Home Posts tagged "Flexibility" (Page 5)

Random Friday Thoughts: 6/27/08

1. Congratulations to Cressey Performance athlete Ryan Wood on throwing a perfect game for Sudbury Legion on Wednesday night. 2. For those of you with injuries who still plan to go out and get tanked this weekend, give this study a read. In particular, pay attention to the section that says, “The development of alcoholic muscle disease, which affects both cardiac and skeletal muscle, leads to increased morbidity and mortality in patients who abuse alcohol. The disease pathology includes myocyte degeneration, loss of striations, and myofilament dissolution, which is consistent with alterations in structural and myofibrillar proteins.” Now, it has been too long since I took muscle physiology in my graduate school days, but I’m guessing that getting hammered tonight isn’t going to help your knee to feel better… 3. Rumor has it that Robertson and Cressey are brainstorming for a new project. And yes, you know it is Friday because I am referring to myself in the third person. 4. A lot of people are resorting to using video newsletters because they feel that they can interact with the reader better. To be honest, I’m typing this blog post in an old t-shirt with a serious case of bed-head – and as much as I like all of you, my living room isn’t all that exciting to view. If I decided to go the video route, I’d have to shower, get all decked out, and hang some nice paintings – but I’d rather just spend that time working on content. Hopefully, you aren’t too disappointed. 5. I’m speaking at Fenway for the Jimmy Fund’s Fantasy Day tomorrow. This is an awesome cause and they could definitely use your donations. 6. If you’ve got an extreme pronator or supinator, you can modify your ankle mobilizations accordingly. If they pronate, elevate the medial (inside) aspect of the foot with a five-pound plate to drive more supination. If they supinate, elevate the lateral aspect to drive more pronation. 7. The other day, I remarked that writing a marathon training program for an oft-injured runner is like being a drug dealer giving an addict her fix. To that, a great manual therapist with whom we work replied, “Eric, you’re only a drug dealer if you’re dealing drugs illegally. Be her pharmacist; she’s her own primary care physician with this one: much less accountability.” 8. Raspberry-Mint is the single worst flavor of chewing gum in history. I hope somebody got fired for thinking it up and having the idiocy for actually opting to market it. 9. I just realized that it’s been a long time since I gave Mel Siff a mention in my newsletter. Considering he might be the brightest guy in the history of exercise science, that’s unacceptable. So, if you’re an up-and-comer and want a great foundation, read Supertraining…and read it yesterday. 10. Here’s an interesting read about an NFL lineman who decided to powerlift in the off-season. Big guys need to be strong – but they also need to move well. Hopefully, he’s doing plenty of mobility work on the side and staying athletic. You can be strong and move like crap. Have a great weekend! EC
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Simple Asymmetry & Balance Fixes

In a 2007 study, Ellenbecker et al. compared hip internal and external rotation range-of-motion in elite baseball pitchers and elite tennis players. They noted the following: An analysis of the number of subjects in each group with a bilateral difference in hip rotation greater than 10 degrees identified 17% of the professional baseball pitchers with internal rotation differences and 42% with external rotation differences. Differences in the elite male tennis players occurred in only 15% of the players for internal rotation and 9% in external rotation. Female subjects had differences in 8% and 12% of the players for internal and external rotation, respectively. So, in other words, baseball pitchers were more likely to be asymmetrical than tennis players. While they both serve/pitch with one arm and push off the same-side leg. Tennis players, move a lot more in various directions. And, just as importantly, they hit backhands - so the asymmetries you see at the shoulder are less pronounced as well. Who would have thought: moving more and doing the opposite of what you normally do is a good way to stay healthy? Yes, I'm being sarcastic. Regardless of your sport, you need to get out of your comfort zone more often if you want to stay healthy. To learn more about the common asymmetries affecting overhead athletes and how to manage them, definitely check out the Optimal Shoulder Performance DVD set.

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Eccentric Exercise and Mobility

One of the things that we are constantly working to address with our baseball guys is the loss of range-of-motion following an extended period of throwing (i.e., a pitching appearance). There's some good research out there showing that the marked eccentric stress on the elbow flexors (biceps, etc) and glenohumeral external rotators (posterior rotator cuff) can lead to an acute (and potentially chronic) loss of elbow extension and humeral internal rotation range-of-motion. Pitching with a loss of ROM over the course of a competitive season is a recipe for disaster - both in terms of velocity reductions and risk of injury. Interestingly, previous research has shown that post-exercise ROM is reduced more with eccentric muscle actions than concentric muscle actions. Since virtually every resistance training sessions comprise some form of eccentric exercise, post-training stretching for the involved musculature is really valuable. And, if you're doing a lot of eccentrics in that training sessions, it's even more important. A lot of athletes get bored really quickly with static stretching, so one thing I've done a bit (especially with kids who really need to work on their mobility) is to simply repeat our dynamic flexibility warm-ups - but integrate a bit longer of a hold on each rep. Sign-up Today for our FREE Baseball Newsletter and Receive a Copy of the Exact Stretches used by Cressey Performance Pitchers after they Throw!
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Frequency Deloading

Q: I recently purchased your e-book, The Art of the Deload, and really enjoyed it. You did a great job of outlining several different methods that I plan on using in the months to come. I did have one follow-up question on the "Exercise Reduction Week" deloading approach. You talked about making some modifications to go from four days per week to three days per week during the deloading period. Are there certain people for whom this work would better than others? A: Great question - and the answer is ABSOLUTELY! I like the frequency reduction deloading strategy for athletes in particular. Many of them already have a lot of training going on with lifting, conditioning, movement training, tactical work, and sport practice. Simply dropping volume of these sessions doesn't really "deload" their hectic schedules. Many of them would rather go to 2-3 full sessions per week than they would keep the four and do less volume in each appearance. However, for the ordinary weekend warrior for whom lifting is the only form of exercise he gets, I think the frequency is valuable. It favorably affects the endocrine, cardiovascular, and immune systems. Additionally, each time that lifter goes to the gym, it's a chance to do some mobility, activation, and foam roller work that can help to keep him healthy long-term. So, to recap, if you're a busy athlete, you can reduce your frequency. If you're lifting as your only form of exercise, keep the frequency up. Learn more about The Art of the Deload.
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Ignorance is Bliss

Researchers have just produced aerial photos of an "uncontacted" tribe in the Amazon rainforest. Going with my gut instinct, I'm going to venture a guess that hut pictured below is the tribe's gym. Yes, that's exactly what it is. How intuitive of me... I'm going to go out on a limb and guess that it doesn't have a Smith machine, leg extension, or rotary torso machine. In fact, I'm guessing that these folks don't care about their six-pack abs or what's going on at XYZ internet forum. I am, however, guessing that they a) move a lot, b) don't eat refined crap, and c) probably have better mobility and are healthier than most people who claim to be "in shape." I doubt any of them have heart disease, plantar fasciitis, knee pain, or even that nauseous feeling you get after your girlfriend forces you to watch "The Batchelorette" while you could be watching a Red Sox no-hitter. So, for those of you who think you can't learn anything from a tribe in the Amazon, think again. Move more - and without machines. Wear shoes less. Eat more green stuff and meat (and preferably kill it yourself with a spear). Stand more and sit less. Train your body for function.
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Question for the day…

Did you ever see a caveman wear orthotics? And, did the cavewomen ever rock high heels? Hmm...
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Quad Pulls in Baseball

Q: There have been a few quadriceps pulls in MLB this year. Have you seen these before in baseball players? What gives? A: This is why I love baseball; it's probably one of the most at-risk sports you'll ever see (particularly in pitchers). Here's a little excerpt from a slide in a recent presentation I gave on training for overhead athletes: -Very Long Competitive Season >200 games as a pro? >100 College/HS? -Unilateral Dominance/Handedness Patterns Asymmetry is a big predictor of injury Switch hitters – but no “switch throwers!” -The best pitchers – with a few exceptions – are the tallest ones. The longer the spine, the tougher it is to stabilize. -Short off-season + Long in-season w/daily games = tough to build/maintain strength, power, flexibility, and optimal soft tissue quality Specific to the quad pulls, I'd add to this list that baseball guys rarely hit top speed; all of their sprint work is done in acceleration, where the quads are dominant. Factor in that they spend a lot of time sitting on airplanes/buses, and it's no surprise that they'd get tight anteriorly. It's why it's so important to really hammer on hip mobility in any population that sits a lot.

The stop and go nature of the sport also dictates that strains would be common, whether they are groins, hip flexors, hamstrings, or quads (likely rectus femoris, which is a hip flexor that can get overactive, particularly alongside poor psoas function). So, all that said, before anyone jumps to conclusions and tries to criticize some strength coach, it's important to consider: a) the certain amount of happenstance that occurs with any baseball player due to the nature of the game and the season b) what that athlete does on his own in the off-season In terms of "b," I’ve seen some pretty bad stuff, unfortunately. For many guys, it becomes a leg extensions and curls off-season if they're on their own - or they do nothing. I'd like to think that our success in working with baseball guys is not just in the fact that we've made the programming good, but also in the fact that we've changed the culture a bit in our guys: they appreciate what lifting is doing for them and look forward to getting after it in the gym. Sign-up Today for our FREE Baseball Newsletter and Receive a Copy of the Exact Stretches used by Cressey Performance Pitchers after they Throw!
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Preventing Plantar Fasciitis

Q: Another guy from my favorite basketball team went on the injured list with plantar fasciitis this week. What can be done to prevent this? A: Welcome to professional basketball! The average NBA player has very little dorsiflexion range of motion (ankle). The only way the epidemic of plantar fasciitis, Achilles tendinosis, high ankle sprains, and patellofemoral pain is going to stop is if the players quite wearing 10-pound high top sneakers and taping their ankles. Or, at the very least, lose the tape and focus on barefoot training, low-top shoes off the court, and plenty of ankle mobility work. Just ask Shaun Livingston:
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Calling Out Exercise Myths

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The Pendulum Comes Back to Center: Calling Out Exercise Myths
This past weekend, I was down in Stamford, CT to participate on a roundtable at Ryan Lee’s Bootcamp (and to check out the event myself). There was a ton of business information available specific to fitness professionals, and I had a good time catching up with a lot of old friends.
However, as my mind was packed with ideas on the business front, I got a wake-up call on Sunday morning that quickly reminded me that we still need to get better at the training and nutrition side of things as well to elevate our industry as a whole.
You see, my girlfriend and I had the TV on as we were getting ready to head down to breakfast at our hotel. They had a representative from some mainstream magazine on the show to offer four quick tips for folks to improve their exercise programs. Simply put, she gave out exercise advice that was not only ineffective; it was flat-out incorrect.
This “expert” claimed that we absolutely had to eat carbohydrates upon rising to fuel early morning workouts. And, she insisted that one can’t burn fat without consuming carbs. Huh? Has she ever heard of the catecholamines, growth hormone, or cortisol? We had specific hormones that allow us to do exactly this! And, it’s pretty well documented in the research that of the three macronutrients (carbs, proteins, and fats), carbs are the only one that is non-essential.
She took her nutrition advice to the next level by noting that protein was not a good pre-exercise choice because it is too hard to digest. Apparently, it should only be taken post-exercise. Riiiight. Apparently, all those years of peri-workout nutrition research at the U-Texas Medical Branch were for nothing. For those who don’t feel like reading the actual study: “These results indicate that the response of net muscle protein synthesis to consumption of an EAC solution immediately before resistance exercise is greater than that when the solution is consumed after exercise…” Would you rather listen to seven PhDs, or a lady in pink spandex? It actually gets better, though! This woman encouraged the audience (who, we can assume are for the most part completely untrained and predominantly female) to put a BOSU ball in the middle of their living room floor in front of the TV. Her justification was that you simply couldn’t walk by one without wanting to get on it (for the record, I could totally walk by it with no problems, but that’s a discussion for next week). She went on to recommend squats on the ball – and that’s even in light of the fact that most of the folks who would be following this information can’t even squat on stable surfaces in good form. And, we know that most women have issue with anterior weight bearing, so encouraging further pronation with unstable terrain is not a good idea. It took me all of three seconds with Google images to dig up this photo:
Looks like a great squat to me.  If you listen really carefully, you'll hear her ACL yelling "UNCLE!"  Again, I’ll get into a lot of detail on this soon; I promise…
The idiocy continued when she encouraged people to make exercise more complex, using the examples of doing biceps curls while doing lunges. You know what? Most untrained people can’t lunge to save their life! How about teaching them to lunge first – and then teaching them to lunge with something other than a plastic three-pound weight? If I can do walking lunges with well over 100 pound dumbbells, but can’t curl more than 55 pounds in each hand, which is the limiting factor?
So, she was 0-for-4 – but it gets even better.
I returned home to about 200 emails on Sunday night, one of which was a pitch from a guy with a “shoulder stretching apparatus” to promote. In his sales attempt, he actually confused internal with external rotation. And, when he stretched the external rotators and posterior capsule by going into internal rotation, he didn’t fix the scapula. This is a sure-fire way to jack up the anterior capsule, particularly in overhead throwing athletes.
I guess, in the end, my message is that you have to be a devil’s advocate at times in any field. There are bad doctors, lawyers, cab drivers, plumbers – you name it. And, the fitness industry is certainly no exception; in fact, it’s probably the majority that you have to watch out for as being sketchy due to the lack of strict licensure and certification requirements in this field.
Hopefully, people have come to recognize this newsletter as an exception to that rule. My goal is to make it a great information source that touches on a bit of everything, but still focuses on the topics I know best. I’ve recommended some products along the way, but rest assured that it wasn’t just because it was from a friend; it was because they were actually good. Believe me, I have a pile of crap products at home that have been sent to me by all sorts of folks (friends included); these products sit in a pile and you’ll never hear about them because I simply didn’t think they were any good.
To that end, if you are contemplating a purchase and want an honest perspective, drop us an email and ask for a review. If it’s something I’ve read/viewed and didn’t like, I’ll tell you. Or, I might even pick up a copy and check it out myself. I like to keep this newsletter positive, so I won’t rip on any products – but you’ll definitely hear about the best stuff I see.
Along those same lines, don’t hesitate to let us know if there are particular topics you’d like covered in newsletters, audio interviews, blogs, or articles.
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A Review of the 2008 Indianapolis Performance Enhancement Seminar DVD Set

Last week, I was fortunate enough to get a free copy of Mike Robertson and Bill Hartman’s 2008 Indianapolis Performance Enhancement Seminar DVD Set. To be honest, the word “fortunate” doesn’t even begin to do the product justice; it was the best industry product I’ve watched all year.

The DVD set is broken up into six separate presentations:

1. Introduction and 21st Century Core Training

2. Creating a More Effective Assessment

3. Optimizing Upper Extremity Biomechanics

4. Building Bulletproof Knees

5. Selecting the Optimal Method for Effective Flexibility Training

6. Program Design and Conclusion

To be honest, I’ve already seen Mike Robertson deliver the presentations on DVDs 1 and 4 a few times during seminars at which we’ve both presented, so more of my focus in this review will be on Bill’s presentations because they were more “new” to me. That said, I can tell you that each time I’ve seen Mike deliver there presentations, he’s really impressed the audience and put them in a position to view training from a new (and better) paradigm, debunking old myths along the way. A lot of the principles in his core training presentation mirror what we do with our clients – and particularly with those involved in rotational sports.

Bill’s presentation on assessments is excellent. I think I liked it the most because it really demonstrated Bill’s versatility in that he knows how to assess both on the clinical (physical therapy) and asymptomatic (ordinary client/athlete) sides of the things. A few quick notes from Bill’s presentation that I really liked:

a. Roughly 40% of athletes have a leg length discrepancy – but that’s not to say that 40% of athletes are injured or even symptomatic. As such, we need to understand that some asymmetry is normal in many cases – and determining what is an acceptable amount of asymmetry is an important task. As an example, in my daily work, a throwing shoulder internal rotation deficit (relative to the non-throwing shoulder) of 15 degrees or less is acceptable – but if a guy goes over 15°, he really needs to buckle down on his flexibility work and cut back on throwing temporarily. If he is 17-18° or more, he shouldn’t be throwing – period.

b. It’s important to consider not only a client/patient/athlete looks like on a “regular” test, but also under conditions of fatigue. There’s a reason athletes get hurt more later in games: fatigue changes movement efficiency and safety! This is why many tests should include several reps – and we should always be looking to evaluate players “on the fly” under conditions of fatigue.

c. Bill made a great point on “functional training” during this presentation as well – and outlined the importance difference between kinetics (incorporates forces) and kinematics (movement independent of forces). Most functional training zealots only look at kinematics, and in the process, ignore the amount of forces in a dynamic activity. For example, being able to execute a body weight lateral lunge with good technique doesn’t guarantee that you’ll be “equipped” to handle change-of-direction challenges at game speed. In reality, this force consideration is one reason why there are times that bilateral exercise is actually more function than unilateral movements!

d. Bill also outlined a multi-faceted scoring system he uses to evaluate athletes in the context of their sports. It’s definitely a useful system for those who want a quantifiable scheme through which to score athletes on overall strength, speed, and flexibility qualities to determine areas that warrant prioritization.

DVD #3 is an excellent look at preventing and correcting shoulder problems – and in terms of quality, this presentation with Mike is right on par with their excellent Inside-Out DVD. Mike goes into depth on what causes most shoulder problems and how we can work backward from pathology to see what movement deficiency – particularly scapular downward rotation syndrome – caused the problem. There is a great focus on lower trapezius and serratus anterior strengthening exercises and appropriate flexibility drills for the pec minor, levator scapulae, and thoracic spine – as well as a focus on the effects of hip immobility and rectus abdominus length on upper body function.

To be honest, I think that DVD #4 alone is worth far more than the price of the entire set. It actually came at an ideal time for me, as I’m preparing our off-season training templates for our pro baseball guys – and flexibility training is a huge component of this. Whenever I see something and it really gets me thinking about what I’m doing, I know it’s great. Bill’s short vs. stiff discussion really did that for me.

Bill does far more justice to the discussion than I can, but the basic gist of the topic is that the word “tight” doesn’t tell us much at all. A short muscle actually has lost sarcomeres because it’s been in a shortened state for an extended period of time; this would be consistent with someone who had been immobilized post-surgery or a guy who has just spent way too long at a computer. These situations mandate some longer duration static stretching to really get after the plastic portion of connective tissue – and this can be uncomfortable, but highly effective.

Conversely, a stiff muscle is one that can be relatively easily lengthened acutely as long as you stabilize the less stiff segment. An example would be to stabilize the scapula when stretching someone into humeral internal or external rotation. If the scapular stabilizers are weak (i.e., not stiff), manually fixing the scapula allows us to effectively stretch the muscles acting at the humeral head. If we don’t stabilize the less-stiff joint, folks will just substitute range of motion there instead of where we actually want to create it. In situations like this, in addition to good soft tissue work, Bill recommends 30s static stretches for up to four rounds (this is not to be performed pre-exercise, though; that’s the ideal time for dynamic flexibility drills.

DVD #5 is where Mike is at his best: talking knees. This is a great presentation not only because of the quality of his information, but also because of his frame of reference; Mike has overcome some pretty significant knee issues, including a surgery to repair a torn meniscus. Mike details the role of ankle and hip restrictions in knee issues, covers the VMO isolation mindset, and outlines some of the research surrounding resistance training and rehabilitation of knee injuries in light of some of the myths that are abundant in the weight-training world.

DVD #6 brings all these ideas together with respect to program design.

I should also mention that each DVD also includes the audience Q&A, which is a nice bonus to the presentations themselves. The production quality is excellent, with “back-and-forths” between the slideshow and presenters themselves. Bill and Mike include several video demonstrations in their presentations to break up the talking and help out the visual learners in the crowd, too.

All in all, this is a fantastic DVD set that encompasses much more than I could ever review here. In fact, if it’s any indicator of how great I think it is, I’m actually going to have all our staff members watch it. If you train athletes or clients, definitely get it. Or, if you’re just someone who wants to know how to keep knees, shoulders, and lower backs healthy while optimizing flexibility, it’s worth every penny. You can find out more at the Indianapolis Performance Enhancement Seminar website.

New Blog Content

Maximum Strength: The Personal Trainer’s Perspective

Random Friday Thoughts: 7/25/08

Training around Knee Pain

Willing and Abele

All the Best,

EC

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