Home Posts tagged "Mike Reinold" (Page 9)

29 Reasons to Smile

I turn 29 today. And, while a lot of people look at birthdays as a reason to feel badly about getting old, I like to think of them as a reason to reflect on the cool stuff that's happened in the past year.  Or, at the very least, I look at a birthday as good blog content!  So, without further ado, here are 29 reasons I'm smiling on my 29th birthday. 1. I'm still not as old as Tony! (okay, that was wrong). 2.  Several of our high school athletes have gone off to college and been among the strongest (if not the strongest) in the weight room.  The really rewarding aspect of it, though, is that they have an appreciation for the fact that it isn't just about strength; it's about combining that strength with a host of other factors - flexibility, soft tissue quality, etc. - to stay healthy.  I just love that they are informed consumers and advocates for themselves. 3. Lincoln-Sudbury Baseball has been #1 in the state, according to the Boston Globe Rankings. We train over 30 players who are currently in the LS program, plus quite a few younger guys and LS alumni. 4. Along those lines, LS junior Carl Anderson was batting .500 with 6HR and 21 RBIs through the first 11 games.  He was also 4-0 with a 0.78 ERA and 25K in 18 innings pitched. 5.

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Enough said.

6. A reader sent me a great article in response to my Is Pitching Velocity Really that Important? Blog: Change-up has become Great Equalizer.  Awesome article! 7. CP athlete and Toronto Blue Jays prospect Tim Collins has 32 strikeouts in 18 innings pitched.  Opponents are hitting just .206 against him.  He also made a surprise cameo in the office at CP the other day on his only off-day of the month and hung out for the whole afternoon.  Tim, one of our college prospects, and I all went over to watch a high school game in which a lot of our guys were playing.  It's pretty cool to see pro and college ballplayers coming back to watch high school kids' games when it's usually the other way around!  It makes me really proud of the camaraderie we've built among all our clients at Cressey Performance. 8. A buddy of mine is involved with Humblecock clothing (www.humblecock.com), so he sent me some free goodies.  I like this stuff!  I passed out a few samples to my pro guys and they loved it. 9. Brian St. Pierre, our first employee at Cressey Performance, is unfortunately leaving us at the end of this week as he returns to school to do his master's degree.  While we're really bummed to be losing him, I can say that I'm really proud of how tremendous a job he's done for us since early 2008, when we first hired him.  He's improved tremendously as a coach and really turned himself into an industry leader (actually just had his first article published at T-Muscle HERE).  It's funny how good things happen for great people who work hard.  Check him out at BrianStPierreTraining.com. 10. Recently, a local scout informed me that the Massachusetts baseball class of 2011 was ranked as the 5th best in the country.  In other words, our juniors here in little ol' Massachusetts are competing with the likes of Arizona, California, Florida, Georgia, Texas, and North Carolina - where the populations are not only bigger, but they can also play baseball year-round.  Whoever said that early sports specialization was necessary to compete with these big dogs doesn't understand development at all.  While the Southern boys are having Tommy Johns and labral repairs in the winter, our guys are training their butts off and attacking things with a specific plan. The results?  At Cressey Performance alone, we have eight juniors verbally committed to play for Division 1 baseball programs - including Virginia, Vanderbilt, Boston College, and UCONN.  And, there should be at least a half-dozen more on that list by the time everyone signs national letters of intent this fall. 11. Head over to Amazon.com and check out the reviews on Maximum Strength HERE.  This sucker is getting more stars than an astronomy textbook!

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12. It gets even better than that.  In the next few months, I'll release a new product that'll blow the doors off of what I did with Maximum Strength.  If you liked Maximum Strength, you'll LOVE this one.  Subscribe to my newsletter at the right of this screen to be among the first notified. 13. Awesome!

By the way, when I was watching this video on YouTube, one of the recommended videos was Will Ferrell's 2003 Harvard Commencement speech.  It is absolutely hilarious; talk about a way to make a graduation actually interesting!

14. In the past few months, I've gotten invitations to present in both St. Thomas and South Africa.  For those of you who prefer visual representations of how sweet this is, please take note (respectively):

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We still have to plan our honeymoon soon as well, so it's going to be a very sunny year for a couple of Bostonians!

15. It's getting to be that time of year when pitchers come in and act all surprised that they are hitting homeruns now.  It just goes to show you that when you get more athletic, a lot of things fall into place - and not just in terms of pitching!  Rotational power is rotational power; the hitting just requires more hand-eye coordination. 16. I've got my own office now!  Unfortunately, it's still buried under boxes and clutter from the move, but it is nice to know that I have a little bit more organization coming to my life soon!

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17. I am pretty darn proud of the Cressey Performance website.  It's a huge improvement from our old one, and I'm psyched to have an online presence that reflects how much hard work we put into making CP a special place to train. 18. CP athlete and San Diego Padres prospect Will Inman has a 3.03 ERA through 38.2 innings pitched in AAA.  Opponents are hitting just .221 against him.  For those who aren't familiar with the Pacific Coast League, this is the single-hardest league in which one can pitch at any level of professional baseball.  There are small ballparks and insane winds that turn pop-ups into 450-foot HRs.  Will is doing awesome and we're all really happy for him; it's a lot of hard work rewarded. 19. This one really cracks me up.  We uploaded this video of CP athlete Sahil Bloom back in October of 2007, and it's become the second most popular of all-time.  The funniest part is all the 13-year-olds arguing in the comments section about how this is "just good for football players" and how they all throw 97mph at age 13.

The funniest part is that Sahil is now pitching consistently over 90mph - and doing so at Stanford.  He's 1-0 with a 0.00 ERA through six outings in his freshman year. It's amazing that he's had this success just "training for football!"

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20. The past year has brought some collaborative efforts for me that have been absolutely tremendous in not only enhancing my productivity, but also educating me (and my readers/customers).  Matt Blake has brought a great new dimension to Cressey Performance with his pitching instruction and video analysis, and to EricCressey.com with his blog contributions.  Nate Tiplady has been a huge addition to our programs with the Graston and ART services he provides to our clients.  It was also great to collaborate with both Mike Reinold and Bill Hartman on projects for the first time, with Optimal Shoulder Performance and Assess & Correct, respectively. At the end of the day, you are only as strong as your network, so I'd encourage you all to seek out collaborative efforts with other professionals who complement your skill set as well. 21. Slacker.com.  This thing is an awesome source for music; I listen to it all the time when I'm at the computer writing programs. 22. Just got this feedback from a very happy Optimal Shoulder Performance customer: "Awesome job on the Optimal Shoulder Performance DVDs with Reinold. I just finished watching them this past weekend (I need to get a life) and I found them extremely educational and helpful. I really thought the information you both provided complimented each other well. There were some variations to some movements that I will definitely be implementing into some of my programs." While the financial side of things with product sales is nice, the thing that I actually enjoy the most is knowing that the information we're putting out is helping people to improve their bodies and stay out of pain.  It's even better when I know it is helping a fellow fitness professional or some rehabilitation specialist, as it means that they're taking that knowledge to help more people beyond just themselves.  At the end of my career, I really want to be known most for the always putting my athletes first and always doing my best to contribute to the body of knowledge.

Click here for more information on Optimal Shoulder Performance.

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23. On Tuesday morning, I had an absolutely terrible training session.  I felt weak the entire time, and couldn't even stomach a shake post-training.  About an hour later, every joint in my body hurt and I had a raging headache.  That night, I was in bed early and was pouring sweat in my sleep. I almost never get sick.  We are taking once every 3-4 years.  My attendance is so good at work that my business partner, Pete, has to force me to take days off.  Surely, there is something to the idea that regular exercise and proper diet reduces one's likelihood of getting sick - and this is certainly demonstrated in the reduced absenteeism Wednesday morning, I woke up feeling a ton better.  It turned out to be a really productive day.  This little experience reminds me that taking care of your body doesn't just prevent you from getting sick; it also helps you to bounce back quickly when the unavoidable illness happens. 24. CP athlete Danny O'Connor looks to run his professional boxing record to 12-0 this weekend at Mohegan Sun Casino in Connecticut.  A huge CP contingent will be out to support him.  Danny works his butt off five days a week at CP in addition to all his boxing training, and deserves all the success that comes to him.

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25. Chris Howard is the newest addition to the Cressey Performance staff, and we're excited to have him on board.  A former CP intern, Chris went on to massage therapy school and is now a LMT - on top of his CSCS and master's degree in nutrition.  Needless to say, we're lucky to have a guy who brings so much versatility to our facility. I especially like Chris right now because he's motivated me to brush up on my anatomy knowledge since he just retook it all in school! 26. Bill Hartman is in town for a seminar at Northeastern this weekend, so it'll be a nice birthday present to catch up with him.  He's joining us at CP today for the day.  His blog is always full of good stuff, but chatting with him in person is even better! 27. Tony Gentilcore wrote a great two-part series called "It All Starts in the Kitchen."  There are some great tips in there for those of you who might struggle on the diet side of things.   Check out Part 1 and Part 2. 28. One of our pro baseball guys told me to check out the "Baseball Made Easy" series on YouTube, and it's absolutely hilarious.  Check a few of them out:

29. I already knew I had the greatest girl in the world, but when she took me to a Sox game last night for my birthday for the third year in a row, I was reminded once again!  Here we were last year - when I had more hair.

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Great Feedback on Optimal Shoulder Performance

We just received this great feedback on Optimal Shoulder Performance: "I just recently finished the Optimal Shoulder Performance DVD's.  Without a doubt, that was the best $100 I've spent on a home based CEU opportunity. The material was very well presented, the talks cut to the chase, and provided tons of practical ideas that I have already put into practice with my baseball and softball players. "In addition to the downloadable PowerPoint slides PDF, I took tons of notes because both of you offered up such great information. "I would highly recommend this to anyone who wants a quality shoulder DVD to add to their professional library. "Thanks, guys, for a very high quality practical product!" -Kevin Collins, MS, ATC

Click here to pick up your own copy of Optimal Shoulder Performance!

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Cressey/Reinold Week at RobertsonTrainingSystems.com

Just thought you all might be interested in checking out a five-part feature Mike Robertson ran with material from Mike Reinold and I.  Here's what it included: In the Trenches Podcast with Eric Cressey and Mike Reinold The podcast that started it all!  Here we discuss how Eric and Mike got into the field, how they evaluate shoulders, and a bunch of baseball training.  You'll definitely like this one! Eric Cressey Q&A #1 - Shoulder Forces in Boxing Here, I describes the forces you're going to see during a typical punch in boxing, as well as what biomechanical factors might predispose boxers to injury. Eric Cressey Q&A #2 - Sternoclavicular Joint Dysfunction In this post, I talk about the potential causes of sternoclavicular joint issues and how to handle them. Mike Reinold Q&A #1 - Scalene Anatomy Mike discusses the scalenes, their impact on the shoulder, and why asymmetry may not be bad for baseball players. Mike Reinold Q&A #2 - Joint Capsule Surgical Techniques Mike discusses two different surgical techniques for correcting issues with the shoulder capsule, as well as what to expect post-surgery.
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Is Pitching Velocity Really that Important?

About this time last year, I attended and spoke at at big sports medicine conference organized by Massachusetts General Hospital and the Harvard Medical School.  Given that it was baseball season, and the event's organizers were all also on staff with the Boston Red Sox, a big focus of the event was the diagnosis, treatment, and causes of throwing injuries to the elbow and shoulder. One of the organizers happened to be my good friend Mike Reinold, who is the head athletic trainer and rehabilitation coordinator for the Red Sox.  As you probably know, we collaborated on the Optimal Shoulder Performance DVD set as well.

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One of the resounding themes of Mike's talks was that throwing hard is not the single-most important factor in being a successful pitcher.  Rather, success is all about changing speeds and hitting spots.  The point is an important one - and it's backed up by the success of the likes of Jamie Moyer, Tom Glavine, and Greg Maddux.

Why is it so important for youth pitchers and parents to understand this?  It's because it demonstrates that long-term success is not about dominating in little league; it's about acquiring skills that allow for future improvements.

Youth pitches should focus on commanding their fastballs with consistent repetition of their mechanics early-on - not just throwing hard.  If you think you have the fastball mastered at age 9 and simply learn a curveball so that you can dominate little league hitters, you're skipping steps and trying to ride too many horses with one saddle.  It's not that the curveball is inherently more stressful than any other pitch; it's just that - as the saying goes - "if you chase two rabbits, both will escape."

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While kids need variety, they shouldn't try to master too many different complex skills at once.  Step 1 is to have command of your fastball - not just to throw it hard.

Step 2 is to learn a good change-up to start creating the separation to which Mike is referring.  Breaking pitches can come later.

Need proof?  I recently saw some statistics that demonstrated that the MLB average against off-speed pitches has decline each of the past three years.  Meanwhile, not surprisingly, the average MLB fastball velocity has increased by about 1mph.  Throwing harder made all those off-speed pitches more effective by creating more separation.  So, yes, throwing the crap out of the ball is still important - but only if you know where it's going - otherwise the average fastball velocity wouldn't be higher in Low A ball than it is in the big leagues.

Oh, and in case you need further proof of how MLB general managers perceive the importance of off-speed pitches, Phillies First Baseman Ryan Howard gave you $125 worth when he signed a new five-year contract last month.  While the MLB average against off-speed pitches has steadily declined over the past three seasons, Howard has gotten better.

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The take-home message is that youth pitchers need to develop the mechanical efficiency and physical abilities that will eventually make them able to throw hard in conjunction with a solid assortment of off-speed pitches.  They don't need to light up radar guns and showcase curveballs when they're still regulars at Chuck 'E Cheese.

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Stuff You Should Read: 5/7/10

Some entertainment and some education for this week: A Look Inside the CP Staff Lift - Tony Gentilcore wrote up a great blog about our Thursday staff training sessions at CP for this month, including several videos that serve as evidence of the brutality. Stopping Youth Sports Injuries - It was nice to see this feature at ESPN.com.  I think it's great that they are getting big names involved in the "fight" against early sport specialization. Does Reaching Behind the Back Reflect the Actual Internal Rotation of the Shoulder? - This is a great blog post from Mike Reinold that expands on some of the concepts we covered in our Optimal Shoulder Performance DVD set.

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Also, don't forget that today is the last day to get the $20 early-bird discount on The Single-Leg Solution.  Don't miss out; the introductory price ends tonight at midnight.

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Stuff You Should Read: 4/20/10

A few tips on items to check out this week: 5 Sneaky Tricks to Triple Fat Loss Results - This is a 27-page report from Joel Marion that he's made available for free for the next three days.  It's got some good stuff in there, and it's also pretty darn entertaining! ACL Graft Options: Allograft or Autograft - Here's a great blog post from Mike Reinold highlighting the research on different graft options for ACL reconstructions as well as their clinical significance.  I liked it so much that I actually posted a comment on it outlining my perspective as a strength and conditioning coach. I've got a great interview lined up for this week, and Part 1 will run tomorrow.  Be sure to check back for it!
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Last Day to Save on Optimal Shoulder Performance

Just a friendly reminder that the introductory price of $97 on Optimal Shoulder Performance: From Rehabilitation to High Performance ends tonight at midnight - when the price goes up by $30.  This DVD set has been getting some awesome feedback, so don't miss out on this last chance to get it at a an awesome value: www.ShoulderPerformance.com

"Mike and Eric do an incredible job of making sense out of complex information and research without watering it down a bit. I not only left the seminar with a better understanding of the functional work that all the muscles of the shoulders do, but also with plenty of new tools to put into my own program along with the knowledge to know when and why to use them. It was worth every penny, which I'm sure comes as no surprise to anyone fortunate enough to have learned from these guys previously." Jon Hudak MS, CSCS Assistant Strength and Conditioning Coach - Rensselaer Polytechnic Institute

Just 14 hours left...

www.ShoulderPerformance.com

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13 Fun Facts About Optimal Shoulder Performance

With the recent release of Mike Reinold and my Optimal Shoulder Performance DVD Set, I thought it'd be a good time to list of a few more reasons to pick up a copy of this thorough resource. 1. The presentations in this DVD set not only outline the differences in shoulder conditions among ordinary lifting populations, sedentary folks, and overhead throwing athletes - but it also outlines different ways to manage these individuals. 2. When you consider annual salaries and signing bonuses, collectively, Mike and I manage over $1 billion in professional baseball shoulders annually.  If that doesn't put your shoulder programs to the test, nothing will.

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(just signed a 4-year, $68 million contract....Beckett, not Mike - sorry, Mike)

3. My second presentation of the day - Training the Injured Shoulder During- and Post-Rehabilitation - discusses what folks with different shoulder conditions CAN do in the weight room in spite of their shoulder issues.  This makes OSP a great resource for personal trainers, strength and conditioning coaches, and fitness enthusiasts concerned with maintaining a training effect without exacerbating shoulder symptoms. 4. You'll put down your blanky and stop demanding a MRI for everything, because my first presentation of the day will demonstrate that diagnostic imaging like MRIs and x-rays are just one piece of a diagnostic puzzle that should include specific movement evaluations.

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5. You'll learn why the term "shoulder tendinitis" is usually a load of crap. 6. As you probably know, the Red Sox and Yankees don't get along too well.

New York Yankees vs. Boston Red Sox

So, when a Red Sox staff member gives a talk so good that a Yankees organization staff member shows him some love, that's a pretty good feather in your product's cap: "I attended this seminar with high hopes of learning more about the 'baseball shoulder' from two different approaches of the sports medicine and performance community.  This seminar not only exceeded my expectations, but more importantly, took 'one huge leap' toward bridging the gap between two different communities (physical therapy/athletic training and strength and conditioning) that have the same common goal: to get athletes on the field of play and keep them there.  These two highly-intelligent leaders of their respective fields have a great sense of evidence-influenced practice, and maybe more importantly, have an innate ability to readily and effectively communicate their knowledge.  Thanks to Eric and Mike, this seminar was momentous in the on-going mission of creating a 'common language' for those working in the performance-based fields.  I encourage any and all members of the performance fields to invest in the DVDs of this seminar and attend any seminar Mike and Eric put on. I promise you will learn something valuable every single time you have the opportunity to listen to either of them because they are constantly learning, studying, and changing - all great signs of any leader of any field." Scott DiFrancesco, ATC, CSCS Minor League Athletic Trainer - New York Yankees 7. You'll learn how to screen for congenital laxity and modify shoulder training in its presence. 8. Both Mike and I have been featured in The Boston Globe and The Boston Herald for our unique training methods.  Check these two examples out: This Joint is Jumping (Mike) Custom Body Shop (Eric) 9. These DVDs will make you realize that true symmetry in the human body is likely a complete myth, particularly in the context of throwing shoulders. 10. You'll learn the most effective rotator cuff exercises, some of which I guarantee you won't have seen before - so they'll also keep your training "fresh."

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11. Mike was formerly the Facility Director of Champion Sports Medicine and the Coordinator of Rehabilitative Research & Clinical Education at the American Sports Medicine Institute in Birmingham, AL.  That means he rehabbed a lot of big time athletes and did a lot of big-time research.  I, on the other hand, am best known for my charming wit, ravishingly good looks, and entertaining personality. 12. You'll appreciate that simply repositioning the scapula can dramatically impact rotator cuff function to enable you to achieve personal bests you never thought were possible on 1-rep max rotator cuff exercises:

Okay, maybe there won't be any 1RMs featured, but we will talk about the importance of scapular positioning with respect to cuff function.

13. You'll learn about the different types of impingement, how to test for each, and how to manage these issues both in the context of rehabilitation and training around them.

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Where “Throw Like a Girl” Originated

Many baseball fans thought that it was a bit inappropriate of President Obama to wear a Chicago White Sox hat as he threw out the opening pitching at the Washington Nationals game several years ago.  However, many others - including those of us on the baseball development side of things - overlooked this fashion faux pas, and instead pointed out that the commander-in-chief's throwing mechanics closely paralleled those of an 11-year-old girl.

Now that I've irritated a good chunk of my readership, please allow me to explain.

We are all born with a certain amount of humeral retroversion.  For the lay population out there, think of retroversion as a bony positioning that allows for more shoulder external rotation.  As we age, we actually gradually lose retroversion (gain anteversion); this process moves the most quickly from ages 8-13, which isn't surprising, as this is when kids rapidly become more skeletally mature.  It's why we see more torn ACLs than broken bones in the late teenage years; the bones are no longer the path of least resistance.

However, we actually see something different in kids who are involved in overhead throwing sports during this crucial developmental period.  They don't gain anteversion as quickly in their throwing shoulder; in other words, they preserve at lot of the bony positioning that gives rise to external rotation (the lay-back position), which in itself is a predictive factor for throwing velocity.  Very simply, it's easier for them to get their arm back to throw because the bones (specifically, the proximal humeral epiphysis) have morphed to allow for it.  There's even a theory out there that this bony positioning actually spares the anterior-inferior glenohumeral ligaments from excessive stress during external rotation, but that's a topic for another day (and president?).

How much of a difference are we talking?  Well, in a study of 54 college pitchers, Reagan et al. found that had 36.6° of humeral retroversion, as compared with just 26° in non-dominant shoulders.  Here's our fearless leader throwing a cream puff from a different angle at a previous All-Star Game; you'll notice that he leads with the elbow and his arm doesn't "lay back" - a technique we've come to term "throwing like a girl," as politically incorrect as it is. Think he could use an additional 10° of shoulder external rotation?

The good news, however, is that he's in good company; Mariah Carey has sold hundreds of millions of albums and rocks a 12-foot palmball, too.

We can't fault these folks (well, maybe for their attire, but that, too, is another blog post), as females traditionally haven't had exposure to baseball at young ages in order to develop these osseous (bony) adaptations that favor throwing hard.  And, with just a little reconnaissance work on President Obama, I quickly came across this quote from him in the NY Daily News: "I did not play organized baseball when I was a kid, and so, you know, I think some of these natural moves aren't so natural to me."  There's your answer.

Contrast his delivery with that of George W. Bush, who not only played baseball as a kid, but actually owned the Texas Rangers for a while, and you'll see what a few years in Little League will do for a shoulder.

Interestingly, the Iraqi journalist who threw his shoes at Bush actually displayed some decent lay-back, too.  It makes me wonder if he was born with some congenital laxity, played cricket or tennis, or just practiced a ton for his first international shoe-throwing appearance (cap?).

As an interesting little aside, in our Optimal Shoulder Performance, Mike Reinold talks about how European soccer players have actually served as the control group against which we can compare overhead throwing shoulders in research, as these athletes are the same age and gender as baseball pitchers, but rarely participate in overhead throwing sports.  So, perhaps we should say "throw like a European soccer player" instead of "throw like a girl" - particularly since more and more female athletes have started participating in overhead throwing sports at a younger age!

However, in the interim, what can President Obama do to get over this hurdle?  It goes without saying that it's too late to get that retroversion, as he's already skeletally mature.  However, there is research out there that shows that pitchers gain external rotation over the course of a competitive season - so President Obama would be wise to get out in the rose garden and play some catch because, you know, presidents have plenty of time to do that!

Likewise, there are several things he could do to improve his pitching-specific mobility.  The most important thing is to avoid spending so much time hunched over a desk, as being stuck in this position will shorten the pectoralis major and minor, lats, subscapularis, and several other small muscles that need adequate length and tissue quality to get the arm "back" via good humeral external rotation, scapular posterior tilt, and thoracic spine extension/rotation.  To keep it simple, I'd probably just have him do a lot of the side-lying extension-rotation drill:

Of course, there's a lot more to it than just this, but these quick modifications would be a good start.  For more information, check out our new Optimal Shoulder Performance resource, which is on sale for 20% off through the end of the day today. Just enter the coupon code 20OFF to get the discount.

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3 Things Everyone Should Know About the Shoulder

A while back, I sent off an email to my good friend Alwyn Cosgrove about our Optimal Shoulder Performance DVD set, and he asked me what I thought were the three most important things that folks - from fitness professionals to regular ol' weekend warriors - ought to know with respect to the shoulder.  Here were the first concepts that came to mind: 1. You should NEVER be intimidated when you hear/see the words "rotator cuff tear" or "labral tear." Why?  Because if you are training clients, you are absolutely, positively already training people who have these issues but are 100% asymptomatic.  Some interesting research: Miniaci et al. (2003) found that 79% of professional baseball pitchers - the people who put the most stress on their shoulders on the planet - actually had "abnormal labrum" features.  They concluded that "magnetic resonance imaging of the shoulder in asymptomatic high performance throwing athletes reveals abnormalities that may encompass a spectrum of 'nonclinical' findings." Meanwhile, rotator cuff tears often go completely unnoticed. Sher et al. (1995) took MRIs on the shoulders of 96 asymptomatic subjects, and found cuff tears in 34% of cases, and 54% of those older than 60.  Meanwhile, another Miniaci study (1995) found ZERO completely normal rotator cuffs in those under the age of 50 out of a sample size of 30 shoulders.

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What's my point?  Both the people who are in pain AND those who have absolutely no pain can have disastrous looking shoulder MRIs.  So, in many cases, it is something other than just the structural deficit that causes certain people to experience pain.  To me, that difference is how they move. A torn labrum may become symptomatic in a thrower with poor shoulder internal rotation.  Or, a partial thickness cuff tear my reach the pain threshold in a lifter who doesn't have adequate scapular stability. In short, a MRI report doesn't tell you everything there is to know about a shoulder - and you need to assume that a lot of your clients are already jacked up. 2. When assessing a shoulder, everything starts with total motion. In healthy shoulders, total motion - which comes from adding internal rotation and external rotation - should be the same on the right and left side.  This "arc" may occur in a different place on each shoulder, but as long as it's symmetrical from side-to-side, you're off to a good start - and that's when you work further down the chain to see what's going on with scapula stability, thoracic spine mobility, etc.

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3. 100% of all shoulder problems involve scapular dysfunction. The interaction of the glenoid fossa of the scapula (socket) and humeral head (ball) is what allows the glenohumeral joint (shoulder) to do what it needs to do.  However, most individuals have some form of shortness (e.g., pec minor, levator scapulae) or weakness (e.g., serratus anterior, lower trapezius) of muscles working on the scapula.  These inefficiencies alter glenohumeral alignment and increases stress on the rotator cuff, biceps tendon, labrum, and glenohumeral ligaments.  Identifying and addressing scapular issues is a key step in preventing shoulder pain. For more information, check out the Optimal Shoulder Performance DVD set. Sign-up Today for our FREE Newsletter and receive a four-part video series on how to deadlift!
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