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Random Thoughts on Sports Performance Training – Installment 7

It's time for this month's edition of "musings" on the sports performance training front. Here goes...

1. Professional athletes don't need "special" exercises; they just adapt faster and need special progressions.

One of the most important lessons coaches can learn with professional athletes is that they don't need crazy advanced exercises. Far too often, coaches will assume that because a client is a high-level athlete, he/she will automatically require some fancy, innovative drill. The truth is that they need the basics, just like everyone else. You'd be amazed at how poorly some of the most high-level athletes you'll see actually move when you get them out of their sporting environments.

That said, they are unique in their ability to adapt to a given stimulus quicker than their "less athletic" counterparts. Movement quality will improve dramatically from one week to the next, and strength and power can increase much faster than you'd expect from "normal" folks. This is obviously a blessing, but can also be a burden, as it means programs may need more updating on-the-fly to continue challenging the athlete. Additionally, you have to be cognizant of the fact that their strength levels may actually increase faster than their motor control and connective tissues can safely handle. In other words, you have to be careful not to load bad patterns or degenerative tissue tendencies.

2. Don't worry about the Absolute Strength to Absolute Speed Continuum if you're untrained or detrained.

With over 55,000 views on YouTube, this is one of my most popular videos ever:

The lessons here have tremendous value to athletes of all ages and ability levels - except novice trainees, or athletes who have recently been detrained. In other words, if we're talking about a 13-year-old kid who has zero resistance training experience, or an athlete who just finished a long, grueling season and has lost appreciable strength, then you need to build strength up first.

Effectively, treat these scenarios as if an athlete is all the way to the right (speed) end of the continuum. They need to build a foundation of strength up before they'll benefit from any of the other modalities - or even be able to perform them safely. This is one reason why handing an aggressive weighted ball program to an untrained 13-year-old kid might be harmful, and why doing a ton of plyos with a volleyball player who just finished a long season is silly. Give them what they actually need, not just what you think is "sexy."

3. Efficient rotation is efficient rotation - and consistent across multiple sports.

One thing I'm really excited about with respect to our new Jupiter, FL Cressey Sports Performance facility is working with a wider variety of rotational sport athletes beyond just baseball. My business partner, Shane Rye, is an accomplished lacrosse coach, and Jupiter also happens to be home to loads of golfers of all levels. I've also got a big tennis background, and am excited to explore opportunities on that front.

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There are a load of commonalities among all rotational sports, and it's going to be exciting to see how our training approaches impact these other sports. How can I be so sure?

Have you ever noticed how easily baseball and hockey players pick up golf? And, have you noticed how many athletes were drafted in multiple rotational sports? Think of Tom Brady in baseball and football, and Tom Glavine in hockey and baseball. These guys weren't what you'd call "powerhouse" athletes; in other words, they weren't freak athletes that played baseball and football. Rather, you could argue that they're just guys who learned to use their bodies really efficiently in rotational patterns.

4. "Where do you feel it?" is as important a question as "How does it look?"

Every once in a while, you'll observe an athlete with a movement that looks absolutely perfect, but might not be "felt" in the right place. Or, it might even actually cause pain. This is why it's so important to always solicit feedback on where an athlete (especially a beginner) feels an exercise, as opposed just assuming it was fine just because it "looked good." As an example, I commonly see athletes who "feel" all their shoulder exercise rotation drills in the front of their shoulder, which is the exact opposite of what we want.

Without getting too "geeky" on this front, many times, the reason we have discomfort or the "wrong" feeling with drills is that athletes are paying close attention to the osteokinematics - gross movements of internal/external rotation, flexion/extension, adduction/abduction - of the joint in question, but not paying attention to the arthrokinematics of that same joint. In other words, the rolling, rocking, and gliding taking place needs to be controlled within a tight window to ensure ideal movement.

In the external rotation variation, as we externally rotate the arm, the humeral head (ball) likes to glide forward on the glenoid fossa (socket). The glenohumeral ligaments (anterior shoulder capsule), rotator cuff, and biceps tendon are the only things that can hold it in the socket. In a throwing population, the capsule is usually a bit loose and the cuff is a bit weak, so the biceps tendon often has to pick up the slack - which is why some folks wind up feeling these in the front, thereby strengthening a bad pattern. There are also a bunch of nerves at the front of the shoulder that can get irritated, but that's a blog for another day!

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5. Making your room colder can be really helpful for sleep quality.

Everyone knows that turning off electronics before bed is important for sleep quality. Additionally, getting your room as dark as possible definitely makes for better sleeping. Very few people pay attention to the temperature of the room, though. I can definitely speak to its importance, though.

As many of you know, my wife and I moved to Florida in early September. As part of this transition, I made three trips back up to Boston over the course of September-November. On each of those trips, my sleep quality was insanely better than I have in Florida. The difference? Roughly 8-10°F in the temperature of my sleeping environment. With that in mind, we're cranking up the air conditioning a bit more - and thanking our lucky stars that the Florida summer has wrapped up. If you're having trouble sleeping, tinkering with the temperature in your sleeping environment might be a good place to start. Also, I'd encourage you to check out this great guest post I published a while back: Sleep:What the Research Actually Says.

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Random Thoughts on Sports Performance Training: Installment 6

It's time for this month's sports performance training musings. Many of these thoughts came about because we have a lot of our professional baseball guys back to kick off their off-season training, so I'm doing quite a few assessments each week. In no particular order...

1. There is a difference between "informative" assessments and "specific" assessments.

I recently spoke with a professional baseball pitcher who told me that his post-season evaluation included a 7-site body fat assessment, but absolutely no evaluation of scapular control or rotator cuff strength/timing.  Skinfold calipers (especially in the hands of someone without a ton of experience using them) are hardly accurate or precise, but they can at least be "informative." In other words, they tell you something about an athlete. 

However, I wouldn't call a body fat assessment a "specific" assessment. In other words, it's really hard to say that "Player X" is going to get injured because his body fat is 17% instead of 15%.

Body_Fat_Caliper

Conversely, we absolutely know that having poor scapular control and rotator cuff function is associated with a dramatically increased risk of injury in throwers. Checking out upper extremity function is a "specific" assessment.

This example, to me, illustrates why good assessments really are athlete- and sport-specific. Body fat assessments mean a lot more to hockey players than they do to baseball players, but nobody ever attributed a successful NHL career to having great rotator cuff strength.

Don't assess just for the sake of assessing; instead, assess to acquire pertinent information that'll help guide your program design to reduce injury risk and enhance performance.

2. Extremes rarely work.

Obviously, in a baseball population, most athletes have at least some kind of injury history. It's generally a lot of elbows and shoulders, but core and lower extremity injuries definitely show up on health histories. When I see these issues, I always try to ask plenty of questions to get a feel for what kind of training preceded these injuries. In the majority of cases, injuries seem to come after a very narrow focus - or specialization period.

Earlier this week, I saw a pro baseball guy with chronic on-and-off low back pain. He commented on how it flared up heavily in two different instances: once in college, and the second time during his first off-season. In both cases, it was after periods when he really heavily emphasized squatting 2-3 times per week in an effort to add mass to his lower body. Squats were the round peg, and his movement faults made his body the square hole. Had he only squatted once a week, he might have gotten away with it - but the extreme nature of the approach (high volume and frequency) pushed him over the edge.

I've seen command issues in pitchers who threw exclusively weighted balls, but rarely played catch with another human being. I've seen plenty of medial elbow discomfort in athletes who got too married to the idea of adding a ton of extra weight to their pull-ups.

General fitness folks, powerlifters, and other strength sport athletes can get away with "extreme" specialization programs. Heck, I even co-created a resource called The Specialization Success Guide!

SSG

However, athletes in sports that require a wide array of movements just don't seem to do well with a narrow training focus over an extended period of time. Their bodies seem to crave a rich proprioceptive environment. I think this is why "clean-squat-bench press only" programs leave so many athletes feeling beat-up, unathletic, and apathetic about training.  

3. Consider athletes' training experience before you determine their learning styles.

I'm a big believer in categorizing all athletes by their dominant learning styles: visual, kinesthetic, and auditory.

Visual learners can watch you demonstrate an exercise, and then go right to it.

Auditory learners can simply hear you say a cue, and then pick up the desired movement or position.

Kinesthetic learners seem to do best when they're actually put in a position to appreciate what it feels like, and then they can crush it.

ECCishek

In young athletes and inexperienced clients, you definitely want to try to determine what learning style predominates with them so that you can improve your coaching. Conversely, in a more advanced athlete with considerable training experience, I always default to a combination of visual and auditory coaching. I'll simply get into the position I want from them, and try to say something to the point (less than ten words) to attempt to incorporate it into a schema they likely already have.

This approach effectively allows me to leverage their previous learning to make coaching easier. Chances are that they've done a comparable exercise - or at least another drill that requires similar patterns - in previous training. As such, they might be able to get it 90% correct on the first rep, so my coaching is just tinkering.

Sure, there will still be kinesthetic learners out there, but I find that they just aren't as common in advanced athletes with significant training experience. As such, I view kinesthetic awareness coaching as a means to the ultimate end of "subconsciously" training athletes to be more in tune with visual and auditory cues that are easier to deliver, especially in a group setting.

4. Separate training age from chronological age.

This can be a difficult concept to relate, so I'll try an example.

I have some 16-year-old athletes who have trained with us at Cressey Sports Performance for 3-4 years and have great anterior core awareness and control. I'd have no problem giving them the slideboard bodysaw push-up, which I'd consider a reasonably advanced anterior core and upper body strength challenge that requires considerable athleticism.

Conversely, I've had professional baseball players in their mid 20s who've shown up on their first day with us and been unable to do a single quality push-up. The professional athlete designation might make you think that they require advanced progressions, but the basics still work with the pros. You might just find that they picked things up quicker - and therefore can advance to new progressions a bit more rapidly than the novice 13-year-old.

Quality years of training means a lot more than simply the number of years a young athlete has been alive, so make sure you're working off the right number!

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Assessments You Might Be Overlooking: Installment 4

I always tell up-and-comers in the strength and conditioning field, "If you aren't assessing, you're just guessing."  It's not as simple as just doing a sit-and-reach test and having someone hop on the scale for you, though. This series is devoted to highlighting some of the most commonly overlooked components of the assessment process - and here are three more evaluations you might be missing:

1. Previous Athletic/Training Workload - If you're trying to help a client get to where they want to be, it's important to realize where they've been.  For example, someone who has a history of overworking themselves might respond really well to a lower volume program.  Or, an athlete looking to gain muscle mass who has never trained with much lifting volume might be well-served to add some "backoff" sets and additional assistance work.

This is an incredibly important discussion with our professional pitchers, too.  Starting pitchers who have a high workload (some in excess of 200 innings pitched in the previous 8-9 months) need to wait longer to start throwing than relief pitchers who may not have thrown more than 40 innings in a season.  The former group might not start an off-season throwing program until January 1, whereas the latter group might already have eight weeks of work in by that point.

600px-Corey_Kluber_on_June_27,_2013

Discussions of building work capacity get a lot of love in the strength and conditioning field, but I think we often lose sight of the fact that sporting coaches are also looking to build work capacity in the context of the athletes' actual sports.  Now, these two things don't have to be mutually exclusive, but if everyone is always pushing high volume all the time, things can go downhill fast.

2. Quad and Adductor Length - Let's face it: a huge chunk of the population doesn't exercise enough, and even most of those who do exercise regularly don't pay attention to mobility needs. As a result, their entire exercise program takes place in a very small amplitude; they never get through significent joint ranges of motion. Two areas in which you see this probably rearing its ugly head the most are quad and adductor length. 

Your quads are maximally lengthened when your heel is on your butt.  How often do you see someone encounter this position in their daily lives?

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Adductors are stretched when the hips are abducted.  When was the last time you hit this pose in your daily activities - outside of a fall on the ice?

NeutralRockBack

If you want to do a quick and easy assessment of where you stand on these, try these two (borrowed from Assess and Correct):

Prone Knee Flexion: you should have at least 120 degrees of active knee flexion without the pelvis or lower back moving.

pronekneeflexion

Supine Abduction: you should have at least 45 degrees of abduction without lumbar or pelvis compensation, or any hip rotation.

supineabduction

I generally just check these up on the training table when people get started up, but these should provide good do-it-yourself options for my readers who aren't fitness professionals.  Also, if you find that you come up short on these tests, get to work on the two stretches pictures at the start of this bulletpoint.

3. Taking the Shirt Off - This is a tricky one, as you obviously can't do it with female clients, and even when male clients, you have to be sensitize to the fact that it might not be something in which they'd like to partake.  That said, you'd be amazed at how many upper extremity dysfunctions can be obscured by a simple t-shirt.  As an example, this left-handed pitcher's medial elbow pain was diagnosed with ulnar neuritis, and he was prescribed anti-inflammatories for it and sent on his way without the doctor even having him take his shirt off to evaluate the shoulder and neck.

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Needless to say, he sits in heavy scapular depression on the left side, and it wouldn't be a "stretch" (pun intended) at all to suspect that his ulnar nerve symptoms would be originating further up the chain.  Take note on how the brachial plexus/ulnar nerve runs right under the clavicle as it courses down toward the elbow.

Gray523

Crank the scapula and clavicle down, and you can easily compress the nerve (and vascular structures) to wind up with thoracic outlet syndrome, a very common, but under-diagnosed condition in overhead throwing athletes.  The more forward-thinking upper extremity orthopedic surgeons are diagnosing this more and more frequently nowadays; elbow problems aren't always elbow problems!

The lesson is that you can see a lot when you take a shirt off.  If it's the right fit for your client/athlete, work it in.

I'll be back soon with more commonly overlooked assessments.  In the meantime, I want to give you a quick heads-up that to celebrate National Multiple Sclerosis Awareness week and help the cause, Mike Reinold and I have put both Functional Stability Training of the Core and Lower Body on sale for 25% off through tonight (Saturday) at midnight - with 25% of proceeds going to MS charities. Just use the coupon code msawareness to apply the discount at the following link: www.FunctionalStability.com.

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Should Pitchers Distance Run? What the Research Says.

Today's guest blog comes from current CP intern, Rob Rabena.  Rob recently completed his master's thesis research on the effects of interval training versus steady state aerobic training on pitching performance in Division 2 pitchers.  He's in a great position to fill us in on the latest research with respect to the distance running for pitchers argument.

“Ok, guys, go run some poles.”

A baseball coach often voices this phrase during the season to keep his pitchers in shape. Utilizing distance running to enhance aerobic performance among pitchers has always been the norm, but do the risks outweigh the rewards? There is strong evidence in the scientific literature to support that coaches should rethink utilizing distance running with their pitchers.

Jogging Might Not be the Answer

The current practice utilized for conditioning is for pitchers is to go for a long run the day after a game to “flush” the sore arm of lactic acid, or minimize muscle soreness to recover faster for the next game. These theories are not supported by the current literature and the physiology of the sport.

In the current research study examining the physiology of pitching, Potteiger et al. (1992) found no significant difference between pre-pitching and post-pitching blood lactate levels of six college baseball players after throwing a 7-inning simulated game. Even though during an inning there is a slight lactate production of 5.3-5.8 mM, (which is not high, considering resting lactate is 1.0mM), it does not cause a buildup of lactic acid in the arm of a pitcher after a game. As a comparative example, a high lactate response would occur from squatting for multiple reps at about 70% 1RM; this might produce a lactate level of about 8-10mM (Reynolds et al., 1997). Furthermore, jogging to flush the arm of lactic acid after a start is unnecessary and not supported by the literature, especially since we learned all the way back in 2004 that lactate was not the cause of muscular fatigue ; even the New York Times reported on this in 2007! A lot of coaches simply haven't caught wind yet - in spite of the fact that exercise physiology textbooks have been rewritten to include this new information.

Should Pitchers Distance Run?

When a person jogs at a pace where he/she is able to hold a conversation (at or below ventilatory and lactate threshold), the goal is to improve V02 and to enhance aerobic performance. For pitchers, this practice is utilized to enhance and maintain endurance during games, as well as to maintain body composition throughout the season
In the research study conducted by Potteiger et al. (1992), the researchers found that mean V02 only reached 20 ml. kg.min during the simulated game, and returned to 4.9 ml.kg.min between innings (resting is 3.5 ml.kg.min). The V02s of endurance athletes are approximately greater than or equal to 60 ml.kg.min. Based off this study, V02 does not seem to be a limiting factor for pitchers who want to pitch deep into games. Since a high V02 does not make a great pitcher, why are we training like an endurance athlete, when pitching relies predominately on the anaerobic system? While jogging may help you with body composition and endurance, it’s not going to help you throw more innings in a game. Our emphasis should be on building strength and speed, which are more anaerobic qualities.

Endurance Running or Sprints?

Still not convinced that sprint or anaerobic training is right for your pitching staff? Okay, coach, here are a few more studies comparing sprint training to aerobic training and their effects on pitching performance.

One study examined dance aerobic training (yes, dance training) to sprint training in baseball pitchers and found a significant improvement (p<0.05) in the pitching velocity and anaerobic power measures of the sprint groups (Potteiger et al., 1992).

In a similar study that compared sprint training and long, slow distance running in-season, Rhea et al. (2008) found a significant increase in lower body power for the sprint group, and a drop in power for the distance group. Do we want our pitchers dropping in lower body power? I don’t think so!  Would you like to see their power production increase? Absolutely!

My Research

My Master’s thesis, “The Effects of Interval Training on Pitching Performance of NCAA Division II pitchers”, examined the in-season steady state exercise and interval training on pitching performance. Prior to collecting data, I hypothesized that I was going to find a significant difference in pitching velocity, WHIP (walks+hits/innings pitched), 30m sprint time, fatigue index and muscle soreness.

The results of my thesis study found no significant difference (p>0.05) in any of the hypotheses. However, there was a very strong trend (p=.071) for the distance training group presenting with more soreness based off a 0-10 scale. The distance group did not drop in velocity, get slower, or decrease pitching performance like the previous studies suggested. When examining the results of my thesis study with the current literature, I continue to question if there is an appropriate place and time to implement distance running for pitchers within a training cycle, and if so, when would it be most efficient to do so?

Now What Do We Do?

Most of the research available supports that assertion that pitchers should stop distance running or not make it a focal point of their baseball strength and conditioning program. Distance running trains the aerobic energy system, where pitching is purely anaerobic in nature. I’m not totally bashing distance running because it does have its benefits for certain populations, just not for the performance goals of pitchers.

Now that we know what we shouldn’t be coaching, what should pitchers be doing for conditioning instead of running poles during practices? There are few things to consider when designing sports specific conditioning for pitchers:

● What should the rest periods be between sprints?
● What distances should pitchers sprint?
● How many days a week should pitchers actually condition, and does this fit into the overall training program?

The time between pitches is 15-20 sec (Szymanski, 2009), or longer for guys who are known for working slow on the mound. This can really help coaches when implementing interval sprints. Based off research and my time spent at Cressey Performance, anything 40 yards and under for 4-8 sprints, 2-3x a week is recommended. This, of course, depends on time of year (in-season vs. off-season). At the end of a workout, if the equipment is available, a lateral sled drag, farmers’ walks, or sledge hammer hits are always a plus to increase the anaerobic energy systems, which for a pitcher are most important.

Training pitchers out of the sagittal plane is another key consideration often overlooked with training baseball players; for this reason, using rotational medicine ball exercises is extremely valuable. Check out this study by Szymanski et al, (2007), which compared a medicine ball and resistance training group to resistance training only. Researchers found an increase torso rotational strength for the medicine ball group.

This explains why med balls are a great option for baseball players to not only develop rotational power, but also to blow off some steam. With that in mind, during a movement/conditioning day for pitchers, exercises like band-resisted heidens and lateral skips should be incorporated, along with the more traditional straight sprints mentioned above.

Conclusion

Based off the literature, long distance running should not be implemented for pitchers. When it comes down to it, a well-developed training program that incorporates strength, movement and conditioning is the most efficient way to enhance the way your athlete moves and plays on the field.

Thank you for reading. Please feel free to leave comments below, as this is the start of a process and something that coaches need to further consider and discuss to improve the efficiency of the conditioning programs for pitchers.

About the Author

Rob Rabena M.S., C.S.C.S, is a strength and conditioning coach who is currently interning at Cressey Performance. Rob recently earned his M.S. in Exercise Science with a focus in Strength and Conditioning. Prior to his graduate work, Rob obtained his B.S. in Exercise Science with a focus in Health Promotion from Cabrini College in 2011. Although Rob has a particular interest and experience with coaching collegiate athletes, he also enjoys working with clientele of diverse backgrounds and dictates his coaching practice to making his clients feel great, both physically and mentally, while placing a strong emphasis on the specific goals of the client. Feel free to contact Rob Rabena directly via email at robrabena@gmail.com.

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References

1. Fox EL. Sports Physiology (2nd ed). New York, NY: CBS College Publishing, 1984

2. Potteiger, J., Blessing, D., & Wilson, G. D. (1992). The Physiological Responses to a Single Game of Baseball Pitching. Journal of Applied Sport Science Research , 6, 11-18.

3. Potteiger, J., Williford, H., Blessing, D., & Smidt, J. (1992). The Efect of Two Training Methods on Improving Baseball Performance Variables. Journal of Applied Sports Science Research , 2-6.

4. Reynolds, T., Frye, P., & Sforzo, G. (1997). Resistance Training and Blood Lactate Response to Resistance Exercise in Women. The Journal of Strength and Conditioning Research , 77-81.

5. Rhea, M., Oliverson, J., Marshall, G., Peterson, M., Kenn, J., & Ayllon, F. (2008). Noncompatibilty of Power and Endurance Training Among College Baseball Players. The Journal of Strength and Conditioning Research , 230-234.

6. Szymanski, D. J. (2009). Physiology of Baseball Pitching Dictates Specific Exercise Insensity for Conditioning. Journal of Strength and Conditioning , 31, 41-47.

7. Szymanski, J., Szymanski, J., Bradford, J., Schade, R., & Pascoe, D. (2007). Effect of Twelve Weeks of Medicine Ball Training on High School Baseball Players. The Journal of Strength and Conditioning Research , 894-901.

8.Torre, J., & Ryan, N. (1977). Pitching and Hitting. NJ: Prentice-Hall Inc.

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Baseball Strength and Conditioning: What to Do With an Extra Day Between Pitching Starts

Q: I read your series, A New Model for Training Between Starts, and love the ideas you introduced.  Since eliminating distance running between outings, I've noticed a big difference in how I feel and how I pitch.  I did have one question about the weekly rotations you outlined in Part 2.  What happens if I have an extra day between starts due to erratic scheduling or just a rain out? A: This is a great question - and one I have received several times - so I'm glad I'm finally getting around to answering it here on the blog! I usually look for guys to do a "bridge" training session.  Basically, these sessions are all about leaving the gym feeling refreshed; you work, but not so hard that you're exhausted.

In the typical in-season baseball strength and conditioning program we use with professional pitchers on a five-day rotation, here's how we'd schedule it: Day 0: pitch Day 1: challenging lower body lift, push-up variation (light), horizontal pulling (light), cuff work Day 2: movement training only Day 3: Single-leg work, challenging upper body lift (less vertical pulling in-season), cuff work Day 4: low-intensity dynamic flexibility circuits only Day 5: next pitching outing However, if the next outing isn't until Day 6, we will integrate one of two options: The first option would be to simply split the Day 3 training session into two shorter sessions: one upper, one lower.  These sessions might only be 10-12 sets in all. Then, Day 5 would be the low-intensity dynamic flexibility circuits.

The second option would be to keep the strength training component as-is, but perform some medicine ball circuits on Day 4, then use Day 5 for the low-intensity dynamic flexibility circuits. Both options keep you training hard without interfering with the subsequent pitching outing.  Particularly in professional baseball, there are more days off early in the season, so it's important to be able to roll with the punches like this. At the college and high school levels, the 7-day rotation is usually implemented.  If a pitcher starts on Day 0, I like to see him strength training on Day 1, Day 3, and Day 5, with Day 5 being a lower-intensity lift (Days 2 and 4 are movement training, and Day 6 is low-intensity dynamic flexibility).  If there is an extra day on the end, we simply treat our Day 5 lift like we did the Day 3 option in the 5-day template from above; it can either be split into upper and lower body sessions, or we can do it as-is, and add medicine ball circuits on Day 6, taking Day 7 for dynamic flexibility before starting again on Day 8.

That said, as in my experience, guys rarely get that extra day in high school and college; they're more likely to have their starts pushed up.  In this case, we just drop the Day 5 lift. Getting training sessions in between starts is incredibly important, but that doesn't mean that one must be rigid in the scheduling of these sessions.  In fact, one must be very flexible in tinkering with that scheduling on a week-to-week basis to make sure that guys are getting in their lifts, but not at the expense of their performance on the mound. Hopefully this blog provided some strategies you can employ when weather or scheduling throws you a curveball! 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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Opening Day Musings: Are You Willing to Put in the Work?

Earlier this week, Cressey Performance athlete Ryan Flaherty was named to the Baltimore Orioles opening day roster for today.  Ryan and I share a common trait in that we were both born and raised in Southern Maine, so we've had some good conversations about what it takes to compete on a national scale when you start out from what isn't exactly known as a baseball capital of the world.  When I heard the great news about Ryan, the logical first choice for reading about it was our hometown newspaper, the Portland Press Herald, in this article.

One of the things that stood out for me about this article was the quote about how Orioles manager Buck Showalter still got so excited to tell guys they made the big league roster - because, unfortunately, it's a conversation he gets to have much less often than the "You're cut" interaction.

Being successful - and, even moreso, world-class - is very difficult.

Only 3% of guys ever drafted into professional baseball ever make it to the big leagues.  When you factor in free agent signings, it's likely a 1 in 50 success rate.  Taking it a step further, if you look at the 118 first-round draft picks between 2004 and 2007 who actually signed, only 84 (71%) of them ever made it to the big leagues.  In other words, even if you are among the most coveted 30 prospects in all of the U.S. and Canada, you still have a long way to go, and a lot of time to fall flat on your face. I hear it all the time from kids: I want to make varsity. I want to play in college. I want to get drafted. I want to make it to the big leagues. While the goals are certainly incremental and far apart, the response needs to be the same: "It won't be easy, and you need to be willing to work for it - not talk about it." Ryan was no exception.  He was one of the best athletes - football, basketball, and baseball - in the history of the State of Maine.  Then, he was a three-year standout at Vanderbilt, one of the best college baseball programs in the country, before being drafted in 2008.  Three years of hard work in the minor leagues later, he's getting his shot in "the show" today.  Tim Collins was a great example from last year - and Tim had to work his butt off to keep his roster spot in the big leagues going in to 2012.

It would have been very easy to be one of the 98% who failed, though. There are thousands of ways in which kids go astray from their goals today, whether it's due to apathy, poor coaching, overassertive parents, drug use, behavioral issues, or simply not being honest with themselves about how much they need to improve.  And, it's getting worse with every participation trophy that's handed out, and every time that a parent races in to school to contest a grade on a report card. In the former case, the rewards should be the excitement of competition, the outstanding feeling that comes from being part of a team, the physical activity that comes with participating, and the character development that comes from dedicating oneself to a goal and working toward improvements to make it a reality.  What are we saying to a kid when he busts his butt and looks the coach in the eye every time they talk, yet we hand him the same participation trophy that we gave to the kid that shows up late to practice, refuses to pick up equipment, gets in the coach's face, and dogs it through drills?

In the latter case, the parent has missed a valuable opportunity to teach a valuable, yet dwindling characteristic in today's young kids: accountability.  When parent could be teaching a kid that "you reap what you sow," instead, he/she instead chooses to show that you can cut corners in life because there will always be someone around to clean up your mess.  I'm all for standing up to your kids - but I think a lot of people today need to stand up TO their kids, too.

It isn't just about showing up. It's about genuinely caring about what you do, honestly evaluating where your abilities are, having a passion to become a better person and make the the world a better place, and acting accordingly - while being humble, punctual, diligent, and respectful.

Don't get me wrong; we absolutely, positively need to encourage all kids, not just athletes - and overbearing parents absolutely crush kids' confidence.  However, there is a happy medium between the two; I think we do them a disservice when we aren't realistic with them about what it actually takes to be successful.  Only then can they appreciate the day-t0-day behaviors and practice they'll need to be successful: the process for their ultimate destination. Along these lines, over the years, I've had dozens of parents come up to me and say that one of the reasons they love Cressey Performance so much is that young athletes get to interact with and train alongside professional athletes so much.  The hard work they see from the pro guys does a better job of demonstrating what level of commitment it takes to succeed better than anything a parent could ever put into words.

I love seeing college and professional athletes involved with clinics for younger athletes, as well as charitable endeavors. It doesn't just help the kids and charities, but also the athletes themselves.  It gives them not only a chance to give back and an opportunity to reflect on how far they've come and the hard work it took to get to where they are. It's important to not just discuss the drive and character it takes to succeed, but give kids visual examples of it. What better day than opening day, when dreams are coming true all over Major League Baseball? It's a great starter to a conversation you ought to have with your kids and the players you coach; why not today? Related Posts Strength and Conditioning Program Success: The Little Things Matter Four Factors that Make or Break a Baseball Strength and Conditioning Program 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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Exercise of the Week: Box Jump with 1-leg Landing

For this week's exercise of the week, I had some help from Miami Marlins pitcher and Cressey Performance client Steve Cishek, as well as Stack.com and New Balance Baseball.  Check it out:

A lot of folks do lower-level single-leg plyos and bilateral jumping/landing variations, but many folks never get around to combining the two.  This is a great option for those looking to take things to the next level.  Just make sure you're conservative with box height, for safety sake.

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Baseball Injuries: What to Expect in the Next Few Months

With football season now officially over, loads of sports fans are now turning their attention to the fact that pitchers and catchers "reported" this week, signifying the start of spring training and a new Major League Baseball season.  Truth be told, most college programs will have already started their seasons - and many high school programs will be playing official games - before the big leaguers start having regular season contests.

Unfortunately, with the start of a new season comes injuries...and lots of them. In fact, according to researchers who examined MLB injury statistics from 2002 through 2008, professional baseball players are 10.6 times more likely to get injured in April than they are in September.  In other words, they are far more likely to get hurt because they haven't prepared adequately for specificity than because they've had too much specificity.

Think about that for a second.  By the time September rolls around, most MLB players have logged 150 games between spring training and regular season play.  On a regular basis, they've fouled balls off their feet, gotten hit by pitches, made 100 slides, attempted dozens of diving catches, and sprinted full-tilt when they aren't warmed-up thoroughly after standing around doing nothing for a few innings.  Pitchers have logged hundreds of innings, in some cases, and catchers are sick of squatting for hours on end.  Yet, guys are dropping like flies in April, when they're supposed to be the most fresh.

Huh?

There are four legitimate reasons that this is happening.

First, rosters expand in September, so teams can easily keep a guy with a minor injury on the roster without putting him on the disabled list, which would make him "officially" hurt.  However, this doesn't explain why August injury rates are still dramatically higher than April's.

Second, the weather is colder - which means it's tougher for guys to stay warm and loose during early season games.  This doesn't explain the high injury rates we see in spring training, though, as all games take place in Arizona and Florida.

Third, guys may be ramped up too quickly.  Too many swings or throws in a short period of time may be the problem - but this really isn't something that can be changed, as guys need to become game ready, getting their timing, coordination, and mechanics down cold while they've got proper coaching at hand.

Fourth (and this is the main message of this article), guys simply aren't preparing correctly in the off-season with their baseball strength and conditioning programs.  They may not be showing up with the right mobility and stability in the right places, or they may simply be waiting too long to start throwing, hitting, or sprinting.  This happens all the time at the high school, college, and professional levels.

In the high school ranks, kids may be winter sports athletes, and not pick up a ball until a week or two before tryouts.  Or, they may have just lifted weights all winter, but not done enough sprinting or mobility work.

In the college ranks, some athletes will skip throwing and hitting altogether over winter break - and then wind up with issues when they return to campus and ramp up quickly to prepare for the start of the season.

Finally, in the professional ranks, many players simply wait too long to start baseball activities.  You can lift all the weights you want, throw medicine balls, sprint, take yoga classes, and participate in any of a number of other general training modalities, but nothing prepares you for being in baseball cleats and hitting, throwing, taking ground balls, or shagging fly balls for hours on end - and doing so every day of the week.  It's why I encourage our professional baseball crew to always get started on these things well in advance.  Guys might start playing catch as early as Thanksgiving, start hitting off a tee in early December, and start working on defensive drills when January rolls around.  And, we'll do movement training - sprinting, change of direction drills, ploys - throughout the off-season.  We don't add everything at once; instead, we gradually introduce a more and more baseball-specific stimulus as the off-season progresses so that nobody gets surprised when they show up to spring training; it should feel like a breeze.

So, with anywhere from a few weeks to a few months of your off-season remaining, make sure you're not just getting bogged down in the weight room.  Keep in mind that you lift weights to stay healthy on the field and improve performance, not just for the sake of lifting weights.  Look for more and more specificity in your programming with increased participation in baseball activities - but not so much that it becomes a "too much, too soon" scenario.  And, keep an eye out for the media reporting on loads of hamstrings, hip flexor, adductor, and oblique strains in the months to come, as it's a sign of the season!

Related Posts

Oblique Strains in Baseball: A 2011 Update
Hip Injuries in Baseball

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Baseball Strength and Conditioning Programs: How Much Rotator Cuff Work is Too Much? – Part 1

In a recent presentation in front of a bunch of baseball coaches, I made the following statement - and it turned a lot of heads:

I think most people overtrain the rotator cuff nowadays, and they do so with the wrong exercises, anyway.

To illustrate my point, I'm going to ask a question:

Q: What is the most common complication you see in guys as they rehabilitate following a Tommy John Surgery?

A: Shoulder problems - generally right around the time they get up to 120 feet.

Huh?  Shoulder pain is a post-operative complication of an elbow surgery?  What gives?

First, I should make a very obvious point: many of these guys deal with shoulder stiffness as they get back to throwing simply because they've been shut down for months.  That I completely expect - but remember that it's stiffness, and not pain.  They always throw their way out of it.

The more pressing issue is what is taking place in their rehabilitation - and more specifically, what's taking place with the synergy between their rehabilitation and throwing program. Let me explain.

Rehabilitation following a UCL reconstruction is extensive.  While different physical therapists certainly have different approaches, it will always be incredibly heavy on rotator cuff strength and timing, as well as adequate function of the scapular stabilizers.  Guys always make huge strides on this front during rehab, but why do so many have shoulder pain when they get further out with their long tossing?  The answer is very simple:

Most people don't appreciate that throwing a baseball IS rotator cuff training.

Your cuff is working tremendously hard to center the humeral head in the glenoid fossa.  It controls excessive external rotation and anterior instability during lay-back.

It's fighting against distraction forces at ball release.

And, it's controlling internal rotation and horizontal adduction during follow-through.

Simultaneously, the scapular stabilizers are working incredibly hard to appropriately position and stabilize the scapula on the rib cage in various positions so that it can provide an ideal anchor point for those rotator cuff muscles to do their job.

A post-op Tommy John thrower - and really every player going through a throwing program - has all the same demands on his arm (even if he isn't on the mound, where stress is highest).  And, as I wrote previously in a blog about why pitchers shouldn't throw year-round, every pitcher is always throwing with some degree of muscle damage at all times during the season (or a throwing program).

Keeping this in mind, think about the traditional Tommy John rehabilitation approach.  It is intensive work for the cuff and scapular stabilizers three times a week with the physical therapists - plus many of the same exercises in a home program for off-days.  They're already training these areas almost every day - and then they add in 3-6 throwing sessions a week.  Wouldn't you almost expect shoulder problems?  They are overusing it to the max!  This is a conversation I recently had with physical therapist Eric Schoenberg, and he made another great point:

Most guys - especially at higher levels - don't have rotator cuff strength issues; they have rotator cuff timing issues.

In throwing - the single-fastest motion in all of sports - you're better off having a cuff that fires at the right time than a cuff that fires strong, but late.  Very few rotator cuff exercise programs for healthy pitchers take that into account; rather, it's left to those doing rehabilitation.  Likewise, most of the programs I see altogether ignore scapular stability and leave out other ways to train the cuff that are far more functional than just using bands.

Now, apply this example back to the everyday management of pitchers during the season. Pitchers are throwing much more aggressively: game appearances, bullpens, and long toss.  They need to do some rotator cuff work, but it certainly doesn't need to be every day like so many people think.

I'll cover how much and what kind in Part 2.  In the meantime, if you'd like to learn more about the evaluation and management of pitchers, check out Optimal Shoulder Performance.

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7 Reasons Baseball Pitchers Shouldn’t Do Year-Round Throwing Programs – Part 2

In Part 1 of this series, I outlined the first three reasons that I'm opposed to baseball pitchers using year-round throwing programs.  Here are the next four:

4. They need to get their shoulder and elbow range of motion back.

As I noted in Part 1, throwing a baseball is the single-fastest motion in sports.  With the crazy arm speeds one encounters, you have to keep in mind not only the muscles trying to accelerate the arm, but also the ones trying to slow it down.  This "braking" challenge is called eccentric stress - and I'll talk more about it in a second.

What you need to know now, though, is that when left unchecked, significant eccentric stress can lead to tissue shortening.  If you need further proof, Reinold et al. reported that immediately after a pitching outing, pitchers lose an average of 9.5° of shoulder internal rotation and 3.2° of elbow extension - and that these losses persisted at 24 hours post-throwing.

Now, imagine these acute range of motion losses being left unchecked for an entire season - or a season that simply never ends because pitchers are always throwing.  That's how elbows wind up looking like this:

(For more information, I'd encourage you to check out my Everything Elbow In-Service Video.)

Fortunately, we can prevent losses in range of motion during the season with appropriate mobility exercises, manual therapy, and breathing exercises - but the truth is that not everyone has access to these initiatives in terms of expertise, finances, or convenience.  So, while we work to educate the masses on arm care, emphasizing time off from throwing programs is also a key component of an overall strategy to reduce injury risk.

One last thing on this topic: it is a nightmare to try to improve shoulder or elbow range of motion in a pitcher during a season, as the very nature of throwing works against everything you're trying to achieve.  The off-season is "where it's at" in terms of optimizing range of motion in throwers.

5. They need to “dissipate” eccentric stress.

Okay, here's where I take #4 and geek out a bit.  I apologize in advance.

Sometimes, you have to get away from the baseball world in order to learn about the baseball world.  To that end, I need to think Mike Reinold for bringing this great 2004 study from Tomiya et al to my attention.

These researchers created eccentric stress in muscle tissue of mice using an electrical stimulation model, and monitored blood markers of muscle damage for a period of time thereafter.  What you'll see in the graph below is that myofiber disruption really peaks at three-days post-exercise, then start to return down to baseline, yet they still aren't even there at seven days post-intervention.

Source: Tomiya A, et al. Myofibers express IL-6 after eccentric exercise. Am J Sports Med. 2004 Mar;32(2):503-8.

Now, let's apply this to the world of pitching.  Every single pitcher who throws more than once every 7-10 days is surely pitching with some degree of muscle damage.  And, I can tell you that the two toughest challenges pitchers have reported to me are:

a) moving from starting to relieving

b) going from a 7-day high school or college rotation to a 5-day professional rotation

I'm firmly believe that pitchers need to throw in-season to stay strong, but I also know that we can't trump physiology.  Sure, we need to have optimal nutrition and regeneration strategies in place, as we can't just baby guys and expect them to get better.  However, make no mistake about it: high-level pitchers simply have to get good at pitching at 90% capacity (at best) if they are going to succeed.

If I already have a guy whose arm is working at a deficit for 8-9 months of throwing, the last thing I want to do is beat him up for the other three months with the same kind of volume and stress.

manual_therapy_page

6. They need to allow any undetected low-grade injuries to heal.

As I discussed in an old blog, Pitching Injuries: It's Not Just What You're Doing; It's What You've Already Done, most injuries (especially ulnar collateral ligament tears) come from the accumulation of chronic, low-level stress.  Maybe you get some calcification on your ulnar collateral ligament or a low-level rotator cuff tendinosis, and it takes a few years and hundreds of innings before something finally "goes."

Old, low-level injuries are less likely to reach threshold if you give them some downtime and work on redistributing training stress.  By strengthening the rest of your body in the off-season, you're dramatically reducing the demands on your rotator cuff with throwing.

You can't teach other joints to share the burden if the burden is never removed temporarily.

7.  They need a chance to prioritize other competing demands.

Throwing is a good 20-30 minute endeavor each time you do it - and possibly even more.  When I think about all the things that pitchers can be doing to get better in the off-season from a strength and conditioning standpoint, I have a really hard time justifying giving away that much time and recovery capability.  There are other things that need to be prioritized at this time - and year-round throwing is an especially tough pill to swallow when you know that throwing is working against many of the very qualities - rotator cuff strength, scapular stability, mobility, and tissue quality - that you're trying to establish.

Closing Thoughts

The lack of downtime from throwing is especially problematic in younger populations, as they are skeletally immature and weaker.  I’d argue that a really weak 15-year-old kid throwing 74-76 mph does far more damage to his body on each throw than a moderately strong professional player throwing 90-92 mph, especially given that the pro pitcher’s mechanics are more optimized to protect the arm.  This underscores the importance of "syncing up" mechanics, throwing programs, and the overall baseball strength and conditioning program.

Last, but certainly not least, remember that two weeks doesn't constitute "time off."  Rather, I firmly believe that pitchers need the ball completely out of their hands for at least two month per year, preferably continuously.  In other words, eight one-week breaks throughout the year is far from ideal, as it doesn't really allow for positive adaptations to occur.

If you're interested in learning more about managing the throwing shoulder, I'd encourage you to check out our DVD set, Functional Stability Training of the Upper Body.

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