Home Posts tagged "Rotator Cuff Rehab" (Page 9)

A Feature on Cressey Performance Athlete Bree Schaaf

Here's a great feature on Bree Schaaf, who has been training with CP since 2007.
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The Truth About Strength Training for Kids

A while back, I attended a seminar in Houston, and while the primary topic was how to improve pitching performance, one of my biggest takeaways was with respect to adolescent physiological development.  Long-time Phillies rehabilitation consultant Phil Donley presented some excellent data on when bones actually become skeletally mature.  The next day, another speaker made a what was, in my opinion, an uninformed comment about how kids shouldn't strength train at young ages because it would stunt their growth.

Let's start with Donley's very intriguing numbers (which have actually been available in the literature for over two decades now); we'll stick with the shoulder girdle just to keep things to-the-point.  In a baseball population, the epiphysial plate most commonly injured from throwing at the shoulder is located at the proximal humerus (Little League Shoulder); this physis (growth plate) accounts for about 80% of humeral growth, and matures by age 19 in most folks.

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We've seen a lot of kids come through our door with this issue because of throwing (internal rotation of the humerus during throwing is the fastest motion in sports) and even some traumatic falls - but I can honestly say that I've NEVER seen one from strength training.  So, anecdotal evidence for me shows that strength training for kids is far from what could be considered "dangerous" for developing bones.

youthpitcher

Now, here's where it gets more interesting: bone maturation isn't uniform across the body.  While the proximal humeral growth plate might mature at 19, the distal (down by the elbow) physis is finished between ages 10 and 16.  The proximal and distal radius plates might mature anywhere between 14 and 23.  Meanwhile, the clavicle matures at ages 22-25, and the scapula generally matures by age 22.  How many of you have ever heard of a college football being held out of weight training for all four years of his participation because all that bench pressing might stunt the growth of his clavicles and scapulae?  It just doesn't happen!  In reality, we know that the strength training benefits of increased muscle size and strength actually protect him from injury on the field.

youthbaseball

In other words, violent (throwing) and traumatic (falling) events far exceed any stress on a young athlete's bones that we could possibly apply in a strength training setting, where the environment is controlled and overload is gradually and systematically increased over time as the athlete becomes more comfortable with it.  I'd make the argument that a young athlete should start resistance training as early as his/her attention span allows for it; the emphasis, of course, would be on body weight exercises, technical improvement, and - most importantly - keeping things fun.

If you really think about it, an athlete is placing a ton of stress (4-6 times body weight in ground reaction forces, depending on who you ask) each time he/she strides during the sprinting motion.  Kids jump out of trees all the time.  They lug around insanely heavy backpacks relative to their body mass.  Performance, general health, and self-esteem benefits aside, it's only right to give them a fighting chance in trying to avoid injury.

Also, another great point Phil made (although it was on an unrelated topic, it pertains to us) was that as an adolescent athlete grows, his center of gravity moves further up from the ground.  This is a big part of the "lapse" in coordination we see in kids during their growth spurts.  A little bit of strength goes a long way with respect to maintaining the center of gravity within the base of support, and makes an athlete more comfortable "playing low" (hip and knee flexion) to bring that center of gravity closer to the base of support.

All that said, appropriate resistance training is not only safe for kids; it's also tremendously beneficial.  In a review just published by Faigenbaum and Myer, the authors concluded:

Current research indicates that resistance training can be a safe, effective and worthwhile activity for children and adolescents provided that qualified professionals supervise all training sessions and provide age-appropriate instruction on proper lifting procedures and safe training guidelines. Regular participation in a multifaceted resistance training program that begins during the preseason and includes instruction on movement biomechanics may reduce the risk of sports-related injuries in young athletes.

Dr. Avery Faigenbaum has actually published a ton of great research (including position stands for numerous organizations) on the topic of strength training for kids in recent years; you can find all of it by searching for his last name at www.pubmed.com.

In the meantime, I hope this blog can help to eliminate the gross misconception in the general population that resistance training can't be beneficial for children.  When performed correctly and made fun, it is safe and provides tremendous benefits to kids in both the pre-adolescent and adolescent stages.

For more insights on the best approaches - and common mistakes - with training youth athletes, I'd encourage you to check out the Mike Boyle's resource, Complete Youth Training. After reviewing it, I told Mike that I enjoyed it not only as a strength and conditioning coach, but also as a parent of three daughters. I think the most compelling statement Mike made in the entire resource is that one of the most impactful things he's done with his daughter (an accomplished D1 hockey player) was to strength train a minimum of two days per week since she was 11 years old. When you've got strength at a young age - and you preserve/build it over the years - the rest of your training becomes that much more productive.

I'd strongly encourage you to check it out, whether you're a strength and conditioning professional, rehabilitation specialist, sport coach, or parent of a young athlete. There's some excellent information in there for everyone. You can learn more HERE - and it's on sale for $50 off through Sunday at midnight.

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Band Work after Pitching?

As you read this, I'm presenting at the Ultimate Pitching Coaches Bootcamp in Houston, TX.  As such, it seems fitting to devote today's blog to some pitching content. A question I get pretty often is what I think of light band work for pitchers the day after pitching.  The truth is that I'm pretty apathetic about the use of bands, but I am adamant about the inclusion of post-throwing stretching to regain lost flexibility.  Research from Reinold et al. demonstrated that pitchers lose both elbow extension and shoulder internal rotation range of motion (ROM) over the course of a competitive season, and it's no surprise, given the huge eccentric (deceleration) stress those arms encounter during the throwing motion.  Anecdotally, my experience has been that they also lose hip internal rotation and knee flexion on the front leg.  So, you don't just want to take care of shoulder range of motion; you also want to attend to hip ROM. Here's the side-lying cross-body stretch, one of my favorite self-stretches for improving shoulder internal rotation.  I tend to use it more than the sleeper stretch nowadays because it's generally a lot tougher to butcher the form.  It's important to stabilize the scapula down and back before the cross-body pull.  This should not be an aggressive stretch!  If you are gentle but consistent with it, the ROM will come around in time.

You can find more ways to both identify and address shoulder and hip rotational imbalances in Assess & Correct.

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So, flexibility is a must, but light band work may have a place as well.  There's a lot of muscular damage, and some very light bloodflow work may assist in rotator cuff recovery, as it tends to have a poor blood supply.  I go into more detail on how we train our pitchers after an outing in A New Model for Training Between Starts: Part 2. For more information, check out Optimal Shoulder Performance.

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Click here to purchase the most comprehensive shoulder resource available today: Optimal Shoulder Performance - From Rehabilitation to High Performance. 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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The Squat: Good Exercise Gone Bad?

A few weeks ago a video of strength coach Mike Boyle presenting at a seminar hit the Internet, and boy did it piss some people off. Why? Just take a look at this quote from Boyle: "This is going to be the hardest thing for people to accept. The muscle-head crowd, the T-Muscle crowd...they're gonna be like, 'Mike you're saying don't do squats any more.' Yes, I'm saying don't do conventional squats any more."  I watched the clip again. No more squatting? But isn't it the king of lower body exercises? Just what the hell was going on? So I called Boyle to get his thoughts. Then, because I wanted to hear other points of view, I called Dave Tate, Christian Thibaudeau, and Eric Cressey. Click here to read more...
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Developing Young Pitchers the Safe Way

This is another excellent guest post from Matt Blake. Now that fall sports are beginning to wrap up and the winter training season is upon us, I thought it might be timely to contribute some more information for the youth baseball development community. Recently, I have been running some pitching clinics on the weekends for the 9-12 year old age group - and it got me thinking a lot about the importance of proper development for the youth baseball player.  This is especially true in what has been traditionally considered a "dead period" or off-season for baseball players in the Northeast.

llws

For better or worse, I believe this mentality is beginning to change a lot, as the greater population is forcing players to become more and more specialized at earlier ages. This may not be true across the board, but there are definitely some undertones driving this movement, such as showcases during the December/January months, where players are expected to show up to a workout and light-up a radar gun in order to impress college coaches or scouts. This thought alone might send shivers down Eric's spine and will probably hold its own as a blog topic in the near future. To give you an idea, one study published by Olsen et al (2006) at the American Sports Medicine Institute in Birmingham, AL actually documented that injured baseball players (requiring elbow or shoulder surgery) went to four times as many showcases as those who were in the healthy control group!

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Now, I certainly can't say I think specialization at a young age is a healthy thing with regard to developing baseball players, as there are tremendous demands placed on the body in the act of throwing a baseball overhead.  But at the same time, if players and parents decide that is what they would like to do and it is in the best interest of the kid, there needs to be a safe way to approach development during this time period for this population. When I say this population, I'm speaking to the baseball population as a whole, but when I say a "safe approach," there obviously needs to be some clarification on the intended goals and ambitions of the particular player. Some of the major concerns that I believe need to be addressed before engaging a player in a throwing session include: -How much has this player thrown over the last day/week/month/year? Has he taken any breaks in his development to rest his arm for at least three weeks (at the very minimum)? - Has he complained of arm pain during practice or competition during this period? If so, where was the pain? How often did it occur and to what degree? These are just a few of the important signs and indicators that need to be tracked throughout the year, specialized winter training or not.  The study referenced above by Olsen et al identifies a host of other variables found in the injured population and should be a must read for anyone who is working with amateur baseball players. Now there are obviously a lot of different ways to look at this, so I'll try to explain what I think "proper development" means for players depending on their age range, and the level of performance they desire to reach. This winter alone, I will be aiding the development of pitchers ranging from the professional and collegiate baseball players taking part in Eric's Elite Baseball Development Program all the way down to the 9-12 year old population, where players are trying to figure out how to throw a baseball in the right direction. Obviously, the pro players are extremely specialized and probably have been for awhile. A lot of their development has already occurred and their windows for adaptation are a lot smaller, so we're working more towards preparing them to handle the stress of a 140+ games than we are skill refinement.

inman

On the other end of the spectrum, the 9-12 year olds one might be dealing with are incredibly raw and undeveloped with huge windows of adaptation ahead of them from pure maturation of their bodies to the development of their motor patterns. This time period is huge for kids to begin ironing out the proper motor patterns that they will use to refine their athletic skills in their teen years of development. With this in mind, a substantial amount of throwing might not be in their best interest and maybe getting more athletic in general would be more beneficial in the long term. How can you expect a player to repeat his mechanics with any sense of consistency if he doesn't understand how his body even works? One way that I like to spend time with this type of player is to extend the warm-up and movement training portion of these clinics to really drive home the importance of being in good physical shape.  We also use more group oriented video analysis sessions for the players and parents to point out what common mechanical faults look like in this age group, and what verbal cues the parent might be able to use to help correct when playing catch on their own. I actually find this portion of the clinic to be the most beneficial for all involved, because when you think about it, you only get about 3 to 4 hours with these players in a clinic setting. In order to get the information to settle in for these players, it needs to be constantly reinforced as their mind and bodies continue to develop. This is where mom or dad need to be informed, because they are the ones who will do much of the reinforcing, whether or not they are qualified to teach their son to throw a baseball. The more information they can have at their disposal and the more teaching tools you can give them, the better off they will be at aiding their child's development in the backyard. This is the main reason why Eric and I are holding a FREE clinic this coming Tuesday, Dec 8th at 7pm for parents and coaches in the area, who are interested in learning more about how to prepare and protect the amateur baseball player.  We'll be discussing the current injury epidemic in youth baseball, how it stems from overuse in competition, and what some of the major developmental needs are for the youth baseball player. If you're interested in attending, please RSVP to CresseyPerformance@gmail.com.  Hopefully we'll see some of you there! Matt Blake can be reached at mablak07@gmail.com.

shoulder-performance-dvdcover

Click here to purchase the most comprehensive shoulder resource available today: Optimal Shoulder Performance - From Rehabilitation to High Performance. 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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Cressey Performance Thanksgiving Day Lift: Video Evidence of the Madness

We had 29 people in all, 23 of whom were CP clients/athletes.  Five major league organizations were represented, as well as several universities, some meathead powerlifters, a dog, a physical therapist, a professional poker player, some badass chicks lifting heavy stuff (including a GP girlfriend and CP fiancee).

Some additional flavor from Tony Gentilcore's camera (the jackass who flexed at the 25 second mark):

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Mobility Exercise of the Week: Wall Psoas Hold

For more mobility exercises, be sure to check out Assess and Correct: Breaking Barriers to Unlock Performance.

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Random Friday Thoughts: 11/27/09

1. First off, I hope everyone had a great Thanksgiving.  Before I get to the video footage from yesterday morning, I wanted to give you a couple of quick heads-ups on some seminars at which I'll be speaking in 2010 (just confirmed):
  • January 30, 2010: Mike Boyle Strength and Conditioning 4th Annual Winter Seminar - Winchester, MA
  • March 7-8, 2010: NSCA Personal Trainers Conference - Las Vegas, NV
  • March 27-28, 2010: Vancouver Seminar (click here for details)
  • May 8-10, 2010: Sports Medicine 2010: Advances in MRI and Orthopaedic Management - Boston, MA
Hope to see some of you at one or more of these events! 2. A big congratulations goes out to CP athlete CJ Retherford, who hit the game-winning HR in the championship of the Arizona Fall League (Video HERE).  CJ will be out to Boston to train when January rolls around. 3. And, just when we thought the post-baseball-season celebration was over, we learned that CP athlete Tim Collins was named Toronto Blue Jays Organizational Pitcher of the Year.  Congratulations, Tim!

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4. John Berardi is running a great sale on Precision Nutrition through December 1.  They're offering them the Precision Nutrition System - including Gourmet Nutrition Version 1 and an all-access membership to their private Member Zone - plus a one-year subscription to their Results Tracker program, and free shipping to the US and Canada for just $99.00. If you haven't checked it out - or you have a family member or friend who could use some help on the nutrition side of things - I'd strongly encourage you to check this out.  It's the single-best nutrition resource available on the web today: Precision Nutrition

precision_nutrition 5. We'll have the pictures and videos from the CP Thanksgiving lift posted as soon as possible.  A camera was lost and we're in the process of finding it! 6. In the meantime, here are some recommended readings from the past here at EricCressey.com that might interest you: Hip Injuries in Baseball: My take on the huge increase in hip issues in MLB players. Stagnancy vs. Stability: Even in a dynamic field like strength and conditioning, the status quo is sometimes still just fine. 7. Just got this little bit of feedback on Assess and Correct from Mark Young of markyoungtrainingsystems.com: "As a strength coach myself, I have literally read thousands of studies, textbooks, and articles relating to assessment and correction.  But when I heard that Mike, Eric, and Bill were going to be putting together a product on this very subject I wanted to be first in line to put my hard earned money on the table. I think this product is going to change how people prepare for performance and that owning it is a must for anyone who is absolutely serious about results." Check it out for yourself: Assess and Correct.

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Happy Thanksgiving!

With it being Thanksgiving, I just wanted to take a quick moment to thank all of you for your continued support of EricCressey.com, Cressey Performance, my products, and my career as a whole.  I'm constantly amazed and humbled by the fact that website traffic is up month-after-month; it really is flattering that people care enough to read and view my work on a daily basis in a world of thousands of competing demands for one's attention.  Thank you very much for being such a supportive audience! Best wishes to you all and your loved ones this Thanksgiving.  And, for the many readers of EricCressey.com who aren't celebrating Thanksgiving, I hope you have a helluva Thursday nonetheless! Best, Eric PS - Stay tuned for some video footage of the second annual Cressey Performance Thanksgiving morning training session.  To quote our summer inter, Roger Lawson, "If I was any more excited about it, it'd be illegal."
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Strength Exercise of the Week: Pallof Press

(even though our camera/editing guy spelled it incorrectly)

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