and Normatec.

Last, but not least, we'll incorporate a regular educational components to educate the athletes on the "why" behind their training. Last year, this consisted of not only staff presentations, but also conference calls with Major League players and established coaches from around the country.

The best part is that it'll take place in a motivating environment where athletes can push each other to be the best they can be. By optimizing the situation, you can help change the person.

Interested in learning more? Email cspmass@gmail.com - but don't delay, as spaces are limited; this offering sold out last year, and we'll be capping the group size.

In the coming weeks, we'll be highlighting some case studies from last year's group that should give you a better feel for how the programs work.

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Cressey Sports Performance Business Building Mentorship: April 7, 2019

We’re excited to announce that on Sunday, April 7, 2019, we’ll be hosting our third CSP Business-Building Mentorship, a day of learning with Pete Dupuis and me. For the first time, we'll offer this event at our Jupiter, FL facility. Pete and I have spent over 11 years crafting the operational systems and strategies that fuel CSP today, and we’re excited to pull back the curtain for fellow gym owners.

It is our intention to foster an environment conducive to learning and the exchanging of ideas, so we will be limiting participation to 30 individuals.

Here’s a look at our agenda for the day:

8:30am: Registration & Coffee

Morning Session – Lead Generation & Conversion

09:00am – 09:30am: Introduction: The Four Pillars of Fitness Business Success
09:30am – 10:30am: Lead Generation: Strategic Relationship Development, Identifying & Connecting with Opinion Leaders, Social Media Strategies
10:30am - 11:00am: Q&A
11:00am - 12:00pm: Lead Conversion: CSP Selling Strategy & Methodology
12:00pm - 01:00pm: Lunch (provided)

Afternoon Session – Business Operations & Long-Term Planning

01:00pm – 02:00pm: Operations: Accounting for Gym Owners – Guest Lecture from CSP’s CPA, Tom Petrocelli
02:00pm – 02:30pm: Operations: Internship Program Design & Execution
02:30pm – 03:00pm: Operations: Hiring Protocols, Staff Development & Continuing Ed.
03:00pm – 03:30pm: Long-Term Planning: Lease Negotiation Considerations
03:30pm – 04:30pm: Long-Term Planning: Strategic Brand Development, Evaluating Opportunities, SWOT Analysis
04:30pm – 06:00pm: Q&A

Cost: $799.99

Click here to register using our 100% secure server.

Please keep in mind that both previous offerings of this mentorship have sold out well in advance of the event date. With that in mind, if you're interested in attending, please be sure to register early!

Location:
Cressey Sports Performance - Florida
880 Jupiter Park Drive
Suite 7
Jupiter, FL 3358

If you have additional questions, please direct them to ec@ericcressey.com. Looking forward to seeing you there!

PS - If you're looking for hotel information, we have preferred rates at the Comfort Inn and Suites Jupiter and the Fairfield Inn and Suites-West Palm Beach/Jupiter. If you mention the Cressey Sports Performance Corporate rate, you'll get a discounted rate. The hotels are less than 5 minutes from the facility. The contact information is below.

Comfort Inn and Suites-Jupiter
6752 West Indiantown Rd, Jupiter, FL 33458
(561) 745-7997

Fairfield Inn and Suites-West Palm Beach Jupiter
6748 West Indiantown Rd, Jupiter, FL 33458
(561) 748-5252

The Fairfield Inn on Indiantown Rd. in Jupiter, FL offers our clients a heavily discounted nightly rate. Just mention "Cressey" during the booking process in order to secure the discount. Their booking phone number is

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Exercise of the Week: Half-Kneeling Cable Lift w/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 guys of late. It's a creation of CSP-FL co-founder and pitching coordinator Brian Kaplan.

Like all cable chops and lifts, we're training anti-rotation core stability. However, in this variation of the cable lift, the athlete drives thoracic (upper back) rotation and flexion, two crucial pieces of getting to an ideal ball release position during throwing, or completing a swing during hitting.

Simultaneously, the athlete should be actively pulling into the front hip (adduction and internal rotation) to simulate the same front hip force acceptance you get during the pitching delivery and hitting motion.

Of course, there are many functional performance benefits that extend far beyond the baseball world. This drill will benefit anyone who competes in extension-rotation sports, not to mention your casual weekend golfer. In short, it trains core stability and thoracic mobility, so it has almost universal application.

We'll usually program this for 6-8 reps per side. On each rep, we have a 2-3 second hold at the lockout position with a full exhale. You should really feel the core turn on - and in some cases, you'll even see athletes get a little cramp in the abs.

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Cressey Sports Performance Hooded Sweatshirts Now Available!

To kick off the new year, we're excited to announce that we just did a production run of a new Cressey Sports Performance Hooded Sweatshirt design:

Each hooded sweatshirt is $44.99 + S&H. When you add one to your cart, please just type your size in the comments section (Small, Medium, Large, XL, and XXL are available). CLICK HERE to order.

These usually sell very quickly, so don’t delay if you’re interested in picking one up. Enjoy!

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The Best of 2018: Strength and Conditioning Articles

With 2018 winding down, I'm using this last week of the year to direct you to some of the most popular content of the past 12 months at EricCressey.com, as this "series" has been quite popular over the past few years. Today, we start with the most popular articles of the year; these are the pieces that received the most traffic, according to my hosting statistics.

1. The Study Every Trainer and Coach Should Read and Understand - Good movement matters - and here's the research that helps to demonstrate why.

2. How to Use the Acumobility Ball for Upper Extremity Health and Performance - I'm a huge fan of the Acumobility ball, and in this detailed video-oriented post, I discuss how we utilize it for specific work in the upper body.

3. Crossfit and Confirmation Bias - Write a blog that mentions Crossfit and get great traffic? Go figure.

4. Making Movement Better: Duct Tape or WD-40? - Should you add stability or mobility to fix a problem? Give this article a read to find out.


Source: http://laughingateverydaylife.com/2016/07/duct-tape-vs-wd40/

5. Why You Shouldn't Look Up When You Lift - It drives me bonkers to see lifters looking up at the ceiling during squats, deadlifts, and even arm care exercises. In this post, I discuss why that's the case.

I'll be back soon with another "Best of 2018" feature. Up next, the top videos of the year!

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We’re using more Kettlebell Windmills. Here’s why.

We've started using kettlebell windmills a lot more with our athletes this year. I think they slide in nicely (similar to Turkish Get-ups) as a first exercise on upper body days, even if they are more of a full-body exercise.

Generally speaking, I think we underappreciate how solid motion (or resistance to it) in the frontal plane really matters for folks from all walks of life. If you haven't read it already, check out my recent blog, Assessments You Might Be Overlooking: Installment 6, where I discuss the importance of assessing lateral flexion.

To me, the kettlebell windmill is the perfect exercise for teaching athletes how to groove proper core positioning as they load into the hip in multiple planes of motion. My most common cue to athletes with this exercise is, "Load into the hip hinge; don't just side bend."

As you'll see in this picture below, it's possible to get the motion in the wrong places. This would qualify as a side bend - and you can easily appreciate that not all motion is good motion.

We'll perform this exercise both "regular" and with a bottoms-up approach. I think it's best positioned early in the training session for 2-8 reps per set. Make sure athletes have adequate hip mobility and entry-level core control before jumping right to it. I actually like it as a subtle regression from Turkish Get-ups, especially in uncoordinated individuals and those who may lack a bit of shoulder mobility.

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3 Random Thoughts on Rotator Cuff Readiness

Both Cressey Sports Performance facilities are booming with baseball players coming back to start their offseason training, so it's the time of year when athletes are working hard to get their rotator cuff control back before they start up their offseason throwing programs. With that said, I've been thinking about some big principles on the rotator cuff readiness front.

1. In a broad sense, just above every rotator cuff exercise can be categorized in one of five ways:

a. Strength - this consists of manual resistance work and anything with cables at dumbbells; it needs to be loaded up and challenging.

b. Timing - this consists of drills like 90/90 holds and rhythmic stabilizations.

c. Endurance - this builds on what we see in Option A (some of the same exercises), but the resistance is a bit lower and it's done for higher reps or a longer time. The goal is less about strength and more about training the ability to hold the humeral head on the glenoid fossa for a lengthier period of time. I'd call it more important for a sport like swimming than for baseball or tennis athletes.

d. Irradiation - this can refer to just about any exercise, as your rotator cuff fires reflexively any time your arm moves. That said, certain exercises - bottoms-up kettlebell variations, for instance - are particularly useful for challenging this category of drills.

e. Patterning - these are just drills that take the humerus through its full range-of-motion. Of particular importance is end-range external rotation, which we train with drills like this:

2. I prefer near-daily exposures rather than exhaustive, less frequent programs.

If you look at our training programs, most of our pro guys are doing some kind of targeted training for the rotator cuff 5-6 days per week. Twice per week, we'll push more strength and irradiation work, and twice per week, we'll cover more timing drills. Just about every day, though, there will be some kind of patterning exercise so that we're reminding the cuff of what it's supposed to do.

This approach is a stark contrast to what you usually see in the baseball world, which is notorious for handing out the 2x/week arm care routines that take 45-60 minutes each. They're usually about 15 exercises for multiple sets, and leave an athlete hanging by the end of the session. I think this approach has more to do with the fact that it lines up with what's convenient for 2-3x/week physical therapy sessions than because it's truly optimal. I'm of the belief that you don't need (or want) to exhaust the cuff to get it to where it needs to be.

And, while we're at it, if the cuff is going to get abused on a daily basis with throwing, lifting, and activities of daily living, why not give it some more frequent exposure to build a little tissue resiliency?

3. Posterior deltoid shouldn't be lumped in with infraspinatus and teres minor.

Many times, the reason we have discomfort or the "wrong" feeling with drills is that athletes are paying close attention to the osteokinematics - gross movements of internal/external rotation, flexion/extension, adduction/abduction - of the joint in question, but not paying attention to the arthrokinematics of that same joint. In other words, the rolling, rocking, and gliding taking place needs to be controlled within a tight window to ensure ideal movement.

In shoulder external rotation variations, as we externally rotate the arm, the humeral head (ball) likes to glide forward on the glenoid fossa (socket). The glenohumeral ligaments (anterior shoulder capsule), rotator cuff, and biceps tendon are the only things that can hold it in the socket. In a throwing population, the capsule is usually a bit loose and the cuff is a bit weak, so the biceps tendon often has to pick up the slack - which is why some folks wind up feeling these in the front, thereby strengthening a bad pattern. There are also a bunch of nerves at the front of the shoulder that can get irritated.

Now, here's where things get a bit more complex. The infraspinatus and teres minor are both rotator cuff muscles that have attachments right on the humeral head, so they can control the arthrokinematics (posterior glide) during external rotation work. Conversely, the posterior deltoid (blue, in the image below) runs from the posterior aspect of the spine of the scapula to further down the arm on the deltoid tubercle. In other words, it completely bypasses control of the humeral head.


By Anatomography - en:Anatomography (setting page of this image), CC BY-SA 2.1 jp, https://commons.wikimedia.org/w/index.php?curid=22835985

With this in mind, the posterior deltoid actually creates a gliding forward of the humeral head as it externally rotates and horizontally abducts the arm. For this reason, you need to make sure the arm doesn't come back (horizontal abduction) as it externally rotates during your arm care drills. This video should clarify things, if you're a visual learner:

Looking for more insights like these? Be sure to check out my new resource, Sturdy Shoulder Solutions.

 

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