Home Posts tagged "Shoulder Health" (Page 6)

Exercise of the Week: Barbell Overhead Shrugs

Barbell shrugs have been labeled a "meathead" exercise by a lot of people, but with some quick modifications, you can make them really valuable inclusions in a strength training program, as not all shrugging is created equal.  Check out this exercise of the week video to learn more:

As I mentioned, if you're looking for another variation that's unloaded, try including wall slides with overhead shrug in your warm-ups; they are a great teaching tool.

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Strength and Conditioning Stuff You Should Read: 6/13/12

Here's this week's list of recommended strength and conditioning reading:

Elite Training Mentorship - My new content at Elite Training Mentorship was just loaded up last week.  In addition to two new exercise demonstrations and articles, I added two new staff in-services: "Preventing Anterior Shoulder Instability," and "Zones of Convergence."  Tyler English also provided some great content for this update.

What Top Experts Are Doing Differently This Year - I contributed on this collection of year-in-review reflections from a number of experts in the industry.  Mike Reinold organized it and published it on his blog - and you'll find some great insights there.

A Muscle Plan for Every Man - This was an article I wrote last year for the print version of Men's Health, and they just reprinted it online recently.  In the article, I discuss how to go about writing your own strength training program.

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Strength Exercise of the Week: 1-arm Dumbbell Floor Press

I'm out of town for a few days, but fortunately, Ben Bruno was kind enough to write up this guest blog.  I enjoy Ben's writing - particularly his ability to constantly innovate - and I'm sure you will, too. Common sense tells us that the one arm dumbbell bench press is an upper body exercise (duh!), but if you’ve ever done them with considerable loads, then you know that the legs aren’t just passive players in the mix. They don't just help to provide a little bit of leg drive; more importantly, they help to create a stable base so you don’t tip clear off the bench. Don’t believe me? Try doing a set with your feet in the air and you’ll see exactly what I mean. Just make sure to put padding on the floor around you first. To mimic this effect in a safer fashion, try one arm dumbbell floor presses with your legs straight.

You’ll find there’s a tendency for your torso to want to rotate towards the arm pressing the weight and for the contralateral leg to want to shoot up off the floor as the weight gets heavier or you get further into a set.  As such, you have to be cognizant of that and squeeze your glutes and brace your core to prevent that from happening since you can’t rely on your feet to provide the base of support. It’s a great exercise because it’s self-limiting and reflexively teaches you how to create total body tension—no cueing needed. It’s also a nice shoulder-friendly alternative for people who might experience pain with full range of motion dumbbell pressing, or for people with lower-body injuries that won’t allow them to push through their feet. Start with your legs wider and move them closer together as you feel more comfortable. Similarly, you can start with the non-working arm resting at the floor at first to give some additional stability, but work towards placing your hand over your abdomen as you improve. You’ll need to start with a substantially lighter weight than you’d use for regular dumbbell presses (I’d say 60% would be a good starting point), but your numbers will climb back up quickly as you get the hang of it. Give it a try! Ben Bruno publishes a free daily blog at www.BenBruno.com. Sign-up Today for our FREE Newsletter and receive a four-part video series on how to deadlift!
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The Best of 2011: Articles

With 2011 winding down, I'll be dedicating this week to the best content of the year, based on traffic volume at EricCressey.com.  I'll kick it off today with my most popular articles from the past year. 1. My New Favorite Training Shoe - This post received more than 3,000 views more than #2.  Apparently, footwear is a topic about which folks were anxious to read, and I gave a detailed review of all the minimalist footwear options I've tried - and folks shared it a ton.  Additionally, based on feedback on my Twitter account, a lot of people purchased the New Balance Minimus based on my recommendation and have absolutely loved it.

2. Your Arm Hurts?  Thank Your Little League, Fall Ball, and AAU Coaches. - This post received well over 1,000 Facebook "shares" and loads of Tweets, and I'm hopeful that this is indicative of parents, coaches, and players learning about how to approach arm care and throwing programs intelligently.  I think it was also popular because it was a good blend of scientific evidence and simple, everyday logic. 3. Tim Collins: Why Everyone Should Be a Kansas City Royals Fan (at least for a day) - This was my favorite post of the year, as it was a chance to celebrate a good friend and long-time Cressey Performance athlete who is everything that is right about Major League Baseball. As a cool little aside, traffic to this article played a large part in having "Tim Collins" trending on Twitter during his MLB debut on Opening Day in March.

4. Weight Training Programs: You Can't Just Keep Adding - It sounds like many of my readers were glad to hear that I was doing some writing on managing training stress.  There is a lot of common sense in this one, but sometimes, that's what people need! 5. Strength Training Programs and Squat Technique: To Arch or Not to Arch? - Here's a very misunderstood topic in the area of strength and conditioning technique.  You'll be happy to know that I'll be addressing it in great detail in the new Functional Stability Training resource that Mike Reinold and I are releasing soon. 6. Shoulder Hurts? Start Here. - In this piece, I outlined three sure-fire strategies that just about everyone can employ regardless of their shoulder issues.

7. Healthy Food Options: Why You Should Never Take Nutrition Advice from Your Government - One of the biggest surprises for me in 2011 was that my readers absolutely ate up (no pun intended) nutrition content, and summer Cressey Performance intern Tyler Simmons' guest blog perfect example.   He shared some great (and controversial) thoughts in this guest blog. 8. Correcting Bad Posture: Are Deadlifts Enough? - People want results, and they want them fast.  This post touched on whether or not the deadlift could be an optimal "shortcut" for getting to where you want to be. 9. Why the Gym's Out-of-Business and the Porn Store's Thriving - This was proof that I can write about just about anything.  Don't ever expect to see a content drought here at EricCressey.com.  The timing for this was really good, as I got the idea to write it right around the time that we released The Fitness Business Blueprint.

10. Lifting Heavy Weights vs. Corrective Exercise: Finding a Balance - I can definitely see how folks found this topic so interesting, as it's a very challenging balance to strike.  In fact, it was even a very challenging piece around which to wrap my brain! This wraps up our top 10 posts of 2011, but I'll be back soon with more "Best of" highlights from 2011.  Next up, I'll list my top product reviews of the year. Sign-up Today for our FREE Newsletter and receive a four-part video series on how to deadlift!
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Shoulder Mobility Drills: How to Improve External Rotation (if you even need it)

Last summer, a college pitcher came up to Cressey Performance from the South to train for a month before his summer league got underway. He was seven months post-op on a shoulder surgery (Type 2 SLAP) and had been working his way back. Unfortunately, his arm was still bothering him a bit when he got up to see us.

After the first few days at CP, though, he told me that his arm felt as good as it’s felt in as long as he could remember. He’d been doing a comprehensive strength and conditioning program, but the “impact” stuff for him had been soft tissue work, some Postural Restoration Institute drills, an emphasis on thoracic mobility, and manual stretching into internal rotation, horizontal adduction, and shoulder flexion. From all the rehab, his cuff was strong and scapular stabilizers were functioning reasonably well – which led me to believe that his issues were largely due to tissue shortness and/or stiffness.

This realization made me immediately wonder what he’d been doing in the previous months for mobility work for his arm – so I asked. He then demonstrated the manual stretching series that every pitcher on his team went through every day on the table with their athletic trainer. Each stretch was done for 2x20s – and two of those stretches took him into extreme external rotation and horizontal abduction. I was pretty shocked.

Me: “You’re probably not the only guy on your team rehabbing right now, huh?”

Him: “No; there are actually too many to count.”

Me: “Elbows, too, I’m sure.”

Him: “Yep.”

Want to irritate a labrum, biceps tendon, or the undersurface of the rotator cuff? Stretch a thrower into extreme external rotation and simulate the peel-back mechanism. This also increases anterior capsular laxity and likely exacerbates the internal impingement mechanism over the long-term. To reiterate, this is a bad stretch!

Want to make an acromioclavicular joint unhappy? Stretch a thrower into horizontal abduction like this (again, this is a BAD stretch that is pictured):

Want to irritate an ulnar nerve or contribute to the rupture of an ulnar collateral ligament? Make sure to apply direct pressure to the forearm during these dangerous stretches to create some valgus stress. This is a sure-fire way to make a bad stretch even worse:

These stretches are very rarely indicated in a healthy population – especially pitchers who already have a tendency toward increased external rotation. The shoulder is a delicate joint that can’t just be manhandled – and when you’re dealing with shoulders that are usually also pretty loose (both from congenital and acquired factors), you’re waiting for a problem when you include such stretches. In fact, I devoted an entire article to this: The Right Way to Stretch the Pecs.

Everyone thinks that shoulder external rotation and horizontal abduction alone account for the lay-back in the extreme cocking position.

In reality, though, this position is derived from a bunch of factors:

1. Shoulder External Rotation Range-of-Motion – and this is the kind of freaky external rotation you’ll commonly see thanks to retroversion and anterior laxity:

2. Scapular Retraction/Posterior Tilt

3. Thoracic Spine Extension/Rotation

4. Valgus Carrying Angle

So, how do you improve lay-back without risking damage to the shoulder and elbow?

1. Soft tissue work on Pec minor/major and subscapularis – Ideally, this would be performed by a qualified manual therapist – especially since you’re not going to be able to get to subscapularis yourself. However, you can use this technique to attack the pecs:

2. Exercises to improve scapular retraction/depression/posterior tilt – This could include any of a number of horizontal pulling exercises or specific lower trap/serratus anterior exercises like the forearm wall slide with band.

3. Incorporate specific thoracic spine mobility drills – In most pitchers, you want to be careful about including thoracic spine mobility drills that also encourage a lot of glenohumeral external rotation. However, when we assess a pitcher and find that he’s really lacking in this regard, there are two drills that we use with them. The first is the side-lying extension-rotation, which is a good entry level progression because the floor actually limits external rotation range-of-motion, and it’s easy to coach. I tell athletes that they should think of thoracic spine extension/rotation driving scapular retraction/depression, which in turn drives humeral external rotation (and flexion/horizontal abduction). Usually, simply putting your hands on the shoulder girdle and guiding them through the motion is the best teaching tool.

A progression on the side-lying extension-rotation is the side-lying windmill, which requires a bit more attention to detail to ensure that the range-of-motion comes from the right place. The goal is to think of moving exclusively from the thoracic spine with an appropriate scapular retraction/posterior tilt. In other words, the arm just comes along for the ride. The eyes (and head) should follow the hand wherever it goes.

Again, these are only exercises we use with certain players who we’ve deemed deficient in external rotation. If you’re a thrower, don’t simply add these to your routine without a valid assessment from someone who is qualified to make that estimation. You could actually make the argument that this would apply to some folks in the general population who have congenital laxity as well (especially females).

4. Throw!!!!! – Pitchers gain a considerable amount of glenohumeral external rotation over the course of a competitive season simply from throwing. Sometimes, the best solution is to simply be patient. I really like long toss above all else for these folks.

In closing, there are three important things I should note:

1. You don’t want to do anything to increase valgus laxity.

2. You’re much more likely to get hurt from being “too loose” than you are from being “too tight.” When it comes to stretching the throwing shoulder, “gentle” is the name of the game – and all mobility programs should be as individualized as possible.

3. Maintaining internal rotation is a lot more important than whatever is going on with external rotation. In fact, this piece could have just as easily been named "The Two Stretches Pitchers Shouldn't Do, Plus a Few That Only Some of Them Need."

To learn more about testing, training, and treating throwing shoulders, check out Optimal Shoulder Performance: From Rehab to High Performance.

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Stuff You Should Read: 1/31/11

Testing, Treating, and Training the Shoulder - This recap of my seminar with Mike Reinold features ten important takeaways from the day. You Are What You Absorb - I thought this was an excellent article from John Meadows - both in terms of the background information he provides and the corrective strategies he advocates. Rollouts: Friend or Foe and Two Anterior Core Progressions - These two video blogs were quite popular when they ran back in 2009. Sign-up Today for our FREE Newsletter and receive a detailed deadlift technique tutorial!
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Lose Fat, Gain Muscle, Get Strong: Eric Cressey’s Best Articles of 2010

Show and Go: High Performance Training to Look, Feel, and Move Better - This was obviously my biggest project of 2010.  I actually began writing the strength and conditioning programs and filming the exercise demonstration videos in 2009, and put all the "guinea pigs" through the four-month program beginning in February.  When they completed it as the start of the summer rolled around, I made some modifications based on their feedback and then got cracking on writing up all the tag along resources.  Finally, in September, Show and Go was ready to roll.  So, in effect, it took 10-11 months to take this product from start to finish - a lot of hard work, to say the least.  My reward has been well worth it, though, as the feedback has been awesome.  Thanks so much to everyone who has picked up a copy.

Optimal Shoulder Performance - This was a seminar that Mike Reinold and I filmed in November of 2009, and our goal was to create a resource that brought together concepts from both the shoulder rehabilitation and shoulder performance training fields to effectively bridge the gap for those looking to prevent and/or treat shoulder pain.  In the process, I learned a lot from Mike, and I think that together, we brought rehabilitation specialists and fitness professionals closer to being on the same page.

Why President Obama Throws Like a Girl - A lot of people took this as a political commentary, but to be honest, it was really just me talking about the concept of retroversion as it applies to a throwing shoulder - with a little humor thrown in, of course!

Overbearing Dads and Kids Who Throw Cheddar - This one was remarkably easy to write because I've received a lot of emails from overbearing Dads asking about increasing throwing velocity in their kids.

What I Learned in 2009 - I wrote this article for T-Nation back at the beginning of the year, and always enjoy these yearly pieces.  In fact, I'm working on my 2010 one for them now!

What a Stressed Out Bride Can Teach You About Training Success - I wrote this less than a month out from my wedding, so you could say that I had a good frame of reference.

Baseball Showcases: A Great Way to Waste Money and Get Injured - In case the title didn't tip you off, I'm not much of a fan of baseball showcases.

Cueing: Just One Piece of Semi-Private Training Success - Part 1 and Part 2 - These articles were featured at fitbusinessinsider.com.  I enjoy writing about not only the training side of things, but some of the things we've done well to build up our business.

Three Years of Cressey Performance: The Right Reasons and the Right Way - This might have been the top post of the year, in my eyes. My job is very cool.

How to Attack Continuing Education in the Fitness Industry - Here's another fitness business post.

Want to Be a Personal Trainer or Strength Coach?  Start Here. - And another!

The Skinny on Strasburg's Injury - I hate to make blog content out of someone else's misfortune, but it was a good opportunity to make some points that I think are very valid to the discussion of not only Stephen Strasburg's elbow injury, but a lot of the pitching injuries we see in youth baseball.

Surely, there are many more to list, but I don't want this to run too long!  Have a safe and happy new year, and keep an eye out for the first content of 2011, which is coming very soon!

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Weight Training For Baseball: Best Videos of 2010

I made an effort to get more videos up on the site this year, as I know a lot of folks are visual learners and/or just enjoy being able to listen to a blog, as opposed to reading it.  Here are some highlights from the past year: The Absolute Speed to Absolute Strength Continuum - Regardless of your sport, there are valuable take-home messages.  I just used throwing velocity in baseball pitchers as an example, as it's my frame of reference.

Should Pitchers Overhead Press? - This was an excerpt from Mike Reinold and my Optimal Shoulder Performance seminar (which became a popular DVD set for the year).

Shoulder Impingement vs. Rotator Cuff Tears - Speaking of Mike, here's a bit from the man himself from that seminar DVD set.

Thoracic and Glenohumeral Joint Mobility Drills - The folks at Men's Health tracked me down in the lobby at Perform Better in Providence and asked if I could take them through a few shoulder mobility drills we commonly use - and this was the result.

Cressey West - This kicks off the funny videos from the past year. A few pro baseball players that I program for in a distance-based format created this spoof video as a way of saying thank you.

Tank Nap - My puppy taking a nap in a provocative position.  What's more cute?

Matt Blake Draft Tracker - CP's resident court jester and pitching instructor airs his frustrations on draft day.

1RM Cable Horizontal Abduction - More from the man, the myth, the legend.

You can find a lot more videos on my YouTube page HERE and the Cressey Performance YouTube page HERE.

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Weight Training for Baseball: Featured Articles

I really enjoy writing multi-part features here at EricCressey.com because it really affords me more time to dig deep into a topic of interest to both my readers and me.  In many ways, it's like writing a book.  Here were three noteworthy features I published in 2010: Understanding Elbow Pain - Whether you were a baseball pitcher trying to prevent a Tommy John surgery or recreational weightlifter with "tennis elbow," this series had something for you. Part 1: Functional Anatomy Part 2: Pathology Part 3: Throwing Injuries Part 4: Protecting Pitchers Part 5: The Truth About Tennis Elbow Part 6: Elbow Pain in Lifters

Strategies for Correcting Bad Posture - This series was published more recently, and was extremely well received.  It's a combination of both quick programming tips and long-term modifications you can use to eliminate poor posture. Strategies for Correcting Bad Posture: Part 1 Strategies for Correcting Bad Posture: Part 2 Strategies for Correcting Bad Posture: Part 3 Strategies for Correcting Bad Posture: Part 4

A New Paradigm for Performance Testing - This two-part feature was actually an interview with Bioletic founder, Dr. Rick Cohen.  In it, we discuss the importance of testing athletes for deficiencies and strategically correcting them.  We've begun to use Bioletics more and more with our athletes, and I highly recommend their thorough and forward thinking services. A New Paradigm for Performance Testing: Part 1 A New Paradigm for Performance Testing: Part 2 I already have a few series planned for 2011, so keep an eye out for them!  In the meantime, we have two more "Best of 2010" features in store before Friday at midnight. Sign-up Today for our FREE Newsletter:
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Shoulder Pain vs. Neck Pain

Here are a few recommended reads for the week: Shoulder Pain vs. Neck Pain - This old post highlights a simple, but very accurate observation from Mark Comerford. 28 Synergistic Factors for Success - I wrote this article at T-Nation back in 2005, but it still holds water and will make you appreciate how many differen factors are impacting your progress. Too Much Vitamin D? - This great Q&A from Brian St. Pierre addresses this new question that seems to be popping up quite a bit. Sign-up Today for our FREE Newsletter and receive a deadlift technique tutorial!
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