Home Posts tagged "Rotator Cuff Rehab" (Page 3)

Strength and Conditioning Programs: Acts of Commission vs. Omission

At the last Winter Olympics, Dutch speedskater Sven Kramer missed out on a gold medal because his coach, Gerard Kemkers, directed him into the wrong lane part way through the race.  Kramer finished the race with an Olympic record time - four seconds ahead of his nearest competitor - but was immediately disqualified because of an incorrect lane change with eight laps remaining on his long-time coach's cue. In the aftermath of the disqualification, Kemkers obviously came under a ton of scrutiny.  After all, he committed a pretty big coaching mistake - and it'll probably become a huge part of his legacy, as unfortunate as it is.

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Here is a guy who has likely helped thousands of speed skaters over the years, presumably devoting countless hours to research, coaching, and becoming the best he could be - both as a coach and an athlete (he won a bronze medal at the 1988 Olympics).  And, as Kramer noted, it is hard to argue with the success Kemkers helped him achieve:  "Three times world champion, four times European champion, so many World Cups and Olympic gold in the 5,000 meters." In the process, Kemkers had to have omitted little to nothing; otherwise, he wouldn't have been coaching at such a high level. Had Kemkers never endeavored to get to a high level - or taken shortcuts to get there - there would have been countless omissions along the way: gaps in his knowledge, an inability to befriend athletes, and a fundamental misappreciation for what it takes to compete at a high level.  He would have been mediocre at best.

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Kemkers' mistake was an act of commission, not omission. Meanwhile, millions of "armchair" quarterbacks around the world will criticize him for being an idiot, when in reality, the opportunity to make this mistake might never have come along if he hadn't spent so much time preparing to not be an idiot. Speedskating isn't really our thing here in the United States, so let's apply this to something that better fits our existing schema: ACL injuries in female athletes.  We know ACL tears are extremely common in female athletes, particularly those participating in basketball, gymnastics, and soccer.  I actually recall reading that the average NCAA women's soccer team has one ACL tear every year, and that typically, 1 in 50 female NCAA basketball players will blow out an ACL in a given season.  These numbers may be a bit dated now, but you get the point: if you don't train to prevent these injuries, you're omitting an insanely valuable initiative that protects your athletes...and mascots.

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Now, we need to see another "ACL Injury Prevention Protocol" on Pubmed like I need to experience another Tony Gentilcore Techno Hour.  In other words, there are plenty of them out there, and we know what kind of strength and conditioning programs work; it is just about execution. So, let's take your typical strength and conditioning coach who puts his female athletes through everything he should to protect them from ACL injuries - but one girl drops a weight on her foot and breaks a toe to miss the rest of the season. Had he omitted external loading from his strength training program, this never would have happened - but he probably would have had four times as many ACL tears as broken toes and his athletes wouldn't have performed as well.  Here, an act of omission would have been far worse than an act of commission - just like we saw with Kemkers.  This isn't always the case, but it's important to realize that two kinds of mistakes occur, and sometimes you're better being proactive and making a mistake than you are ignoring a responsibility and just keeping your fingers crossed. It's been said before that strength and conditioning programs are both a science and an art - and the art is interpreting what to leave out and what to include in light of risk-reward for each unique athlete.  For instance, a front squat is a fantastic exercise from a scientific standpoint, but on the art side of things, it may not be appropriate for an athlete whose spine doesn't like axial loading.  Or, it may be a problem if an athlete hasn't been front squatting, and introducing it right before competition would cause soreness that might be counterproductive to performance. Think about how this applies to the next strength and conditioning program you write, and the next client/athlete you coach. Related Posts Risk-Reward in Training Athletes and Clients Why Wait to Repair an ACL? Sign-up Today for our FREE Newsletter and receive a deadlift technique tutorial!
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Building the Elite Pitcher

Back in December, I was honored to be included as one of several speakers who presented at Ron Wolforth's 2009 Ultimate Pitching Coaches Bootcamp.  As was the case in previous years, it was a great event that brought together a lot of forward-thinking minds from various roles in the pitching world.  Today, I'm happy to announce that I've arranged for a sweet deal on the DVDs of the event for my readers only. Since I was a presenter and Ron's a good friend of mine, he agreed to let me make the DVDs available to my readers at $50 off the normal purchase price.  All you need to do is click through the following link, and the discount will automatically be applied at checkout: https://m130.infusionsoft.com/go/UPCBC2009/EC/ My presentation, Whip: What it is and how to get it, lasted 75 minutes and covered: -The stretch-shortening cycle: what it means to pitchers and how to get the most out of it -How different pitchers throw hard via different mechanical, flexibility, and strength/power factors -How to identify and address mobility and stability deficits in pitchers I also gave a 30-minute hands-on session on foam rolling for pitchers. In addition, there were several other fantastic, informative - and sometimes controversial - presentations from Phil Donley, Neiman Nix, Wes Johnson, Brent Strom, Flint Wallace, Aaron Weintraub, and, of course, Ron Wolforth.  I love the fact that this event always covers everything from physical therapy/injury prevention, to physical preparation, to mental preparation, to mechanics, to structuring practices, to pitch sequencing.

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Fortunately, the 150 coaches in attendance aren't the only ones who will get to experience this event, as the entire weekend was recorded. So, whether you coach, rehabilitate, or train baseball athletes, this is a great resource that you'll find yourself looking back to for years to come.  I know I put a ton of time into my presentation and did my best to load as much information into it as possible - so you have my word that it'll be worth it. Here's the link again: https://m130.infusionsoft.com/go/UPCBC2009/EC/
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Stuff You Should Read: 3/2/10

Here are a few recommendations for this week: East Coast Muscle - Recently, Men's Health Fitness Editor Adam Bornstein traveled all along the East Coast to check out several training facilities - one of which was Cressey Performance.  This blog post details his experiences and features a picture of one dead sexy guy named Cressey lifting heavy stuff. Five Resistance Training Myths in the Running World - This is one of my most popular articles of all-time, and with the number of crazy endurance folks getting ready for the Boston Marathon in 10-degree weather, it seemed like a fitting time to bring this piece to the forefront once again. Made to Stick - Someone mentioned this in conversation the other day, and it reminded me that it was one of my favorite books of the past five years.  It's a great read - whether you're a teacher, trainer, parent, or any of a number of other things!

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What Stupid Stuff Have You Seen in the Gym?

I recently came across a study in the American Journal of Sports Medicine that showed that over an 18-year period, an estimated 970,801 weight-training-related injuries presented in emergency rooms around the country.  That's an average of 53,934 injuries per year...nationwide.

Based on the market research from back when we wrote Maximum Strength, about 23 million Americans lift weights for exercise - meaning that one out of every 426 people who lifts weights actually gets jacked up enough during a training session that he/she has to to go the hospital.

Now, I'll be honest: while I have seen people do some INSANELY STUPID stuff in commercial gyms, I can't say that I've ever seen anything that warranted a trip to the hospital.  Obviously, I've lived a bit of a sheltered life in owning Cressey Performance for the past three years and working in either private training facilities or college weight rooms since 2003, but one would think that I could have come up with at least ONE gruesome story.  Alas, nothing comes to mind...not even a goofy laugh while benching.

So, I'm counting on you, my loyal and entertaining readers, to provide me with some good stories in the comment section below.  What outlandish stuff have you seen in gyms that has landed some schmuck in the emergency room?

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What I Learned in 2009

Four years ago, I wrote What I Learned in 2006, my first year-in-review series that continues to this day. Since then, this website has gone from T-Mag to TMUSCLE. I've opened my own facility, got engaged, and thanks to a little bit of both, lost a bunch of my hair. Interestingly, people seem to be writing "What I Learned in 2009" series all over the Internet. I've seen the phrase flown on banners behind airplanes, "tweeted" by NBA superstars at halftime, and printed across the back of girls' short-shorts. But let's get something straight, folks: you're reading the original right here. Got it? Good. Now let's move on. Continue Reading...
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What a Week!

This week has been a busy and exciting one, to say the least. 1. There's no more fitting way to start this list of random thoughts off than with a huge congratulations to CP athlete and Team USA bobsledder Bree Schaaf, who finished 5th at the Olympics on Wednesday night.  I first started working with Bree in July of 2007 when she was working her way up the ranks as a skeleton competitor for the US National Team (she was as high as 12th in the world at one point) after her collegiate volleyball career ended.  A few months later, Bree decided to make the switch to bobsled - and just two years later, wound up in the Olympics. The whole Cressey Performance "Extended Family" is incredibly proud of her hard work and how far she's come.

To check out videos of Bree's four runs, head over to nbcolympics.com.

2. My fiancee and I had an offer accepted on a house this week as well, so between negotiations/offers and making arrangements for mortgage stuff, a home inspection, appraisal, and dates for the P&S and closing, it's been a hectic week.  It'll all be worth it, though, as the move will substantially reduce my commute time (by at least 80 minutes per day!) and, obviously, improve my productivity and our quality of life.  Needless to say, we are really excited about how things are developing and love what will be our new house.

3. I'm experimenting with some Underarmour Performance mouthwear right now in my training, thanks to a generous gift from CP client Dr. Jeff Tocci, who fits dozens of these each week for athletes and non-athletes alike.

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There is actually quite a bit of research supporting these initiatives, so thanks to Jeff, I get to put it to the test while I'm lifting heavy stuff this week to see how I respond.  So far, so good.

4. Mike Reinold and I are working hard to put the finishing touches on our new DVD set, Optimal Shoulder Performance.  We definitely plan to have it up and running sometime in March.

5. No surprise here, but pitchers who throw harder are more likely to develop elbow issues.  You can look at this transiently in the context of the faster arm speed placing more stress on both the active and passive restraints.  However, more chronically, if you consider that the arm is moving faster, you'll realize that the deceleration-imposed adaptations (more specifically, the muscle shortening that comes from repeated eccentric exercise exposures) can lead to chronic adaptations (loss of elbow extension and shoulder internal rotation) that can place more stress on the elbow.  Likewise, stud pitchers who throw the crap out of the ball are more likely to get overused - so it's really a triple whammy working against you if you throw hard.

That said, I'd rather throw 100mph with a higher risk of injury than throw 76mph and get shelled in some beer league.

Have a great weekend!
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Stuff You Should Read: 2/25/10

Here's some recommended reading for the week... Effective Abdominal Training - I linked to a Bill Hartman post last week, and I'm going to do it again this week, because he puts out great stuff!  Check out this post, which features a video on core control. Youk's Diary: Good, Bad of Spring Training - CP client Kevin Youkilis will be keeping a blog on ESPN.com this season, and he gave us a little shoutout in the first one.  In addition to checking out Youk's blog, I'd strongly encourage you to visit and donate to Youk's Hits for Kids, a charity Kevin founded that does some awesome stuff for underprivileged kids. 7 Habits of Highly Defective Benchers - This was one of the most popular articles I've ever written, so I figured it'd be worth a "rerun."

Last, but not least, don't forget that our spring training sale ends TONIGHT at midnight.  Don't miss out on your chance to get 30% off!  Click here for more information.

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Cressey/Robertson/Hartman Roundtable with Pat Rigsby

Mike Robertson, Bill Hartman, and I recently participated on a roundtable with Pat Rigsby at his blog.  The discussion is all about assessment and its role in the training process. You definitely ought to check it out - not only for the content itself, but also the special offer in place for Assess & Correct.  Here it is:

Are You Making Your Clients Better or Just Making Them Tired?

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Should Pitchers Overhead Press?

The following video excerpt is from my November seminar with Mike Reinold.  It is available in its entirety on our DVD series, Optimal Shoulder Performance: From Rehabilitation to High Performance. I just thought you might like a teaser!

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Cressey Performance Internship Blog by Sam Leahey – Simplicity

Simplistic Programming Let's face it. There are so many aspects to Strength & Conditioning that it's easy to be left wondering, "How am I going to fit everything in?"  For a young coach, program design can be somewhat of a frustrating process. But, over time, as experience rolls in and confidence flourishes, the program design conundrum dies down. You find that there's more than one way to skin a cat and the concept of simplicity always seems to come to the forefront. Take a look at the following list of potential program components: Strength Training Power Training Movements Skills Flexibility Speed Development Mobility Anaerobic/Aerobic Conditioning Warm Up Stability Soft Tissue Work Etc. . . Etc. . . Admittedly, I am one of those overwhelmed ones at times, asking myself how I'm going to "fit it all in."

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However, as I noted, the K.I.S.S. principle seems to always be the end result of my analysis - KEEP IT SIMPLE, STUPID! Yet, this simple approach doesn't seem to mesh well with having multiple training goals for one training cycle. This brings me to my main point. You don't HAVE to have a zillion training goals for every day/week/etc. of a training period. It's OK to focus primarily on one or two things only and hammer them home. Maybe for Athlete A, he doesn't need all this "fancy stuff" and instead just needs to not be as weak as his little sister. Or Athlete B for that matter, who's "strong enough" and would greatly enhance his/her athleticism by focusing on his/her rate of force development. Here at Cressey Performance, things like plyometric work are condensed into one or two training sessions. Speed development and movement skills are also allocated to particular training days. As the days go by, I'm seeing more and more value of consolidating program components into particular time periods instead of trying to cover all my athletic bases in the same session, month, etc.  Another point being that it's OK to let other things slide a bit while you hone in on a higher yield area. Some people may need more corrective exercise at a particular time and less strength work at the moment. Conversely, even though it would behoove us to simplify our programming approach we must at the same time remember what Albert Einstein said - "Make everything as simple as possible, but not simpler." This is where the Art of coaching comes in, as we find a simultaneous balance between simplifying our programs and having them still be very effective in yielding great results. Simplistic Coaching During my last internship, with Coach Michael Boyle, I had a coaching epiphany that helped me to realize how my explanation of exercises to large groups needed to be simple if it was going to be effective. I needed to make all my coaching cues much simpler as well. If you haven't read that brief post before you can find it here.

At CP, I find myself in a one-on-one situation a lot more and guess what I found? The concept of simplistic explanations and coaching cues is STILL true! Who would'a thunk it?!?! I realized that just because I can spend more time with an individual doesn't mean I need to talk his/her ear off with long lists of directions. The one client standing there in front of you still responds to the same simple explanations and demonstrations that a group of people do. The biggest difference I can find in this regard is that I might increase my initial number of coaching points to three things when explaining an exercise.

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I can remember my football coach saying to me that the average human mind can only remember seven things at once. They're already counting how many reps they're doing as #1, and if I give 3 pointers to remember, that's a total of four synapses. But, let's be honest, we've all worked with clients who seem to "not be present in the moment;" it's like their minds are somewhere else when you're talking to them. So, for this reason, I'll leave the other three synapses open for "whatever." However, I'm very open to hearing what your suggestions are for filling in the rest of the synapses; feel free to post a comment below. Having said all this, I've found there are two types of clients (as time goes on, maybe I'll discover more): the visual learner and the verbal learner. After you've taken a new client through a warm-up, foam rolling, stretching, etc. you get a feel of their kinesthetic maturity. You can already tell how well they respond to being shown an exercise or being told how to do an exercise. This way, by the time you get over to the resistance training component, you have an idea of where to start - whether it's more demonstration and less verbage or vice versa. Has the following scenario every happened to you? A kid or adult you're coaching is standing there watching and listening to everything you say and do. You give full disclosure in your explanations and demonstrations. It's now his turn to attempt the movement and he does EVERYTHING wrong! It's like he wasn't even listening to what you just said and for some reason your demonstrations went right through his eyes and out the apparent hole in the back of his head!

(I apologize, but you'll have to turn your volume up because the audio quality is not that good)

So, I hope you the reader can appreciate my thoughts on the issue. For some, like my mentors Eric Cressey and Mike Boyle, this concept came into fruition many years ago. I'm glad I was able to realize the same thing while under their tutelage and not out on my own. An intern's time here Cressey Performance is very fulfilling and the whole staff has so much to offer that there's never a dull moment in the day.

Sam Leahey can be reached at sam.leahey@gmail.com.
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