Home Posts tagged "Flexibility" (Page 6)

Oblique Strains and Rotational Power

On Monday night, Josh Hamilton put on an amazing show with 28 homeruns in the first round of the MLB Homerun Derby. While he went on to lose to Justin Morneau in the finals of the contest, Hamilton did smash four 500+ ft. shots - and stole the hearts of a lot of New York fans. It's an incredible story; Hamilton has bounced back from eight trips to rehabilitation for drugs and alcohol to get to where he is today.

Geek that I am, though, I spent much of the time focusing on the incredible hip rotation and power these guys display on every swing. According to previous research, the rotational position of the lead leg changes a ton from foot off to ball contact. After hitting a maximal external rotation of 28° during the foot off “coiling” that takes place, those hips go through some violent internal rotation as the front leg gets stiff to serve as a “block” over which crazy rotational velocities are applied.

How crazy are we talking? How about 714°/s at the hips? This research on minor leaguers also showed that stride length averaged 85cm - or roughly 380% of hip width. So, you need some pretty crazy abduction and internal rotation range-of-motion (ROM) to stay healthy. And, of course, you need some awesome deceleration strength – and plenty of ROM in which to apply it – to finish like this.

Meanwhile, players are dealing with a maximum shoulder and arm segment rotational velocities of 937°/s and 1160°/s, respectively. All of this happens within a matter of 0.57 seconds. Yes, about a half a second.

These numbers in themselves are pretty astounding – and probably rivaled only by the crazy stuff that pitchers encounter on each throw. All these athletes face comparable demands, though, in the sense that these motions take a tremendous timing to sequence optimally. In particular, in both the hitting and pitching motions, the hip segment begins counterclockwise (forward) movement before the shoulder segment (which is still in the cocking/coiling phase). Check out this photo of Tim Hudson (more on this later):

Many of you have probably heard about a “new” injury in major league baseball – oblique strains – which have left a lot of people looking for answers. In fact, the USA Today published a great article on this exact topic earlier this season. Guys like Hudson, Chris Young, Manny Ramirez, Albert Pujols, Chipper Jones and Carlos Beltran (among others) have dealt with this painful injury in recent years. You know the best line in this entire article? With respect to Hudson:

“After the 2005 season, he stopped doing core work and hasn't had a problem. Could that be the solution?”

I happen to agree with the mindset that some core work actually contributes to the dysfunction – and the answer (to me, at least) rests with where the injury is occurring: “always on the opposite side of their throwing arm and often with the muscle detaching from the 11th rib.” If I’m a right-handed pitcher (or hitter) and my left hip is already going into counter-clockwise movement as my upper body is still cocking/coiling in clockwise motion – both with some crazy rotational velocities – it makes sense that the area that is stretched the most is going to be affected if I’m lacking in ROM at the hips or thoracic spine.

I touched on the need for hip rotation ROM, but the thoracic spine component ties right into the “core work” issue. Think about it this way: if I do thousands of crunches and/or sit-ups over the course of my career – and the attachment points of the rectus abdominus (“abs”) are on the rib cage and pelvis – won’t I just be pulling that rib cage down with chronic shortening of the rectus, thus reducing my thoracic spine ROM in the process?

Go take another look at the picture of Tim Hudson above. If he lacks thoracic spine ROM, he’s either going to jack his lower back into lumbar hyperextension and rotation as he tries to “lay back” during the late cocking phase, or he’s just going to strain an oblique. It’s going to be even worse if he has poor hip mobility and poor rotary stability – or the ability to resist rotation where you don’t want it.

Now, I’m going to take another bold statement – but first some quick background information:

1. Approximately 50-55% of pitching velocity comes from the lower extremity.

2. Upper extremity EMG activity during the baseball swing is nothing compared to what goes on in the lower body. In fact, Shaffer et al. commented, “The relatively low level of activity in the four scapulohumeral muscles tested indicated that emphasis should be placed on the trunk and hip muscles for a batter's strengthening program.”

So, the legs are really important; that 714°/s at the hips has to come from somewhere. And, more importantly, it’s my firm belief that it has to stay within a reasonable range of the shoulder and arm segment rotational velocities of 937°/s and 1160°/s (respectively). So, what happens when we give a professional baseball player a foo-foo training program that does little to build or even maintain lower-body strength and power? And, what happens when we have that player run miles at a time to “build up leg strength?” How many marathoners do you know who throw 95mph and need those kind of rotational velocities or ranges of motion? Apparently, bigger contracts equate to weaker, tighter legs…

Meanwhile, guys receive elaborate throwing programs to condition their arms – and they obviously never miss an upper-body day (also known as a “beach workout"). However, the lower-body is never brought up to snuff – and it lags off even more in-season when lifting frequency is lower and guys do all sorts of running to “flush their muscles.” The end result is that the difference between 714°/s (hips) and 937°/s and 1160°/s (shoulders and arms) gets bigger and bigger. Guys also lose lead-leg hip internal rotation over the course of the season if they aren’t diligent with their hip mobility work.

So, in my opinion, here’s what we need to do avoid these issues:

1. Optimize hip mobility – particularly with respect to hip internal rotation and extension. It is also extremely important to realize the effect that poor ankle mobility has on hip mobility; you need to have both, so don’t just stretch your hip muscles and then walk around in giant high-tops with big heel-lifts all day.

2. Improve thoracic spine range of motion into extension and rotation.

3. Get rid of the conventional “ab training/core work” and any yoga or stretching positions that involve lumbar rotation or hyperextension and instead focus exclusively on optimizing rotary stability and the ability to isometrically resist lumbar hyperextension.

4. Get guys strong in the lower body, not just the upper body.

5. Don’t overlook the importance of reactive work both in the lower and upper-body. I’ve read estimates that approximately 25-30% of velocity comes from elastic energy. So, sprint, jump, and throw the medicine balls.

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Thoracic Spine Issues

Fantasy Day at Fenway Park

I’ll be making my Fenway Park debut on Saturday. I know it’s hard to believe, but it won’t be for my catching abilities, base-stealing prowess, or 95-mph two-seam fastball. Rather, I’ll be speaking on a panel at the annual Fenway Park Fantasy Day to benefit The Jimmy Fund. And, if people don’t give a hoot about listening to me, they’ve got a skills zone with batting cages, a fast-pitch challenge, and accuracy challenge on top of loads of contests and tours. I’ll be sure to snap some photos for you.

This is an absolutely great cause, and while I know most of you won’t be in attendance, I’d highly encourage you to support the cause with a donation to the Jimmy Fund. What they are doing is something very special, and I’m honored to be a part of it.

Subscriber Only Q&A Q: One quick question. As a trainer, I'm sure you've come across certain clients who have a problem with their thoracic spine (mild hump) and need to work on mobilizing this region. Other than foam rollers, are there any other techniques or methods that can be used? Maybe there's a book or video out there I could purchase that gives me a better understanding of how to implement some new methods?

A: Thanks for the email.  It really depends on whether you're dealing with someone who just has an accentuated kyphotic curve or someone who actually has some sort of clinical pathology (e.g. osteoporosis, ankylosing spondylitis, Cushing’s Syndrome) that's causing the "hump."  In the latter case, you obviously need to be very careful with exercise modalities and leave the “correction” to those qualified to deal with the pathologies in question.

In the former case, however, there’s quite a bit that you can do. You mentioned using a foam roller as a “prop” around which you can do thoracic extensions:

Thoracic Extensions on Foam Roller

While some people think that tractioning the thoracic spine in this position is a bad idea, I don’t really agree. We’ve used the movement with great success and absolutely zero negative feedback or outcomes.

That said, I’m a firm believer that the overwhelming majority of thoracic spine mobilizations you do should integrate extension with rotation. We don’t move straight-ahead very much in the real-world, so the rotational t-spine mobility is equally important. Mike Robertson and Bill Hartman do an awesome job of outlining several exercises along these lines in their Inside-Out DVD; I absolutely love it.

With most of these exercises, you’re using motion of the humerus to drive scapular movement and, in turn, thoracic spine movement.

The importance of t-spine rotation again rang true earlier this week when I had lunch with Neil Rampe, director of corrective exercise and manual therapy for the Arizona Diamondbacks. Neil is a very skilled and intuitive manual therapist, and he had studied extensively (and observed) the effect of respiration. He made some great points about how we can’t get too caught up in symmetry. Neil noted that we’ve got a heart in the upper left quadrant, and a liver in the lower right. The left lung has two lobes, and the right lung has three – and there’s some evidence to suggest that folks can usually fill their left lung easier than their right. The right diaphragm is bigger than the left –and it can use the liver for “leverage.” The end result is that the right rib winds up with a subtle internally rotated position, which in turns affects t-spine and scapular positioning. Needless to say, Neil is a smart dude – and once I got over how stupid I felt – I started scribbling notes. I’m going to be looking a lot more at breathing patterns as a result of this lunch.

Additionally, it’s very important to look at the effects of hypomobility and hypermobility elsewhere on thoracic spine posture. If you’re stuck in anterior pelvic tilt with a lordotic spine, your t-spine will have to compensate by rounding in order to keep you erect. And, if you’ve shortened your pecs and pulled the scapulae into anterior tilt and protraction, you’ll have a t-spine that’s been pulled into flexion. Or, if you’ve done thousands and thousands of crunches, chances are that you’ve shortened your rectus abdominus so much that your rib cage is depressed to the point of pulling you into a kyphotic position.

On the hypermobility front, poor rotary stability at the lumbar spine can lead to excessive movement at a region of the spine that really isn’t designed to move. It’s one reason why I like Jim Smith’s Combat Core product so much; he really emphasize rotary stability with a lot of his exercises. Lock up the lumbar spine a bit, and you’ll get more bang for your buck on the t-spine mobilizations.

As valuable as all the t-spine extension and rotation drills can be, they are – when it really comes down to it – just mobility drills. And, to me, mobility drills yield transient effects that must be sustained and complemented by appropriate strength and endurance of surrounding musculature. Above all else, strength of the appropriate scapular retractors (lower and middle trapezius) is important. You can be very strong in horizontal pulling – but have terrible posture and shoulder pain – if you don’t row correctly.

Not being cognizant of head and neck position can lead to a faulty neck pattern:

Cervical hyperextension (Chin Protrusion) Pattern

Here, little to no scapular retraction takes place. And, whatever work is done by the scapular retractors comes from the upper traps and rhomboids – not what we want to hit.

Then, every gym has this guy. He just uses his hip and lumbar extensors to exaggerate his lordotic posture and avoid using his scapular retractors at all costs.

Another more common, but subtle technical flaw is the humeral extension with scapular elevation. Basically, by leaning back a bit more, an individual can substitute humeral extension for much of the scapular retraction that takes place – so basically, the lats and upper traps are doing all the work. This can be particularly stressful on the anterior shoulder capsule in someone with a scapula that sits in anterior tilt because of restrictions on pec minor, coracobrachialis, or short head of the biceps. Here is what that issue looks like when someone is upright like they should be. A good seated row would like like this last one – but with the shoulder blades pulled back AND down. We go over a lot of common flaws like these in our Building the Efficient Athlete DVD series.

Finally, don’t overlook the role that soft tissue quality plays with all of this. Any muscle – pec minor, coracobrachialis, short head of the biceps – that anteriorly tilts the scapulae can lead to these posture issues. Likewise, levator scapulae, scalenes, subclavius, and some of the big muscles like pec major, lats, and teres major can play into the problem as well. I’ve always looked at soft tissue work as the gateway to corrective exercise; it opens things up so that you can get more out of your mobility/activation/resistance exercise.

Hopefully, this gives you some direction.

All the Best, EC 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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Prehabilitation and Deloading

New Article

I had a new article published on Tuesday at T-Nation; be sure to check out The Prehab Deload.

You can never get enough Hartman…

Earlier this week, Bill Hartman provided us with seven great tips; here are eight more than certainly won’t disappoint!

8. Unilateral lower body training is well accepted, but unilateral upper body training is no less valuable and gets ignored by most trainers and coaches. It’s not uncommon for strength and conditioning coaches to recommend unilateral lower body exercises in an effort to maintain functional relationships in the trunk and hips. There are equally if not more important relationships between the upper extremity, the trunk, and the hips. Consider working toward developing the ability to perform a single-arm push-up as much as you develop your single-leg strength. It will go a long way toward maintaining your shoulder health and improve your performance.

9. It is a rare occasion that athletes needs complex training programs. Most athletes, regardless of level, are not well-trained strength athletes. Just as many HATE supplementary strength/performance training and don’t understand the value that it provides by allowing them to perform at their highest levels of performance. They would rather just play their sport. The exceptions are those athletes who have spent 3 to 4 years in a progressive, controlled, and properly designed strength program. Being advanced in a particular sport does not mean they are advanced in regard to supplementary training. When in doubt simplify.

10. If you choose to emphasize bench pressing in your training program, you need to spend more time strengthening your lower trapezius and rotator cuff.

The lower trapezius tends to be the weak point in your ability to stabilize the scapula and the rotator cuff is the big stabilizer for the glenohumeral joint. It is the ability to stabilize these areas that allows the larger prime movers to lift big weights. If these muscles don’t keep pace, your bench press will stall and you will most likely get injured.

11. Stand more and sit less. If you’re sitting on your ass, you’re not using it. If you’re not using it, you’ll forget how to use it when you train or play a sport. This can result in lower back pain, hip pain, or pain anywhere down the kinetic chain. You’ll also go a long way to prevent the loss of hip motion that will increase joint wear and tear and rob you of your athleticism at a premature age.

12. I recommend four recovery/restoration tools for everyone: sleep, food, soft-tissue work, and ice because they work for everyone.

I know a lot of things that have been used as recovery tools with world-class athletes. Most people are not world-class athletes and I question the value of many restorative tools. I’ve never been able to identify a measurable effect from something like a contrast shower other than shrinkage (you know what I mean). However, the four tools I recommend will apply to everyone.

Sleep is essential. The nervous system needs sleep to function at top efficiency. Food provides energy, reparative materials, and nutrient-based recovery. Soft-tissue work, whether it be massage, foam rolling, ART, or whatever, will maintain a more optimal condition of the soft-tissues. Trigger point, adhesions, and scar tissue affects mobility, tissue extensibility, and the ability to produce strength. An ounce of prevention goes a long way to assure optimal functional relationship between and within muscles and groups of muscles. Ice is under utilized by just about everyone. It is inexpensive and will go a long way to preserve your joint surface. Fifteen minutes of ice to heavily trained joints has been shown to have a preservation effect on joint cartilage.

13. Make your icing more effective by periodically moving the joint or muscle to which you’re applying ice. It promotes a more uniform application of the cold to the affected area. After you remove the ice, limit the motion of the affected area to preserve the cooling effect, as movement will increase rewarming.

14. Hip mobility affects more than you think. A lack of hip mobility will promote overuse of the lumbar spine to compensate for the lack of mobility. In patients with unilateral shoulder instability, almost half of those patients also showed poor hip mobility on the opposite side.

15. There are “money muscles” in almost every type of injury that when treated or activated immediately improve function. For shoulders, it’s the subscapularis. The subscapularis prevents the humeral head from moving forward and upward into the acromion in cases of impingement. Many times it’s overused due to repetitive movement, heavy loading, or both. Get it functioning again (ART does wonders) immediately restores shoulder function in a majority of cases.

For lower back pain, it’s the psoas. If someone has trouble forward flexing AND extending the spine (you can also see that they limit hip extension when they walk) check the psoas for spasm or adhesions. Restoring normal psoas function immediately restores spinal range of motion.

For lower back pain, it’s the psoas. If someone has trouble forward flexing AND extending the spine (you can also see that they limit hip extension when they walk) check the psoas for spasm or adhesions. Restoring normal psoas function immediately restores spinal range of motion.

For the knee, it’s the popliteus. Many times when rehabbing an athlete or patient with a knee injury, there’s sense of residual instability. Rather than going for the wobble board, consider checking the function of the popliteus. The popliteus assists in rotatory control of the knee. Restoring the popliteus function with soft-tissue work and a little strengthening often restores stability in no time.

About Bill Bill Hartman is a physical therapist and strength and conditioning coach in the Indianapolis area.  Bill is the co-creator of Inside-Out: The Ultimate Upper-Body Warm-up and a contributing author to Men's Health Magazine.  He is also the creator of Your Golf Fitness Coach's Video Library, available at www.yourgolffitnesscoach.com.  You can contact Bill directly via www.billhartman.net.

I’m off to Maine to lift some heavy stuff and see the family. Have a great weekend, everyone!

All the Best,

EC

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Tips from Bill Hartman

On top of dropping a 45-pound plate on my (now broken) toe on Thursday night and having a pro baseball player staying at my condo, it was the busiest week ever at Cressey Performance. There is, however, a silver lining to this cloud. I don't need healthy toes to deadlift at my meet next weekend, and you're going to get an even better holiday sale as a result of my high tolerance for pain and propensity for clumsy self-destruction. To atone, I’m going to offer a big discount – to the tune of 30% off – on my Ultimate Off-Season Training Manual. Just click HERE and the discount will automatically be applied at checkout. This discount will be in place through December 12, too.

Talking Shop with Bill Hartman

Bill Hartman is a smart dude. Really smart. A lot of you think I’m a bright guy when it comes to kinesiology, biomechanics, and corrective exercise. Let’s put it this way: Bill is the guy I email or call when I’m stumped. Were it not for his sense of humor, I might actually believe that he’s a robot designed to know everything about the human body. He co-created Inside-Out, a great DVD and manual set that I feel is the best shoulder-health-specific product on the market. This week, however, Bill is extra special because he provided some kick-butt content for my newsletter when life was crazy. In a sense, he’s like the cheerleader who does your homework, but he’s much smarter, more masculine, and doesn’t wear a skirt (at least not in public). Here are tips 1-7 from Bill: 1. Making true postural corrections and improvement in mobility is a 24-7 endeavor. Your daily postures and repetitive activities have a far greater effect on your mobility and posture. The body will adapt to what you do most often. If you spend all day in a chair, your body will adapt to that posture. If you perform activities for extended periods of time in a limited range of joint motion, you body will adapt to that limited range of motion. You can use the same premise to make a correction. For instance, if you’re trying to improve your shoulder girdle posture, practice holding it in better alignment for extended periods of time (up to 20 minutes) to promote actual changes in the length and stiffness of tissues. 2. Static stretching as it is typically performed (1-3 reps of 20-30 seconds or whatever) has a very limited benefit. This type of stretching functions more on the basis of increasing your tolerance to the stretch, therefore range of motion will improve temporarily. I tend to use it for its acute benefits. For instance, if you’re trying to improve glute max activation, stretch the hip flexors first. Range of motion into hip extension will improve and allow greater glute max activation. As far as long-term, relatively permanent changes in range of motion, tissues need to adapt (see number 1) and the nervous system needs to be involved in the changes. This makes strength training a great way to improve range of motion. Emphasize getting strong at the end range of motion with a muscle in the stretched position. Examples would be performing ISO holds at the bottom of a Bulgarian split squat, push-up, RDL, or pullover at the end of your workouts. 3. Exercise tempo matters Bar speed will affect what type of training effect will result from training. A very fast tempo will increase contribution of the spring-like effect from a tendon much like plyometrics. Slower training tempos will reduce this effect and promote more muscular adaptations. Determining where you lack function, either in the elastic component of the tendon or more of the muscular contributions, will allow you to target training to significant improvements in performance in a very short time. 4. When in doubt, simplify your programming Most trainees who are training diligently, attending to nutritional issues adequately, but lack progress are typically training at least one level of complexity (or more) above where they should. Reduce either the frequency, the training volume, or the complexity of the periodization scheme or all of the above. Look back in your training journal (you DO have one right?) to where you made your best progress. Start there for clues on how you should progress. Then read #5. 5. Your body can’t differentiate between stressors Most periodization programs work for a very limited group of people. Any programming recommendations based on professional or Olympic athletes rarely works for the real-world population. Those athletes lived in controlled environments where outside stressors were limited or didn’t exist. We live in a world where we are frequently sleep deprived, have money issues, family and relationship issues. All these stressors are cumulative in respect to how your body reacts to them. Training is also a stressor and is most often the only one we can control. When you feel good, go for the extra weight or reps. When you’re not feeling your best, back it off. 6. Warm-up first before you decide you’re going to have a bad workout The daily grind can wear on you and many times you don’t feel like training. Your attitude will affect the outcome of you workout. Many times the simple activation of your nervous system with a dynamic warm-up and few warm-up sets will reset your attitude. Warm-up before you allow your brain to get in the way of what may be the best workout of your life. 7. Develop a group of “Go-to” people It was a bitter pill to swallow, but I’ve learned that I can’t learn everything. There are always others who specialize in certain area of life or training or whatever who have a deeper understanding of certain things. Make friends with them. Take advantage of their specialized knowledge. Share what you know and learn what they know. About Bill Bill Hartman is a physical therapist and strength and conditioning coach in the Indianapolis area. Bill is the co-creator of Inside-Out: The Ultimate Upper-Body Warm-up and a contributing author to Men's Health Magazine. He is also the creator of Your Golf Fitness Coach's Video Library, available at www.yourgolffitnesscoach.com. You can contact Bill directly via www.billhartman.net. We’ll be back with tips 8-15 from Bill later this week. All the Best, EC
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Overuse Injuries and Knee Braces

Yesterday morning, Tony Gentilcore and I got out to the local track to do some sprinting work.  After we had wrapped up our 45-minute session, as we walked off the track, we noticed a 20-something year-old female runner on the ground banging out crunches in what we estimated were sets of 800.

What caught my eye even more than her elite training protocol  (insert sarcastic smirk here), though, was a knee brace so large that it looked like a giant octopus had devoured her leg.  Geek that I am, I started pondering things over.

Most people would say that she’s probably got an overuse injury from all the running.  I wouldn’t disagree.

To take it a step further, though I immediately started thinking about why she had a dysfunction/ imbalance that could be predisposing her to pain with all that running.

Think about what happens with a crunch: trunk flexion.

As Mike Robertson and I described in our Building the Efficient Athlete DVD set, in the process, we actually make ourselves more kyphotic (rounded over at the upper back) via a shortening of the rectus abdominus, which pulls the rib cage down toward the pelvis.  Just check out the points of attachment in the image below and you'll see what I mean:

In most cases, when we round over at the upper back, as a compensation to keep us upright, the lumbar spine tends to become more lordotic – meaning that the natural lumbar arch is exaggerated.  Go to a more lordotic position, and you’ll “trigger” an increased amount of anterior pelvic tilt (associated with shortening/tightness of the hip flexors, including the rectus femoris, psoas, iliacus, tensor fascia latae, among others).

We know that the hip flexors play a very important role in knee health; the rectus femoris actually attaches to the patella, too.   In addition to the pull these muscles have on the leg, they also tend to force one into anterior weight-bearing (already a problem in most females, thanks to evolution and high-heeled shoes).

Just imagine how great that knee would feel if she swapped the thousands of crunches for some foam rolling, lacrosse ball work, and glute activation and hip and ankle mobility drills.  Success in training (and corrective exercise) is all about the opportunity cost of your training time and effort; you just need to select the drills that give you the most bang for your buck while ironing out imbalances that help you to move more efficiently. Building the Efficient Athlete Food for thought.  Enjoy the rest of the week, everyone. EC
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Female Fitness

Seminar Stories

I wanted to start this newsletter off with a thank you to everyone who came out last weekend for the John Berardi seminar here in Boston.  Dr. Berardi put on a great show, and the feedback has been fantastic.  If you ever have the chance to see JB speak, don’t hesitate to jump at the opportunity.

Naked Nutrition

A few months ago, Mike Roussell sent me the preliminary version of his new project, The Naked Nutrition Guide.  Mike went out of his way to contact several industry notables to go over this manual with a critical eye, and this feedback – combined with Mike’s outstanding knowledge of nutritional sciences – resulted in a fantastic finished product.  There are bonus training programs from Alwyn Cosgrove, Nate Green, and Jimmy Smith. Check it out for yourself: The Naked Nutrition Guide

Female Fitness

Last week, Erik Ledin of Lean Bodies Consulting published Part I of an interview he did with me on female training.  Check it out: EL: First off, thanks for agreeing to the interview. We've known each other for a number of years now. I used to always refer to you as the "Anatomy Guy." You then became know for being "The Shoulder Guy" and have since garnered another title, "The Mobility Guy." Who is Eric Cressey? EC: Good question. As you implied, it's the nature of this industry to try to pigeonhole guys into certain professional "diagnoses." Personally, even though I specialize in athletic performance enhancement and corrective exercise, I pride myself on being pretty well-versed in a variety of areas - endocrinology, endurance training, body recomposition, nutrition, supplementation, recovery/regeneration, and a host of other facets of our industry. To some degree, I think it's a good thing to be a bit all over the place in this "biz," as it helps you to see the relationships among a host of different factors. Ultimately, I'd like to be considered a guy who is equal parts athlete, coach, and scholar/researcher. All that said, for the more "traditional answer," readers can check out my bio. EL: What are the three most underrated and underused exercises? Does it differ across gender? EC: Well, I'm not sure that the basics - squats, deadlifts, various presses, pull-ups, and rows - can ever be considered overrated or overappreciated in both a male and female population. Still, I think that single-leg exercises are tremendously beneficial, but are ignored by far too many trainers and lifters. Variations of lunges, step-ups, split squats, and single-leg RDLs play key roles in injury prevention and development of a great lower body. Specific to females, we know that we need a ton of posterior chain work and correctly performed single-leg work to counteract several biomechanical and physiological differences. Namely, we're talking about quad dominance/posterior chain weakness and an increased Q-angle. Increasing glute and hamstrings strength and optimizing frontal plane stability is crucial for resisting knock-knee tendencies and preventing ACL tears. If more women could do glute-ham raises, the world would be a much better place! EL: What common issues do you see with female trainees in terms of muscular or postural imbalances that may predispose them to some kind of injury if not corrected? How would you suggest they be corrected or prevented? EC: 1. A lack of overall lower body strength, specifically in the glutes and hamstrings; these shortcomings resolve when you get in more deadlifts, glute-ham raises, box squats, single-leg movements, etc. 2. Poor soft-tissue quality all over; this can be corrected with plenty of foam rolling and lacrosse/tennis ball work. 3. Poor core stability (as much as I hate that word); the best solution is to can all the "turn your lumbar spine into a pretzel" movements and focus on pure stability at the lower back while mobilizing the hips and thoracic spine. 4. General weakness in the upper body, specifically with respect to the postural muscles of the upper back; we'd see much fewer shoulder problems in females if they would just do a LOT more rowing. EL: You've mentioned to me in the past the issues with the ever popular Nike Shox training shoe as well as high heels in women. What's are the potential problems? EC: When you elevate the heels chronically - via certain sneakers, high-heels, or any other footwear - you lose range of motion in dorsiflexion (think toe-to-shin range of motion). When you lack mobility at a joint, your body tries to compensate by looking anywhere it can to find range of motion. In the case of restricted ankle mobility, you turn the foot outward and internally rotate your lower and upper legs to make up for the deficit. This occurs as torque is "converted" through subtalar joint pronation. As the leg rotates inward (think of the upper leg swiveling in your hip joint socket), you lose range of motion in external rotation at your hip. This is one of several reasons why females have a tendency to let their knees fall inward when they squat, lunge, deadlift, etc. And, it can relate to anterior/lateral knee pain (think of the term patellofemoral pain ... you've got restriction on things pulling on the patella, and on the things controlling the femur ... it's no wonder that they're out of whack relative to one another). And, by tightening up at the ankle and the hip, you've taken a joint (knee) that should be stable (it's just a hinge) and made it mobile/unstable. You can also get problems at the hip and lower back because ... Just as losing range of motion at the ankle messes with how your leg is aligned, losing range of motion at your hip - both in external rotation and hip extension - leads to extra range of motion at your lumbar spine (lower back). We want our lower back to be completely stable so that it can transfer force from our lower body to our upper body and vice versa; if you have a lot of range of motion at your lower back, you don't transfer force effectively, and the vertebrae themselves can get irritated. This can lead to bone problems (think stress fractures in gymnasts), nerve issues (vertebrae impinge on discs/nerve roots), or muscular troubles (basic strains). So, the take-home message is that crappy ankle mobility - as caused by high-top shoes, excessive ankle taping, poor footwear (heel lifts) - can cause any of a number of problems further up the kinetic chain. Sure, we see plantar fasciitis, Achilles tendinosis, and shin splints, but that's just the tip of the iceberg in terms of what can happen. How do we fix the problems? First, get out of the bad footwear and pick up a shoe that puts you closer in contact with the ground. Second, go barefoot more often (we do it for all our dynamic flexibility warm-ups and about 50% of the volume of our lifting sessions). Third, incorporate specific ankle (and hip) mobility drills - as featured in our Magnificent Mobility DVD. Oh, I should mention that elevating the heels in women is also problematic simply because it shifts the weight so far forward. If we're dealing with a population that needs to increase recruitment of the glutes and hamstrings, why are we throwing more stress on the quads? Stay tuned for Part II - available in our next newsletter. Have a great week, everyone! EC
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Alwyn Cosgrove: Mobility Training

This week, we've got Part 2 of the Alwyn Cosgrove fat loss interview along with a few quick announcements. Just a quick note, first: I had my first article published at Active.com just recently.  Check it out: Must-Have Weight Room Movements for Cyclists: Part 1 EricCressey.com Exclusive Interview with Alwyn Cosgrove: Part 2 Last week, Alwyn tossed out a ton of great information with respect to fat loss programming, but he's not done yet!  Without further ado, let's get to it... EC: As a mobility geek, I was intrigued when I heard you mention that you felt that corrective exercise - especially in the form of mobility and activation work - had merits with respect to utilizing compound movements to create a metabolic disturbance.  Could you elaborate? AC: If you think about the fiber recruitment potential, the answer is pretty obvious.  Even if you're using compound movements to create that metabolic disturbance, if your muscles were not activated like they should be, you still are not creating as big as a disturbance as you could. For example, squats and deadlifts will give you more bang for your buck if your glutes are active than if they aren't.  Many of the movements from your Magnificent Mobility DVD - supine bridges and birddogs, for example, with respect to the glutes - are great pairings for more of these compound lifts if you're looking to create more of a metabolic disturbances.  In the upper body, you might pair chin-ups with scap pushups, or bench presses with scapular wall slides.

And, to add on the above points, you can ignore the value of that mobility and activation work when it comes to preventing injury.  Many times, form will start to break down with some of the longer time-under-tension prescriptions in more metabolically demanding resistance training protocols.  When you get things firing the way they should, you immediately make these complexes and circuits safer.

EC: Great points.  Now, you bust my chops for being a guy that reads the research on a regular basis, but we both know that you’re as much of a “research bloodhound” as I am.  As such, I know that you’ve got some ideas on the “next big thing” when it comes to fat loss.  Where do you feel the industry will be going along these lines in the years to come?  Here’s your chance to make a bold prediction, you cocky bastard. AC: Ok – you’re putting me on the spot here. If you don’t drink water – what happens? Your body immediately tries to maintain homeostasis by retaining water – doing the opposite. Does weight training build muscle? No. It destroys muscle and the body adapts by growing new muscle. The body adapts by homeostasis – trying to regain balance by doing the opposite. If we look at aerobic training – and look at fat oxidation – we can see that fat oxidation increases at 63% V02 max. We burn fat during the activity.  How does that EXACT SAME BODY respond? Hmmmm... What cavemen survived the famine in the winters? The cavemen that stored bodyfat efficiently. We have evolved into a race of fat storing machines. We are aerobic all day. If aerobic training worked – then we wouldn’t need to work harder would we? When we work harder we see a trend – we lose fat – but is it because we are moving towards anaerobics? My prediction is that as we understand more and more about the science of losing fat (which in reality we haven’t really studied in any depth) I think we’ll find that  excessive aerobic training may retard fat loss in some way. I’ve been saying for years that I don’t think it helps much. And the studies support that. I’m now starting to feel that it may hurt. How many more studies have to come out that show NO effect of aerobic training to a fat loss program before we’ll recognize it? DISCLAIMER – I work with endurance athletes. I work with fighters. I am recovering from an autologous stem cell transplant and high dose chemotherapy. I think aerobic training is extremely helpful. But not as a fat loss tool. EC: Excellent stuff as always, Alwyn.  Thanks for taking the time. I can't say enough great things the fat loss resources Alwyn has pulled together; I would strongly encourage you all to check them out: Afterburn. All the Best, EC
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Newsletter #47

In light of the fact that I was delayed nine hours in the snow at Reagan Airport in Washington, D.C. on Sunday, this week's newsletter will be a quick one.  Fortunately, all that downtime gave me an opportunity to reflect on a few things and organize my thoughts for this newsletter!

Mid-Atlantic Strength Symposium Wrap-up

I wanted to take a moment to thank everyone who came out on Saturday for the seminar at George Mason; it was great to meet all of you. For those who couldn't make it, here's an interesting aside.  I evaluated six people at the seminar who had various aches and pains in their lower body, and of the six, four were severely lacking in ankle mobility.  Coincidence?  I think not.  Get to training more barefoot and doing more ankle mobility work while taping your ankles less and getting rid of your high-top sneakers, high-heels, and any other shoe that dramatically elevates your heels.  You'll feel like a million bucks in no time.

A Great Read

The bright side of my delay in D.C. was that I got a chance to read over Kelly Baggett's Ultimate No-Bull Speed Development Manual.  I'd glanced it over when Kelly sent it to me, but only now got the chance to give it the time it deserves.  To say that I am impressed would be an understatement; Kelly really has a knack for making the complex seem simple - and telling people how it is rather than just telling them what they want to hear. This is a fantastic product for anyone who works with athletes; I would highly recommend checking it out: The Ultimate No-Bull Speed Development Manual

New Article

For those who missed it, I had a new article published at T-Nation last week; check it out: The Ten Rules of Corrective Lifting That's all for this week.  We'll be back next week with all new content. All the Best, EC
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Golf and Unstable Surfaces

Q&A rant that deserves a newsletter of its own...

Q: I have received a golf fitness program designed specifically for my injury history.  This program came from the <Insert Noteworthy Golf Trainer’s Name Here>.  I have concerns about this program. Some of the exercises I am concerned about involve: 1. mimicking my golf swing on an unstable surface 2. performing one legged golf stance with my eyes closed 3. hollow my stomach for 30 second holds 4. upright rows Correct me if I'm wrong but your advice on various T-Nation articles and your #6 Newsletter go against these practices.  Should I look elsewhere for my golf fitness program? A: Where do I even begin?  That's simply atrocious! I've "fixed" a lot of golfers and trained some to high levels, and we've never done any of that namby-pamby junk. In a nutshell... 1. I did my Master's thesis on unstable surface training, and it will be featured in the August issue of the Journal of Strength and Conditioning Research.   Let’s just say that if the ground ever moves on YOU instead of you moving on the ground, you have bigger things to worry about than your golf conditioning; you’re in the middle of an earthquake! 2. There is considerable anecdotal evidence to support the assertion that attempting to replicate sporting tasks on unstable surfaces actually IMPAIRS the learning of the actual skill (think of competing motor learning demands).  In a technical sport like golf, this is absolutely unacceptable. 3. Eyes closed, fine - but first show me that you can be stable with your eyes open!  Most golfers are so hopelessly deconditioned that they can’t even brush their teeth on one foot (sadly, I’m not joking). 4. Abdominal hollowing is "five years ago" and has been completely debunked. Whoever wrote this program (or copied and pasted it from when they gave it to 5,000 other people) ought to read some of Stuart McGill's work - and actually start to train so that he/she gets a frame of reference. I’m sorry to say that you got ripped off.  The fact of the matter is the overwhelming majority of golfers are either too lazy to condition, or too scared that it’ll mess up their swing mechanics (might be the silliest assumption in the world of sports).  So, said “Performance Institute” (and I use the word “performance” very loosely) puts out programs that won’t intimidate the Average Joe or his 80-year-old recreational golfer grandmother.  For the record, Gram, I would never let you do this program, either (or Gramp, for that matter).  On a semi-related note, Happy 85th Birthday, Gramp! In short, I’m a firm believer in building the athlete first and the golfer later – and many golfers are so unathletic and untrained that it isn’t even funny.  Do your mobility/activation to improve your efficiency, and then apply that efficiency and stability throughout a full range of motion to a solid strength training program that develops reactive ability, rate of force development, maximal strength, and speed-strength.  Leave the unstable surface training, Body Blade frolicking, and four-exercise 3x10 band circuits for the suckers in the crowd. Yours Cynically, EC
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Great Eight Reasons for Basketball Mobility Training

The “Great Eight” Reasons for Basketball Mobility Training

By: Eric Cressey

When it really comes down to it, regardless of the sport in question, the efficient athlete will always have the potential to be the best player on the court, field, ice, or track. Ultimately, knowledge of the game and technical prowess will help to separate the mediocre from the great, but that is not to say that physical abilities do not play a tremendously influential role on one’s success. Show me an athlete who moves efficiently, and I’ll guarantee that he or she has far more physical development “upside” than his or her non-efficient counterparts.

This “upside” can simply be referred to as “trainability;” I can more rapidly increase strength, speed, agility, and muscle mass in an athlete with everything in line than I can with an athlete who has some sort of imbalance. That’s not to say that the latter athlete cannot improve, though; it’s just to say that this athlete would be wise to prioritize eliminating the inefficiencies to prevent injury and make subsequent training more effective. Unfortunately, most athletes fall into the latter group. Fortunately, though, with appropriate corrective training, these inefficiencies can be corrected, and you can take your game to an all-new level. Mobility work is one example of the corrective training you’ll need to get the job done.

What’s the Difference Between Mobility and Flexibility?

This is an important differentiation to make; very few people understand the difference – and it is a big one. Flexibility merely refers to range of motion – and, more specifically, passive range of motion as achieved by static stretching. Don’t get me wrong; static stretching has its place, but it won’t take your athleticism to the next level like mobility training will.

The main problem with pure flexibility is that it does not imply stability nor readiness for dynamic tasks – basketball included. When we move, we need to have something called “mobile-stability.” This basically means that there’s really no use in being able to get to a given range of motion if you can’t stabilize yourself in that position. Believe it or not, excessive passive flexibility without mobility (or dynamic flexibility, as it’s been called) will actually increase the risk of injury! And, even more applicable to the discussion at hand, passive flexibility just doesn’t carry over well to dynamic tasks; just because you do well on the old sit-and-reach test doesn’t mean that you’ll be prepared to dynamically pick up a loose ball and sprint down-court for an easy lay-up. Lastly, extensive research has shown that static stretching before a practice or competition will actually make you slower and weaker; I’m not joking!

Tell Me About This Mobility Stuff...

So what is mobility training? It’s a class of drills designed to take your joints through full ranges of motion in a controlled, yet dynamic context. It’s different from ballistic stretching (mini-bounces at the end of a range of motion), which is a riskier approach that is associated with muscle damage and shortening. In addition to improving efficiency of movement, mobility (dynamic flexibility) drills are a great way to warm-up for high-intensity exercise like basketball. Light jogging and then static stretching are things of the past!

My colleague Mike Robertson and I created a DVD known as Magnificent Mobility to address this pressing need among a wide variety of athletes – basketball players included. We’ve already received hundreds of emails from athletes and ordinary weekend warriors claiming improved performance, enhanced feeling of well-being, and resolution of chronic injuries after performing the drills outlined in the DVD. I think it’s safe to say that they like what we’re recommending! In case that feedback isn’t enough, here are seven reasons why basketball players need mobility.

Reason #1: Mobility training makes your resistance training sessions more productive by allowing you to train through a full range of motion.

We all know that lifting weights improves athletes’ performance and reduces their risk of injury. However, very few people realize the importance of being able to lift through a full range of motion. Training through a full range of motion will carry over to all partial ranges of motion, but training in a partial range of motion won’t carry over to full ranges of motion.

For example, let’s assume Athlete A does ¼ squats. He’ll only get stronger in the top ¼ of the movement, and his performance will really only be improved in that range of motion when he’s on the court.

Now, Athlete B steps up to the barbell and does squats through a full range of motion; his butt is all the way down by his ankles. Athlete B is going to get stronger through the entire range of motion – including the top portion, like Athlete A, but with a whole lot more. It goes without saying that Athlete B will be stronger than Athlete A when the time comes to “play low.”

Also worthy of note is that lifting weights through a full range of motion will stimulate more muscle fibers than partial repetitions, thus increasing your potential for muscle mass gains. If you’re a post-player who is looking to beef up, you’d be crazy to not do full reps – and mobility training will help you improve the range of motion on each rep.

Reason #2: Mobility training corrects posture and teaches your body to get range of motion in the right places.

If you watch some of the best shooters of all time, you’ll notice that they always seem to be in the perfect position to catch the ball as they come off a screen to get off a jump shot. Great modern examples of this optimal body alignment are Ray Allen and Reggie Miller; their shoulders are back, chest is out, eyes are up, and hands are ready. The catch and shot is one smooth, seemingly effortless movement.

By contrast, if you look at players with rounded shoulders, they lack the mobility to get to this ideal position as they pop off the screen. After they receive the ball, they need to reposition themselves with thoracic extension (“straightening up”) just so that they can get into their shooting position. This momentary lapse is huge at levels where the game is played at a rapid pace; it literally is the difference between getting a shot off and having to pass on the shot or, worse yet, having it swatted away by a defender. These athletes need more mobility in the upper body.

As another example, one problem we often see in our athletes is excessive range-of-motion at the lumbar spine to compensate for a lack of range of motion at the hips. Ideally, we want a stable spine and mobile hips to keep our lower backs healthy and let the more powerful hip-joint muscles do the work. If we can’t get that range of motion at our hips, our backs suffer the consequences. Believe it or not, I’ve actually heard estimates that as much as 60% of the players in the NBA have degenerative disc disease. While there are likely many reasons (unforgiving court surface, awkward lumbar hyperextension patterns when rebounding, etc.) for this exorbitant number, a lack of hip mobility is certainly one of them. Get mobility at your hips, and you’ll protect that lower back!

Reason #3: Mobility training reduces our risk of injury.

It’s not uncommon at all to see athletes get injured when they’re out of position and can’t manage to right themselves. If we get range of motion in the right spots, we’re less likely to be out of position, so we won’t have to hastily compensate with a movement that could lead to an ankle sprain or ACL tear.

As an interesting add-on, one study found that a softball team performing a dynamic flexibility routine before practices and competition had significantly fewer injuries than a team that did static stretching before its games (1).

Reason #4: Mobility training will increase range of motion without reducing your speed, agility, strength in the short-term.

Believe it or not, research has demonstrated that if you static stretch right before you exercise, it’ll actually make you weaker and slower. I know it flies in the face of conventional warm-up wisdom, but it’s the truth!

Fortunately, dynamic flexibility/mobility training has come to the rescue. Research has shown that compared with a static stretching program, these drills can improve your sprinting speed (2), agility (3), vertical jump (3-6), and dynamic range of motion (1) while reducing your risk of injury. Pretty cool stuff, huh?

Reason #5: Mobility training teaches you to “play low.”

All athletes want to know how to become more stable, but few understand how to do so. One needs to understand that our stability is always changing, as it’s subject to several environmental and physical factors. These factors include:

1. Body Mass – A heavier athlete will always be more stable. Sumo wrestling…need I say more?

2. Friction with the contact surface – The more friction we can generate (as with appropriate footwear) with the contact surface, the better our stability. Compare a basketball court (plenty of friction) to the ice in a hockey rink (very little friction), and you’ll see what I mean. This also explains why athletes wear cleats and track spikes.

3. Size of the base of support (BOS): In athletics, the BOS is generally the positioning of the feet. The wider the stance, the more stability we are. Again, think sumo wrestling.

4. The horizontal positioning of the center of gravity (COG) – For maximum stability, the COG should be on the edge of the BOS at which an external force is acting. In other words, if an opponent is about to push you at your right side, you’ll want to lean to the right in anticipation in order to maintain your stability after contact.

5. Vertical positioning of the COG: The lower the COG, the more stable the object. You’ll often hear sportscasters talk about Allen Iverson being unstoppable because of his “low center of gravity” or because he “plays low.”

From a training standpoint, we can’t do much for #1, #2, or #4. However, mobility training alone can dramatically impact how well an athlete handles #3 and #5. The better our mobility, the easier it is for us to get wider and get lower. The wider and lower we can get when we need to do so, the better we can maintain our center of gravity within our base of support. Neuromuscular factors – collecting providing for our balancing proficiency – such as muscular strength and kinesthetic awareness play into this as well, and the ultimate result is our stability (or lack thereof) in a given situation.

Reason #6: Mobility training can actually make you taller…Really!

I’ve worked with a lot of basketball players, and I can honestly say that not a single one of them has ever told me that he wants to be shorter. And, I can assure you that the coaches and scouts would take a guy who is 7-0 over a 6-11 prospect any day.

So what does that have to do with our mobility discussion? Well, imagine an athlete who is very tight in his flexors; his hips will actually be slightly flexed in the standing position, as the pelvis will be anteriorly tilted (top of the hip bone is tipping forward). Likewise, if an athlete has tightness in his lats (among other smaller muscles), he’ll be unable to fully reach overhead. These two limitations can literally make an athlete two inches shorter in a static overhead reach assessment.

Just as importantly, such an athlete is going to “play smaller,” too. He won’t jump as high because he can’t get full hip extension and won’t be able to optimally make use of the powerful gluteal muscles. And, his reach will be limited by his inability to get the arms up fully. Together, these factors could knock two inches off his vertical jump and prevent him from making a game-saving block. It really is a game of inches.

Need further proof? I’ve seen several athletes instantly add as much as two inches on their vertical jump just from stretching out the hip flexors and lats before they test. This is an acute change in muscle length, though; mobility training will enable you to attain these ranges of motion all the time.

Reason #7: Mobility and “activation” training teach certain “dormant” muscles to turn on.

In our daily lives and on the basketball court, it’s inevitable that we get stuck in certain repetitive movement patterns – things we do every day, several times a day. With these constant patterns, certain muscles will just “shut down” because they aren’t being used. Two good examples would be the glutes (your butt muscles) and the scapular retractors (the muscles that pull your shoulder blades together). As a result, these shutdowns lead to faulty hip positioning and rounded shoulders, respectively (and a host of other problems, but we won’t get into that).

To correct these problems, we need what is known as activation work. These drills teach dormant muscles to fire at the right times to complement the mobility drills and get you moving efficiently. Mike and I went to great lengths in Magnificent Mobility to not only outline mobility drills, but also activation movements and movements that incorporate components of both.

Reason #8: Having mobility feels good!

Think about it: what’s the first thing an athlete wants to do after a good stretching session? Go run and jump around! Now, just imagine having that more limber feeling all the time; that’s exactly what mobility training can do for you.

Closing Thoughts

Knowledge of the game and technical prowess will take an athlete far in the game of basketball, but it takes an efficient body to build the physical qualities that will take that same athlete to greatness. Without adequate mobility, an athlete will never even reach the efficient stage – much less the next level.

For more information on mobility training, check out MagnificentMobility.com

References

1. Mann, DP, Jones, MT. Guidelines to the implementation of a dynamic stretching program. Strength Cond J. 1999;21(6):53-55.

2. Nelson AG, Kokkonen J, Arnall DA. Acute muscle stretching inhibits muscle strength endurance performance. J Strength Cond Res. 2005 May;19(2):338-43

3. Kurz, T. Science of Sports Training. Stadion, 2001.

4. Young WB, Behm DG. Effects of running, static stretching and practice jumps on explosive force production and jumping performance. J Sports Med Phys Fitness. 2003 Mar;43(1):21-7.

5. Thompson, A, Kackley, T, Palumbo, M, Faigenbaum, A. Acute effects of different warm-up protocols on jumping performance in female athletes. 2004 New England ACSM Fall Conference. 10 Nov 2004.

6. Colleran, EG, McCarthy, RD, Milliken, LA. The effects of a dynamic warm-up vs. traditional warm-up on vertical jump and modified t-test performance. 2003 New England ACSM Fall Conference. 11 Nov 2003.

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