In light of the overwhelming popularity of a recent guest blog on the topic of sports nutrition and healthy food options, I wanted to keep the ball rolling with some regular nutrition content. This week, Brian St. Pierre kicks off a three-part series on everything you want to know about dairy. Enjoy! -EC
Dairy: perhaps the most controversial food in history.
While some people would argue that we shouldn’t consume dairy at all, others recommend getting at least three servings per day. There is fat-free, 1%, 2%, whole, cream, butter, and more. There is also the pasteurization, ultra-pasteurized and raw debate. Who is right? What fat content is the best? Should you eat raw dairy?
Let’s find out.
The History of Dairy Consumption
The fact of the matter is that humans have been consuming dairy in one form or another for 10,000 years. Many cultures (e.g., people of the Lotchenstal Valley, the Masai, Mongolians) have subsisted on tremendous amounts of dairy without any problems often associated with it. The difference is that traditional dairy was from cows that ate grass, got exercise, breathed fresh air, and enjoyed the sunshine. Their quality of life – and therefore quality of milk – was excellent.
Fast forward to today and things have changed. Milk demand has increased greatly in the last hundred years, and so the industry responded. Cows moved off family farms and onto Concentrated Animal Feeding Operations (CAFO), which are essentially huge conglomerate farms where they:
a) are fed tons of corn,
b) stand in their own waste
c) are given antiobiotics to prevent the illnesses from that corn consumption and the unsanitary living conditions
d) are given copious amounts of growth hormones to speed their growth and increase their milk production.
Appetizing, I know.
Traditionally, cows were allowed a seasonal reproductive cycle and were milked for only six weeks after giving birth. Today, conventional dairy farmers inseminate cows only a few months after giving birth, which can compromise the immune system and decrease milk quality. What’s worse, it will also cause a huge increase in estrogens in the milk.
These estrogens can fuel the growth of several tumors and are linked to prostate, breast and ovarian cancer. Cows allowed to graze on grass and have seasonal reproductive cycles have significantly less estrogens in their milk, at levels that are not thought to be problematic.
Below is a table to give you a little perspective on the changes in the lives of milking cows brought about by the move off the family farm and onto the CAFOs.
Why Grass-Feeding Rules
While we have certainly made cows more efficient milk-producing machines – going from 336 lbs to 20,000 lbs of milk produced per year – this has had a tremendously negative impact on milk quality. Milk produced in this manner is not what I would consider a healthy food option, and I am definitely not a big fan of this conventional dairy due to the poor production, poor quality, high estrogen content, and loss of important fatty acids and fat-soluble vitamins. Fortunately, dairy from pasture-raised grass-fed cows is an entirely different animal.
Since these cows are actually allowed to eat what they were designed to eat, their milk quality is vastly superior – containing more actual nutrition like increased levels of vitamin A, vitamin K (in the more powerful form of K2), omega-3s, and CLA. In fact, grass-fed cows have been found to contain up to 500% more CLA than their conventionally fed brethren!
In addition to grass-fed dairy being far superior to conventional grain-fed dairy, full-fat dairy is also superior to low-fat or fat-free, contrary to popular belief or recommendations – but we will get to that in Part 2!
About the Author
Brian St. Pierre is a Certified Sports Nutritionist (CISSN) and a Certified Strength and Conditioning Specialist (CSCS). He received his degree in Food Science and Human Nutrition with a focus in Human Nutrition and Dietetics from the University of Maine, and he is currently pursuing his Master's degree in Human Nutrition and Dietetics from the same institution. He was the Nutritionist and a Strength and Conditioning Coach at Cressey Performance in Hudson, MA for three years. He is also the author of the Show and Go Nutrition Guide, the accompanying nutrition manual to Eric Cressey’s Show and Go Training System.
With his passion for seeing his clients succeed, Brian is able to use his knowledge, experience, and energy to create highly effective training and nutrition programs for clients of any age and background. For more information, check out his website.
References
Malekinejad H, Scherpenisse P, Bergwerff A. Naturally Occurring Estrogens in Processed Milk and in Raw Milk (from Gestated Cows). J. Agric. Food Chem., 2006, 54 (26), pp 9785–9791
Qin LQ, et al. Estrogen: one of the risk factors in milk for prostate cancer. Med Hypotheses. 2004;62(1):133-42.
Ganmaa D, Sato A. The possible role of female sex hormones in milk from pregnant cows in the development of breast, ovarian and corpus uteri cancers. Med Hypotheses. 2005;65(6):1028-37.
Dhiman TR, Anand GR, et al. Conjugated linoleic acid content of milk from cows fed different diets. J Dairy Sci. 1999;82(10):2146-56.
Over the weekend, I attended my third Postural Restoration Institute seminar, Impingement and Instability. I’ve written previously about how this school of thought has profoundly impacted the way that we handle many of our athletes – and this past weekend was certainly no exception. This weekend was also my first chance to meet and learn directly from Ron Hruska, the man initially responsible for bringing many of these great ideas to light.
While I am admittedly still processing all the awesome information from the weekend, I wanted to write today about one big “Ah-Ha” moment for me over the weekend. At some point on Day 2, Ron said something to the effect of (paraphrased):
“A superior acetabulum isn’t much different than an acromion on a scapula.”
My jaw practically hit the floor. I joked with the seminar organizer that I needed to go into the restroom to yell at myself for a few minutes for not thinking of this sooner. Let me explain…
Over the past few years, there has been a huge rise in hip injuries in athletes (I'd even written about it HERE in response to a New York Times article about number of hip injuries in baseball). Sports hernias, labral tears, and femoroacetabular impingement (FAI) are commonplace findings on the health histories that I see every day on first-time evaluations. In terms of FAI, you can have bony overgrowth of the femoral head (cam), acetabulum (pincer), or both (mixed), as the graphic from Lavigne et al. below demonstrates:
Many folks say that we’re getting better diagnostically and that’s why the prevalence has increased in recent years. Let’s be real, though, folks: if we’d had hip pain and dysfunction on this level for decades, don’t you think anecdotal evidence would have at least tipped us off? I find it hard that generations of athletes would have just rubbed some dirt on a painful hip, cowboyed up, and put up with it.
Consider those over the age of 60, though. Sher et al. reported that a whopping 54% of asymptomatic shoulders in this population have rotator cuff tears; that doesn’t even include those who actually have pain! Why does this happen? They impinge over and over again on the undersurfaced of the acromion process secondary to poor thoracic positioning, scapular stabilization, breathing patterns, and rotator cuff function. The end result is reactive changes on the acromion process that lay down more and more bone as the years go on. And, an anteriorly tilted scapula kicks that impingement up a notch. The “early” cuff irritation likely comes in those with Type 3 (beak-shaped) acromions, whereas the Type 1 (flat) and Type 2 (hook) acromions need time to lay down more and more bone for their anterior tilt to bring them to threshold.
Conversely, consider femoroacetabular impingement of the hip. You can get bony overgrowth of the acetabulum, femoral head, or both. It’s widely debated whether those with FAI are born with it, or whether it becomes part of normal development in some kids. Well, I guess it would depend on whether you consider playing one sport to excess year-round “normal.”
You know what? I’d estimate that over 90% of the femoroacetabular impingement cases I’ve seen have come in hockey, soccer, and baseball players. What do these sports have in common? They all live in anterior pelvic tilt – with hockey being the absolute worst. Is it any surprise that the incidence of FAI and associated hip issues has increased dramatically since the AAU generation rolled in and kids played the same sport all 12 months of the year?
Conversely, I’ve never seen a case of FAI in a field hockey player. Additionally, when I just asked my wife (who rowed competitively in college) if she ever saw any hip issues in her teammates in years of rowing, she joked that there weren’t any until they added distance running to their training. Field hockey players and rowers live in flexion (probably one reason why they have far more disc issues). And, taking it a step further, I’ve never seen an athlete with FAI whose symptoms didn’t improve by getting into a bit more posterior pelvic tilt.
Finally, a 2009 study by Allen et al. demonstrated that in 78% of cases of cam impingement symptoms in one hip, the cam-type femoroacetabular impingement was bilateral (they also found pincer-type FAI on the opposite side in 42% of cases). If this was just some “chance” occurrence, I find it hard to believe that it would occur bilaterally in such a high percentage of cases. Excessive anterior pelvic tilt (sagittal plane) would be, in my eyes, what seems to bring it about the most quickly, and problems in the frontal and transverse planes are likely to blame for why one side presents with symptoms before the other.
People have tried to blame the increased incidence of hip injuries on resistance training. My personal opinion is that you can’t blame resistance training for the incidence, but rather the rate at which these issues reach threshold. Quality resistance training could certainly provide the variety necessary to prevent these reactive changes from occurring at a young age, or by creating a more ideal pelvic alignment to avoid a FAI hip from reaching threshold.
Conversely, a “clean-squat-bench” program is a recipe for living in anterior tilt – and squatting someone with a FAI is like overhead pressing someone with a full-thickness cuff tear; things get ugly quickly.
Honestly, this probably isn’t revolutionary for folks out there – particularly in the medical field – who have watched the prevalence of femoroacetabular impingement rise exponentially in recent years, but Ron made a great point to reaffirm a thought I’d been having for years and strengthened the argument. And, more important than the simple “Ah-Ha” that comes with this perspective is the realization that an entire generation of young athletes have been so mismanaged that we’ve actually created a new classification of developmental problems and pathologies: femoroacetabular impingement, labral tears, and sports hernias.
Thanks, Ron, for getting me thinking!
For more information on appropriately managing kids during these critical development time periods, check out the International Youth Conditioning Association’s High School Strength and Conditioning Certification, which I helped to write.
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Here's a list of recommended strength and conditioning reading for the week:
Strength Training Programs: The Higher Up You Go, the More Hot Air You Encounter - This is a reincarnation of an old post of mine that seemed fitting in light of a conversation I had with someone last week.
Metabolic Flexibility - This was a very well researched piece from Mike Nelson that I enjoyed reading.
Intimidate the Weight - More people need to get fired up about life in general, but especially lifting weights. My business partner, Tony, elaborates here.
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I was reading a book Sunday afternoon, and this sentence really caught my attention:
“Small hinges swing big doors.”
Certainly, this is wildly applicable to just about every aspect of life, but particularly to strength and conditioning programs and nutritional approaches.
All too often, folks think that they need to overhaul what they’re doing because they’re stuck in a rut. They switch from traditional sets and reps to high-intensity training, go on some fad diet, drop $200 at the supplement store on herbs they can’t pronounce, and buy a pair of “toning” shoes. In short, instead of using the small hinge, they kick down the damn door. The end results?
1. a thinner wallet (always)
2. continued poor results (almost always)
3. positive results (rarely), but with no idea which of the changes led to these outcomes
The longer I’m at it, the more I realize that long-term success in strength and conditioning programs is all about understanding how to change the hinges: finding the little things that make the big difference. Maybe it’s a reduction in training volume or intensity to keep someone from burning out, or switching to a reverse lunge instead of a forward lunge to avoid knee pain.
Case in point, John Romaniello and Matt McGorry recently sent me an advanced copy of their new Superhero Program, so we decided that we’d make it the staff lift at Cressey Performnace, as it looks really solid. Plus, we’re super busy at CP right now, so it’s nice to be able to “outsource” our own training for the time being. We aren’t overhauling our diets or supplementation regimens, nor are we introducing a ton of new exercises; in fact, most of the exercises in the program are ones we do on a regular basis at CP (although many will be novel to others).
The program is, however, changing some of the hinges on our doors, particularly in the context of challenging set/rep/tempo protocols and novel fluctuation of training stress from phase-to-phase. The only things that changed were, in fact, written on a piece of paper – but they got big doors in motion.
There was great energy in the facility today because the guys were excited to try something new. And, there was more camaraderie among our staff because guys were coaching each other through things and shouting encouragement as we were all “feeling out” the new program.
And, judging from the soreness that’s slowly setting in as I write this roughly 10 hours after the first training session of the program, it’s going to be a fun, challenging, and productive few months on a great program. No overhaul needed – because small hinges swing big doors.
The next time you find yourself looking to shuffle things up, remember that unless you’re a true beginner doing everything incorrectly, you usually don’t need to change a lot. Rather, you pick and choose your modifications – or look to a resource like the Superhero program that has the important components in place, but perhaps in a light you hadn’t considered them before.
Click here for more information on Romaniello and McGorry’s Superhero e-book.
*For the record, I’ve never read a comic book, nor do I have any interest in Superhero movies. Roman and McGorry are geeks, but the program's sound.
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I haven't published much strength and conditioning randomness of late, so here goes.
1. Here's a research study that demonstrates relationships among a variety of scheduling and recovery factors and injury rates. The part I found most interesting was that researchers observed that sleeping fewer than six hours the night prior to a competition led to a significant increase in fatigue related injuries.
Additionally, while it wasn't specifically observed in the study, my anecdotal observations are that kids who play 14 games in a weekend are more likely to hate their sports, have too many insignificant trophies, and live in their parents' basement until age 35 because they have a weird sense of entitlement and absolutely no idea how to interact on a social level with anyone who isn't on their AAU teams.
2. Speaking of young athletes, interval training works better for them, too. There's absolutely no reason for a young soccer player to be running miles and miles at a steady-state. Kids need to get strong and learn to run fast before they try to run fast for a long time. Interval training is a nice "bridge" between the two when applied correctly during the off-season period.
3. Here's an excellent study with a biomechanical analysis of the hex/trap bar deadlift technique as compared to the conventional deadlift technique. It backs up a lot of the comments I made last month with my deadlift series from last month, which you can find at the following links:
How to Deadlift: Which Variation is Right for You? - Part 1 (Conventional Deadlift)
How to Deadlift: Which Variation is Right for You? - Part 2 (Sumo Deadlift)How to Deadlift: Which Variation is Right for You? - Part 3 (Trap Bar Deadlift)
4. Here's an interesting article in Radiology Today about the use of MRI in college athletes as a pre-screening tool - and potentially even an aid in optimizing strength and conditioning programs.
Because a lot of the observations on MRI may be "subclinical" (meaning they are findings that occur without the presence of symptoms), there may be merit (albeit at a big cost) to using screens like this as part of an initial (or on the fly) evaluation of an athlete to dictate a training or "prehab" program. For instance, observing a subclinical patellar tendinopathy may mean you do more soft tissue work around the knee and more heavily emphasize glute activation and minimize quad dominant squatting (among other things) to keep that tendon from reaching a symptomatic threshold.
There are, of course, some significant drawbacks. For starters, MRIs are expensive and time consuming, so not everyone could get them. How do you decide who deserves it - especially in the era of Title IX?
Second, you're assuming that strength and conditioning coaches are qualified and capable to organize programs around what's found on a radiology report. Generally speaking, there isn't a ton of individualization in collegiate strength and conditioning because coaches have so many athletes assigned to them and it isn't feasible. It makes me wonder if you could prevent more injuries if you simply hired 3-4 more strength and conditioning coaches for what it would cost you to get an extra radiologist and imaging technician.
Third, and perhaps most importantly, there are a lot of "false positives" on MRI. I've written about this quite in the past and covered it in our Optimal Shoulder Performance DVD set, but you are headed down a very slippery slope when you start treating the image rather than the athlete. In other words, how one moves and feels is far more important than how one's MRI looks. I can guarantee you that the overwhelming majority of my overhead throwing athletes have labral fraying, partial thickness supraspinatus tears, and a host of other "normal" findings for this population. If I immediately contraindicated a ton of exercises in my program because I knew this, I'd likely be setting them back with regressions in their programming when they actually needed progressions.
What are your thoughts on this final issue? If you had the resources, would you MRI every athlete in a college athletic program? How would you pick which region to MRI?
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Earlier this week, I received an email from a reader who was wondering whether deadlifts executed in perfect technique could be all one needs for correcting “bad posture.” It got me to thinking about just how ideal the deadlift really is. Working from the ground up: 1.You’re teaching folks to keep their weight back on their heels, and (ideally) executing the lift in minimalist or no footwear – thereby increasing dorsiflexion range-of-motion. 2. You increase stiffness in the hamstrings and glutes, which extend the hip and posteriorly tilt the pelvis.
3. You get a great co-contraction of all the muscles of the core to effectively handle all shear and compressive forces on the spine. In the process, you lock the rib cage to the pelvis and establish a solid zone of apposition (learn more here) for the diaphragm to function optimally. 4. You establish stiffness in the thoracic erectors, thereby minimizing a thoracic kyphosis. As I noted a few weeks ago, stiffness can be a great thing. 5. You pull the scapulae into retraction and depression, thereby increasing stiffness in the lower trapezius. 6. You pack the neck, ingraining the ideal cervical posture.
It’s no surprise that the deadlift is an outstanding strength exercise when it comes to correcting bad posture. However, is it enough? I don’t think so. Why? Well, first, you have to remember that postural considerations must be multiplanar. Just because we’re moving in the right direction in a bilateral, sagittal plane motion doesn’t mean that we’re ironing out issues in the frontal and transverse planes. Is there adequate control of femoral internal rotation and adduction by the hip external rotators/abductors? Do you see a big rib flair on the left side and a low shoulder on the right? Does an individual have adequate thoracic rotation to match up with the thoracic extension that’s been improved?
We really never work in a single plane during functional activities; life is a combination of many movements. Bad posture – to me at least – isn’t just characterized by how someone stands in the anatomical position, but how he or she is gets into specific positions. In other words, “posture” isn’t much different than “mobility.” Very simply, these terms imply stability within a given range-of-motion. Second, consider the law of repetitive motion, where “I” is injury to the tissues, “N” is the number of repetitions, “F” is the force of each repetition as a percentage of maximal strength, “A” is the amplitude (range of motion) of each repetition, and “R” is rest. To reduce injury to tissues (which negative postural adaptations can be considered), you have to work on each of the five factors in this equation.
You perform soft tissue work – whether it’s foam rolling or targeted manual therapy – on the excessively short or stiff tissues (I). You reduce the number of repetitions (length of time in poor posture: R), and in certain cases, you may work to strengthen an injured tissue (reduce F). You incorporate mobility drills (increase A) and avoid bad postures (increase R). Deadlifts certainly work in some of these capacities, but to say that they alone are enough overlooks the fact that adequate “abstinence” from poor postures is essential to making things work. To easily appreciate this, just ask: “Which is easier to address, an anterior pelvic tilt or a thoracic kyphosis?” The answer is unquestionably “thoracic kyphosis.” Why? It’s a lot easier to adjust your upper extremity posture than it to change the way your pelvis is positioned during weight-bearing. Every step re-ingrains faulty posture and “cancels out” your deadlifts unless you’re really careful. At the end of the day, deadlifts are arguably the single-most effective out there for correcting bad posture. However, in isolation, they simply aren’t enough, as you need everything from multiplanar mobilizations and strength exercises, to manual therapy, to breathing drills in combination with avoidance of bad posture during your daily life. These additions take “effective” and make it “optimal.”
When we first got him, my wife and I didn't allow him to come upstairs, as we wanted him to gradually adjust to the downstairs of our house and slowly introduce him to more space. Accordingly, to him, upstairs became the "great beyond," a place where unicorns played and milkbones rained down from the heavens. He would try like crazy to get up there when we took our eyes off him.
Then, one weekend in January of 2011, my wife and I were out of town to visit friends in Florida, so one of my minor leaguers and his wife watched Tank and the house. With us gone, he barked and cried at night - so they let him come upstairs to sleep with them in their bed. When we returned home, there was no turning back; he now sleeps in our bed - a change that he's made very clear is for good.
What's more interesting, though, is the fact that he's still infatuated with the upstairs portion of the house. He'll go up and take naps on the bed when my wife and I are downstairs, and if either of us goes upstairs to grab something, he'll race up after us to ensure that he doesn't miss a unicorn sighting or the opportunity to score a treat. Meanwhile, all the cool stuff - food, treats, his toys, cool scents of other people, stuff to chew, things to pee on, space to run around (including the door to the back yard) - are all still downstairs. If I was a dog, upstairs would be pretty boring - and the downstairs would be "where it's at." Puzzling, huh?
In case you couldn't tell from the title of this piece, there is a strength and conditioning parallel to this story. A lot of lifters start with the basics (the downstairs) and make great progress - only to abandon the "staple" strength exercises in favor of something new, unproven, and gimmicky (the upstairs). Then, even when they realize that the flavor-of-the-week stuff isn't all that it's cracked up to be, they don't go back to what worked in the first place. Why? They've convinced themselves that novelty is more important than efficacy, and that it's easier to do the fun new stuff than it is to get good with the basics. It's the kind of logic that makes me wonder if a lot of people eat paint chips.
The question, of course, becomes "How can we 'sell' the basics to a beginner who appreciates variety and novelty?" My response would simply be that variety and novelty can be synonymous with progression. I'll give you an example.
On the first day at Cressey Sports Performance, just about every new client learns the trap bar deadlift (assuming no injury that would contraindicate the exercise). As I outlined previously, it's an entry-level teaching progression that best allows lifters to grasp the concepts of hip hinging, vertical shin, neutral spine, and optimal hip extension patterning in spite of their mobility restrictions. It's the basic arithmetic before we get to calculus.
Once they've sufficiently learned the lift and progressed in the weight they've lifted, we can transition them to other deadlift variations, including sumo deadlifts, rack pulls, and trap bar with chains. Then, eventually, they may graduate to conventional and snatch grip deadlift technique. This set of progressions and regressions are combined with other strength training program variables - sets and reps, training frequency, exercise pairings, and the like - to give them the novelty they need - but without compromising the training effect.
I've seen football strength coaches who use the squat, bench press, and clean as their primary lifts for years on end. Do kids get stronger? Absolutely. Do they get bored as hell and absolutely disinterested in their less-than-optimal training programs? Absolutely. And, do they miss out on the rich proprioceptive environment that all young athletes should have? Absolutely.
So, there is a balance that must be discovered. On one hand, you need to stick to the basics so as to not compromise the training effect. On the other hand, you need to implement variety so as to not bore folks to death. The solution is to use variations of the basics.
To that end, at CSP, we change the strength training program every four weeks to modify exercise selection, regardless of a trainee's age and experience level. In our eyes, it provides the best balance of the basics and the novelty to keep folks motivated and progressing in their strength and conditioning programs.
Today marks the third and final installment of this series on which deadlift variation is right for you. Part 1 focused on the Conventional Deadlift, while Part 2 covered the Sumo Deadlift. Today, we'll talk about another fantastic option: the Trap (or Hex) Bar Deadlift.
At Cressey Performance, we use the trap bar for all our initial deadlift technique instruction with new clients, as it tends to be a very safe option for just about everyone.
Because the handles are to the sides (instead of in front) of the lifter, it doesn't take as much hip and ankle mobility to get down to the bar. Most trap bars also come with two handle settings - one of which is a little bit higher so that those with limited mobility can still get down to deadlift with a neutral spine. So, it saves you the time and annoyance of having to put the plates on top of some sort of riser to elevate the bar.
Additionally, because the lifter is positioned "inside" the bar, the load is horizontally closer to with his center of gravity (COG), whereas the resistance is usually more anterior to that COG on a conventional or sumo deadlift. Note the white line in this photo that depicts the position of the load relative to the hip - and imagine how it would be a few inches further to the left in a conventional or sumo deadlift.
As a result, there is less shear stress on the spine and presumably more compressive stress. Our spines generally handle compression much better than shear, so this simple repositioning of the resistance closer to the axis of rotation (hips) can dramatically improve "comfort" during deadlifts in those with a history of back pain (or those who are looking to avoid it). You'll often see lifters who try to go right back to conventional deadlifting after lower back pain and wind up with recurring symptoms. They'd be much better of transitioning with some trap bar deadlifts to "test the waters."
The only problems I see with trap bar deadlifts are pretty subtle ones - and both have to do with the fact that the bar really never comes in contact with the legs on the way up or down. As a result, there is a tendency is novice lifters to try to squat the weight up and down - and this is not what should be taking place; it's a deadlift - which means "hips forward, hips back." This first common problem can be quickly corrected by simply teaching the movement correctly with a good hip hinge.
The second concern would be those in significant posterior pelvic tilt who have lost the lordotic curve of the lumbar spine. When one gets to lockout on a conventional or sumo deadlift, we cue them to activate the glutes and "hump the bar" to complete the movement. In those with posterior pelvic tilt, that same movement to finish hip extension without the presence of a bar to stop them will often lead to them going into full posterior pelvic tilt and lumbar flexion under load in the upright position. In other words, the hips come through too far. This is another problem that can be easily fixed with cueing on when the hip extension should end, and what the upright position should look and feel like.
A lot of those reading this piece may not have access to a trap bar for performing this strength exercise, but to be honest, I can say without wavering that for most people, it's well worth purchasing. You can pick one up HERE through Perform Better for just $144.95 plus shipping. And, this bar is actually surprising versatile addition to a strength and conditioning program relative to what people think; you can do deadlifts with it, but also farmer's walks, overhead presses, and (if it's your thing) shrugs.
To see how all the deadlift variations fit into a comprehensive strength and conditioning program, check out The High Performance Handbook.
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In the first installment of this series, I talked about the conventional deadlift and how it's the most advanced progression in the "deadlift spectrum" for most folks. Today, our focus will be another great strength exercise: the sumo deadlift.
I like the sumo deadlift quite a bit for those who aren't quite mobile enough to get all the way down to the bar for conventional deadlifts from the floor. It's also grown in popularity among powerlifters over the years because it shortens the distance the bar has to travel and also (as a general rule of thumb) allows lifters to get more out of their deadlift (or squat) suits when pulling. I find that it's particularly common among the guys who are built to squat and bench press because of shorter arms and legs but longer torsos because they don't have to get down so low (via hip flexion and dorsiflexion) to grasp the bar.
By bringing the feet a bit wider (abducting the hips) and turning the toes out a bit (externally rotating the hips), a lot of folks can get to "depth" much easier and ensure that they can pull with a neutral spine. This is probably one reason why those with more retroverted hips inevitably resort to sumo deadlifts after failing miserably with trying to pull conventional-style; they're just more comfortable with the hips externally rotated a bit. So, if you're someone who always walks with the toes pointed out, there's a good chance that sumo deadlifts are going to be safer for you than conventional pulling.
That said, when discussing sumo deadlifts, I have just two concerns.
First, I think that they need to be cycled in and out of one's strength and conditioning program relatively frequently, especially if you use an ultra-wide stance. Deadlifting sumo-style for more than eight weeks straight is a recipe for hip irritation - especially if you're someone who is doing a fair amount of squatting in the same strength training programs. It's one reason why I prefer a more "moderate" stance width for sumo deadlifts.
Second, the biggest sumo deadlift technique mistake I see is lifters trying to squat the weight up and down. When the hips start too low - and then the hips and knees extend at the same rate - the knees aren't extended enough when the bar gets to them. The only way that the bar can continue its upward path is to either go around the shins (which is accomplished by rounding the back to move the bar away from the body) or get dragged along the shins. If your back hurts or you have blood all over the bar and scabs on your shins, you're probably doing something wrong.
If conventional-style is the most advanced variation of the deadlift out there, sumo deadlifts are likely the first "regression" down, as they allow you to perform the exercise with less hip and ankle mobility, and they also ensure that the bar is starting a bit closer to the primary axis of rotation (the hips), as the femur is flexed and abducted and not just flexed.
Our next installment - the trap bar deadlift - will wrap this series up. In the meantime, in case you missed it, enter your name and email below to receive a free 9-minute deadlift technique video.
It’s no secret that I’m a big fan of the deadlift.
It’s a great strength exercise for the posterior chain with excellent carryover to real life – whether we’re talking about athletics or picking up bags of groceries.
It’s among the best muscle mass builders of all time because it involves a ton of muscle in the posterior chain, upper back, and forearms.
It’s a tremendous corrective exercise; I’m not sure that I have an exercise I like more for correcting bad posture, as this one movement can provide the stiffness needed to minimize anterior pelvic tilt and thoracic kyphosis.
These benefits, of course, are contingent on the fact that one can perform the deadlift correctly to make it safe. And, sadly, the frequency of what I’d consider “safe” deadlifts has diminished greatly as our generation has spent more and more time a) at computers, b) in high-top sneakers with big heel lifts, and c) watering down beginner fitness programs so much that people aren’t taught to deadlift (or do any valuable, compound exercises) when starting a strength training program.
To me, there are two ways to make things “safe.” The first is to teach correct deadlift technique, which I already did with a 9-minute video that is free to anyone who subscribes to my newsletter (if you missed it, you can just opt-in to view it HERE). This video troubleshoots three common variations of the deadlift: conventional, sumo, and trap bar.
The second is to educate lifters on which deadlift versions are the safest versions for different individuals with different injury histories and movement inefficiencies. That’s the focus of today’s piece. We’ll start with the conventional deadlift.
While this version of the deadlift is undoubtedly the “one that started it all,” it’s also the most technically advanced and potentially dangerous of the bunch. Shear stress on the spine is going to be higher on the conventional deadlift than any other variation because the bar is further away from the center of gravity than in any other variation. Additionally, in order to get down to the bar and maintain one’s center of gravity in the right position while maintaining a neutral spine, you’ve got to have excellent ankle, hip, and thoracic spine mobility. Have a look at the video below, and take note of the position of the ankles, hips, and thoracic spine:
You’ll notice that the ankles are slightly dorsiflexed (knees out over toes). If you are crazy restricted in your ankles and can’t sufficiently dorsiflex, two problems arise:
1. You can’t create a “space” to which the bar can be pulled back toward (a lot of the best deadlifters pull the bar back to the shin before breaking the bar from the floor). You can observe this space by drawing a line straight down from the front of the knee to the floor at the 2-second mark of the above video:
2. Those who can’t dorsiflex almost always have hypertonic plantarflexors (calves). These individuals always struggle with proper hip-hinging technique, as they substitute lumbar flexion for hip flexion in order to “counterbalance” things so that they don’t tip over.
You’ll also notice that the hips are flexed to about 90 degrees in my example. I have long arms and legs and a short torso, so I have a bit less hip flexion than someone with shorter arms would need. They would utilize more hip flexion (and potentially dorsiflexion) to be able to get down and grab the bar.
Regardless of one’s body type, you need to be able to sufficiently flex the hips. You’d be amazed at how many people really can’t even flex the hips to 90 degrees without some significant compensation patterns. Instead, they just go to the path of least resistance: lumbar flexion (lower back rounding).
Moving on to the thoracic spine, think about what your body wants to do when the ankles and hips are both flexed: go into the fetal position. The only problem is that the fetal position isn’t exactly optimal for lifting heavy stuff, where we want to maintain a neutral spine. Optimal thoracic spine mobility – particularly into extension – brings our center of gravity back within our base of support and helps ensure that we don’t lose the neutral lumbar spine as soon as external loading (the lift) is introduced.
As you can see, having mobility in these three key areas is essential in order to ensure that the conventional deadlift is both a safe and effective strength exercise in your program. The problem is that in today’s society, not many people have it. So, what do we do with those who simply can’t deadlift effectively from the floor?
We’ve got two options:
1. We can simply elevate the bar slightly (or do rack pulls) to teach proper hip hinging technique in the conventional stance – and train the movement within the limitations of their ankle, hip, and thoracic spine (upper back) mobility.
2. We can simply opt to go with a different deadlift variation. This is something that, for some reason, most previously injured lifters can’t seem to grasp. They have near-debilitating low back injuries that finally become asymptomatic, and they decide to go right back to conventional deadlifts with “light weights.” They still have the same movement impairments and flawed technique, so they build their strength back up, ingraining more and more dysfunction along the way. They’d be better off doing other things – including trap bar and sumo deadlifts – for quite some time before returning to the conventional deadlift.
And, on that note, we’ll examine those two other deadlift variations in parts 2 and 3 of this series. Stay tuned!
To see how all the deadlift variations fit into a comprehensive strength and conditioning program, check out The High Performance Handbook.
