This post is long overdue. The season has been extremely busy but finals just ended and hockey will have a bit of a break until after Christmas while each hoops team still has a game this week. The last couple weeks were filled with lots of games, workouts and preparing for the end of the semester. I haven’t been able to sit down and really digest a good book, but what I try to do is read some articles and one very good one is Why Shoes Make Normal Gait Impossible? This is a very good read about the effect that shoes has on the human body. This goes along with another great read by a good friend of mine, Art Horne, who put out a book on barefoot training, entitled Barefoot in Boston.
I also just picked up a copy of an outstanding book regarding gait from Dr. Thomas Michaud, called Human Locomotion. I’m excited to delve into this one as the topics in the table of contents really jump out at me. Dr. Michaud has published numerous book chapters and journal articles on a variety of subjects ranging from biomechanics of the first metatarsophalangeal joint and shoulder, to the pathomechanics and management of vertebral artery dissection. In 1993, Williams and Wilkins published Dr. Michaud’s first textbook, Foot Orthoses and Other Forms of Conservative Foot Care, which was eventually translated into four languages and continues to be used in physical therapy, chiropractic, pedorthic, and podiatry schools around the world. In addition to lecturing on clinical biomechanics internationally, Dr. Michaud has served on the editorial review boards for Chiropractic Sports Medicine and The Australasian Journal of Podiatric Medicine. Over the past 30 years, Dr. Michaud has maintained a busy private practice in Newton, Massachusetts, where he has treated thousands of elite and recreational runners.
Dr. Michaud is offering the book at the student price, which is $20 off the regular price of $100. That’s a great deal for a book that covers many gait related issues that plague so many athletes. You can pick up a copy at www.HumanLocomotion.org, when you click on “The book”, be sure to click the link asking for student pricing. I put the synopsis of the book that is on the back cover below if you want to find more info about the book.
B
In the course of a year, more than 1.9 million runners will fracture at least one bone and approximately 50% will suffer some form of overuse injury that prevents them from running. Despite the widespread prevalence of gait-related injuries, the majority of health care practitioners continue to rely on outdated and ineffective treatment protocols emphasizing passive interventions, such as anti-inflammatory medications and rest.
With more than 1000 references and 530 illustrations, Dr. Michaud’s text on human locomotion presents a logical approach to the examination, assessment, treatment and prevention of gait-related injuries. Beginning with a complete review of the evolution of bipedality, this textbook goes on to describe the functional anatomy of each joint in the lower extremity, pelvis, and spine. This information is then related to normal and abnormal motions during the gait cycle, providing the most comprehensive description of human locomotion ever published.
Human Locomotion also discusses a wide range of conservative interventions, including a detailed guide to manual therapies, a complete review of every aspect of orthotic intervention, along with illustrated explanations of hundreds of rehabilitative stretches and exercises. The final chapter summarizes state-of-the-art, proven conservative treatment interventions, providing specific protocols for dozens of common gait-related injuries, including Achilles tendinitis, plantar fasciitis, stress fractures and hamstring strains. Whether you are a chiropractor, physical therapist, pedorthist or podiatrist, this text provides practical information that will change the way you practice.
Here is a review of Charlie Weingroff’s Training=Rehab, Rehab=Training DVD set by up and coming strength and conditioning coach, Cheri Pearce. Cheri interned for me last spring, and then spent the past summer interning at Mike Boyle Strength and Conditioning. She came back as a volunteer this fall and is heading off to intern at Cressey Performance in January. She has been extremely busy but found time to review this DVD set that I can’t recommend enough. If you haven’t picked up this set yet, you are missing out. I’ll have a link after the review on where you can pick up a copy.
B
At first glance of Charlie Weingroff’s DVD set I thought it was going to be beyond my scope of knowledge. Never judge a DVD by its cover. The first 10-15 minutes are Charlie in a nutshell. He is a WWE fan, Golf expert, fantasy sports participant and Green Lantern fanatic. He is human ladies and gentlemen, not just some ridiculously smart Physical Therapist/Strength and Conditioning Coach. He gives props to his influences such as, Gray Cook, Vladimir Janda, Shirley Sahrmann and Mike Boyle as the basis for his current philosophies on rehabilitation and training.
One point Weingroff makes clear, that no matter what field you presently reside, basic principles for the human body remain the same. This is why he is actively trying to bridge the gap of between the doctor, physical therapist and strength coach. He believes that each professional plays an integral part in the steps back to performance and encourages you to surround yourself with colleagues of similar conceptual belief systems.
Furthermore, Weingroff is not your typical boring classroom teacher. He is animated, passionate and accessible. His personality draws you in and keeps you wanting more. I found myself looking up articles he was referencing because I want to know what he knows. As I watched the lecture and practical based DVDs I was nodding in agreement with his ideas simply because they made sense. He easily explains difficult concepts in a way any one can understand. What I admire most about Charlie Weingroff, while his opinions are his own he will distinctly define what is fact and how he arrived at that conclusion because he has the knowledge to back it up. He truly wants you to be a better trainer, coach or therapist and that comes through on the DVDs.
Cheri
This past week, I had the pleasure of reviewing Craig Liebenson’s new 3 DVDs. These are a precursor to his Functional Training Handbook that will be coming out in early 2012. The book is a must have as the line-up of co-authors is out of this world. I had the privilege of being asked to contribute to this book and was floored by the request. I’m very excited to be able to take a look at the final product when it comes out.
Back to the DVDs…Dr. Liebenson is one of the leading specialists when it comes to back pain and resolving this troublesome issue that so many people experience. He has been published on numerous occasions as well as being asked to speak at a number of worldwide events. He has a great blog that you can follow here.
His new DVDs are Core Stability Training DVD, Flexibility, Yoga Training and Ergonomic Postural Advice DVD, and Functional Performance DVD. These 3 are quite different but similar at the same time. All three give you insight in Dr. Liebenson’s thought process when it comes to restoring health, improving flexibility, improving posture and improving performance. The exercises that Dr. Liebenson shows cover everything from breathing assessments, to core stability training and even plyometric training. The progressions are well thought out and give the viewer exercises that they can include into their current clients and athletes programs immediately. The best part of this DVD set is that Dr. Liebenson just doesn’t show you the exercises, but common errors, what to look for and teaches you why they should not be left out in your programs.
I recommend these to any athletic trainer, physical therapist, strength and conditioning coach and personal trainer looking to give those that they work with every opportunity to become better.
You can pick them up at the following links:
Functional Performance Training DVD
Flexibility, Yoga Training, and Ergonomic Postural Advice DVD
B
In 1990, two men coined a term that would later become a standard term for business students and companies attempting to enter the marketplace. What is this term? Core competency. In the business world, a core competency is a specific factor that a business sees as being central to the way it, or its employees, works. Additionally, for it to be a legitimate core competency in business, it must provide a benefit to the customer, be inimitable, and provide broad sweeping application to numerous products or markets.
In the world of strength and conditioning, core competency is a specific factor that is central to the way athletes function and are trained. Simply put, these core competencies are to be developed first and foremost in athletes of any discipline before even beginning to look to other movements and training interventions. To be termed core competencies, they must also provide benefit to the athlete that few other methods are capable of replicating and also provide benefits for a number of movement dysfunctions. As I see it, there are two core competencies to be addressed with every athlete or client regardless of discipline. Unquestionably, these two core competencies are breathing and rolling patterns. That’s right, breathing and rolling.
Breathing as a Core Competency
Breathing is a critical piece of the movement equation and is one that has been almost ignored until recently. Many people simply breathe, and call it “good” if they do not suffocate, unfortunately this is far too simplistic as there is a “right” and a “wrong” way to breathe.
Unfortunately, we know that the majority of people fall toward the “wrong” way and incorrect breathing patterns lead to a gamut of movement dysfunctions. Improper breathing can lead to dysfunction as high as the TMJ (though some osteopathic physicians see proper breathing as having a mobilizing effect on the skull) and as low as the hips. In between, breathing plays a powerful role in cervical posture, carpal function, shoulder health from a joint centration perspective, thoracic spine mobility, and lumbo-pelvic-hip stability via intra-abdominal pressure mechanisms. Better control at the pelvis, leads to more favorable mechanics of the joints above and below, making breathing a powerful ally in preventing lower extremity injury. Restoration of proper breathing patterns can reduce tone in the majority of cervical muscles, aid in the reduction of forward head posture, and reduce tone of the hip flexors.
The biochemical effects of hyperventilation have powerful effects on fascial constriction and there are primary and/or accessory muscles in each and every fascial line presented by Thomas Myers. As we understand from the concept of tensegrity, it then stands to reason that breathing limitations alter all fascial lines, and ultimately lead to movement dysfunction. One could go as far as to say that due to the relationship between the obliques and intercostals of the lateral line, improper breathing can result in reduced function of the “anterior X” that controls and produces torque, and subsequently running and walking mechanics can be altered.
Proper breathing certainly provides great benefit to the athlete, is inimitable, and is of huge benefit to a vast array of movement dysfunction. Thus, there is little question that breathing must be a core competency. As the great therapist Karel Lewit said, “If breathing is not normalized, no other movement pattern can be.”
Rolling as a Core Competency
Rolling is a concept that is beginning to gain respect in the strength and conditioning world thanks to the great work of Pavel Kolar, Gray Cook, and Craig Liebenson. It is not a new concept and rolling as a therapeutic technique has been utilized by Moshé Feldenkrais, members of The Prague School of Rehabilitation, Margaret Knott, and Dorothy Voss among others for decades.
The basis of rolling goes back to the developmental sequence during which a baby follows a predictable set of developmental movement parameters as a result of “pre-programmed” neural patterns. After lifting the head, the first step in the sequence is rolling. By allowing appropriate developmental sequencing, the baby goes through postural ontogenesis and develops reflex responses that are useful at later stages of development. Unfortunately, Vojta suggests that up to 30% of children never reach full CNS maturation yet go on to develop more complex quadruped or bipedal movement patterns. This altered sequence can contribute to movement dysfunction in many ways. Additionally, Janda and Lewit theorized that it is the body’s response to revert back to an earlier stage of posture or movement patterning in response to trauma or excessive strain. It is here that rolling fits into training all populations.
Rolling allows us to train patterns that already exist in our neural circuitry that may be out of touch, and in turn allow us to restore appropriate and reflexive motor control. Though muscles are not a focus in retraining patterning, rolling requires good function of the deep neck flexors, diaphragm, mutifidi, pelvic floor, and abdominal wall according to Kolar. Additionally, some suggest that the psoas and transverse abdominis plays a role in providing stability via the inner unit of the core.
Appropriate development of the rolling sequence depends on neurological, energetic, biomechanical, and cognitive functions. In the initial stages, a feedback mechanism is in place as a response to excessive rotational stressors on the spine. This mechanical stress leads to boatloads of afferent information, which leads to long loop reflex activity that stimulates the musculature involved in stabilizing the movement. With repeated exposure, our brain is able to develop an effective feedforward mechanism by body schema monitoring. It is at this time that the CNS is able to identify the body’s relationship relative to its base of support, predict where alterations in the center of mass occur, and ultimately leads to anticipatory muscle response and a better controlled neutral zone. When this portion of development is complete, the body is capable of using eye and tongue movement to create reflexive activation that applies to far more movements than rolling.
With proper development, an athlete stands to gain superior control of segmental translation via feedback mechanisms and the ability to control coupled spinal shear and rotational moments, which are critical for clean gait patterns. Additionally, the establishment of strong ocular and respiratory synkinesis will allow for higher levels of function and development in all body positions. Perhaps most beneficial, however, is the development of the feedforward mechanism, which can assist in the prevention of injury as a result of unexpected shifts of the center of mass characteristic of athletic contests.
Due to it’s ability to stimulate reflexive core activation unlike any other exercise and because it provides benefits to nearly every movement pattern via feedback and feedforward reflex mediation, rolling is undoubtedly a core competency.
Wrap up
It is also important to note that simply because you have decided that you have core competencies that they are all you are allowed to focus on until they are perfect. This could not be further from the truth, as there are many exercises that can be programmed that will make your athletes better breathers and rollers.
Whether you agree or disagree with breathing and rolling as the two core competencies in training matters little. Instead, what matters is that whatever you choose you have a strong supporting argument. Remember, it must provide benefit, be difficult to emulate with other exercises, and provide global benefits. What are your core competencies?
The title of this article is not a mistake. If you told me a few years ago that the deadlift is an excellent way to manage hip, knee, and back pain in hockey players or in any athlete, I would have thought you were crazy. I was never familiar with the exercise and I always cringed at the though of deadlifting my athletes because of all the terrible form I witnessed and all the horror stories I heard about people throwing out their backs doing the exercise. As time goes on and I get more experience working with athletes and learning about different modes of training, I have learned not to count out any exercise.
So why the deadlift? If you are a strength coach and someone gets injured, what is one of the first things the athletic trainer or physical therapist says? If you said “No squats,” then you guessed the right answer for a majority of any lower body injuries. If you have an athlete that has a lower body injury and you try to get him/her back to their normal routine they will probably say that everything feels good, except when I squat. Or they will rehab and start feeling better only to be out of squatting again in the next few weeks. Next time you are in this situation, try having the athlete perform what I call an elevated deadlift where the athlete does not go all the way down to the floor, then see how they feel. Just like any other lift, make sure you are familiar with the exercise and can teach your athletes how to safely perform it.
Good read about core training:












