Home Posts tagged "Deadlift"

Acumobility Self Care for the Neck – Part 5

Today is the fifth and final installment of my video series on self care for the neck and upper extremity with the Acumobility Ball. In this edition, I cover the upper traps with a four-minute video, as this approach isn't right for everyone. Don't forget that you can get 10% off on this great soft tissue tool with the coupon code cressey at www.Acumobility.com.

Thanks for sticking with me for all five videos! I hope you enjoyed them and derived some benefit.

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Acumobility Self Care for the Neck – Part 4

Today is part 4 of my series on how we utilize the Acumobility Ball for self myofascial release in the neck and upper extremity. Here, I cover the coracoid process, an attachment point for pec minor, coracobrachialis, and the short head of the biceps. Don't forget that you can get these great soft tissue resources for 10% off by using the coupon code cressey at www.Acumobility.com.

I've got one more video coming up for you tomorrow, so stay tuned!

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Acumobility Self Care for the Neck – Part 3

It's time for part 3 of my series on how we utilize the Acumobility Ball for the neck and upper extremity. Today, I cover another overlooked muscle: subclavius. Before we get to it, remember that you can get these great soft tissue resources for 10% off by using the coupon code cressey at www.Acumobility.com.

I'll be back soon with another video to keep this series going.

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Strength and Conditioning Stuff You Should Read: 1/12/18

I hope you're having a good week. I'm shifting this series to later in the week because I'm doing more of my writing on Sundays these days, so look for Thu/Fri "round-up"posts from here on out. Here are some good reads from around the 'net over the past week:

EC on the Seams Legit Podcast - This is a two-part interview I did with Nick Friar. We discuss baseball development and our work with (among others) Corey Kluber, Max Scherzer, and Noah Syndergaard.

8 Lessons from Lab Assisting for PRI Courses - Miguel Aragoncillo offered some awesome insights on how to make the most out of your attendance at continuing education events.

What Your Doctor Never Told You About Arthritis - This was a good guest post from Dr. Michael Infantino for Tony Gentilcore's site.

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Performance Programming Principles: Installment 2

As I promised back in November, I've decided to dedicate a regular series to the principles that govern a lot of our program design at Cressey Sports Performance. Here's the second installment:

1. A few positional breathing drills can be a game changer, but don't let them take over the training session.

Positional breathing drills have really surged in popularity in recent years, largely thanks to the great work of the folks at the Postural Restoration Institute. Forceful exhalation in certain positions can both activate certain muscles and inhibit others. Take, for instance, TRX Deep Squat Breathing with Lat Stretch.

We're firing up several muscles of exhalation: rectus abdominus, external obliques, serratus anterior - and toning down our lats, rhomboids, lumbar extensors, and calves (to name a few). It's not uncommon for folks to get up from this exercise after 30 seconds and feel dramatically different.

That said, as is often the case in the fitness industry, if a little is good, then a lot must be better, right? It didn't take long for us to find the zealots who are spending 30 minutes doing positional breathing at the start of every training session. It's somewhat analogous to the folks who foam roll for an hour every day.

You're better off doing 1-2 breathing drills at the start of a warm-up (and possibly as a cool-down) and then following it up with good resistance training technique to make those transient changes "stick." Patience and persistence always win out over short-term "overindulgence."

2. Follow these two great Selective Functional Movement Assessment (SFMA) strategies.

SFMA was one of the better courses I've taken in the past few years, and two programming principles they discuss really stand out:

a. Chase dysfunctional, non-painful patterns first.

Let's say someone walks in with a cranky shoulder that's limited into internal rotation: a dysfunctional, painful pattern. If you just throw caution to the wind and stretch that shoulder into internal rotation, more often than not, you're going to flare things up even further.

Let's say that individual also has a pronounced scapular anterior tilt and very limited thoracic extension and rotation. If you do some soft tissue work on pec minor and work in some thoracic spine mobilizations, there is a  very good chance that when you go back to retest shoulder internal rotation, it'll be improved and pain-free. Sometimes, the best way to get from A to B is through C or D.

b. Find and address areas were passive range-of-motion far exceeds active ROM.

There's a reason a lot of gymnasts and dancers retire with stress fractures in their lower backs; they have a lot of passive range-of-motion, but not always much motor control to stabilize those ranges of motion. This is why it's important to have assessments that test both passive and active ROMs (straight leg raises and supine vs. standing shoulder flexion are great examples). And, you need to have training initiatives that build control in those passive ranges.

3. Check out the Acumobility Ball.

I posted this on my Instagram and thought it might be of interest. The Acumobility Ball has been a game changer for us. You can save 10% on it at www.Acumobility.com with the coupon code cressey.

Here's a little example of how we'd use it on the pec minor/coracobrachialis/short head of biceps attachments on the coracoid process.

4. There's nothing that says you have to progress or regress programming - and there are many different ways to make lateral moves.

As few years ago, Charlie Weingroff coined the term "lateralizations" for times when you don't progress or regress an exercise, but rather, move laterally.

An example would be something along the lines of going from a standing 1-arm cable row to a split-stance 1-arm cable row. There really isn't any change to exercise complexity, but it does give the trainee some variety in their programming.

I'd say that lateralizations are the most useful with adult clients who don't have crazy lofty fitness goals - and therefore aren't interested in taking on a ton of risk in their training programs. They might not crave being sore all the time from all the innovative new exercises you can throw at them. Lateralizations can keep training fun via novelty without adding a steep learning curve.

Additionally, remember that exercise selection isn't the only way to progress or regress the challenge to the athlete or client in front of you. You can increase or decrease volume, alter the tempo, modify the load, or adjust the rest intervals.

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Strength and Conditioning Stuff You Should Read: 12/2/18

Happy New Year! Thanks for your support of EricCressey.com in 2017. I've got some great things in store for 2018. Let's kick it off with some content from around the 'net.

David Joyce on The Physical Preparation Podcast - David Joyce delivers a wide variety of great content - from sports science to culture building - in this podcast with Mike Robertson.

Often Overlooked Elements to Success in Personal Training - Dean Somerset presents some excellent recommendations for the up-and-coming personal trainer.

The Success is in the Struggle - The good folks at the Personal Trainer Development Center selected this article from me as one of their top 20 articles of 2017. I figured that made it worth of "reincarnation."

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I don’t compete in powerlifting anymore. Life as a husband, dad, and owner of multiple businesses is hectic enough that competition was pushed out. And, my shoulder doesn’t love back squats these days. Still, I lift a lot, get out and sprint, do interval training, and even mix in some rec softball and pick-up beach volleyball. This isn’t just because it’s hard-wired into my brain’s perception of a “normal day,” but also because I firmly believe that every training session allows me to evolve as a coach and have more empathy for our athletes. 👇 Understanding how to modify your own training when you’re super busy at work or sick kids kept you up all night gives you an appreciation for how athletes feel when you ask them to get an in-season lift in after a weekend with four games. 🤔 Getting in a lift after a late cross-country flight makes you appreciate that it might be a better idea to score an extra few hours of sleep – rather than imposing more fatigue – in the middle of a road trip. Putting yourself through 8-12 weeks of challenging training with a new program allows you to experiment with new principles to see if there are better methods for serving your athletes. 🤔 You don’t get these lessons if you don’t continue to train throughout your professional career. At age 25, I had no idea what our 35-year-old athletes felt like after training sessions. Now I understand it on a personal level – but more importantly, I’m keenly aware that our 45-year-old athletes probably have it even harder, so I need to ask a lot more questions and do a lot more listening in that demographic. 💪 If you’re a strength and conditioning coach, the gym isn’t just where you work; it’s also where you experiment and learn. Don’t miss those opportunities to grow. #sportsmedicine #sportsperformance #strengthandconditioning #cspfamily #powerlifting #benchpress

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The Best of 2017: Guest Posts

I've already highlighted the top articles and videos I put out at EricCressey.com in 2017, so now it's time for the top guest posts of the year. Here goes…

1. Is a Calorie Really Just a Calorie? - Brian St. Pierre tackled this hot topic in the nutrition world and (unsurprisingly) it generated a lot of buzz.

2. Should You Even Stretch? - Dean Somerset always comes through with great content on the corrective exercise side of things.

3. 5 Tips for Improved Client Relationships - Brett Velon was one of the best interns we've ever had, and it had a lot to do with his amazing ability to build rapport with clients so quickly. He shares some of his tips here.

4. Are You Training Mobility or Just Mobilizing? - Frank Duffy takes a closer look at ways to improve your mobility training.

5. When Precision Tops Effort - John O'Neil discusses the importance of knowing that not all exercises need to be treated like PR deadlifts.

I'll be back soon with the top strength and conditioning features from 2017.

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The Best of 2017: Strength and Conditioning Articles

With 2017 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. Less Sickness for Better Results - The most important training goal should always be consistency, and getting sick is a big roadblock to that consistent training effect.

2. 5 Reasons to Use "Fillers" in Your Training Programs - "Fillers" are an awesome way for getting in more quality work in your training sessions. This article details the "why" and "how" of their incorporation in strength and conditioning programs.

3. Making Sense of Exercise Contraindications - If we just looked at MRIs, we could find a reason to contraindicate just about every exercise for just about every person. We need to dig a lot deeper to figure out which exercises are right for each person, though.

4. Simplified Shoulder Solutions - Don't making keeping shoulders any more complex than it needs to be. This article discusses how to "dumb things down" on this front.

5. 10 More Important Notes on Assessments - This one just went up recently, but got a lot of love in the short time it's been available. I guess folks can never get enough on quality assessments.

I'll be back soon with another "Best of 2017" feature. Up next, the top videos of the year!

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Should We Really Contraindicate ALL Overhead Lifting?

At a seminar a few weeks ago, a college pitching coach said to me, "Well, I know that you don't like overhead lifting for pitchers, so what do you do instead?"

It's something that's falsely been attributed to me in the past, so let me go on the record by saying that I don't think all overhead lifting is created equal. Rather, I think there is a continuum we have to appreciate as we select exercises for our clients and athletes.

At the most aggressive end of the spectrum, we have overhead pressing with a barbell or dumbbells. They allow a lifter to take on the most load, and in the case of the barbell, they have the least freedom of movement (especially if we're talking about a Smith machine press). Moreover, they generally lead to the most significant compensatory movement, particularly at the lower back. I don't love these for baseball players, but don't have any problems with using them in healthy lifters from other walks of life.

However, in these more at-risk populations, we have some options as more shoulder friendly exercises that can deliver a great training effect. The bottoms-up kettlebell military press delivers a slightly different training effect more safely because more of the work is devoted to joint stability. And, I've found that the bottoms-up set-up helps the lifter to engage serratus anterior more to get the scapula "around" the rib cage.

Landmine presses are another good alternative, as I see them as a hybrid of horizontal and vertical pressing. The torso angle and "lean" into the bar help to optimize scapular upward rotation with less competing directly against gravity.

Bottoms-up carries and waiter's walks are also good options for driving overhead patterning without beating up on the joint. We use them all the time.

Regressing even further, something like a yoga push-up is technically an overhead lift because of the finish position.

So, the take-home message is that I'm not against overhead lifting; in fact, we do it all the time on a number of fronts. Moreover, these examples don't even take into account things like TRX Ys, pull-ups, and overhead medicine ball throw/stomp variations - all of which we incorporate on a daily basis with our athletes and general population clients. Not all overhead work is created equal!

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10 More Important Notes on Assessments

About 2.5 years ago, I wrote up an article, 10 Important Notes on Assessments, that was one of my most popular posts of the year. And since I’ve spent a good chunk of the past week going through the L2 Fitness Summit Video Series, Dean Somerset’s presentations on the assessment side of things made me realize that I'm ready for a sequel. Here are a few thoughts that came to mind.

1. Just like training, assessments are getting more specialized.

As the sports performance and even personal training worlds get more specialized, the assessments we need to utilize with our clients must be correctly matched up to the people in front of us. As examples, rotator cuff strength tests are huge for a baseball pitcher, but relatively unimportant for a soccer player. We’d “weight” a single-leg squat test result as less significant for a kayaker than we would for a basketball player. The goals of the client and the functional demands of their sport guide the assessments – both in terms of which ones we perform and how we value the results.

However, the challenge is that you can’t test everything, so it’s important to prioritize. If we used every assessment under the sun, the evaluation would last all day – and we’d spend an entire session pointing out everything that’s wrong with someone. I’d much rather use this time to build rapport.

A VO2max test isn’t high on my list of priorities for baseball players even if it might shed some light on their aerobic base. I can probably get the information I need just as easily – and much more affordably – by taking a quick resting heart rate measurement.

2. Every good test that has an unfavorable outcome immediately sets you up for an even more telling retest.

Assessments give you a glimpse into what could potentially be wrong or right about how someone moves. The more important question is: what interventions make a difference? Their squat pattern improves when you give them an anterior counterbalance? Their hip internal rotation improves when you add some core recruitment? Their shoulder pain goes away when the massage therapist works on their scalenes?

One tenet of the Selective Functional Movement Screen (SFMA) system is to always start with dysfunctional, non-painful patterns. What interventions clean up aberrant movement in non-painful areas to give us "easy" adaptations? This not only expands our movement repertoire, but also facilitates buy-in from the athlete/client.

3. Never go to movement screens without first performing a thorough health history and client “interview.”

I think we can all agree that a pre-participation evaluation can dramatically reduce the likelihood in training. And, I'd argue that the single most important part of this evaluation is the health history and conversation you have with them before they even start the movement screen portion of it.

As an example, imagine you have a hypermobile female client with a history of serious anterior shoulder instability that hasn't been surgically treated. If you do thorough paperwork and a detailed conversation with her, you'll quickly ascertain that you have to be careful with anything that involves shoulder external rotation. If you don't do that preliminary work, though, you might very well pop her shoulder out of the socket doing a basic external rotation range-of-motion test.

Summarily: paperwork first, conversation second, movement third!

4. Have assessment regressions for people who can’t perform certain tests due to pain or poor movement competencies.

I like to use a Titliest Performance Institute screen – lumbar locked rotation – to assess thoracic rotation. It requires an individual to get into a lot of knee flexion, though. So, if you have someone who is extremely short in their quads – or has had a knee replacement and permanently lost that motion, then it’s not a solid test.

You’re better off going to a seated thoracic rotation screen with these folks.

As a good rule of thumb, you’ll need more alternatives to general screens (involving more joints and motor control challenges) than you will for specific assessments (involving fewer). So, as you look through your assessment approach, start to consider how you’ll regress things when things don't go as planned.

5. Don’t overlook evaluating training technique as a means of assessing.

During almost every evaluation of someone who has struggled with pain or performance (which is really everyone), I look at technique exercises they commonly perform. For our pitchers, this might be arm care exercises, or a video of a bullpen. For powerlifters, it might be technique on the squat, bench press, or deadlift. As much as our assessment protocols can be thorough, they’ll never fully offer the specificity that comes from watching people actually train.

6. Don’t use tests to embarrass people.

As an extension of the previous point, if you know someone is going to fail miserably on a screen, don’t test it. If you have a 350-pound woman who wants to lose 200 pounds, she’s not going to do well on a push-up test. You can assume that her upper body strength and core stability aren’t sufficient to handle her body weight.

I keep coming back to it:


7. Watch for straining.

This is something I’ve watched for a lot more in recent years after spending time around my business partner, Shane Rye, who’s one of the best manual therapists I have ever seen. He’s a master of watching people move and picking up on where they tend to store their tone. Maybe it’s jaw clenching when you test rotator cuff strength, or making an aggressive fist when you check their active straight leg raise. Watching for changes in accessory tone can give you a glimpse into where you might get the best benefit with your manual therapy work – and how you might coach them differently while they’re training.

8. The best outcome of an assessment might actually be a referral for a more thorough assessment.

At least once a year, I have an assessment come in - but without doing any training, I refer them on for further evaluation. Usually, it's because something very "clinical" in nature presents, and I feel that they need to see a medical professional before we start working with them. It doesn't happen often, but I'm never shy about "punting" when I feel that someone else is better equipped than I am to help the person in front of me.

9. Don’t take their word for it on body weight.

I once had a 6-8 pitcher tell me that he weighed 235 pounds. The next day, he walked in and remarked, “Coach, I actually weighed in this morning. I was 253 pounds.” Now, 18 pounds isn’t as huge a percentage of total body mass on a 6-8, 253 guy as it is on a 14-year-old, 110 pound female teenager, but it’s still tell us a lot that he could actually swing 18 pounds without even feeling it. That’s a sign of an athlete with poor body awareness and a lack of nutritional control (they definitely weren’t a good 18 pounds). You're better off measuring than just asking.

A side note: this applies to male athletes only; I never weigh female athletes for obvious reasons.

10. Take meticulous notes.

I often find myself looking back on notes we have on long-term clients to see how their movement (and prescribed training) has evolved over the years. It wouldn't be possible if I wasn't very detailed in my note-taking - and this is something I'm always striving to improve upon, as we want to create sustainable systems in our business.

Employees move on, so a client's programming responsibilities may be shifted to other staff members. Sports medicine professionals may want to work from some of our notes. Teams and agents might want information on what we discovered with a player and how we plan to manage them. The more you document, the more prepared you'll be in these situations when collaboration is necessary.

Most importantly, though, whenever I write a new program for a client, I have their evaluation form and their previous program open on my computer. I want to see what I initially noticed and put it alongside the up-to-date programming to verify where we are in our progressions. It's this kind of documentation that allows me to program for dozens of athletes who are not only in our facility, but across the country and overseas.

Wrap-up

I've been assessing athletes for close to 15 years, and I find that our evaluations evolve every single year. If you're looking to stay on top of some of the latest developments on this front, I'd strongly encourage you check out the L2 Fitness Summit Video Series, the new resource from Dean Somerset and Dr. Mike Israetel. It's available at an introductory discount through Sunday at midnight.  You can learn more HERE.

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LEARN HOW TO DEADLIFT
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