"Don't go for length in one place, if you don't plan on adding strength in another place."
Is Your Child Ready to Play Sports? Part 1: Growth, Maturation, Developmental Age, and Long Term Athletic Development
March 20, 2015
In the paper entitled When is my child ready for sports? the authors state, “Learning basic skills such as throwing, running and jumping is a normal process that most children go through. They learn each skill in little steps. Some children learn faster than others. By the time they are three to five years old, most children have learned some of these skills.” But is this really the case? Can your child run, jump, throw, hop, skip, land, change direction?
The paper continues, “To play organized sports, kids need to learn how to put these skills together (for example, how to run and throw at the same time). That doesn’t happen until they are approximately six years old.” Do you know if your child has “put these skills together?” How do you make this judgment?
Before we answer these questions, a little background on brain and body development will give you a little background to better put these questions in context.
Never Too Late, But Earlier is Better
“The first years of life are a very busy and crucial time for the development of brain circuits. The brain has the most plasticity, or capacity for change, during this time, which means it is a period of both great opportunity and vulnerability. The impact of experiences on brain development is greatest during these years—for better or for worse. It is easier and less costly to form strong brain circuits during the early years than it is to intervene or "fix" them later. Brains never stop developing—it is never too late to build new neural circuits—but in establishing a strong foundation for brain architecture, earlier is better.” From Key Concepts: Brain Architecture
“During the first few years of life, 700 new synapses (neural connections) are formed every second. After a period of rapid proliferation, connections are reduced through a process called pruning, so that brain circuits can become more efficient. Early experiences affect the nature and quality of the brain’s developing architecture by determining which circuits are reinforced and which are pruned through lack of use. Some people refer to this as “use it or lose it."
Is Your Child an Early Bloomer or Late Bloomer?
See the chart in When is my child ready for sports? to see movement skill levels based on age. This chart begs the question, “what does ‘age’ mean – chronological age or developmental age?” Is your child 6 years old with a 9 year old skill level, or 9 years old with a 6 year old skill level? Before you giggle with glee that your 6 year old can perform all the 9 year old skills, have you thought about whether the athletes that continue on to college or professional sports are early or late bloomers?
Chronological Age vs. Developmental Age
A sports development model called LTAD: Long Term Athletic Development encourages physical literacy, physical excellence, and life-long physical activity and pays careful attention to sports specialization, developmental age, sensitive periods or windows of opportunity for skill and/or physical capacity development.
Two of the key factors on which LTAD is based are developmental age and windows of opportunity. Chronological age and developmental age may be completely different for a child. In the United States youth sports are based on age and usually start at 6 – 8 years old. Most leagues have U6, U7, U8, (under 6, under 7, under 8) etc. age groups. Depending on the cutoff month, your child may be the youngest or oldest chronologically.
But where are they developmentally? Think back to when you played sports. Where you always the best, the worst, somewhere in-between? And were you the youngest, oldest? Where some kids young and played great? Did they go on to play sports at a higher level? Did some kids blossom late and go on to great success?
See p. 24 of LTAD: Canadian Sport for Life for the different Fundamental Sports Movement Skills that Underpin Sports Literacy. At what developmental level is your child for each skill? And what skills are most necessary for the sport your child wants (or you want your child) to play? Developmental age is defined as “the degree of physical, mental, moral, cognitive and emotional maturity. Physical developmental age can be determined by skeletal maturity or bone age.”
Think about this when deciding whether being an early or late bloomer is “better”.
“The tempo of a child’s growth has significant implications for athletic training because children who mature at an early age have a major advantage during the Train to Train stage compared to average or late maturers. However, after all athletes have gone through their growth spurt, it is often the late maturers who have greater potential to become top athletes provided they experience quality coaching throughout that period.” From LTAD: Canadian Sport for Life, p. 29
When the child blooms is not what matters; it is the development of proper motor skills, the quality of coaching, and how much fun a child has (Listen to Changing the game in youth sports: John O'Sullivan at TEDxBend) as they develop and play that are most significant.
In my blog post A Path to Excellence, I summarized the findings of two studies by the United States Olympic Committee reviewing the development of Olympic athletes. Participation in a variety of sports before single sport focus, love of sport, high quality coaching, and steady training progression were the highlights of these reports, not early maturity. Here is another article which states, "88 percent of NFL draft picks played multiple sports".
Windows of Opportunity
The other key component of the LTAD model is the window of opportunity. These are key developmental periods when there can be accelerated adaptation to training. Dr. Greg Rose, co-founder of the Titleist Performance Institute, recently stated, "You only have one chance to do this right. It's a fact. The more we learn about this, the worse this gets." Speed, suppleness, skills, stamina and strength are best developed during certain “windows of opportunity. Stamina and strength are based on developmental age – growth spurt and peak height velocity. Speed, suppleness, and skills are based on chronological age. Also, girls develop earlier than boys.
What does Dr. Rose mean by “The more we learn about this, the worse this gets?” It means that most kids perform so poorly on motor development testing that identifying and correctly these poor movement patterns has become critical to youth athletic development. For example, I coach my son’s U8 boys soccer team.
None of the kids (except my son) can skip well forward and none can skip backward. The same goes for lateral movement. Why can my son do it? Do we spend hours training? Am I that crazy dad? Nope! He can do it because we spend a minute here and a minute there outside skipping, hopping, running, and jumping. He does it for 30 seconds and then is on to the next thing!
Youth Physical Development Model
Another sports development model called the Youth Physical Development Model has recently been proposed. One difference is that this model states that “most fitness components are trainable throughout childhood and should not be restricted to specific “windows” at various stages of development.” It also states that the LTAD model offers “no guidance is offered as to when and why these qualities [power, agility, and hypertrophy] should be trained throughout childhood and adolescence.” Lastly, this model discusses individualization of training based on the factors discussed above.
Both models advocate the development of functional movement skills from a young age. I will let the scientists battle the merits of each. What is most important to your child is to determine physical, cognitive, and emotional preparedness PRIOR to starting sports and use it to determine his/her progress while playing sports.
Is Your Child Ready to Play Sports? Part 2: The Brain, Motor Development, Hypermobility, Bone Age
June 21, 2015
In Part 1, we discussed the Growth, Maturation, Developmental Age, and Long Term Athletic Development.
In Part 2, we will discuss the brain, motor development, and bone age..
The brain and movement. In Neuroscientist Daniel Wolpert's TED Talk, he "starts from a surprising premise: the brain evolved, not to think or feel, but to control movement." I have met many fathers who are proud that their son did not crawl. Unfortunately, that is not a good thing!
"Relative to the performance of crawlers, noncrawlers showed lower average and subtest-specific performance on selected measures of the Miller Assessment for Preschoolers. These results, interpreted through Ayres' sensory integration theory and applied to current occupational therapy practice, support Farber's hypothesized importance of early crawling experience in the development of sensory and motor systems of the body and general motor skill development."
otor Development. "The development of fundamental movement skills is associated with positive health-related outcomes. Children do not develop FMS naturally through maturational processes. These skills need to be learned, practised and reinforced." Reference
This s why a Long Term Athletic Development/Youth Physical Development program is so important. Our coaches in the United States do a great job with sport specific skills: throwing a ball, kicking a ball, swinging a bat or racquet. But they do not do a good job with basic movement: running, jumping, landing, hopping, skipping. I coach my son's U8 soccer team and at the beginning of the season, he was the only child who could skip. Why, because at home, we played. And part of playing was skipping!
And this becomes even more important for overweight and obese kids. Reference
Bone Age. "The bone age of a child indicates his/her level of biological and structural maturity better than the chronological age calculated from the date of birth." Reference
This is one of the main reasons why chronological age should not be used as the only factor to consider when developing a youth athlete. Bone is an active tissue composed of minerals and collagen, an elastic tissue that helps prevent fracture. Most bones in the human skeleton fully ossify by the time puberty occurs. Ossify means that the matrix of mineral and collagen harden around cells that remain metabolically active. Some bones do not fully ossify until late teens to the mid 20s (shoulder 17 - 20, hip 18 - 23, breastbone, collar bone and spine 23 - 25). Reference
Over the course of one year, about 5% to 10% of bone is replaced with new bone. This process is called remodeling. "Remodeling continues throughout life so that most of the adult skeleton is replaced about every 10 years." Reference
Determining a child's bone age can be very helpful in determining the safety of training and playing sports. Reference. When is it safe to increase the parameters of training like load (weights), speed, and physical contact? "... the current data from several intervention trials in children indicate that programmes incorporating a diverse range of weight-bearing impact activities can enhance the mass, structure and strength of bone, particularly in boys during the prepubertal years." Reference
Knowing bone age helps determine these training parameters and thus may differ greatly from common recommendations based on chronological age.
Is Your Child Ready To Play Sports? Part 4: Physics, Jump Training, and Collisions
March 3, 2016
In Part 3, we discussed nutrition.
In Part 4, we will provide a quick explanation of the forces involved in jumping and landing and collisions.
Most parents are still afraid of having their kids "lift weights." Why? In the book The Physics of Football, author TImothy Gay, PhD, a professor of Physics and college football player asks and answers the question, "With just how much force did Dick Butkus hit running backs?" (p. 29) 1, 150 pounds of force, or about three-fifths of a ton in the backward (negative) direction." (p. 30)
When kids jump, they can produce ground reaction forces of three to five times bodyweight and rates of force totaling 500 times bodyweight (Ref). Thus, technique training and proper strength training is necessary to prepare the body for jumping activities.
So parents, you let your kids jump and you let your kids collide. But do you prepare them for the physical stress of these activities with proper strength, speed, agility, mobility, and conditioning training?
How hard does Ray Lewis hit?
And what is it that gives a soccer player like Cristiano Ronaldo the edge over other players?
Is Your Child Ready to Play Sports? Part 5: Player Assessment and Evaluation
April 28, 2016
In Part 4, we provided an explanation of the forces involved in jumping and landing and collisions.
Be Better At Evaluating Players
Michael Yessis, PhD, a world renowned sports science expert, states,
"Coaches deal with players on a regular basis and should know them better than anyone else. They should know all their strong and weak points and as a result, should be able to determine their success or failure on the field. Right?"
"So why are coaches not better in evaluating present and future players? The problem appears to be in determining strong and weak points. The definition of strong and weak points is critical here. For example, coaches usually define strong and weak points in regard to execution of what they are required to do in execution of a particular strategy or tactic."
"The ability to run and cut well in order to execute a particular pattern is considered a very basic skill that must be learned; it is not innate. Without this ability you will never attain greatness in executing the coach’s tactics or strategy. When you are able to run well you will be able to more easily and quickly learn any pattern of running that is needed. If your running and cutting mechanics are poor, you will always have difficulty in executing a particular pattern or pass strategy."
"The bottom line is that most coaches do not evaluate basic player skills." (Source)
Functional Movement
What is "functional movement?" This term is used so frequently by the fitness and sports training community. Functional movement or training means that the training you perform should be directed at two areas: what YOUR child's body needs and what YOUR child's sport or goals require. We know from studies on athletes what the movement requirements are for any sport. By using GPS technology, we even know the requirements by position.
"Regular participation in organized youth sports does not ensure that youth are adequately exposed to fitness regimens and activities that sufficiently improve health and sports-specific fitness to minimize risk of injury and promote lifelong health and fitness. Accordingly, participation in physical activity should not begin with competitive sport, but should evolve out of regular participation in a well-rounded preparatory conditioning program." (Source)
Proper assessment of a child is necessary to determine that child's physical needs. Are they weak/strong, flexible/inflexible, have good balance or poor balance? The Functional Movement Screen is a great foundational assessment. In addition to that, what other areas must be assessed? And once your child is assessed, how do you combine their individual needs with the sport requirements?
Functional Movement Screen (FMS)
The FMS is a simple test that can be used to help determine physical preparedness. Listen to: Should You Screen Your Kids?
Try the following home tests and video your child. Be honest with yourself – how do they look?
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Run – forward and back
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Skip – forward and back
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Jump/Land
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Lateral Shuffle
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Thrown
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Kick
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Catch
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Roll (Summersault)
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Roll front to back and back to front
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Squat
Joint Hypermobility
Have you ever heard of Beighton's score for joint hypermobility? The picture above shows the 5 tests that make up the score. Has your pediatrician ever performed this on your child? Unfortunately, probably not. If your child is hypermobile, does your child's coach or trainer know what to do? Unfortunately, probably not. This is essential to know so the proper exercises are given to strengthen the muscles around each joint. Stability and motor control must be developed before explosive sport movement is performed. So if your child is running, jumping, landing, changing direction and has joint hypermobility, they are at increased risk of injury. With the proper training, this hypermobility can be controlled and maybe even developed into an advantage!
Early Specialization and Sports Readiness
July 6, 2015
Even more on why multi-sports is the way to go....
"A quick survey of members of the squad found that collectively they played at least 14 different sports competitively while growing up, as well as soccer. And significantly, all believe the other disciplines enhanced rather than hindered their soccer careers."
"I understand the argument of people being one sport athletes at a young age, but for me and my personality I would get burned out as a young kid playing just one sport," said Wambach, who focused solely on soccer when she went to the University of Florida and quickly progressed into the national team ranks."
From: U.S. women were multi-sport athletes before focusing on soccer
A Path to Excellence
January 3, 2015
A COMPREHENSIVE VIEW OF DEVELOPMENT OF U. S. OLYMPIANS WHO COMPETED FROM 1984 - 1998
“In this initial report, the main objectives are to provide the general patterns and trends that characterized the training and development of U. S. Olympians.”
“…no matter what the initial characteristics of the individuals, unless there is a long and intensive process of encouragement, nurturance, education, training, the individuals will not attain extreme levels of capability in the particular fields.”
Motive for Participation: FUN! Love of sport and activity combined with early success
“…youth sport programs that emphasize fun, enjoyment, and love of sport provide a springboard for athletes to continue their development upward.”
“…the people most responsible for developing an athlete’s love of sport were the initial coaches or teachers.”
Participation in a Variety of Sports before single sport focus
“Overall, it appears that these U.S. Olympians were very active in a variety of activities as children and adolescents. In the age groups, <10 years old and 10-14 years old there was a range of 2.6-3.5 sports for all respondents. In elementary and secondary school physical education, Olympians reported an average of 3.3-3.4 days per week of activity.”
Introduction to sport participation: Clubs
“…physical education programs did not introduce most Olympians to their sports. For all respondents, the private or commercial club was the most common type of program in which Olympians made the decision to pursue excellence; collegiate sport programs were second in popularity.”
Training: Progressive, slow increase over many years
“…progressive increase in training load over a long period [12 – 13 years] is needed in order to reach the top levels of Olympic sport.”
Importance of Coaching: From the beginning of sport participation to the highest level
“Female and male Olympian respondents rated the importance of coaching highest during the national and international competitive phases of development…. Nearly equal in importance was the coaching that occurred during the skill acquisition phase.”
“…educated and experienced coaches must be in place at the youth sport level in order to provide an appropriate and fun atmosphere.”
Qualities of a Coach: Ability to motivate and ability to teach
Coaches “…who possess the qualities that Olympians value such as an ability to teach, an ability to motivate, training knowledge, and strategic knowledge of a sport may yield better performance results.”
Long Term Performance Progression: Dedication and Commitment
“Olympian respondents ranked dedication and commitment as the number one factor for long-term performance progression. Mental focus and competitive success were ranked second and third, respectively. These results suggest that the most important factors were coming from the individual athlete. The next set of factors, ranked fourth through sixth focused on supportive individuals and groups and included family, coach, and training environment. The last set of factors, ranked seventh through ninth, included training partners, competitive failure, and education about training.”
Factors Contributing to Drop Out: Conflict with other life pursuits
“Olympian respondents cited conflict with other life pursuits as the most common reason why their peers discontinued participation in sport. Financial pressures and failure to improve followed closely.”
The Olympic Dream: Starts with achieving local success
Introduction to sport -> 3 years -> local success -> Olympic dream -> 3.5 years -> decision to become an Olympian -> 1.7 years -> belief it was possible. “One of the strongest trends to emerge from these data was the short period of time between the decision to become Olympian and the belief that it was possible.”
Sport participation to the pursuit of excellence
The “challenge and love of competition”, “a desire to be successful”, the need for a “competitive outlet”, and “fun” were the four prominent factors that motivated all Olympians to pursue excellence in their sport.”
Long Term Athletic Development
“…one of the distinguishing marks of these data is that male and female Olympic medalists had a longer local developmental stage by 1-2 years than male and female non-medalists.”
A Path to Excellence: 2000 – 2012
Development of an Olympic Dream
Introduced to the sport: 11.4 years old
Achieved local competitive success: 14.2 years old
First dreamed of becoming an Olympian: 14.0 years old
Started making decisions to make Olympic dream a reality: 17.5 years old
Believed it was possible to become an Olympian: 19 years old
Made first U.S. Olympic Team: 25.5 years old (calculated based on the midpoint of the selected age-range).
Therefore, the average length of time from when an athlete was first introduced to the sport until making first U.S. Olympic team was 14 years (11.4 – 25.5 years of age).
Factors Directing Olympians to Sport: Love of activity and sport combined with early success
Intrinsic love of activity, Love of the sport, Early success , Parental influence, Coach recruitment , Peer recruitment , Sibling recruitment
Motivation for Participation
Challenge/love of competition, Desire to be successful, Competitive outlet, Fun
Motivation for Pursuit of Excellence
“…challenge or love of competition, desire to be successful, competitive outlet and ‘Fun’ were the highest-rated motives to pursue excellence in sport.”
What are the core skills?
Movement Training is founded on a few key components and it's these that make up the core skills.
- Breathing
- Joint position & awareness
- Joint mobility & stability
- Core endurance
Breathing
It's the glue that brings of Movement Training together, it allows the body to relax and the brain to learn new movement. There are 2 types of breathing, costal and diaphragmatic. Costal is breathing from the chest and is associated with stress, diaphragmatic breathing is from the abdomen and associated with relaxation.
As you breathe from the abdomen and relax your mind opens up and you can focus on different areas of the body. When breathing from the chest your mind closes onto the area of the body that is being exercised.
Joint position & awareness
Knowing where your joints are in space and time is essential for better movement. As you begin you'll chunk this into single joint movements as you get to know your joints and their movement you can begin combining them together to form more complex movements.
If you jump into the deep end and try to learn complex movements first you can overwhelming, your breathing goes costal and your brain won't learn the movement.
Joint mobility & stability
Having supple joints that can move through a greater range of movement allows your bodies communication senses work better. All of your muscles, ligaments, tendons and fascia have sensors that talk to your brain about their position, length, tension and force and your brain uses this information. It uses it to determine what's safe and unsafe for the body, if joints are tight this information is disrupted and makes exercising more unsafe.
It also affects your stability, all of these sensors are connected to the brain by a nerve, which is like wire for your body. If joints are tight the information that's trying to get from your brain to the joint gets disrupted and the muscles on one side of the joint activate before the other side and creates a wobbling joint.
Core Endurance
This is ability to resist fatigue, a core that fatigues quickly is more vulnerable to injury. If your core can maintain a good posture over an extended period of time not only does your risk of injury go down how well you perform can go up.
Summary
These skills are the foundation to all movement and your ability to improve it, if you take the time focus you'll see improvement all through your fitness. They don't have to learn in isolation, you can work on them together, all thats required is time and patience.
Egoscue Method takes a different approach to rehabilitating injuries
Two days prior to girls soccer tryouts at Temecula Valley High School last fall, senior Stephanie Hill had been off the field for more than a month. She could barely walk without pain, and, thinking she may never play again, Hill was desperate.
That's when Temecula's newly hired girls soccer coach, Adam Skumawitz, stepped in and convinced Hill to try a treatment that worked for his own back injuries -- The Egoscue Method. Little did Hill know that a therapy program consisting of a daily routine of stretches and light exercises would not only cure her back pain but give her a newfound future playing the sport she loves.
The story began on the first weekend of September, 2005, when Hill landed hard on her back during a club soccer game. She tried to keep playing, but the pain was too much, so Hill was forced off the field and into the doctor's office.
"After walking, sitting, anything, I had shooting pains up my back," Hill recalled. "I tried playing and I was in tears. I was crying because it hurt so bad."
Hill was diagnosed by her doctor with a tilted sacrum (in the lower back region) and had a mild case of scoliosis to go along with it. But the doctor's words and tri-weekly adjustments from a chiropractor did nothing to help. The week prior to tryouts, Skumawitz persuaded Hill to try The Egoscue (pronounced e-GOSS-que) Method.
"At first, I thought I would just go to the doctor and he would fix it. But it wasn't helping, so I thought, 'Why not try this out-' -- I would have tried anything that would work," Hill said. "I wasn't sure about it, and I didn't think these little stretches were going to cure me, but after the first time, I felt better.
"It started feeling better and better every day, and within one week I could play with no pain. I told (Skumawitz), 'You work miracles -- this is amazing.' I think he was in shock too, but it works."
Two days after going through the initial evaluation andtreatment with Skumawitz, Hill was back on the pitch. Weeks later,the Golden Bears' season began, and Hill's name was not only on theroster, but she started at defender all season long, helpingTemecula Valley to a school-record setting season with 18 shutoutsand an 18-4-2 record while also earning All-Southwestern Leaguehonors and All-CIF-SS Academic Team honors along the way.
By season's end, she had earned the opportunity to play soccer at UC Riverside next fall. And thanks to her daily 40-minute ritual, Hill was able to find a future in a sport she didn't think she would have.
"I thought my back would be hurting forever, and I was nervous that I wouldn't be able to play at all (this year)," Hill said. "And if I did play, I thought I would be in pain. I didn't think it would just go away, but it did."
Nearly the same success story unfolded in Skumawitz's life eight years prior, when the then-Cornell student-athlete began using The Egoscue Method to help his ailing back. He was 19 and on the brink of surgery. But Skumawitz dodged the knife, and went on to star at Cornell and play professionally in Boston, Germany, and Norway.
After reaching the pinnacle of his sport -- Europe's Premier League -- the 1997 Fallbrook High School graduate settled in Temecula. He started a youth soccer training school called Football Proper, and began treating individuals in The Egoscue Method after being certified at Egoscue's headquarters in San Diego last summer.
The motto on the Egoscue website sums up the Method's purpose: "A pain-free active lifestyle is not only possible, it is the way you should expect to feel and live."
That's what Skumawitz wanted to spread, because to him it just made sense.
"It's logical and it's rational," Skumawitz said of the method. "It's passive exercises which train the muscles to hold the skeleton correctly.
"It can be very effective for someone in pain. First it gets them to feel better, and then it strengthens and increases the body's potential."
Developed in the 1970s by Pete Egoscue, a Vietnam veteran who was seeking a treatment to cure his war-related injuries, The Egoscue Method, according to its official website is: "A Postural Therapy program which involves a series of stretches and gentle exercises. It is designed to treat musculoskeletal pain without drugs, surgery, or manipulation, enabling you to live a pain free and active life now."
Egoscue works under the pretense that most people -- athlete or not -- push through a daily routine which can train the body to rest in an unnatural position or to repeatedly go through a strenuously-harmful motion; whether it's sitting in your car trying to bear the traffic to Orange County or San Diego, throwing a 90 m.p.h. fastball over and over again, or suffering a possible serious injury.
The Egoscue Method seeks to correct the damage done by thoseactivities by correcting the body's posture through a series ofexercises, stretches and passive positions. It has helped all kindsof people ranging from the non-athlete to the professional athlete-- including the NFL's John Lynch and Junior Seau, the Padres'Trevor Hoffman and Dave Roberts, and golfer Jack Nicklaus.
In the case of such elite athletes, the method not only serves to restore the body to a healthy state, but it also seeks to increase the body's level of performance.
"Whatever pain you may have, it reverts the body to go back to a healthy aligned state." said Skumawitz, who has also seen the Egoscue treatment plan work because it gives the patient the opportunity to be pro-active in their own healing.
"You have to have the motivation to get better," Skumawitz said. "Stephanie's motivation was clear -- she hadn't been playing for months -- so she would get up at 5 a.m. to do her stretches if she had somewhere to be at 7. She knew if she didn't that her body could get back out of alignment.
"It's a lifestyle change."
Injury prevention programs unpopular with high school coaches
Oct 27, 2015
Although injury prevention programs have been shown to help reduce leg and foot injuries in sports, less than ten percent of high school coaches implement the programs as designed, according to a new survey.
Half of coaches are aware of the programs, but many believe they’re too complex or do not offer an advantage over existing practices, researchers found.
“There are a ton of different programs out there,” said lead author Marc F. Norcross of Oregon State University in Corvallis.
Most include stretching and strengthening exercises focused on the hips and thighs, sometimes with jump-training to promote landing softly, Norcross said. Many are designed as 15 to 20 minute warm-ups three to four times per week before practices or games, in place of less structured warm-ups.
“We don’t know exactly how they work, but they are beneficial at least in some respects,” he told Reuters Health. “Rather than sit by and wait for the perfect medicine, let’s adopt this now.”
For the study, 66 head coaches for basketball or soccer at 15 high schools in Oregon completed an online survey of injury prevention program (IPP) knowledge, attitudes and behaviors.
Overall, 34 coaches were aware of IPPs, 14 reported using one of the programs with their team and six said they implemented the IPP exactly as designed.
Coaches of girls’ teams were more likely to be aware of IPPs than boys’ coaches.
Those who didn't adopt an IPP often said the programs offered no advantage over their current way of doing things, were incompatible with their needs or would be difficult to implement, the authors write in the Journal of Science and Medicine in Sport.
“A good proportion didn’t view lower extremity injury as a problem on their team,” Norcross said.
In the 2013-2014 academic year, participants in high school sports in the U.S. sustained more than 300,000 lower-limb injuries that required medical attention and suspension of play for at least one day, according to a report by the Colorado School of Public Health Pediatric Injury Prevention, Education and Research Program. These include minor injuries and more serious ones, like anterior cruciate ligament (ACL) tears.
ACL tears are serious injuries, but a coach may go several years without seeing one on his team and therefore believe they are not an issue, Norcross said.
“Most of these programs have been developed for ACL but also decrease things like ankle sprains and muscle strains, which are more common,” he said.
Oregon - like most U.S. states - does not promote awareness or education about lower extremity injury among high school coaches, the authors write.
Coaches are required to have training on so many important health and safety issues, adding another to their list of requirements may not be the way to address this issue, Norcross said.
“Sometimes a groundswell might be more beneficial for affecting change than a top-down approach,” he said. “From a layperson perspective, a parent or administrator can ask the coach, are we using this program?”
Coaches who are interested in implementing one can find free resources online for the FIFA 11+ warm-up program, designed for soccer players, or ask health care providers in their area for injury prevention mechanisms, he said.
Injury prevention programs not widely used in high schools, study shows
CORVALLIS, Ore. - Injury prevention programs can help reduce ankle, knee and other lower extremity injuries in sports, but the programs are not being widely used in high schools, a new study from Oregon State University has found.
Researchers surveyed 66 head soccer and basketball coaches from 15 Oregon high schools and found that only 21 percent of the coaches were using an injury prevention program, and less than 10 percent were using the program exactly as designed, said the study's lead author, Marc Norcross, an assistant professor of exercise and sport science in OSU's College of Public Health and Human Sciences.
"We know these programs are beneficial to the athletes," Norcross said. "If I were to recommend something to coaches, it would be to adopt one of these programs and follow it."
In 2013-14, more than 1.7 million students competed in high school soccer and basketball in the United States. During that period, about 335,000 of the athletes had a lower extremity injury that required medical attention and kept them from participating for at least one day.
The more serious injuries, such as an ACL tear, can require months of recovery and rehabilitation and can lead to early onset of arthritis. But even minor injuries such as an ankle sprain can have significant consequences, Norcross said. Ankle sprains, for example, increase the risk of arthritis developing in the joint.
Injury prevention programs are designed to help reduce lower extremity injuries that occur during play or practice but aren't as a result of contact with another player. Among the better known-programs are PEP, developed by the Santa Monica Sports Medicine Foundation; and FIFA 11+, developed in conjunction with the world soccer organization.
While they can vary in structure and content, most injury prevention programs include often include similar activities, such as strength exercises, cutting/jumping drills and balance exercises with a focus on using proper technique.
In their study, OSU researchers wanted to find out whether high school coaches were aware of existing injury prevention programs, if they were using a program, and if not, why not. They focused on soccer and basketball because lower extremity injuries are common in those sports and they are not usually caused through direct contact with another player.
They found that about half of the boys and girls coaches surveyed were aware of existing injury prevention programs. Coaches of girls' teams were more likely to be aware of the programs than coaches of boys' teams. Also, less than half of the coaches perceived lower extremity injuries to be a problem for their team.
The findings were published recently in the Journal of Science and Medicine in Sport. The research was funded by a grant from the Oregon School Activities Association Foundation. Co-authors of the study are Samuel Johnson, Viktor Bovbjerg and Mark Hoffman of OSU and Michael Koester of the Slocum Center for Orthopedics and Sports Medicine in Eugene.
While most coaches surveyed were not using a formal injury prevention program, about two-thirds of the coaches, or 65 percent, reported that they use activities similar to those found in such programs. That may be one reason they aren't adopting a specific program, Norcross said.
But there hasn't been any research yet to determine what, specifically, works about the injury programs. Researchers don't know if it is specific components of the programs that lead to fewer injuries, or if it is the combination of several things.
"When a coach says, 'I already do most of those things, isn't that enough?' - the answer is, we don't know," Norcross said. "Maybe that is good enough. We need to find that out."
OSU researchers are now working on a related study that will examine high school athlete injury data in relation to coaches' injury prevention practices. That should help researchers understand whether specific practices, or injury prevention programs as a whole, are helping to reduce injuries, Norcross said.
"For too long, we've been waiting for the perfect program to be developed," he said. "There's more we don't know than we do. But we should use the little we do know while we continue to learn more."
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Factors influencing high school coaches' adoption of injury prevention programs.
Norcross MF1, Johnson ST2, Bovbjerg VE2, Koester MC3, Hoffman MA2.
Author information
Abstract
OBJECTIVES:
Despite documented efficacy of injury prevention programs (IPPs) to reduce sport-related lower extremity injury risk, there is evidence of a lack of widespread IPP adoption by high school coaches. This study identified factors related to non-adoption of IPPs by assessing coaches' knowledge, attitudes, and behaviors related to prevention programs and comparing attitudes between adopter and non-adopter coaches.
DESIGN:
Cross-sectional.
METHODS:
Head soccer and basketball coaches (n=141) from 15 Oregon high schools were invited to complete a web-based survey assessing their IPP-related knowledge, attitudes, and behaviors.
RESULTS:
Of the 66 coach respondents, 52% reported being aware of IPPs; 21% reported using an IPP with their team; and 9% reported having their student-athletes perform the IPP exactly as designed. No apparent differences in the attitudes toward the importance of injury prevention or the effectiveness of IPPs were identified between coaches that did and did not adopt an IPP. Perceptions that efficacious IPPs do not offer a relative advantage over coaches' existing practices, do not align with coaches' needs (compatibility), and are difficult to implement in their setting (complexity) emerged as key factors underlying coaches' decisions not to adopt a program. Of those that did report adopting an IPP, just 43% (6/14) reported implementing the program as designed.
CONCLUSIONS:
Improving preventative practices of high school coaches requires more than improved dissemination to increase coach awareness. To improve the rate of IPP adoption and implementation fidelity, coach education should directly address issues related to relative advantage, compatibility, and complexity.
Copyright © 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.
KEYWORDS:
Athletic injuries; Attitudes; Knowledge; Lower extremity; Prevention
The Importance of Implementing the FMS Among High School Athletes
Written by FMS Video
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The above video is a feature on how Hargrave Military Academy basketball team has used the FMS to help direct the training and rehab of their athletes. Hargrave is one of the most successful programs in the country having produced 100 Division 1 scholarship athletes over the last decade.
FMS's Don Reagan of Mountain River PT works with Hargrave and describes how evaluating their movement has enabled him to become more proactive with his treatment and training:
"The tools within Functional Movement Systems have provided me the opportunity to transition from not just a rehab or mediation professional, to performance and optimization professional," says Don Reagan in the video. "Now we're doing screens at the beginning of the year... and looking at their movement quality. We're able to help them manage their movement before they are injured."
Junior high and high school athletes can be the most challenging populations for strength coaches to work with, in part, because the significant difference between chronological age and biological age. Two athletes can be the exact same age, but at different ends of the spectrum in terms of physical development, movement literacy and training experience.
Using a cookie-cutter training or prehab program for every athlete is inefficient, and, potentially, detrimental.
This is a sentiment echoed by FMS Certified trainer Peter Kafaf, a football coach who has worked with some of the best linemen in the country, including former #1-ranked prospect and current Michigan freshman Rashan Gary.
When Kafaf met Gary, he didn't look like the athlete who would mature into the recruiting prize of the 2016 class.
"Rashan couldn’t move. Hips were tight as a drum. He scored 1’s on both his hips," Kafaf told us. "He worked hard to improve his limitations and he became even faster, even more explosive. His 40 yard dash time dropped from a 4.94 to 4.74. Now it’s terrifying how fluid he can move."
"Rashan’s upper body was as tight as I’ve seen on any kid I’ve ever worked with. Like frozen chicken legs. His hands are terrifyingly fast now, but were the complete opposite when I met him."
Gary may have become a game-breaking athlete on the football without the FMS, but understanding how he moved helped direct his training, both on and off on the football field.
Kafaf discovered the FMS through a trainer who was working with his then 8th-grade son. Kafaf's son had movement limitations which made it difficult to train. Poor mobility in his hip and thoracic spine (extremely common among teenage athletes) was causing lower back pain and discouraging his pursuit of sports. When the trainer showed how improving his movement in key areas could alleviate strain on his shoulders and lower back, Kafaf was hooked.
"If it wasn’t for FMS, my son probably would’ve quit sports. If he didn’t start moving better he would’ve never found rugby and had the opporunity to compete in college."
"It seems like 9 out of 10 kids have some degree of improvement that they can make in their hips. That's problematic because many sports and exercises in the weight room demand good mobility in the hips. If kids don't have it, they are at risk of injury."
"I'm convinced that one of the most dangerous places you can send a kid is to a high school weight room if they haven’t been screened," says Kafaf.
While weight training is an effective strategy for reducing injury risk in athletes, health and fitness professionals will agree that a poorly designed program can do more harm than good. Early studies of injury rates in teenage athletes indicate that younger athletes are most susceptible to injuries in the weight room and that the majority of injuries occured in unsupervised settings. Conversely, when a young athlete is properly trained and supervised, injury rates in the weight room are lower than those observed when children are at play during recess (and a fraction of sports like football, wrestling and cross country).
"I’m religious about the FMS because it’s criminal what improper weight programs can do to high school kids," says Kafaf. "They walk into a weight room and are asked to squat and deadlift, but the majority of kids don't have the mobility and symmetry to perform those lifts."
"The urgent message to these kids is that this is single best thing to do for performance and health is to understand how you move before starting to train," says Kafaf. "Think of the FMS as a tuning device for your body. A guitar doesn't play well when it's out of tune, nor does your body doesn't perform well when it's out of tune."
The FMS isn't necessarily a path to speed and explosiveness, but it is a tool to help safely train speed and explosiveness. Thousands of college football players are screened every year (including three of the more promising linemen in the BIG10), but many high schools would benefit from implementing the system into their athletic programs.
Before the countless hours of training that would help them become Olympic champions, the @USAGym team were screened
The benefits of using the FMS within USA Gymnastics
Written by Dave Tilley FMS
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My name is Dave Tilley. I have my doctorate in Physical Therapy, recently became Board Certified in Sports Physical Therapy, and currently am studying to obtain my Certified Strength and Conditioning Specialist credentialing. I was a competitive gymnast for 18 years, which ended with spending 4 years on the Springfield College Men’s Team. I also have been coaching both Men’s and Women’s competitive gymnastics for 12 years, and currently still coach. Not surprisingly, given my background, I specialize in the rehabilitation and performance enhancement of gymnasts. I coach in the North Shore of Boston, and treat gymnastics clients at Champion PT and Performance in Waltham, MA.
I have been fortunate enough to work with a range of gymnasts, all the way from the youngest recreational athletes all the way up to collegiate and elite level athletes. Along side my clinical and coaching life, I also spend a large deal of time traveling the country to lecture on gymnastics topics through my company, SHIFT Movement Science and Gymnastics Education.
I took my first FMS and SFMA class right after graduating from PT school about 4 years ago, and then went on to take the next few levels of coursework. I have spent a lot of time with the system as one part of my practice, which gives me a unique perspective on its application to gymnastics. Having put hundreds of gymnasts through the FMS and SFMA, today I wanted to share with you some of my thoughts on why I feel it’s beneficial to use the FMS within the sport of gymnastics.
Thoughts on The Patterns
1. Overhead Deep Squat
- Gymnastics is a jumping, landing, and squatting sport. I feel strongly that teaching and regularly screening for proper squatting/landing mechanics is one of the biggest things anyone can do to combat a variety of different injuries in gymnastics. The landing forces of gymnastics have been recorded in research to be between 7 – 17x body weight. Unfortunately, many gymnasts continue to demonstrate non optimal landing patterns, placing notable stress on their ankle/knee structures over time. Not to mention, the infamous “stuck” landing is much more obtainable when muscular squat dominated patterns are used to dissipate forces. Screening and improving this pattern as needed is crucial to longevity and performance in gymnastics.
- If you think about it, during the overhead squat the gymnast has to statically control both arms and the upper body overhead in the presence of a dynamically changing condition of the lower torso and legs. That’s a mouth full for the gymnast keeping the arms in control while the body and legs move. In my mind that looks a lot like what might happen during uneven bar skills like giants, free hips, many other swinging skills. It also could be a puzzle piece to controlling handstand based skills, and overhead conditions like tumbling/yurchenkos (vault skill). All of these skills have different patterns and positions that are context specific as the body is fixed in this test vs not fixed during skill work. But, I can get behind the idea that this test puts a unique demand on the shoulders that may be applicable to gymnastics.
- The deep squat screens a pattern, not an isolated muscle or joint. Many gymnasts I have screened struggle with this test quite a bit. Although excessively stiff lats and calves are commonly found, there are many possible reasons why it is limited. It could also be a reflexive anterior core control issue, or a simple lack of awareness for squatting mechanics, which is equally as common. Many things about a gymnasts movement profile can be further investigated by starting with this pattern.
2. Hurdle Step
- Many people talk about how the hurdle step (along with other tests) can look
at reciprocal motion of the legs, which also happens quite a bit in gymnastics. Running for tumbling and vaulting require rapid force development in a short amount of distance for skills (vaulting, 3 steps before big tumbling passes). This pelvis dissociation also shows up in many tumbling, leaping, and inbar skills during swinging. It’s good to know the gymnast doesn’t have a huge problem with the basic motions or have a side to side asymmetry in this lower body motion before we start fancy running drills.
- A hurdle is a fundamental basic for both men’s and women’s gymnastics. It’s a key technical aspect to developing huge power for a tumbling pass or vault. From a very young age the gymnast uses their dominant leg for all of their hurdling, and also some women’s beam series like back handsprings. These basics also evolve into higher level tumbling passes that connect 1 ½ twists to step out motions. I think there’s value in making sure that an asymmetry doesn’t pop up to the point of a 1/3 or 2/3 hurdle possibly leading to a movement issue elsewhere.
- The hurdle step pattern also gives one opportunity to see how the gymnasts leg can perform in a single leg stance format. Again, you can’t blame one thing for it, but there are plenty of times for both men and women single leg stance with hip extension with superimposed balance is needed while the rest of the body is moving. Beam, floor non acro elements, running again, and more.
3. In Line Lunge
- Any women’s gymnastics coach should be in love with this test. Hello baseline balance beam screen.
- It’s super important to look at the connection of hip, knee, and ankle mechanics during triple flexion and it’s integrations with the trunk for skills. They go to this pattern a lot and many times the lack of control can create lots of issues both injury and performance wise.
- You’d be amazed to see how many of my gymnasts do poorly on this test because they defaulted to lower back extension with their lunging and can not maintain dowel contact along their spine. I think that speaks a lot to a gymnast who goes to lumbar motion as their main stabilization pattern. This is concerning for me as a medical provider and coach, in relation to a lack of active core control being compensated for by loading the static stabilizers of the spine (pars and ligaments primarily) to absorb huge forces during skills. Although there is lacking research to present a direct correlation, for this scenario may be a hint at spine overload, possible injury, and non optimal core performance.
- I’m definitely interested to see what a gymnast’s frontal plane function is for this type of motion in all planes. Single leg jumping/landing and asymmetrical jumping/landings happens all the time in gymnastics. We aim for a double leg landing that creates equal force dispersion, but due to the high variability in such complex skills this often does not occur. Due to this, having pristine single leg control is very important.
4. Shoulder Mobility
- Here’s another one I’m a big fan of for gymnasts, especially in looking at their default strategy to use their upper extremity quadrants both overhead and reciprocally. I saw a surprising amount of 2/3 asymmetries in many of my gymnasts that needed correcting. I think one reason for this is for the gymnast having a dominant arm with pirouettes on bars, tumbling, round off entries on floor and vault, and other skills. I also think true soft tissue extensibility problems are very common, despite gymnast “looking flexible”. Many athletes I work with have excessive amounts of capsular hyper laxity, but still have true limited overhead motion when controlling spinal extension compensations. This is concerning for micro instability and other issues at the shoulder an hip. A quick shoulder mobility screen may catch something very important here.
- How the gymnast uses their thoracic spine matters a lot. If they have an issue from this related to mobility, control, or pattern driven, it’s important. It may mean they struggle to use their thoracic spine during skill work and may overload their lumbar spine. This is a big issue in gymnasts and this is just one of many ways to check it out in the FMS.
- That 2/3 or 1/3 shoulder asymmetry is a big radar flag for me. Thinkabout what’s going on in the gymnasts system if they are bilaterally loading hundreds of high force handstands, tap swings, giants, high force tumbling, and vaults on an asymmetry? Or if a male gymnast is loading it with bilateral parallel bar swings, hundreds of pommel skills, or jams on high bar? The list can go on but I think there’s something to be said for picking up on and correcting these asymmetries early.
- Shoulder Clearing Test – Many gymnasts are sneaky, try to betough,or simply may not realize their shoulder pain isn’t just a normal part of training. Shoulders, elbows, and wrists literally serve as a second pair of weight-bearing hips, knees, and ankles for gymnasts. For that reason, they take a lot of mileage and we need to be regularly checking in on them for pain. There are huge rates both instability based or more biomechanical rotator cuff / labral issues in male and female gymnastics.I think shoulders can get beat up in gymnasts on both sides of the spectrum. I thi
nk some get pain because they have huge localized imbalances and altered joint mechanics. I think others have too much motion everywhere they get instability and beat up their shoulders. I think some just have an issue putting all the pieces together for a pattern. For whatever reason, if they test positive for pain you better find someone to help get to the bottom of it before it sneaks back up to bite you on you down the road.
5. Active Straight Leg Raise
- Step ins for hiccups on bars, toe ons/toe circles, some release moves, beamseries, and other skills are kind of hardcore active straight leg raises. There are plenty of other more typical active straight leg situations in gymnastics too related like the obvious leaping and split leaping for women, and I think scissor work for mens pommel horse also can go into this category to a degree. For all these reasons and more, this test has huge carry over to gymnastics.
- Every gymnastics coach and gymnast in the world wants to have fantastic toe touches, pike positions, and perfect over splits on both legs. On the surface this may seem like a “how far can I get my leg over my head test”, but it’s much more. How the gymnast gets their leg there is really the focus. As I’ve said before, there are many more things to splits and pikes than your hamstring and hip flexibility. Knowing of mechanics of an active straight leg raise outside of how high can you get your leg and if soft tissue is tight is big. Like for example, can the gymnast reflexively fire their core and maintain good spine/down leg position in hip extension when they raise their leg for the pattern? To me that’s much more important. I have unfortunately dealt with too many cases of gymnast who have lumbo pelvic control and spinal positioning problems that show up as serious hip or hamstring growth plate injuries. Gymnastics culture automatically chases more flexibility, when in reality that is the last thing they need. This test, along with some other more gymnastics specific screens, can help uncover this motor control problem and save someone from a long road of spinning their wheels in the mobility department. I wonder if coaches and gymnasts would be surprised to hear that a quick active straight leg correction may quickly get them that equal split on both sides they’ve been dying for, without always needing more stretching.
6. Trunk Stability Push Up
- First off, as many people know the trunk stability push up isn’t a measure of arm strength. It purposefully changes the push up parameters, and then allows for a look into how well the gymnast can automatically create spine stability centrally before they use their extremities. Pretty important in my eyes. In the milliseconds gymnasts have to catch the low bar and nail a perfect release move to handstand, I think it’s more about turning the right things on, at the right time, and in good coordination rather than how many hollow rocks you did in the last month of conditioning. It’s also kind of funny to see the faces they make when they realize what the test is all about. There is a lot to be said about making sure gymnasts do not constantly live in a high threshold, high tension core strategy. They must equally train the low threshold and lower level motor control for injury prevention and optimal performance.
- Press Up Clearing Test –
- I can’t emphasize enough the importance of regularly screening a gymnast for lower back pain. I use a series of 7 back pain screens on every gymnast I work with, in an effort to impose a variety of different force demands on the back commonly seen in gymnastics. If a gymnast has pain with a simple prone press up test, that’s concerning. It could be a quick fix but it could be the start of something serious. Remember they load that motion hundreds of times per day under very high force and speed for beam, tumbling, yurchenkos, and tons of drills. Lower back pain and fractures are an epidemic in gymnastics. Along with pain or no pain although not specific to this test in the FMS, I think the quality and presence of hinge points into extension are very important as well. Although I don’t know if we can prevent them all, I think early screening like this and other pre-hab/smart training can go a long way to make a dent back pain rates for young gymnasts.
7. Rotary Stability
- The rotary stability test can again help bias the ‘soft’ or deep cores reflexive and automatic function while the trunk stability push up can give a better indication of the ‘hard’ or outer core. For me the improper balance of low threshold/ ‘soft’ core training compared to overload of high threshold/ ‘outer’ core use in gymnasts is huge. As pointed out, the importance of core control and low threshold spine stability can’t be over stressed.
- Along with a low / high threshold training imbalance, I think it’s extremely common for gymnasts miss training the core in a full 360 manner. In my experience it seems to be the anterior core is trained more than the posterior, which is trained more than the lateral and rotary core, which is trained more than proper intrinsic function related to breathing and the pelvic floor. I think this is one test that is good to both raise attention of both a coach and gymnast to possible issues related to this. I know I added in much more rotary and lateral core work once I saw that the rotary stability was across the board the biggest problem for my gymnastics team. Not to mention, gymnasts many times train a lot of active spinal rotation or sidebending motion for gymnastics skills, but sometimes overlook the “anti” rotation or sidebending that is crucial for athletic performance. For this reason, I program a ton of turkish get ups, bear crawls, and unilateral weighted carries for the gymnasts I coach.
- The rotary test has also been on my mind a lot in conjunction with rolling patterns for girls that show a lack of fundamental core control. Part of me thinks always going to the dominant side for round offing, twisting, release moves, one-armed skills, and more would throw off the system into a central asymmetry. Again, I have been surprised in the last year to see some notable asymmetrical rolling pattern issues and 2/3’s on rotary stability for my gymnasts. I haven’t quite gotten to the bottom of it, but again, I think this is something worth knowing about for a gymnast.
- Spine Rock Back Clearing Test
- A gymnast should have the capability to fully flex their lower back without painor limitations. I’ve found it very common to see gymnasts who live in extension chronically show poor breathing patterns, and lose unweighted spine flexion. Living in constant lumbar extension puts stress on certain aspects of the spine as well as may set someone up for fulcrum based dynamic microinstabiltiy of the hip in extremes range of motion. Also, I have had 2 gymnastics patients who actually presented with flexion intolerance with back pain, and it was extension based corrections that helped them get out of pain. Although more on the uncommon side, anterior spine problems and flexion issues do exist in gymnastics. High force or improper landings with poor position into flexion may create this type of problem. Both for movement of the spine and detection of pain this is important thing to consider for gymnasts. This clearing test is the picture on right below
General Thoughts
- I also like the FMS because as I hinted the gymnast shows their “go to” pattern free of specific movement cueing. I think in gymnastics coaches sometimes cue and vocalize a ton for skill work, rather than just stay quite and see what the gymnast naturally does. Subconscious automaticmovement patterning is ultimately the goal. Also, it’s a deduction for a coach to talk in their routine so so there’s that too.
- It’s not all-encompassing for the sport, and I think the people who inventedthe test would be the first to tell you it’s not meant to be. It’s just a tool. Along with the FMS I think there are gymnastics specific patterns I like to always look at like a handstand, a bridge or back walk over, and a hanging tap swing or giant. I also look at some more dynamic testing like single leg and double leg squatting/jumping/landing, and whatever else I feel that gymnast needs. Then the role of fatigue and stress, but again that’s not what the FMS is meant for. I think in conjunction with the FMS a coach and gymnastics gym can come up with a great screening system that can go a long way for both health and performance.
- There are lots of correctives that can be given to the gymnast for pre-hab or prior to practice that can help out. Sometimes changes are faster than you think and keeping them isn’t so hard either. There are tons of corrections outside of the FMS that can be used. If it works, it works.
- I think this can be really helpful to keep tabs and baselines on the gymnasts as they develop, grow, move through competitive levels, and recalibrate to their system. Movement and the screen changes yearly, monthly, daily, and hourly depending on what you’re doing. If you throw an injury into the mix for a young gymnast that’s even more significant. Dr. Greg Rose had a fantastic lecture on screening youth athletes that if people are FMS members they should definitely check out. Especially when it comes to the topic of chronological age versus developmental age, and early vs late blooming athletes.
References
- Cook G. Movement: Functional Movement Systems: Screening, Assessment, and Corrective Strategies. Aptos, CA: On TARGET Publications, 2010.
- Schneides, et al. Functional Movement Screen Normative Values In Young, Active Population. IJSPT 2011 6(2)
- Cook G., Burton L., Hoogenboom B., Voight M. Functional Movement Screening: The Use of Fundamental Movements As An Assessment of Function Part 1. IJSPT June 2014 9(3)
- Cook G., Burton L., Hoogenboom B., Voight M. Functional Movement Screening: The Use of Fundamental Movements As An Assessment of Function Part 1. IJSPT August 2014 9(3)
- Weingroff, C. – 2015 Sports Rehab Expert Teleseminar/Video Addition Inservice – http://www.sportsrehabexpert.com/public/994.cfm
- Gray Cook, Lee Burton, Alwyn Cosgrove – The Future of Exercise Program Design
- Weingroff, C – Lateralizations and Regressions DVD. 2014
- Gray Cook, Craig Leibenson, Stuart McGill: Assessing Movement: A Contrast In Approaches & Future Directions
- Gray Cook, Dan John, Lee Burton. Essentials of Coaching and Training Functional Continuums DVD. 2014
- Gray Cook, Lee Burton. Key Functional Exercises You Should Know DVD.
- Leibinson, C. The Functional Training Handbook. Wolters Kluwer Health 2014
- Rose G. Why Screen Kids? 2014 (Video Lecture Recorded from Functional Movement Summi
Stop Tightening Your Abs!
If you’ve taken a fitness class lately, scanned the most recent fitness magazine, or watched the newest workout video posted to YouTube, you have undoubtedly been informed that you need to stabilize your core or engage your abdominal muscles while working out.
Delivering a punch in a kickboxing class? Tighten your abdominals!
Doing a downward dog in a yoga class? Stay strong in your belly!
Dancing those pounds into oblivion with a Zumba video? Brace your core!
While there is no doubt that you’ve heard those (or a variation of those), I’m here to warn you that you might not want to believe everything you’re told.
While the term “core strength” has been a buzzword in the fitness industry for a while now, I think it’s overused and grossly misinterpreted. I hear clients on a daily basis who think all of their symptoms will disappear if they simply strengthen their core. They believe their back pain, hip pain and shoulder pain are due to the simple fact that they’re weak. But, that’s not necessarily true. While I believe core strength is important, it’s not a panacea. Ultimately, you have to look at the position and posture of the body to find the true cause of one’s pain.
I’m sure that when you think “core,” you think abdominals. You almost definitely think about the “six-pack” abs, and you might think about your oblique muscles, but I’m sure you don’t think about anything other than those. However, did you know that your core stretches from your toes all the way up to your skull? Yes, that’s right, it’s a full-body chain. Take a look at this:
Notice the blue shading? That’s one continuous line of fascia (a connective tissue) and muscles that runs from the skull all the way down to the foot. Yes it includes your abdominal muscles, but it includes so much more than that. Known as “The Superficial Front Line,” it actually attaches to your toes and your jawbone. In light of that information, hopefully you’re starting to think of you “core” in a different light.
Most health professionals run into trouble when thinking of your core as just the abdominal muscles. The muscle that most of them are targeting when telling you to tighten your abs is the transverse abdominis, otherwise known as the TVA. It is shown in the picture below and runs like a weight-belt around your waist.
However, did you know that the TVA should only be used when compressing the abdominal cavity? That’s right–the TVA is used for forceful pushing…a.k.a. pooping and puking! In addition, it helps women when birthing children. So unless you’re doing one of those three activities while working out, you most likely aren’t activating your TVA like it’s designed to be used!
Think of guy-wires holding up an old-time circus tent. Those wires can only do their job when they’re pulled tight–pulled away from the center of the tent. When the tension is let off of those ropes, therefore allowing the ropes to move toward the tent, the whole tent falls, right? Well, we can think of your TVA in the same way. When you are told to “suck and tuck” or brace your abdominals, there is a compression, an inward motion, that happens. Rather than pulling the guy wires more taut, when you tighten your abs you’re actually performing a moving-in motion.
The end result? While thinking that you’re stabilizing your abdominals, the reality of the situation is that that movement is having the opposite effect on your abdominal cavity. The guy-wires that are being asked to brace your spine have now become “slack,” just like the guy-wires of a circus tent. Remember, the TVA is a compression/inward-motion muscle, not a tension/outward-motion muscle. By “bracing” and compressing your TVA, you’re asking for the whole circus tent to come crashing down. And, because of the superficial fascia lines running from head to toe, the effects of instability aren’t just felt in your lumbopelvic region. No, unfortunately, the entire body becomes unstable.
If you really want to impact your core, focus on the entire kinetic chain. The muscles of a balanced body know exactly when to work and when not to work. If you’re balanced, you won’t have to consciously think about tightening or bracing your abdominals. Think about it this way: If I asked you to keep your biceps muscles flexed throughout your entire workout, you’d look at me like I was crazy. You know that tightening your biceps the entire time wouldn’t make any sense and those muscles would fatigue. But if you wouldn’t continuously tighten your biceps, why are you doing it with your abdominals?
And, just to prove the point: How many of you have your abs tight right now?
How did I know your abs were tight? And, why on Earth were they tight to begin with? We have become so ingrained with the erroneous thinking that we need to tighten our core that most of us are doing it all the time without even thinking about it.
Continue that trend, and your tent will come crashing down.
QUESTION: Did I catch you with your abdominals tight?
John Elder
John Elder is the Vice President of Corporate Operations for Egoscue, Inc. and former Clinic Owner of Egoscue Nashville.
John is the main content contributor for the Egoscue blog. A client since 1995, he was an instant believer in the Method and felt relief after his first visit at Egoscue Headquarters in Del Mar, California. It is because of Egoscue that John was able to realize his dream of playing Division I baseball while at Yale University. John has traveled internationally with Egoscue and handles many of the Midwest and East Coast speaking engagements for Egoscue, Inc. His clientele includes the young and old, working professionals, stay-at-home moms, professional athletes, weekend warriors, politicians, and the everyday “Joe.”
“Our sport is your sport’s punishment”- A Brief Look at Motivation and Punishment
By stevemagness | October 20, 2016 |
“Our sport is your sports punishment”
Way back when I was a high school runner, quotes like these would invariably pop up on the back of a High School Cross-Country team’s shirt. The obvious point was that what we do as runners is often what team sports were assigned to do when they showed up late to practice, missed a crucial play, or made some sort of mistake.It’s not unusual for teams to invoke punishment for athletes who show up late or miss practice. The thinking goes flows along the lines of “We’ll teach them a lesson so that they never want to make that mistake again.” It sounds good in theory, if we make them do bear crawls after arriving 2 minutes late, then they will make sure they are on time. They will learn their lesson!
We were partially correct. They learn a lesson. Just not the one intended.
If we look into the psychology books for an answer, we can see some peculiar findings related to parents picking up their children at daycare (Gneezy and Price 2000). One would think that most parents are responsible enough to pick up their kids in a reasonable amount of time. Initially, in Gneezy and Price’s research, this turned out to be true. Parents tended to be punctual when picking up their children
But when the daycare introduced monetary fines for those parents who picked up their children late, they got the opposite of the desired effect. Instead of increasing compliance, the rate of parents showing up late increased! What’s worse, when the daycare took away the punishment, punctuality didn’t return to pre-fine levels. Their mindset had been shifted.
While this applies to money as a punishment, which carries its own connotations, I can’t help but think similar results would be seen regardless of the type of punishment. What the researchers found in the aforementioned study was the introduction of money as a punishment shifted the psychological framework people had for being late. It shifted it from a social dynamic (respecting everyone’s time, being socially responsible) to a very self-centered individualistic one. This shift in mindset altered the reasons or justifications people develop in their head for why they show up on time. In turn, the behavior changed.
When we think of punishment in athletics, we need to stop thinking about compliance but instead about what message we are sending athletes. If I’m a soccer player or a football player, what does ‘running’ a few laps if I show up late do to me? It shifts my mindset to ‘the only reason I’m showing up is that I don’t want to get punished’ instead of “I show up on time to get better and out of respect for others.’ Additionally, it frames running (or whatever exercise) as a negative. All of the sudden, running becomes tied to ‘I’m in trouble.’
What this does is even more detrimental. It means that any time this player has to run, he’s not looking at it as an opportunity to get better, he’s looking at it as something he has to suffer through because of something he did wrong. That means, we further reinforce the horrible sloppy shuffle run thing that team players often do, as they go through the motions with no intention or focus.
Now, my college team isn’t perfect. My women are almost always spot on time, while my men occasionally stroll in a few minutes late (I’m looking at you Parms…)
Now, not exactly related to being late or showing up on time, but after the season I went back to our practice logs and counted who missed the least amount of days of practice. Unsurprisingly, as I went down this list, the people who showed up the most, tended to have the largest improvements in their performances. The athletes who missed little to no practice, other than excused ones (injury, etc.) had big improvements. Now there were some who showed up consistently and didn’t get improvement, which is my job to figure out why, but on the whole the people who showed up day in day out did best. This might seem like a ‘well duh’ moment, but to me it shows a mindset.
It’s not about getting in the work, as I know that even the guys who occasionally missed a practice or two got in their work, it’s more about the commitment. It’s about setting yourself up so that it’s an ingrained activity, like brushing your teeth. It’s not a chore that you occasionally try to avoid.
And that’s where motivation and punishment come back into play. When you start setting up punishment as a way to motivate people to comply, it creates the wrong mindset. It sends the message that “I better show up or else…” instead of “I’m showing up because I choose to.” The latter ingrains the message that training is an important part of who you are. We’re not showing up for the paycheck or to avoid being punished.
We’re showing up because we choose to.
https://www.scienceofrunning.com/?v=47e5dceea252
To help reduce the rising number of soccer-related injuries, Xiang offered these recommendations:
- Take part in a preseason conditioning program that focuses on building core muscles, strengthening neck muscles, and working on hip and thigh strength.
- Warm up before play.
- Wear recommended protective gear -- shin guards and mouthguards.
- Follow and enforce the rules. "Many injuries occur during illegal play or when coaches or referees don't enforce the rules," Xiang said.
- Learn about concussions. "Know the symptoms and encourage players to report any hits to the head even if they happen in practice. Make sure to follow concussion management and return-to-play policies," he said.
- Ban heading (hitting the ball with the head) for younger players. "Only allow heading once children reach 11 and introduce it slowly by limiting the amount of heading in practice for children 11 to 13," Xiang said.
The report was published Sept. 12 in the journal Pediatrics.
Removal From Play After Concussion and Recovery Time
R.J. Elbin, Alicia Sufrinko, Philip Schatz, Jon French, Luke Henry, Scott Burkhart, Michael W. Collins, Anthony P. KontosPediatrics Sep 2016, 138 (3) e20160910; DOI: 10.1542/peds.2016-0910PDF
"We are trying to turn them into athletes first and runners, throwers, and/or jumpers second."
Keep in mind that sports are artificial activities and doing them repetitively will create injuries.
According to the National Survey of Children’s Health, nearly one-third of children (ages 10 - 17) were either overweight or obese.
Roughly 2 million injuries are reported by high school athletes each year.
Recent research suggests that lower extremity injuries are the most common musculoskeletal injury, accounting for 42% of all injuries reported.
All-Area Girls Track: Dillow, Archer not afraid to fail
Willingness to try different events paid off for top performers
By Sean Star
Reporter-Herald Staff Writer
Posted: 06/19/2018 04:36:28 PM MDT
When you see someone competing in multiple individual events at the state track meet— like Loveland's Moira Dillow and Berthoud's Cailey Archer this year — it's easy to assume they're just naturally gifted athletes who are pretty much good at everything they try.
While that may be true with some, it's not the case for these two. Don't be mistaken: They're extremely talented in multiple disciplines. But also know: They're not afraid to fail.
That intrepid approach led Dillow and Archer to discover talent within themselves that might've otherwise gone untapped, earning them leading roles on the 2018 RH All-Area Girls Track and Field team, Archer as the Track Athlete of the Year and Dillow as the Field Athlete of the Year.
Thompson Valley distance runner Kenadi Krueger, Berthoud hurdler Sam Mulder, Berthoud jumper Sophia Visger, Mountain View sprinter Mikayla Moser and Mountain View pole vaulter Jenna Doherty round out the All-Area team.
A former gymnast and future college rugby player, Dillow began her track career primarily as a pole vaulter — and a pretty good one at that, nearly qualifying for state as a sophomore. Over the years she also dabbled in jumps, sprints and hurdles, experiencing varying degrees of success at each.
"Honestly if you fail, you fail. That's how you learn. And I feel like a lot of people are too afraid to fail," she said of her willingness to try just about everything a track meet has to offer. "But I mean, come on, what else do you have to lose out here?"
Eventually Dillow found her true calling as a thrower, although she wasn't necessarily awesome at it right away, either.
"I had no idea what I was doing," she said. "This heavy ball of metal, I just kind of threw it. They asked me if I wanted to throw shot my junior year, I said that sounds fun."
Despite her background in rugby, Dillow said it was her experience in gymnastics, specifically having good body awareness, that helped her improve so quickly as a thrower. She qualified for state in shot put last year before emerging as one of Colorado's elite competitors this season as a senior.
She had seven consecutive top three finishes leading up to the 5A meet where she took sixth. But two weeks before that is when she truly shined with her toss of 41 feet, 5.5 inches at the Front Range League championships setting a district record and holding up as the second-best mark across all classifications in the state this year.
The secret to her success? Making a habit of being the last one to leave practice certainly went a long way, but so too did her freewheeling approach.
"I've never really experienced a competitor who had as much fun as Moira did. It was all business in the ring and when she was about to throw, but then between throws and at practice and things like that, she just smiles, is doing cartwheels and hanging on the fence and all kinds of crazy stuff," LHS coach Brennan Stine said. "Not saying she didn't take track seriously, because she did and obviously that shows, but she was definitely able to have fun with what she was doing. When she stepped in the ring it was business, game face on, let's go do this thing."
Dillow also excelled in discus this spring, despite having just four varsity meets under her belt prior to this year. She steadily improved through the season before everything clicked at the very end, qualifying for state the week before the big meet en route to a 13th place finish at Jeffco Stadium.
Archer's season was also one filled with plenty of experimentation. Traditionally a high jumper, the BHS junior expanded her repertoire this spring to include the 100 hurdles and every race from the 200 dash all the way up through the mile. She went into every event with the same mindset, unafraid of what her time was or how she fared compared to everyone else that day.
With a goal of becoming a multi-event athlete in college, all she cared about was learning more about each event and herself as a competitor.
"I guess I don't set a whole bunch of tangible goals for any of the events," she said. "I think those are a good thing and they can help people achieve a certain level of success. But for me when I go out and don't expect anything but I'm working harder, then I feel like no matter what I'm going to do, I'm going to be proud of it and I'm going to be happy with how it goes.
"So I just take it on the day to day basis and try to see, 'Well I tried something completely new, it's something I want to work on a little bit more.' I think just some people like to get really, really good at one thing, and I feel like to a certain extent I'm never going to be the best at anything, but if I can be good at a lot of stuff, then it's still cool."
While Archer was able to experiment with a number of different events, there were two in particular that stood out: her old specialty, the high jump, and the 800, which came from her background as a cross country runner. The Spartans' standout placed second in the 3A high jump by clearing 5-3 and 12th in the 800 with a personal-best time of 2:21.43. She also clocked the area's best time in the 400 with her fifth-place finish at the Weld County Championships.
Training for stamina and explosion during the same season proved to be a challenge, but one Archer was able to conquer by constantly communicating with her different coaches.
"It was definitely a challenge at the beginning of the year trying to figure out what I was going to do, because I know that it's important to train for whatever you specialize in, so I ended up training with the distance folks most of the time, because that's not something that you can get in the other kinds of workouts," she said. "Whereas you can throw in some speed workout into a distance workout and still get those benefits. It was a little bit tough because it was just so much more mileage than I had done before, so my body got a little tired. But it was still fun."
BHS coach Colby Schultz was initially worried Archer, who had mostly been an explosive athlete during her career, was going to dedicate so much of her training time to distance, but her willingness to be honest about how she felt made all the difference.
"As coaches we really listen to her more than I think each other, and listen to how we thought her body was working and what we thought the best thing was for her," Schultz said. "Trying to keep her healthy is obviously the biggest issue. But she really didn't have any issues with that and she was very open and honest about how her body was feeling this year, so we were really able to focus on certain events at certain times when she felt like she was going to compete the best in those."
Doherty — The Mountain View senior was 8 inches better than any other pole vaulter in the area and placed seventh in the event at state. She also had top six times in the area in the 100 and 200.
Krueger — The Thompson Valley sophomore had the area's best time in the 800, 1,600 and 3,200 and placed in the top 15 at state in both the half-mile and mile.
Moser — The Mountain View sophomore clocked the area's best time in both sprints as well as long jump, earning a conference title in the field event.
Mulder — The Berthoud senior reached the state finals in both hurdling events, collecting a pair of seventh-place finishes for the Spartans.
Visger — The Berthoud senior had the area's second-best mark in both high jump and long jump, earning 11th place finishes in both at state.
1. WHAT IS GROWMETRY?
2. HOW OLD IS A CHILD, REALLY?
3. HOW TO ESTIMATE THE BIOLOGICAL AGE OF A CHILD?
a. Traditional methods to estimate biological age...
b. The Growmetry method to estimate biological age...
4. WHY IS BIOLOGICAL AGE IMPORTANT?
5. THE BENEFITS OF GROWMETRY FOR A HEALTHY ATHLETIC DEVELOPMENT OF CHILDREN AND YOUTH
6. THE GROWMETRY EXPERTS
Annexes (4)
Contact: Hans Brislinger, Growmetry Project Development hans.brislinger@growmetry.com
GROWMETRY – Worldwide, the only currently available method for the regular estimation of the biological age of children and youth
GROWMETRY – A revolution for junior level sports: individual age-appropriate training, fewer injuries, more joy and success in sports
GROWMETRY – An Austrian innovation that has attracted already international attention
1. WHAT IS GROWMETRY? An easy to use, unique Internet application for the regular estimation of the biological age of children and youth. Growmetry was designed for individual athletes, teams, coaches/trainers, Sports Organizations (any size) and dedicated adults.
The athletic development of children and youth must be based on their biological age, to avoid under- or overloading, while maintaining a targeted successful, and healthy athletic development.
2. HOW OLD IS A CHILD, REALLY? In General, we interpret a child's age as their calendar or chronological age. This is calculated from the date of birth and has always been used by schools and sports organizations to divide children and youth into groups.
The biological age of a child, however, reflects their actual level of biological development. Children and youth with the same calendar age do not grow and mature at the same rate. Therefore, a large number of children and adolescents (over 40%) can be labelled as early or late bloomers. The difference between calendar and biological age can be up to +/- 2.5 years.
Whether a child is a late or early bloomer has no bearing on its talent and athletic ability. However, the biological age indicates the child's current growth phase and identifies its special needs with respect to its athletic and sportive development.
3. HOW TO ESTIMATE THE BIOLOGICAL AGE OF A CHILD? a. Traditional methods to estimate biological age... …based on the evaluation of primary and secondary sexual characteristics or using x-rays (radiation!) of the elbow or hand to determine the level of development of children and youth.
b. The Growmetry method to estimate biological age … …requires ongoing monthly measurements of the body size of a child or youth. This new and unique method can estimate the biological age for many years, regularly, and with great accuracy. Through the analysis of the measured values (body height), Growmetry can quickly and accurately identify and highlight changes in the growth patterns (= biological development).
4. WHY IS BIOLOGICAL AGE IMPORTANT? Children and youth have different rates of growth, development and maturation. Think of two ten-year-olds. Biologically, one can be 8 years old and the other 11. That is a biological difference of 3 years. Whereas by calendar age, they are both 10. Current training pro-grams are designed for a specific calendar (chronological) age. They do not take into consideration the biological age of children and youth (late or early bloomers).
5. THE BENEFITS OF GROWMETRY FOR HEALTHY ATHLETIC DEVELOPMENT OF CHILDREN AND YOUTH In sports science, it has been established that certain skills can be optimally developed based on specific biological time phases. The methods and strategies for child and youth development in sports have changed dramatically in recent years. Coaches and trainers must know the biological age of junior athletes and customize their training accordingly. Successful youth coaches know that children of the same chronological age can be to +/-2.5 years biologically different ages Growmetry shows these differences in the biological age and allows for the development of age-appropriate individual training programs for youth Over and under loading, maldevelopment with late sequelae and injuries from overload can be avoided Individualized training can better prepare children and youth for high stress situations in sports while at the same time, allow them to experience greater joy and fun with sports Parents want to optimally support their children in their sport and make the right decisions in relation to their healthy athletic development
Currently, many sports lose up to 70% of participating children after only a few years. The dropout rate is especially high in the "smaller", the biological "younger" group.
For sports, these children, with few exceptions, are almost always lost. This alarming and unfortunate trend has been confirmed in the current societal developments in the fitness and health of our children.
The biological age in youth sport helps avoid the feeling of a physical inferiority in children and adolescents. A sporting competition among "true" peers does not exclude the smaller participants and prevents frustrated junior athletes from leaving their sport prematurely.
6. THE EXPERTS OF GROWMETRY Univ. Doz. Dr. Bernhard Zwick and Dr. Robert Kocher co-founded Growmetry 2008 Both, experienced athletes, working for more than 15 years with athletes of various sports, who are nationally and internationally active The focus of their successful work for many years has been in the field of long-term and healthy development of children and youth With the German bio mathematician Dr. Lutz Leistritz, over the course of 6 years, they developed procedures/algorithm capable of estimating biological age by the analysis of measurements of body size (growth rate) The Growmetry team consists of internationally experienced experts in medicine, mathematics, sports science, business development and information technology
EXECUTIVE SUMMARY Annexes
Annex 1 Estimated biological age, male, biologically younger View: growth curve
Annex 2 Individual training - the Growmetry Generic Model (an example) View: active relevant display - male
Annex 3 Individual training - the Growmetry Generic Model (an example) View: active relevant display - female
Annex 4 Individual training plan – the Growmetry Generic Plan (an example) View: composition and weighting - male
TIMING OF MEASUREMENTS • Measure every month
• Measure only in the morning
• Measure after a day without exhausting exercise
• Use a high quality steel tape measure
• Use a big setsquare (triangle)
• Use a graduation of mm or 1/16 inch
• Use a hard floor (no carpet) and a flat surface wall
• Keep the setting and equipment constant
TAKING A MEASUREMENT
• Measure barefoot, feet together
• Standing upright posture with the knees straight
• Heels, buttocks, shoulders and the back of the head touch the flat surface wall
• A theoretical line from the ear canal to the eye should be horizontal
• Position the triangle with one arm against the wall
• Move the triangle down until its horizontal arm touches the highest spot of the junior's head
• The junior athlete holds a deep breath for few seconds
• Where the arm of the triangle that rests on the head meets the wall is your point of measurement
• Mark this point and measure the vertical (shortest) distance to the floor with 1mm or 1/16inch precision
• Repeat the procedure three times for higher precision
• Enter all three body height values into your personal GROWMETRY.COM account
• After about 360 days GROWMETRY.COM can estimated biological age
THE MASTERMINDS
The Growmetry method is the result of years in research and development. An international team experienced in medical, sport science and mathematics have been involved.
The masterminds of Growmetry, Univ. Doz. Dr. Ernst B. Zwick and Dr. Robert Kocher, cofounded Growmetry in 2008. Both are experienced athletes working for more than 40 years (both) with athletes of various sports, who are nationally and internationally active. The focus of their successful work for many years has been in the field of long-term and healthy athletic development of children and youth.
The customization of training programs for children and youth turned out to be a great challenge. In fact, all current training programs are designed for a particular chronological age of children and adolescents.
Since the biological age may differ from the chronological up to +/- 2.5 years (early and late developers), these (training programs) are not always easy to implement in reality.
Ernst and Robert’s goal is to find a user-friendly system to incorporate the biological age of junior athletes into their training programs.
With the German bio mathematician Dr. Lutz Leistritz, over the course of 6 years, they developed procedures/algorithm capable of estimating biological age by the analysis of measurements of body size (growth rate) – the Growmetry method. The Growmetry team consists of internationally experienced experts in medicine, mathematics, sports science, and business development and information technology.
Ernst and Robert share the vision that the biological age of a junior should be honored when it comes to developing their potential in sports and academics. The creation of long term player development models is THE main goal of both and their cooperation. They also adapt these models to specific sports, which is done in close cooperation with coaches, trainers and exercise scientists working at organizations or clubs.
Ernst and Robert with members of the Austrian National Golf-Team.
October 2013
Univ.-Doz. Dr. Ernst B. Zwick … …is a senior consultant orthopaedic surgeon specialized in paediatric orthopaedics. He received his training at the Medical Universities of Vienna and Graz (Austria), and Medical Schools in Heidelberg and Aachen (Germany). Besides his private practice in Graz, Ernst works as medical advisor and consultant to help sports bodies, coaches and trainers to enhance the quality of junior training and to implement Long-Term-Player-Development (LTPD) concepts.
Coming from a paediatric orthopaedic background, Ernst’s strengths are the interpretation of physiological parameters in relation to growth. His years working in a biomechanical laboratory, Ernst can be seen as the link between mathematicians, who set up elaborate mathematical models used for the Growmetry methods and clinicians, coaches and trainers. During the last five years Ernst also teamed up with paediatric psychologists to develop a curriculum for the long term development of mental and performance aspects in junior sports.
As senior consultant orthopaedic surgeon, Ernst takes care of numerous athletes (national and international) and golf professionals playing on the first three level European tours. He is the medical professional for the national amateur Golf teams of Austria and member of the Junior Advisory Board of the Titleist Performance Institutes/USA (TPI).
Dr. Robert Kocher… …is senior consultant surgeon, senior trauma surgeon and senior visceral surgeon. He received his training at the Medical University of Graz (Austria). He is also a certified tennis coach, is the medical professional for the national amateur Golf teams of Austria, and takes care of numerous national and international top athletes active in various sports. In addition, he teaches at renowned national and international institutions.
Robert’s background as a trainer (national certified) paired with his medical expertise in general and trauma surgery, facilitates the communication with coaches and trainers when it comes to the implementation of Growmetry estimations of the biological age of junior athletes.
He has a special interest in new findings concerning training junior athletes while honoring their biological age.
What is GROWMETRY.COM?
A service available on the Internet to estimate the biological vs
chronological age of your child/ junior athlete, to optimize athletic
training or simply to enhance enjoyment of sports.
Why should I use GROWMETRY.COM?
To adjust the appropriate level of training to the biological
age of your child/junior athlete to bring out their best in sports.
What do I get using GROWMETRY.COM?
The biological age in correlation to a junior athlete’s chronological
age is displayed in an online graph.
How does GROWMETRY.COM work?
It’s an easy to use ONLINE application to estimate biological
age of children or junior athletes.
How to start with GROWMETRY.COM?
For Parents, Coaches or Trainers, Organizations, Teams,
Associations and their Children or Junior Athletes.
What is the GROWMETRY.COM membership fee?
Click on this link to learn more about the conditions
for a "start-up" membership.
Biological Age
What does it mean? Chronological vs biological age?
Why is it so important? Who should participate?
Track benefits make for great multi-sport athletes
May 8, 2015
Track is a sport that offers great benefits to a high school athlete. Running in general is one of the most effective ways to stay in shape and train for each sport. Track can teach kids the proper running techniques for any kind of running, whether it be sprinting or distance.
Football is a sport of power and physicality. But skill position football players need to be fast while linemen need to have the agility to make blocks and be a step ahead of the opponent they are lined up against. It begs the question: Should football players run track?
Bucyrus football coach Aaron Eckert believes the answer is a yes, but he does not require it. The only thing he wants for his players is to stay competitive and be dedicated.
“I believe football players need to be fast,” Eckert said. “So yes, I believe if you want to be successful in football, you should be as fast as you can be. Track is a great way to get athletes faster, but as an assistant baseball coach at Bucyrus, I do not tell all of my football players they must do track.
“I want them doing something — but leave that up to them. And if they do not participate in a spring sport, then they are working on their strength and speed in our weight room.
“Overall, track is a great sport and there are a lot of benefits from having a strong track program because it really trains kids to become faster and more explosive, and all sports benefit from that.”
Plymouth track coach Jay Follett understands firsthand the benefits that track could have for an athlete. Of his 19 boys, five also play football, six run cross country and one plays golf in the fall; five play basketball and two wrestle during the winter.
On his squad, he has just three athletes that are single-sport athletes, 12 are two-sport athletes and four are three-sport athletes. Not only do the other sports programs benefit from track, but his track team benefits from multi-sport athletes competing and staying in shape out of track season.
“Too often, the benefits of other sports are overlooked by those involved. Track, in particular, can aide in developing speed, agility, explosiveness and endurance,” Follett said. “Each of these attributes are critical to success in other sports such as football, cross country, basketball and wrestling. Running form in particular can be improved to enhance the speed of athletes and benefit other sports such as football.”
He also believes the change in seasons is good for athletes. The change in seasons allows the athletes to change focus and not burn themselves out on training for a particular sport.
“The change in seasons is also beneficial to athletes who play multiple sports during the school year,” he said. “A great number of my biggest contributors on the track team are athletes that play multiple sports during the school year.
“Athletes who play multiple sports seem to put less pressure on themselves. They can actually have fun playing or participating in a sport and not take everything so serious.”
Injuries
With any sport comes the risk of injuries. So, should an athlete who is dedicated to football and wants to specialize in the sport run the risk of an injury in track that could potentially cause him to miss time in football?
If kids are given correct instruction and take the competition seriously, there should be a very low chance of injury. Colonel Crawford head football coach Ryan Teglovic believes that athletes need to stop worrying about what could happen.
“We love for our kids to run track and be three-sport athletes,” Teglovic said. “I like our kids to compete year-round in a variety of activities and skills. I think specialization takes away from kids having fun and kids get burnt out. I think we are a society that worries too much about what could happen. I don’t believe kids should not play a sport because they might get injured, they should not play if they don’t like the sport.”
Mohawk football coach Brent Konkle has not had a negative experience with a football player running track, and even if he had, he would still want his player running.
“As far as a major injury, football has never been affected,” he said. “Even if a major injury occurred as a result from a track injury, I would still encourage kids to run track. My learned philosophy is I want kids involved in any sport including basketball and wrestling that will make them be competitive all year around. Any kid could get injured outside of sports doing questionable things such as four-wheeling or hunting.”
Specializing
Most high school athletes today are specializing in one sport. With AAU programs, it is very easy to play basketball all year long. In southern states, where winter weather is a nonfactor, a lot of kids are concentrating on football or baseball and nothing else.
Mainly in north central Ohio, the concentration is basketball. AAU programs dominate high school kids’ time and athletic schedules. It is to the point that area schools’ participation numbers are suffering in the spring.
Track is one that is significantly affected, and because of that, the football players are missing out on a chance to develop skills that would benefit them in football and any other sport they choose to play. Track could be a great way for those basketball specialists to learn how to run with proper technique to become faster and more explosive.
Konkle agrees track is a sport that could benefit an athlete with any sport they choose to participate in after spring.
“I have read and agree that track is the one sport that prepares athletes for almost any other sport,” he said “I want my athletes training and competing in the spring. I played four years of college baseball at Heidelberg, so I don’t want to take away from the sport of baseball, but track prepares my football players for summer workouts because of the physical conditioning and strength training.”
Eckert thinks asking a kid to specialize is just wrong. With the size of Crawford County schools, if every athlete played one sport, the schools would be lucky to field teams in a majority of sports.
“I think every coach has had both (negative and positive) experiences when dealing with athletes involved in other sports,” he said. “Every coach wants their sport to be No. 1 to the athletes we coach, and that’s just not the case.”
Follett thinks specializing is the biggest problem when it comes to high school athletics.
“I think that the biggest issue with high school sports today is athletes, parents, and coaches that believe that athletes must focus on one single sport,” Follett said.
Dedication
Carey football coach Todd Worst makes it clear: If players are not going to take it seriously, they would not benefit from the training they could have learned in track.
“I believe that track can be beneficial for most football players,” he siad. “If approached with the right attitude and workout routine, athletes can get faster and stronger while participating in track. The same explosive power required to run sprints, run hurdles and compete in the field events is needed on the football field.
“At Carey, we are fortunate to have track coaches who understand the importance of lifting while in track season. Our last meeting of the football season always ends the same way. Play the next sport as well as you can play, but if you are not in a sport we expect to see you lifting with us beginning in January.”
Scholarships
Track is a great way to earn a college scholarship. Konkle pointed out Ohio State football coach Urban Meyer recruits more multi-sport athletes than any coach in the country.
The truth is, a great way to play college football is to earn a track scholarship and walk on to the football team. Many Division I athletes do that. And many of those athletes took it upon themselves to use track as means to learn the proper techniques of running and used them on the football field to excel and get better.
The Cleveland Browns used a 2015 third-round draft pick on University of Miami running back Duke Johnson. Johnson is the leading rusher in Hurricanes history with 3,519 yards. He also excelled in high school as a sprinter and long jumper. He concentrated on football until the 2013 track and field season, when he joined the Hurricanes squad. He posted a personal-best time of 6.92 seconds in the 60 meters.
Many high school athletes need to learn the fundamentals of any sport they participate in, and track is the perfect sport to teach them the basics they need in order to be successful in their sport.
MARK CHENG: GROUNDWORK PROGRESSIONS—CRAWLING AND CROSS-CRAWLING
Home » Mark Cheng: Groundwork Progressions—Crawling and Cross-Crawling
by Mark Cheng
This is a text excerpt of Mark Cheng’s Prehab Rehab 101 video.
You can review a variety of preview clips here.
In Prehab-Rehab 101, The Groundwork Progressions, we move from the most fundamental developmental positions up to half-kneeling, the precursor just before we get to standing in symmetrical stance, split stance and single-leg stance. The five positions we discuss in high detail in the video will give you the tools and the eyes you need to break these exercises down and use them with your clients, athletes and patients.
The Positions
In each of these positions there are breakdowns and highlights for you to understand how to train in these positions for better mastery and ownership of all of the movements that go into higher-level strength and performance. This will show up as efficiency on the field for your athletes—higher performance with less strain. For those of you working in a rehab setting, this is essential for getting your patients back into the game of life without pain.
In the crawling progression, we’ll have people on their knees, their feet and their hands; they’ll have six points of contact. Whether the feet are toes down, with the balls of the foot in contact with the ground, or whether the instep is down—either way works for the initial setup.
As we begin this progression, we work on first looking straight ahead and, ideally, looking up higher. Similar to babies, when they start to crawl, they don’t just look at someone right in front of their faces. They begin to look up, just like an adult would. If you were watching the video, you would see that all three of our models have different ranges of ability. We wanted to show you the ranges and teach you how to work at the level you or your clients are capable of.
From here, keeping the elbows locked, the next position is to drop the chest down and then prime it back up. We’re looking for the head and neck to be able to look forward or look up even taller than where the eyes would go when parallel to the ground. Breathing stays loose throughout this phase.
Once we have this basic position, being able to break contact with any one of the limbs at any time is a next test, but before that, we would work on the head and neck. I’d have you look to the left, like you’re trying to see something that drew your attention. Then look back to the front at someone who’s about your height right in front of you, and then to the right.
Things to Look Out For
For those of you who are coaches, you would look for a shoulder that may dip down; if you notice someone turns the head to the left and dips down onto the right shoulder, that’s a key. The elbows should stay locked with the feeling of engaging the shoulder stabilizers and spreading the chest.
However, it’s all about moving the head and neck and being able to move the line of sight and actively engage that line of sight—not just turning the head without the eyes. We would want to be looking at detail on the walls or at detail in the surroundings because later it’s all about moving and reacting from here.
Notice the lower back would not be hunched. For someone who has a rounded lower back, we want to cue to drop just a little so it’s even.
The beauty of working on these progressions is it allows us to feel firsthand when things are difficult. Take the time to address things. Don’t be afraid to give clients the stepping stones they need for success.
If you’re trying to do ground work and your older clients are resistant because they don’t feel able to comfortably get back up, give them the stepping stones they need. Maybe it’s just propping the shins or knees against a bed or couch and they’re able to put their hands on something else.
Being able to work shoulder packing is a huge benefit for our older adults. As they’re in the position, they’re engaging all of the four knots at the same time.
The shoulders and hips are engaged, but then, once we start cross-crawling in place, we are now working on both mobility and stability. We have to stabilize and we have to be able to mobilize. The side that comes up is the side that’s mobile. The side we’re based upon is stable.
As far as the line of sight, ideally you want to be looking at about your same height in front of your body. A baby would crawl because it’s trying to look at something and then move toward something it sees.
The Cross Crawl
Often when we work the cross crawl, we’ll see people looking straight down, but that doesn’t provide the same level of benefit. Encourage a higher viewpoint. The whole idea is we’re moving because we see something we want to get to, so it’s about the head, neck and the torso. The hips also move, but the eyes are important. I can’t emphasize this point enough. Where you’re looking is super important.
We’re alternating between mobility and stability back and forth between left and right in a diagonal pattern. We’re engaging the eyes, the head and the neck from different contexts relative to the ground—mobile stability, as well as reactive mobility, keeping the head and chest high off of the ground. If you start sagging the chest down toward the ground, your shoulders are not stabilizing.
Different levels of strain or effort are important to notice.
Let’s go through the crawling progressions. We start off with six points of contact—head, neck and arm movements and drills. Then we go into the arm movements. These are the same sort of progressions, just with a different frame of context in relation to the ground.
Now let’s go into the cross crawl, just breaking contact with the ground. One of the things you want to note is an excessive swing of either the hips or the shoulders. The chest stays high, tall off of the ground.
You’re just trying to break contact with the ground. It’s not a contest to see how high off of the ground you can get. It’s not a bird dog. It’s gently breaking contact with the ground and having control…while still breathing.
If these ranges of motion are foreign to a person, the metabolism is working overtime. These may not look like high-intensity workouts, but if the nervous system isn’t used to this, the person is burning a ridiculous amount of calories trying to tap back into these movements.
With the rocking in six points of contact, we’re juicing the four knots, changing their reference to the ground. We’re rocking back and forth nice and easy—not too far forward and not too far back. We’re giving another framework for the brain to appreciate not only the contact points, but also how the limbs are knotting themselves back into the body.
Using Force in Crawling
Once we have these basic bodyweight progressions, we start looking at force. When we own control over bodyweight and over the body itself, then we challenge it.
For strength, we’ll use a light sandbag and pull it back and then launch it forward, again pull it back and launch it forward. Here we have three points of stability, but we also have to be able to issue force from the free hand.
When you move to the other side, if you notice a big discrepancy in terms of ability or stability—maybe on one side your client is super stable and on the other side, one leg keeps flying up—that’s an indicator. The side of greatest challenge is the one you want to work on more.
The next level of progression in crawling is to go from six points of contact to four points. To do that, rock back under the forefoot and rob the knees of contact with the ground. This is the “bear” position or the bear crawl.
The hips have to be lower than the head. Ideally, the hips have to be even lower than the shoulders. This becomes a little more difficult—not only because it requires strength in the core to keep the knees up, but also to have flexibility in the hip. If the hips are limited in terms of flexion, this is difficult.
When things become challenging, the line of sight almost always goes down. The trick here is to make it so we’re practicing so the line of sight is forward. Our eyes go down because we want to sight the ground when we don’t trust our balance. We’re looking for the ground so we can catch ourselves. That’s a primitive reflex. Instead, we want to keep the eyes engaged forward.
Higher-Level Crawling Positions
In higher-level training, we begin issuing force, like dragging the rope with three points of contact—just the feet and one hand—throwing the rope or even doing the same as we did with the sandbag.
Now for the hardest progression.
When you change the elevation or change the angle relative to gravity, crawling becomes climbing. This can also be a way for some of your elderly clients to access the crawling pattern. For them, working from the top down is more important than working from the bottom up.
For your athletes, you might have one hand and foot on the floor, while the other two points of contact are on the wall. Here we are at an angle, looking up toward the ceiling. It’s tempting to look forward between the hands, but we want to look more toward the ceiling. Bring your hands a bit closer to each other, so the hands are pretty much even with the shoulder line. From here, we work on that cross-crawl pattern.
Ideally at this stage, we want to minimize the rotation of the hips, which is breaking contact with each part of the ground. If we want to up the ante when the person is a bit more advanced, the next part is very important—you’ll go to the side. This is not for the elderly clientele unless they’re very advanced, but this will work well for athletes, especially your athletes who need to be functional and strong in a variety of contexts.
The next position in our crawling progression is diagonal, where we have two points in touch with the ground and two points in touch with the wall. Being able to stabilize is important. You’re not going to be able to cross-crawl in this position because it’s too unstable, but this is a good way to learn to stabilize.
Feeling the ground with different points of contact is very important. The wall is a point of stability, but the ground is also a point of stability. Being able to keep the body in position, then move the head and neck looking left and right is valuable.
Progressing further, it’s hands down and feet up, going into partial inversion. It looks like it’s going to be the start of an elevated push-up, but instead keep the hips and knees flexed.
You don’t want to be looking down; imagine you’re crawling downhill. This is challenging—not only in terms of keeping contact with the wall, but also in terms of stability.
In terms of the downward cross-crawl, imagine if you’re doing an uphill crawling or climbing pattern, you’re now climbing downhill—a reverse climb, climbing down head first. For animals in quadruped, that’s pretty standard. If you’ve climbed up a tree, you have to be able to climb down, and to look in the direction in which you’re climbing.
Crawling is ordinarily something most humans don’t do enough of, and it’s very rich for core development. All of the groundwork progressions we cover in the Prehab Rehab video are valuable for your adult clients, your injured patients and your athletes.
Learn the progressions and discover what to look for as compensations and your clients will be well served.
This was a text excerpt of Mark Cheng’s Prehab Rehab 101 video. You can review a variety of preview clips here.
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Tap into the Brains of Some of the World’s Leading Performance Experts
FREE Access to the OTP Vault
Inside the OTP Vault, you’ll find over 20 articles and videos from leading strength coaches, trainers and physical therapists such as Dan John, Gray Cook, Michael Boyle, Stuart McGill and Sue Falsone.
Click here to get FREE access to the On Target Publications vault and receive the latest relevant content to help you and your clients move and perform better.
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https://www.functionalmovement.com/Articles/845/creating_cross_body_connections_for_better_rotation
75% Of Junior Golfers Surveyed Believe That Early Specialization Is Necessary For College Recruitment
Fri Aug 24, 2018 by Brendan Ryan
This article is based on a collaborative effort between Brendan Ryan, Dr. Bhrett McCabe and the AJGA, which they were generous enough to make available to the TPI community.
As part of a growing commitment to junior golf, the American Junior Golf Associations has sought to explore important trends in junior golf by partnering with top golf researchers and junior development specialists to survey members about important trends. In this article, we examine data collected from 50 of the 71 junior players at last year’s AJGA Senior Showcase. The goal of this data collection was to better understand the benchmarks of the college recruitment process and provide continued support to junior golfers and their families.
The online, optional survey created by Dr. McCabe, the AJGA and myself had 8 questions:
- At what age did you first become interested in golf?
- At what age did you play your first 36-hole tournament?
- At what age did you start the college recruitment process?
- What other sports do you play competitively? Please list the sports, as well as the number of years you have participated
- To play Division I golf, do you believe you need to specialize in golf?
- How many hours (in total) do you think you have spent on the college recruitment process?
- How much control do you believe you have over the recruitment process (1= very little, 100=Total Control)
- Do you feel you need to specialize early in golf to be recruited to play collegiately?
What We Learned About The Participants
Of the 50 respondents, the average player reported to begin to take an interest in golf at 9.2 years with 30 percent of golfers starting at 5 years of golf or younger, while 54 percent of golfers starting between the ages of 10-14, and 10 percent starting between the ages of 6-9 years old. The average age for the participants first 36-hole tournament was 13.48 years and only 10 percent reported playing a 36-hole event before their 10th birthday. Participants also reported that on average they started to engage in the recruitment process about the start of their junior year and on average had invested about 43 hours.
What The Data Tells Us
Not surprisingly, the data through this survey highlights that many respondents were at one-time, multi-sport athletes, and while many started playing young, the average player took a larger interest in golf as they grew older. Although players seemed to fit what we consider a very healthy development model, they also reported that they felt significant pressure to specialize in golf. A shocking 75 percent reported that it was necessary to specialize in golf to be recruited to play collegiately. The fact that junior golfers feel enormous pressure to specialize is concerning because of the tie between early specialization, burn out and injury.
Early specialization has gained significant attention over the last few years. In a 2013 American Medical Society for Sports Medicine survey, 88 percent of college athletes who were surveyed played more than one sport as a child. Specialization is continuing to increase, however, despite its reported consequences. In a 2017 TIME article about the growth of the youth sports industry, the industry is estimated to reach beyond $15 billion per year and the pressure to secure college scholarships is only intensifying the specialization urgency. Early experiences in the game of golf were fantastic and in efforts to grow the game, exposing players to positive benefits of the game such as sportsmanship, motor learning, and resiliency, can prepare them for life ahead. It is important that we continue to educate and refine resources to maximize the recruiting process and allow those players ready to compete the opportunity to compete at the school that is right for them. Research done by Dr Neeru Jayanthi of Emory University and associates, suggests early specialization in a single sport is one of the strongest predictors of injury. Athletes in the study who specialized were 70 percent to 93 percent more likely to be injured than children who played multiple sports. This is especially important in a repetitive rotary sport like golf. The association between movement variability and movement competency is observable at a young age too. A 2016 study found that gymnastics-like movement training improved stability and object control in kids with an average age of 8.
Though the impulse of parents and young golfers understandable and well-intentioned, it does not reflect the most effective path to facilitate the highest athletic ceiling or long-term success in golf. TPI has written extensively about the multi-sport backgrounds of some of the top golfers in the world, including Jordan Spieth, Brooks Koepka, Dustin Johnson and others. One of the most important tenants of the TPI Junior program is build the athlete first, golfer second. Athletes with better movement skills and movement capacity have a better chance to succeed in their chosen sport.
Though the benefits of a multi sport background are nearly unassailable, it’s important to not that the argument FOR it can become a little reductive. Many studies don’t take into account games played or complementary training programs. Additionally, research often does not answer the question: did they play multiple sports because they were great athletes? Or were they great athletes because they played multiple sports? It’s probably a little of both.
Brooks Koepka isn’t having success in golf BECAUSE he played baseball growing up, but there’s an excellent chance that baseball helped develop coordination and speed that helps him excel in golf. Most importantly, playing baseball (or any other sport) didn’t hurt Koepka’s chances of earning a scholarship, as the survey results suggest young golfers believe.
If playing at an elite level is the goal, rushing to secure a scholarship isn’t a necessary strategy. In a normal year, at least 35% of the signing class happens in the late period (after April 1). It is also important to understand that while early signings make up a tremendous amount of buzz on social media, players who commit more than two years in advance of their graduation date make up less than 3% of commitments but 28% of posts. Junior golfers are not the only ones who are concerned. In another data collection, this time of 57 college coaches (50 from NCAA D1 schools and 7 from NCAA D2 schools), 75% of coaches polled believe that athletes are committing too early.
Elite athletics is about accumulating skills. When athletes participate in a board spectrum of activities, it is more likely that they have not only been exposed to diverse skills and experiences but given time to develop compentcy in there areas. There’s no substitute for developing golf skills, but it shouldn’t be done at the expense of developing movement skills.
Brendan Ryan is a world expert in junior golf development and the recruitment process. His background includes a 7 year college coaching career, including time at the University of Kentucky. He also has a pair of Master’s degrees and is the author of approximately 20 academic papers and 100+ articles on sites like GolfWRX, Amateurgolf.com and others.
Movement Excerpt: Self-Limiting Exercise Gray Cook
Self-limiting exercises make us think, and even make us feel more connected to exercise and to movement. They demand greater engagement and produce greater physical awareness. Self-limiting exercises do not offer the easy confidence or quick mastery provided by a fitness machine.
The earliest exercise forms were self-limiting—they required mindfulness and technique. Idiot-proof equipment and the conditioning equivalent of training wheels did not exist. Great lifters learned to lift great; great fighters learned to fight great; great runners learned to run great. Their qualities and quantities were intertwined.
Self-limiting exercise demands mindfulness and an awareness of movement, alignment, balance and control. In self-limiting exercise, a person cannot just pop on the headphones and walk or run on the treadmill, fingering the playlist or watching the news on a well-placed monitor. Self-limiting exercise demands engagement.
The clearest example of self-limiting exercise is barefoot running. While running barefoot, the first runners connected with the sensory information in the soles of their feet. This works perfectly—this is the very reason the soles of the feet have such a uniquely dense distribution of sensory nerves. This provides a window to our environment, like the nerves in our hands, eyes and ears. The information provided by sensory nerves in the soles help all who walk on two feet continually adjust their movement, stride, rhythm, posture and breathing to meet changes in the terrain.
The modern running shoe allows us to ignore a sensory perspective of running that is only second to vision, and, as you know, the increase in running-related injuries paralleled running shoe development. When running barefoot, over-striding and heel striking is not an option—it produces jarring, discomfort and pain because it is not authentic. Is it not a bit peculiar that the quick twinges of pain refine the barefoot runner’s stride to help avoid running injuries, while the comfort of the modern running shoe later exchanged those friendly twinges for debilitating pain?
The modern runner uses braces to cover a weakness, often not taking responsibility to rehabilitate a problem, or dissatisfied with the rehabilitation process and its incomplete outcome. Christopher McDougall reveals this concept in an amazing story in his book Born to Run: A Hidden Tribe, Superathletes, and the Greatest Race the World Has Never Seen, a story that reminds us to temper all technologic advancements against historical facts and time-tested principles. He touches on medical and biomechanical issues, prehistoric man, exercise concepts and a detachment from the joy of movement we exchange for superficial results.
This book is highly recommended for trainers, coaches and rehabilitation professionals to help them see their respective professions through the eyes of the inquisitive, chronically injured runner. Christopher’s investigation and story connects important dots we can all appreciate. In his journey, he discovered rehabilitation and coaching wisdom that is logical and simple. The problem is that he had to dig to find it. Part of his digging was caused by our incomplete practices of movement assessment, exercise and rehabilitation.
Examples of other natural, self-limiting categories are governed by breathing, grip strength, balance, correct posture and coordination. Some exercises combine two or more self-limiting activities, and each has natural selective and developmental benefits. These exercises produce form and function while positioning the entire movement matrix for multiple benefits. As we train movement, anatomical structures model themselves around natural stresses.
Self-limiting activities should become the cornerstone of your training programs, not as preventive maintenance and risk management, but as movement authentication—to keep it real. The limitations these exercises impose keep us honest and allow our weakest links to hold us back, as they should.
Used correctly, self-limiting exercises improve poor movements and maintain functional movement quality. These exercises are challenging and produce a high neural load, which is to say they require engagement and increased levels of motor control at the conscious and reflexive level.
Anytime we don’t acknowledge our weakest links or confront them in training, we demonstrate the same behavior that caused our collective functional movement patterns to erode in the first place. Embedded in each workout, the self-limiting activities continually whisper the message that we cannot become stronger than our weakest links.
A word of caution: These activities are not magic. They don’t automatically install movement quality. They simply provide the opportunity should the individual be up to the challenge. Each of these activities imposes natural obstacles and requires technical attention. There is usually a coordination of attributes not often used together, such as balance and strength or quickness and alignment. These activities usually require instruction to provide safety and maximize benefits. If you do not respect them, they can impose risk.
However, patience, attention to detail and expert instruction will provide a natural balancing of movement abilities. These do not have to make up the entire exercise program. Instead, they offer mental and physical challenges against natural limitations and technical standards. These activities will not only provide variety, but should ultimately produce physical poise, confidence and higher levels of movement competence.
Exercise Program Design Fundamentals, Part One
A well-designed training program is crucial for making continued progress both in the short and long term.
However, program design can be a confusing topic with a countless number of articles, tips, techniques, methods and programs to choose from.
In this article, you’ll find clear, simple and powerful guidelines to help you design exercise programs that deliver results without the need for outrageous gimmicks or special fitness fads.
Identify the right quadrant to train in
Adapted from Dan John’s book Intervention.
Back in the 1970s, every month brought a new wave of magazines filled with new tools, programs and movements all guaranteed to change the lives of athletes. We tested a few, laughed at couple and generally kept one or two ideas from all the pulp.
Today, through the internet, new ideas are presented to us virtually every minute. Because of this, most of us are swamped with new training ideas, programs and equipment. This can make it difficult to know what to work on in your training sessions.
To provide clarity, here’s a simple four-part quadrant grid that will help classify you as a trainee and show you what you should be doing in your training.
These quadrants are based on two continuums:
- The number of qualities an athlete must have to excel at a sport
- How good an athlete needs to be at each of the those qualities relative to how good any athlete can be at that quality
Quadrant One
A person in Quadrant One should spend the training time trying to pick up as many qualities as possible at a low level. The key to this quadrant is exposure and diversity, not necessarily performance excellence. People training in this quadrant learn the rules, skills and appreciation of games, sports and movement.
Most people only get one shot in life at this quadrant, which makes it a very important stage for future athletic development.
Quadrant Two
This quadrant houses the collision sports and occupations. A lot of qualities are needed, and the level of these qualities is quite high. People who would be classified in this quadrant include football players, rugby players and special forces soldiers.
Most people train in this quadrant, yet few actually should train in this manner.
The very nature of Quadrant Two, with the sheer volume of qualities and the high level of these qualities necessary just to show up, makes it tough to see whether or not a new idea, plan, supplement, program or concept is really making a difference.
Quadrant Three
Most people fall into this quadrant. This will sound odd, but in Quadrant Three, only a few qualities are needed…and at a low level.
Quadrant Three can be further divided into elite athletes, and everyone else.
It may surprise you to see elite athletes in this quadrant. You might ask, “Don’t elite athletes need qualities developed at a high level?”
Let’s take the example of an elite track athlete.
This athlete needs technique and strength. The strength levels are amazing, but not high when compared with someone who just lifts like an elite Olympic lifter.
A Quadrant Three elite athlete may need the absolute strength to deadlift 600 pounds. That’s a pretty big number, but let’s remember the world record is approaching twice that. It’s all relative.
With Quadrant Three athletes, you must understand this: Technical work is strength work; strength is technical. The two qualities flow into and build on each other. Mastery in the weightroom carries over to the ring, which brings knowledge that carries back into the weightroom and then back out to the ring. A strong person you teach to throw the discus or a good thrower you make strong will never throw as far as the thrower who seeks to master both aspects since these complement each other.
People in this quadrant who aren’t elite athletes should be spending the bulk of their time working on two things: hypertrophy—less fat and more muscle— and joint mobility.
Quadrant Four
Here in Quadrant Four, we find the rarest of athletes. These are people who need very few qualities, but at the highest levels of human performance.
Think 100-meter sprinters and Olympic lifters.
More of a visual learner?
Click here to view the Four Quadrants Infographic.
Find your gaps
Adapted from Dan John’s book, Intervention.
Identifying the right quadrant to train in will help you set the right goals and help focus on the right elements in training.
The next step is to find out where you are and where you fall short by using assessments.
There are countless standards and assessments covering mobility, flexibility, strength, power, speed, agility and sports skills. You’ll have to spend some time finding the appropriate standards and assessments for your goals, or those of your clients.
Once you’ve found the right assessments and standards, conduct the assessments, identify weaknesses and address them.
Retest regularly to make sure you’re on the right track.
An important point to remember in all this: What you’re not doing is what you need to do.
The movements you’re ignoring are the things you need to do!
Never ignore the strengths, but combine the time working on strong points, which is everyone’s favorite stuff anyway, with the less favorite, such as mobility, flexibility or tissue-quality work—the foam rolling and all of that.
If you are in Quadrant Three, you can find most of the assessment tools you need in Dan John’s book, Can You Go.
In the book, he goes into each assessment in detail and shows you how to integrate them into the rest of your training program.
To get you started, here are Dan John’s basic strength standards for men and women. These standards cover the five essential movements: push, pull, squat, hinge and loaded carry.
MENWOMENPushExpected = Bodyweight bench press
Game-changer = Bodyweight bench press for 15 reps
Game-changer = Bodyweight bench pressPullExpected = 8–10 pullups
Game-changer = 15 pullups
Game-changer = Three pullupsSquatExpected = Bodyweight squat
Game-changer = Bodyweight squat for 15 reps
Game-changer = 275-pound deadliftHingeExpected = Bodyweight to 150% bodyweight deadlift
Game-changer = Double-bodyweight deadlift
Game-changer = 135 pounds for five in the back squatLoaded Carry
(at least 20m)
Expected = Farmer walk with total bodyweight (half per hand)
Game-changer = Bodyweight per hand
Game-changer = 85 pounds per handGetupOne left and right, done with a half-filled cup of water
What is meant by ‘expected’ in the standards above? It’s the shoulder-shrugging nod of, “Yes, of course, I can do that.”
An untrained man can often do these standards on the first training session, and someone detrained (he took a few years off to build up some belly fat) might be able to do most of these anyway.
If you can do all six movements at a game-changer level, your concerns are not in the weightroom.
If you’re dealing with a body fat problem, it’s diet. If you’re failing in sport, it’s technical or tactical, but it isn’t a weightroom issue. You are clearly strong enough and balanced enough to do practically anything.
These are general standards, of course, but the idea is, if you max out one test and fail miserably on the others, it indicates your weakness and your best direction.
Using the FMS to find movement gaps
The Functional Movement Screen (FMS) is another great tool you can use to find gaps in your training.
The FMS is a simple but powerful screen of movement quality that takes less than 10 minutes to do.
This following case study, adapted from Alwyn Cosgrove’s section of The Future of Exercise Program Design, is an example of how the FMS can be used to shape the design of a program.
FMS Program Design Case Study, a 51-year-old woman
Before designing a training program, let’s look at the important information gleaned from the intake questionnaire and initial FMS screening.
Personal History
- Female
- 51 years old
- Accountant
- Taekwondo background, intermediate rank
- Participated in 5K runs
Medical History
- Overweight by 20 pounds
- Other findings normal (vitals, heart rate, etc.), cleared for exercise
Specific Interests and Targets
- Fat loss
- Feel better about herself
- Improve muscle definition
- Improve posture
Other information
- Highly motivated, has an important event coming up
- Has lost weight before
- Only has two days to work out
In this case, our client is cleared to train. She has no risk factors in her medical history.
So our job now is to help her reach her goals. We have four weeks to deliver the fat-loss results she wants. She doesn’t care about her leg raise improvement. She doesn’t care about her squat looking good. She only cares about getting into her skinny jeans in 28 days.
If the jeans won’t fasten in 28 days, she’ll fire you and tell the whole world your training program didn’t get her the results she wanted.
Looking at her FMS screen results, we see that she’s healthy movement-wise. She has a score of two on all movements and has no asymmetries.
Movement Health (FMS Score Sheet)
- Total: 14, no asymmetries
- Deep Squat – 2
- Hurdle Step – 2
- In-line Lunge – 2
- Shoulder Mobility – 2
- Active Straight Leg Raise – 2
- Trunk Stability Push-up – 2
- Rotary Stability – 2
An example program for our client would look something like this:
Program
- Dynamic Warm-up
- Core: Plank, Chop & Lift
- Power: Medicine ball throws, Kettlebell swings
- Strength
- Squat – Goblet squat
- Lunge – Step up, single-leg deadlift
- Single-Leg Stance – Bodyweight split-squat
- Hinge – Kettlebell sumo deadlift
- Push – Pushup, pushup variations
- Pull – Inverted row
- Twist – Anti-rotation press
- Metabolic work
Our client doesn’t have a problem with rolling, so we can select core exercises like the plank and chop and lift. These are great exercise choices for someone of her level.
We choose a split-squat over a dynamic movement like the lunge because she’s a beginner in the weightroom. Moves like overhead lunges would probably be too much to start off with. Remember, you’re here to get her fat-loss results, not to make her exercise moves look awesome.
Push-ups and push-up variations are a great choice for someone of her level.
For pulls, inverted rows using a TRX are a great choice, too.
And finally, we have the anti-rotation press for the twist movement.
This would be an example of a quality program for someone whose movement is healthy.
Let’s now look at how the FMS can inform program design by looking at the case of someone who has issues in movement. Let’s say that her FMS results changed to the following:
Movement Health (FMS Score Sheet)
- Total: 12, no asymmetries
- Deep Squat – 1
- Hurdle Step – 2
- In-line Lunge – 1
- Shoulder Mobility – 2
- Active Straight Leg Raise – 2
- Trunk Stability Push-up – 2
- Rotary Stability – 2
The only change is the deep squat and the in-line lunge, both of which have gone from a two to a one score.
Everything else is the same.
The one scores on the deep squat and in-line lunge tell us that our client cannot perform these movements properly and has stabilization issues.
Taking this information, we simply go back to the program we designed before and find what we need to modify according to what her real needs are.
There’s no need to redesign the entire program—and that’s the great thing about using the FMS.
What do we need to change?
Here’s a clue: Our client can’t stabilize on the lunge. She can run a 5K—which is the equivalent of 4,500 short-step lunges—without pain, but she cannot do one regular lunge.
What major muscle group may not be working properly?
Her core? No.
It would be her glutes. Her glutes aren’t firing properly and she’s getting her stability from either her quads and hamstrings or her lower back.
So how do we activate her glutes?
Should we use isolation work? No, because that may not transfer well to dynamic movement.
Should we do glute bridges? That might activate the glutes, but it may not transfer to a standing position.
The answer is to put her in a kneeling position.
If you put her in a tall-kneeling position, the quads are stretched and the hamstrings are short, so neither can provide stability.
You’ll be then able to coach the lower back to get the core and glute firing properly.
Knowing this, we can change the chop-and-lifts to tall-kneeling chop-and-lifts. We do the medicine ball throws from the tall-kneeling position.
We also lighten the load on the split-squat since the lunge is a problem. We change it to an assisted split-squat.
The hinge and the push-up aren’t a problem, so we don’t have to touch them. But for the push movement, we can do tall-kneeling pressing overhead to get in more glute activation.
For the pull movement, we change it to cable rows in half-kneeling and half-kneeling pulldowns.
The anti-rotation press is a great choice to start with, and we make it even better for the client by using a half-kneeling position for the exercise.
We didn’t need to write a completely new program. We just used the FMS results to make small but significant changes that really targeted the movement deficiency in the client.
But how does this help a person lose fat?
The ‘1’ scores on the FMS show the person has muscles that are not firing correctly in basic patterns. This movement deficiency equates to a metabolic deficiency.
By addressing the movement deficiency by improving the ‘1’ score to a ‘2,’ you automatically create a metabolic increase. This means more fat loss in the same amount of time, and a very happy client.
Modified Program
- Dynamic Warm-up
- Core: Plank, Chop & Lift
- Power: Medicine ball tall-kneeling chest-throw, half-kneeling side throw
- Strength
- Squat – Goblet squat
- Lunge – Step-up, single-leg deadlift
- Single-Leg Stance – Assisted split-squat with the TRX
- Hinge – Kettlebell sumo deadlift
- Push – Incline push-ups, tall-kneeling overhead press
- Pull – Half-kneeling cable row, half-kneeling pulldowns
- Twist – Anti-rotation press in tall-kneeling
- Metabolic work
The FMS helps us find the gaps in a client’s training and allows us to make a huge difference in results just by identifying the right tweaks to make.
For more FMS exercise programming case studies
Click here to see the rest of Alwyn’s section in The Future of Exercise Program Design. In The Future of Exercise Program Design, Alwyn Cosgrove, Gray Cook & Lee Burton will show you how to use the FMS to get success with your clients by identifying their weak links and addressing them.
To find out more about the Functional Movement Screen
Click here for a comprehensive infographic on the Functional Movement System.
Or click here to get Gray Cook’s popular Movement book, where he goes in depth into the principles behind the Functional Movement System. He also details the two tools, the Functional Movement Screen (FMS) and its medical counterpart, the Selective Functional Movement Assessment (SFMA).
If you’ve ever thought about implementing the FMS in your own facility, this book is a great resource that you will constantly refer back to.
Divide your training time
Adapted from Dan John’s book, Intervention.
Everyone has limited time to train. It’s important to divide your time wisely to maximize the results. The 80/10/10 rule is a valuable tool you can use when categorizing training time.
Simply spend 80% of your time on training toward your goal.
If your goal is to lose fat, spend 80% of your time on shopping, cooking, measuring, weighing and preparing your food.
If you are a thrower and your goal is to throw farther, spend 80% of your time throwing.
If you’re a basketball player, spend 80% of your time practicing free throws, playing the game and doing basketball drills.
Then divide the remaining 20% of your time equally into strength training and corrective work.
For example, if you have 10 hours a week to train, spend eight of those hours practicing your sport. Spent one hour on strength training and one hour on correctives.
This time division keeps training focused, while providing enough time on strength training and correctives to support the pursuit of the goal.
Make consistent progress with Dan John’s Intervention system
In Intervention, Dan John unpacks the exact system he uses to assess and improve the strength, conditioning and fitness of the people he coaches.
The Intervention system is the result of 35 years experience training and competing as a field athlete, and coaching all kinds of clients from high school students to people looking to lose a few pounds, to older athletes wanting to move without pain, all the way up to professional athletes in the elite categories of sport.
In Intervention you’ll learn just about everything you need about designing a training program, from assessments to rep schemes to exercise selection—all presented as a logical, coherent step-by-step process.
You'll be finally able to see exactly what you need (and don’t need), and what to do next.
Click here to learn more about Intervention, the book, or Intervention, the DVD.
Work postures before developing a pattern
Any movement pattern is just a dynamic posture. It’s important to ensure that your client can hold a posture before you work to develop a pattern.
When designing a training program, make sure proper posture is developed before doing movement pattern work. This will ensure that your clients are able to walk before they run.
Most people have poor posture due to thoracic and hip mobility issues, often caused by too much sitting. A great way to remedy this is the tall-kneeling position. This takes away use of the knees and ankles in the movement, and forces people to relearn how use the thoracic spine and hips.
Gray Cook and Dan John discuss this in the following video.
Drills to develop postures and patterns
In Essentials of Coaching and Training Functional Continuums, Gray Cook and Dan John show drills you can use to develop postures and patterns.
They also explain how to use the Functional Movement Screen (FMS) results to categorize training priorities. Some of what they cover include:
- Exercise choices for power, work capacity and metabolic load
- How to evaluate movement health, competency, capacity and complexity
- The difference between an exercise continuum and a training progression
- Minimum standards to progress, hold or regress
If you’re wondering about which areas to work on, or how or when to progress or regress certain exercises, you’ll find Essentials of Coaching and Training Functional Continuums a great resource for designing exercise programs.
Stay Tuned for Part Two
In Part Two of Exercise Program Design Fundamentals, you’ll learn about the fundamental human movements, programming sets and reps, and the place of corrective exercise in your training programs and warm-ups.
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Great article and even better conclusion Brendan. Thank you for the article...
Laurent Denis OCPGI 5/29/2019 2:45 PM
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Nice article Brendan, unfortunately we face an up hill battle when the NCAA allows colleges to poach kids when they haven't even hit their growth spurt. No wonder every sport has a participation decline, as we continue to train kids as if they are professional athletes and as a result put them at greater risk of injury.
In Part 1, you learned what to focus on in your training using Dan John's Four Quadrants. You also learned the importance of finding your gaps and saw how the FMS could be used to shape a training program and attack weaknesses. You learned how to divide your limited training time up wisely and learned the importance of developing static postures before working on dynamic movement patterns.
In part 2, you will learn about the fundamental human movements, how to program sets and reps correctly, the place of corrective exercise and warm ups.
By the end, you should have a solid foundation for creating an effective training program that is able to deliver great and consistent results.
Work on the fundamental human movements
Adapted from Dan John’s book Intervention.
Some people design training programs around body parts. A good alternative to this is to design programs around the fundamental human movements. This approach treats the body as one piece and keeps the focus not on muscles, but their functional by-product: movement.
Using this approach, you can divide exercises into the following categories:
- Upper body push, like bench press and push-ups
- Upper body pull, like rows and pullups
- Hinge, like deadlifts, good mornings or kettlebell swings
- Squat, like front squats, back squats or goblet squats
- Loaded carry, like a farmer’s walk
- Everything else, like single-leg exercises, Turkish getups and core exercises
The goal of any training program should be to get stronger in these movements. Almost universally, getting stronger in the fundamental human movements is going to help with your goals, whether they be fat loss, hypertrophy or improved sports performance.
Of course, there can be such a thing as too much when it comes to strength, so you’ll have to refer back to the standards appropriate for your goals to determine when ‘enough is enough.’ The truth, however, is that most people never even get close to ‘enough.’
Let’s look at the human movements in more detail.
Push
When we first talk to a client, we ask about training background.
With rare exception, the following is the first statement—My best bench is (insert amount).
After hearing literally dozens of people sum up their training with a bench press number, we see that of all the basic human movements—push, pull, hinge, squat and loaded carry—the last thing we should worry about is the push.
Pull
Sadly, most people spend too much time on horizontal pressing movements and ignore horizontal rowing. This leaves us with athletes who have their shoulders rolled forward, necks craned ahead and shallow chests. Not only does it look old and morbid, it really impacts athletic success.
The amazing thing is there isn’t anything easier to fix.
Now, people say all the time, “Hey, I do rows!”
Sadly, most people row in a way so dynamic that Olympic lifts seems slow in comparison. Doing rows too quickly not only puts the biceps and lower back at risk of injury, it also fails to work the key pulling muscle: the rhomboid.
The rhomboid retracts the shoulder blades, rolls the shoulders back, pulls the neck up and pushes out the chest.
If your clients want to look younger, start working the rhomboids. You can add years to their training and take years off their postures.
The Hip Hinge
The hinge is the single most powerful thing we can do, yet most people don’t know how to do it properly.
Heavy deadlifts will help develop the strength foundation we need to develop other athletic qualities.
Dynamic hip-hinge movements like the kettlebell swing can help develop explosive lower body power needed for sports, while also doing wonders for fat loss.
Swings are the most under-appreciated move in life, in sport and in the gym. Yet, many people feel back pain when trying to do them.
The reason why swings hurt people’s backs is because they’re not doing them correctly.
They bend their knees too much and try to squat the weight.
Bending the knees on the swing causes the kettlebell to go too low, which then directs all the force towards the lower back.
If swings are hurting your back, ensure that you have maximum hip movement and minimal knee bend.
The Squat
[Dan writes] Years ago, faced with four hundred athletes who couldn’t squat correctly, I attempted to teach the squat, move after move, lift after lift.
I failed each and every time.
I saw glimmers of hope from teaching one kid the Zercher squat, and a few picked up the pattern when we lifted kettlebells off the ground by the ball, called potato sack squats since they look like picking up a sack of potatoes off the ground. But nothing was really working.
Somewhere between a Zercher and a potato squat was the answer.
It came to me when I was resting between swings with the weight held in front of me like I was holding the Holy Grail. I squatted down from there, pushed my knees out with my elbows and, behold, the goblet squat!
Yes, the squat is that easy. It’s a basic human movement and you just have to be reminded how to do it.
Squats can do more for total mass and body strength than probably all the other lifts combined. However, doing them wrong can do more damage than probably all the other moves, too.
Start simple. Find a place where no one is watching and squat down. At the bottom, the deepest you can go, push your knees out with your elbows.
Relax and go a bit deeper. Your feet should be flat on the floor. For the bulk of the population, this small movement—driving their knees out with the elbows—will simplify squatting forever.
Next, try this little drill. Stand arms length from a door knob. Grab the handle with both hands and get your chest up.
Imagine being on a California beach when a swimsuit model walks by. When I have a guy do this, immediately he puffs up his chest, which tightens the lower back and locks the whole upper body. The lats naturally spread a bit and the shoulders come back a little.
Now, lower yourself down.
What people discover at this instant is a basic physiological fact. The legs are not stuck like stilts under the torso. Rather, the torso is slung between the legs. As you go down, leaning back with straight arms, you’ll discover one of the true keys of lifting—
You squat between your legs. You do not fold and unfold like an accordion—you sink between your legs.
Loaded Carries
In my career of coaching and lifting, nothing in my toolbox has been a game-changer like loaded carries.
A few years ago, I worked with a guy named Ted (not really, but you get the idea). Ted’s issue was interesting: He was a fairly solid powerlifter (bench press, squat and deadlift), and very good at the two Olympic lifts—the snatch and the clean & jerk.
When he came to visit with me for advice, there wasn’t a ton I could help with in the weightroom. A point here and an idea there, and I was pretty much finished. So, being finished, we went outside to do what some people used to call a finisher.
“Would you rather do carries, walks or sleds?” I asked.
“I’ve never done any of that kind of thing.”
Good, I thought. I can help.
Within seconds of his first attempt with the farmer bars weighing 105 pounds each, he was like a stumbling drunk.
He could pull hundreds of pounds off the floor, but didn’t have the stability—the cross-strength—to handle more than a few feet with the bars.
We tried a heavy carry, and he was gasping for breath by having to squeeze the 150-pound bag so he could move. Literally, his human inner tube had almost no range past five seconds.
A few weeks later, I answer the phone, “Dan, you’re a genius. My deadlift has gone up (low 500s to high 500s) and I am just thicker all over.”
If you aren’t putting loaded carries in your program, chances are, you’re missing out on a lot.
Master the fundamental movements
In Intervention, Dan John gives you an effective 4-stage teaching progression for each of the fundamental human movements. This teaching progression will help you master these movements faster or help you address certain weak spots.
Click here to find out more about Intervention.
Program realistic reps
Adapted from Dan John’s book Intervention.
Here are the program design process in a nutshell.
- Determine which postures and patterns to do (what exercises)
- Determine the number of movements to be done (sets and reps)
- Determine the load to use on the movements (what weight)
When it comes to designing a strength training program, you first need to establish the correct postures and patterns. After that you should figure out a reasonable number of sets and reps to do for each movement. And only after those have all been sorted, should you look at the load.
Most people end up doing the reverse. They focus too much on lifting more weight at the expense of good form and overall movement quality.
Reducing the weight on the bar or spending more time working on the movements we’re weak at is never fun. But these are often the things we need to do to continue to make progress and to stay safe.
So the question remains, how many sets and reps should you do of a particular exercise?
What’s a reasonable number to program that will still yield good gains?
Here are some guidelines that have stood the test of time.
The Rule of 10
The rule of 10 is a handy guideline for the following exercises.
- Push (for advanced trainees): Bench press, incline press and military press with a barbell
- Pull (for advanced trainees): Rows with a barbell
- Hinge: Deadlift, deadlift variations, cleans, snatches with a barbell
- Squats (for advanced trainees): Front squats or back squats with a barbell
- Loaded Carries: Farmer walks, prowlers, car pushes—heavy loads and short durations
- Whole body: Turkish getup, snatch, clean and jerk
The rule of 10 simply means to program 10 or fewer reps per training session. You can organize this into different rep and set schemes, like—
- Three sets of three
- Five sets of two
- Two sets of five
- Five-three-two
- Six to 10 singles
You’ll find these set and rep schemes in many training programs.
Picking a rule-of-10 lift and going heavy on the basics works, but you need to build in some easy days and cycle the load.
If attempting to do a workout with nothing but the rule of 10, be sure a few of the movements are relatively light and easy.
The Bodybuilding Movements (Half-Body Moves)
For half-body moves, 15-25 total reps is a good guideline and provides enough volume while keeping the weight challenging.
The basic moves, including nearly all the presses, are best done in this range. The goblet squat seems be perfect around 15-25 reps per workout. If you’re benching 600 and military pressing 300 or 400 pounds, refer to the rule of 10.
Patterns and The Explosive Kettlebell Lifts
If you want to work on the fundamental movement patterns with a light or no load, or to do explosive kettlebell lifts like the swing, a total of 75-250 reps works well.
Just make sure you ensure quality of movement for every single one of these reps. Ten good reps is far better than dozens of crappy ones. If you’re finding that form is breaking down after 10-20 reps, simply break it up into more sets to get the volume you need without sacrificing movement quality.
When in doubt, err for less. You can always aim to increase the number of reps over time.
The Place of Corrective Exercises
Adapted from Dan John’s book Intervention.
Following the 80/10/10 rule, 10% of your training time should be focused on getting stronger. The other 10% of your time should be spent on correctives.
Here’s the issue with correctives: Most people think correctives are simply strange-looking exercises.
Yes, they can be. But correctives can also include moves that you’ve simply never done, or have neglected. For example, if you’ve never done a loaded carry, farmer walks would be a corrective.
They also don’t need to consume the whole workout. If you’re doing sets of bench presses, you can slide correctives between sets.
You can also put correctives in your warm-up. Some movements, like the goblet squat, swings and getup, serve as great correctives for many people. If you’re learning the squat, a set of goblet squats between a set of military presses is quite instructive. It develops the pattern, certainly, but it also provides some extra time to master the movement.
If you give this a try, you’ll be amazed at the simplicity of this game-changing tweak.
And of course, correctives can include specialized mobility work like we those find in the Functional Movement System’s library of movements. These can include foam rolling and general flexibility work, too. Instead of resting between sets, you’re actively battling your issues.
For most people, training with a 1:2 ratio in volume for the push and pull is a good idea. Many people ignore pulling and have issues with posture and shoulders. Increasing the volume ratio of the pull helps with this.
People often think of corrective exercise as unimportant, unchallenging stuff. Don’t let them deceive you. though If you do the right correctives properly, they can often cause more sweating and exhaustion than the actual training, and also allow you to get much more work into a training session.
Correct Exercise Versus Corrective Exercise
It’s also important to keep in mind the idea that corrective exercise is supplemental. Far more thought should be put into designing a program that maintains movement quality.
Injuries and imbalance will always be present, so correctives will almost always be a part of any program.
However, prescribing the right exercises, emphasizing proper form and keeping a reasonable load on the bar will go far in maintaining movement quality and minimizing the need for corrective exercises.
When it comes to corrective exercise, prevention really is better than cure.
Build Your Corrective Toolbox
For those wanting to dive deep into corrective strategies, Gray Cook’s Movement is a detailed and comprehensive resource.
In this book you’ll be taught a system that provides a standard operating procedure and a common language for movement-pattern screening, assessment and correction in fitness and rehabilitation. It will allow you to better identify potential risks, and to create better rehabilitation and exercise programs based on each person’s unique movement profile.
Here’s some of what you’ll learn to help build your corrective toolbox:
- How to increase the difficulty of a corrective exercise without increasing resistance
- The Six Ps: a simple checklist to help you make the right corrective exercise decision for your patient or client
- Corrective strategy for special populations—corrective strategy considerations for those under medical care, the severely deconditioned, weight-loss patients, athletes, young and old
- Passive, active and assisted stability and mobility corrections
- Corrections for fundamental stability, static stability and dynamic stability
- Examples of stability corrections to improve postural control—using the half-kneeling, single-leg stance, quadruped, and single-leg deadlift positions as corrective exercises
- Advanced corrective strategies: what to do when someone has the required mobility and stability, but still can't perform a movement pattern. Reverse patterning, reactive neuromuscular training, conscious loading and resisted exercise examples.
Click here to learn more about Gray Cook’s Movement book.
Warm-ups
Adapted from Dan John’s book Intervention.
A common problem when it comes to designing a strength training program is that the warm-up doesn’t actually prepare a person for the actual workout.
The warm-up is ‘X’ and the workout is ‘Y.’
The warm-up and the workout should blend into one another. They should be seamless.
You want your warm-up to support all of the other stuff you’re going to be doing in your
training.Warm-ups are also a great place to add some correctives or to work on weaknesses. If you’re at a point in your life where you can’t press for fear of injury, do some extra push-ups and planks in the warm-up. If today’s not a bench press day, do some extra push-ups in the warm-up.
The idea of the warmup is to move through all the basic human movements, to lubricate the joints with strength exercises, mobility and flexibility movements, and to challenge the cardiovascular system a little.
It’s a method that addresses the ‘lean’ part of lean body mass, and provides an easy way to work on joint mobility.
Here’s a warm-up I did with a weekly workout group at a local park. It requires just one kettlebell per person.
Dan John’s Simple Group Warm-Up
- Waiter walk with the non-dominant hand, then turn and return with it
- Repeat the walk with dominant hand
- Bottoms-up press walk as far as you can, switch hands and return
- Goblet squat, get into the bottom position and then add a few curls
- Hip flexor stretch followed by a cross-body lower back stretch, then a variation of the windmill, pushing the heart to the sky
- Goblet squat
- Hip flexor stretch followed by a cross-body lower back stretch, then a variation of the windmill, pushing the heart to the sky
- Various wrist mobility moves
- Can-opener stretch for the piriformis and QL
- Tactical frog stretch
- Scap push-ups, what we used to call horizontal shrugs
- Downward dog pose, and then move through it
- Dolphin pose, and then move through it
If you want to make this harder, do a set of 10-20 swings after each movement.
Share Your Exercise Program Design Insights
If you have exercise program design insights or tips you’d like to share with others, write it in the comments below!
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Youth Sports in America: How Sociology, Economics, and History are Affected by the Monetization of Youth Sports
By youthsportsinamerica on Mar 5, 2015, 9:37am PST +
In the United States, the emphasis placed on sports is matched by little else. 21 million youths now participate in competitive leagues, and parents are encouraging participation now more than ever. Sporting events generate millions in revenue, both at the venue and on television or radio. Sports stars are immortalized, and their names are engraved in history. Sports teach values of leadership, overcoming adversity, and teamwork. These are all reasons that parents send their kids to competitive sports in droves. However, it has not always been this way: the first competitive sports leagues began with lower-class kids (often immigrants) in large cities.
Through the lenses of sociology, history, and economics, we will attempt to analyze how youth sports has reached where it is today through defining the effects of the increased popularity and monetization of youth sports.
Nowadays, the importance of athletics goes relatively unmatched. Youths across genders and social classes are encouraged to participate, and organized teams have drawn over 21 million young athletes to youth sports. U.S. Soccer reported that 3 million footballers participate in their highly competitive travel soccer leagues each year. Middle-class kids routinely try out for travel teams, and clear bookshelves to hold the trophies they have won. Middle-class parents encourage their kids participation in the expensive leagues and have garnered a reputation for yelling and complaining.
Despite the current conditions, youth sports began in America much differently. It was the lower-class kids--often immigrants--who played in the first competitive leagues, most often in big cities and without parent supervision. This transformation was gradual, and began when "free-time" was first defined after the mandatory-schooling movement beginning in Massachusetts in 1852. Starting then, American kids had to figure out what to do with "free-time", and many gravitated towards competitive sports. At the same time, implementing parks and playgrounds became an area of focus for urban reformers. Soon adult-managed sporting leagues began, the first was the Public School Athletic League for Boys in 1903.
Of course, the road to our present has had it’s bumps, including a period in the 1920s in which physical-education professionals stopped supporting youth sports because of worries that competitive sports were only for the best athletes, leaving others behind. Ultimately, the values of leadership, teamwork, and cooperation prevailed, and youth sports gained popularity soon after. In the 1970s, sports were again promoted by school: this time the college admission boom led to more participation (thus, competition) and ultimately the sports landscape we have today.
When looking at a child’s mindset towards youth sports, the ideal scenario is one in which the aspiring athletes can set their boundaries and be the ones invested in the sport. A common problem that occurs is when the parents become more invested than the child. When parents push their kids too far the kids see sports as a chore instead of a fun game, disinterest sets in, and relationships can be ruined, often forever. When the kids are not invested in the sport then the parents are benefiting more from the game and the parents are living vicariously through their children. This creates an unstable and unhealthy environment in the children’s minds and mental state. On top of this, when young athletes don’t have strong parental figures in their lives, the mindset of the children is one where the the coach becomes a prominent parental figure in the lives of the children. When this occurs the adults can take advantage of the children and the benefits switches to the coach who are using the athletes for their talent. Demetrius Walker was a highly touted AAU youth basketball player with exceptional talent, however he lacked stable parenting. Thus, his AAU coach became his "father" and by virtue learned poor life and social skills and did not develop any tools to work hard and be successful in life beyond basketball. As time went by, Demetrius’s coach began utilizing his name to promote his camps and tournaments. The promotion of Demetrius because of poor parental figures led to his downfall, and as other players caught up to Demetrius he lost interest and enthusiasm in the game, and this change in mindset made him weaker and beaten down by his coach, Joe Keller.
This is just one example of how the using of athletes for personal promotion has beaten down the athletically talented youth in America and has hurt both boys and girls development both mentally and physically, while also hurting their athletic and academic futures.
Youth sports used to mean going to the park with a few friends after school, paying minimal fees for organization, equipment, and facility. Today, sports have evolved into to a multi-billion dollar industry, and despite the money invested in youth sports, this evolution has produced majority negative effects, such as little representation of the lower-class.
Increasingly the ability of a child to play and excel in youth sports is dependent on their economic class. Kids from higher income families are able to start earlier and earlier, resulting in elite training and coaching at an earlier age. This difference in material welfare can then make more substantial differences at later ages. In addition, wealthier kids often have access to personal training and club teams that play year-round. Club sports can cost thousands of dollars for a single-season, and, while there are some scholarships available for a few incredibly talented players, these are prices that most low-income families cannot afford.
Travel for youth athletes is the fastest growing sector of the travel industry. At one elite basketball tournament for college-hopefuls last year there was an estimated $6.8 million economic impact from the visitors. These camps are often the main way college coaches recruit players for scholarships, but lower-class kids are often left out because of cost and travel involved.
Additionally, working in youth sports has evolved to become a profession that is lucrative and respectable. The increasing number of athletes in youth sports has resulted in greater competition and a greater need for high end, personal trainers, especially for those who are striving to attain a college scholarship.
Poorer families in fact are under represented in professional basketball. In America, 45% of black males live at or below the poverty line, but this group is underrepresented in the NBA, with only 37% of NBA players coming from families of this economic level. White youth athletes are even less likely to go pro – disadvantaged white basketball players have a 75% lower chance of making the NBA than their wealthier counterparts.
The monetization of youth sports has also resulted in exploitation and corruption in youth sports that has been unprecedented. As mentioned previously, the story of Demetrius Walker proves the ill effects of money on youth sports. At age 14, he was one of the hottest names in youth sports. He made the cover of Sports Illustrated and was deemed the next LeBron James. He had college scouts gawking, but Walker’s AAU coach exploited him, using the boy as a lure to attract sponsorships, and host lucrative elite tournaments. But when Walker got to high school, his skills faltered and his AAU coach abandoned him. This sad story is one that is not unique to a just Walker; it is a story that is familiar for young athletes, and parents across the nation.
While coaches like Demetrius Walker’s aim to develop players, AAU coaches seek out prospects at younger and younger ages, and use them to make a name and a living for themselves. The results of this can be poor, as evidenced by this tale. While solutions are not evident, it is important to recognize the problems posed by adults making a living off of youth sports.
There are two main reasons that youth sports have become so influxed with money. The first is the increasing price of college, and the rising numbers of wealthier families participating in youth sports. The increasing price of college, annually 3.5% at public universities, has led to families investing in athletics with the goal of a scholarship. The second is that these wealthy young athletes have a demand for private trainers, and elite clubs to train with. This increased demand has resulted in a huge economic boon for adults interested in youth athletics.
Youth sports have become a business that benefit almost everyone besides the kids. Successful AAU tournaments can profit $80,000 dollars, and private trainers demand as much as $130 an hour . Despite this, the increased amount of money in youth sports has resulted in a completely unequal playing field in terms of who gets scholarships, and who does not. Yet, more than the lack of equality of opportunity of playing a college sport, or even going pro, the fundamental problems with youth sports are that it no longer puts the youth first, and athletics have become inaccessible for large chunks of America. The monetization of youth sports has been good for coaches, and other people who benefit economically, but ultimately been bad for the participants, because for every success story there are thousands of kids, families, and parents with empty hearts, and empty bank accounts.
"Corruption is like a ball of snow, once it’s a rolling it must increase."
-Charles Caleb Colton
The lure of getting an athletic scholarship is becoming even higher as colleges become more expensive. Parents are increasingly spending huge sums in the hopes of landing a scholarship for their son or daughter, but it rarely works out: only 7.6% of all high school athletes play in college. Despite this grim statistic, countless dollars are spent on private trainers, I.D. camps, and other means of trying to earn a college scholarship, thus monetizing sports further and disencouraging lower-class kids to participate despite the ultimate goal being development of athletic abilities and human qualities. A interesting case study is the ECNL program for the most elite of girls soccer clubs. It’s goal is to improve the competitive environment of girls soccer and ultimately assist the acquiring of college scholarships. Director of coaching at Crossfire Oregon (a soccer club based in Lake Oswego, Oregon), Fraser Morrison says "With regard to the ECNL there is a greater financial commitment from families as these teams train more than regular club teams and they also travel more. With the increased exposure to college coaches comes the opportunity to garner college scholarship money." This poses the recurring problem: what about lower-class girls soccer players? Fraser responds, "Our club, for example, builds scholarship money into our budget and then we also are able to generate further scholarship money through corporate sponsorships. If a player wants to play then we find a way to make it happen." It is extremely important to note that these problems are being recognized, and already solutions are being found.
Major colleges are recruiting athletes earlier and earlier. Ryan Boatright, a point guard at UCONN, committed to play basketball at USC before he was in high school. Another example is Lebron James Jr., who has received scholarship offers from "major division one schools" at the age of ten. Younger recruitment can lead to burnout and unfair pressure for a person so young, not to mention that it is unethical. Even though the money invested in youth sports would likely be more beneficial to the child in a college fund, parents often continue to invest large amounts of money on the off chance that their child might get to play college athletics. The reasons are complex. It’s partly out of love for the child and wanting the best for them, but there also can be a misguided parental investment in achieving the allure and pride associated with receiving a college scholarship.
"Often times, kids are given false promises of college scholarships and high draft picks. The truth is many are chasing a dream and it will be a painful day when they realize their dream will not come true."
-Glen Coblens
The complex dynamic at work in youth sports is one filled with tension, high stakes, animosity, emotion, and parental and coach stress. The issues and problems surrounding youth sports span across class, social groups, gender, and race. Adults rely on young athletes to make a living, and institutions within youth sports have been built around the dream of playing college sports, or "going D1". A main issue within youth sports is the lack of lower class participation, as kids with less training and exposure have less opportunities to achieve or pursue higher levels of athletic achievements. All in all, the large issues intertwined within the web of youth sports have been established because of the lack of attention to all social groups and classes over time, and youth sports in the future will be competitions mired in controversy, tension, and lack of structure, due to the current build and somewhat unsustainable model currently in place for youth sports in America.
Sources
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"Facts: Sports Activity and Children." Facts: Sports Activity and Children. Accessed March 5, 2015. http://www.aspenprojectplay.org/the-facts.
"The Value of Sports." Come Ready or Never Start. March 12, 2009. Accessed March 5, 2015. https://comereadyorneverstart.wordpress.com/the-value-of-sports/.
Friedman, Hilary. "When Did Competitive Sports Take Over American Childhood?" The Atlantic. September 20, 2013. Accessed March 5, 2015. http://www.theatlantic.com/education/archive/2013/09/when-did-competitive-sports-take-over-american-childhood/279868/.
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"Key Statistics | US Youth Soccer." US Youth Soccer. Accessed March 5, 2015. http://www.usyouthsoccer.org/media_kit/keystatistics/.
Seefeldt, Vern, and Ewing, Martha. "Youth Sports in America: An Overview." President's Challenge. January 1, 1996. Accessed March 5, 2015. https://www.presidentschallenge.org/informed/digest/docs/199709digest.pdf.
Friedman, Hilary. "When Did Competitive Sports Take Over American Childhood?" The Atlantic. September 20, 2013. Accessed March 5, 2015. http://www.theatlantic.com/education/archive/2013/09/when-did-competitive-sports-take-over-american-childhood/279868/.
Frost, Joe. "Evolution of American Playgrounds." Scholarpedia. January 1, 2012. Accessed March 5, 2015. http://www.scholarpedia.org/article/Evolution_of_American_Playgrounds.
Friedman, Hilary. "When Did Competitive Sports Take Over American Childhood?" The Atlantic. September 20, 2013. Accessed March 5, 2015. http://www.theatlantic.com/education/archive/2013/09/when-did-competitive-sports-take-over-american-childhood/279868/.
"Benefits of Youth Sports." Kids Play USA Foundation. Accessed March 5, 2015. http://kidsplayusafoundation.org/benefits-of-youth-sports.
Emmons, Mark. "Adults Hurting Youth Sports." Mercury News. Accessed March 5, 2015. http://www.busc.org/docs/article-1-05.htm.
"Psychological and Social Benefits of Playing True Sport." TrueSport. Accessed March 5, 2015. http://truesport.org/resources/publications/reports/psychological-and-social-benefits-of-playing-true-sport/.
Oberjuerge, Paul. "Demetrius Walker and Unrealistic Expectations." Paul Oberjuerge. March 4, 2014. Accessed March 5, 2015. http://www.oberjuerge.com/http:/www.oberjuerge.com/demetrius-walker-and-unrealistic-expectations/.
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"The Sports Facilities Advisory Deems Youth Sports and Sports-Related T." PRWeb. November 25, 2013. Accessed March 5, 2015. http://www.prweb.com/releases/2013/11/prweb11362596.htm.
Kelley, Bruce, and Carl Carchia. ""Hey, Data Data -- swing!"" ESPN. July 11, 2013. Accessed March 5, 2015. http://espn.go.com/espn/story/_/id/9469252/hidden-demographics-youth-sports-espn-magazine.
"The Sports Facilities Advisory Deems Youth Sports and Sports-Related T." PRWeb. November 25, 2013. Accessed March 5, 2015. http://www.prweb.com/releases/2013/11/prweb11362596.htm.
Kelley, Bruce, and Carl Carchia. ""Hey, Data Data -- swing!"" ESPN. July 11, 2013. Accessed March 5, 2015. http://espn.go.com/espn/story/_/id/9469252/hidden-demographics-youth-sports-espn-magazine.
Keating, Peter. "Next level." ESPN. July 11, 2011. Accessed March 5, 2015. http://espn.go.com/espn/story/_/id/6777581/importance-athlete-background-making-nba.
Oberjuerge, Paul. "Demetrius Walker and Unrealistic Expectations." Paul Oberjuerge. March 4, 2014. Accessed March 5, 2015. http://www.oberjuerge.com/http:/www.oberjuerge.com/demetrius-walker-and-unrealistic-expectations/.
"Average Rates of Growth of Published Charges by Decade." Trends in Higher Education. Accessed March 5, 2015. http://trends.collegeboard.org/college-pricing/figures-tables/average-rates-growth-published-charges-decade.
Green, Doug. "Bottom Line: AAU a Money Machine." Qc times. July 1, 2013. Accessed March 5, 2015. http://qctimes.com/sports/high-school/basketball/boys/bottom-line-aau-a-money-machine/article_b12456f6-607d-5fd1-9b8d-7d01d00aedb5.html.
"How Much Do Private Soccer Lessons Cost?" How Much Is It. Accessed March 5, 2015. http://www.howmuchisit.org/private-soccer-lessons-cost/.
"How Young Is Too Young To Start Recruiting Kids?" Only A Game RSS. Accessed March 5, 2015. http://onlyagame.wbur.org/2015/02/28/lebron-james-son-recruit-gould.
Images (In Order from Top to Bottom)
Image 1: http://andrewhughes.com/wp-content/uploads/2012/07/kids-with-basketball.jpg
Image 2: http://www.filmlinc.com/assets/uploads/films/Sandlot1.jpg
Image 3: http://king.typepad.com/.a/6a00d83451f9ca69e201348796dd60970c-800wi
Image 5: http://www.futeboltraining.com/wp-content/uploads/2012/07/slide01-516x340.jpg
Image 6: http://media.philly.com/images/081914-600-mone-davis-sports-illustrated.jpg
Image 7: http://a.espncdn.com/photo/2013/0123/mag_headway_hats01jr_576.jpg
Image 8: http://static.thecia.com.au/reviews/k/kicking-and-screaming-1.jpg
More from Blazer's Edge
Obsession with failure and hunt for perfection linked to burnout, sports study uncovers
Date:April 22, 2022Source:University of EssexSummary:The hunt for perfection and obsession over tiny mistakes are strongly linked to burnout in athletes, a new study has found.Share:
Athletes who strive for perfection and fixate on their mistakes risk burning out, a University of Essex-led study has revealed.
More than 250 sportspeople -- across individual and team sports -- were examined and it was discovered hyper self-critical competitors who react negatively to even minor failings are at risk of psychological difficulty.
It was discovered perfectionistic concerns -- an obsession and excessive reaction to perceived failure -- were strongly related to athlete burnout.
This fixation on failure may see them view any achievement as inadequate and upcoming competitions, as disproportionately stressful, and create a self-fulfilling performance prophecy.
It is hoped the study led by Luke Olsson, from the University's School of Sport, Rehabilitation and Exercise Sciences will help shine a light on burnout.
He said: "Most people have come across the term burnout, with a lot of research focussing on the reason why it develops.
"There are many studies that have shown if an individual pursues perfection, whether that be in work, sport, or school, it can lead to burnout.
"However, our study was able to determine one potential explanation as to why this is the case in sport, which suggests that the stresses of pursuing perfection can lead those to mentally disengage with their sporting activities."
Mr Olsson worked with academics from York St John University on the Journal of Clinical Sport Psychology-published study which examined those competing or training in the UK.
All men and women in the study had been competing for more than eight years and were on average 21 years old, spanning levels from university to international. They were measured for levels of stress, burnout and perfectionism.
The athletes competed in a variety of sports -- including athletics, golf, weightlifting, football, netball, and hockey.
Burnout is defined as athletes having a reduced sense of accomplishment, prolonged exhaustion, and falling out of love with their sport.
Cognitive behavioural therapy, mindfulness and developing a kinder mindset are all thought to reduce perfectionistic concerns and potentially prevent burnout.
Mr Olsson added: "There is a need to prevent athletes from experiencing burnout.
"In the case of our research, the athletes themselves should be wary that pursuing perfection and being overly self-critical is likely to be doing more harm than good.
"I believe athletes may be better served by being less self-critical which should allow them to celebrate successes in performance and embrace failures as an opportunity to reflect and improve rather than beat themselves up."
Story Source:
Materials provided by University of Essex. Note: Content may be edited for style and length.
TRAINING WHEELS DON’T TEACH BALANCE
Training wheels don’t teach balance; they just make learning to balance that first bike a little safer. Those little devices simply prevent a mistake from turning into an accident. Training wheels are the tools, not the training, and in fact, they can actually hinder perception and slow the process of learning balance if used incorrectly.
Have you ever seen a child lean on one training wheel while making a turn? If you’ve witnessed this, you have watched the child learn a behavior that will actually need to be unlearned. This was not learning to appreciate balance; it was learning to ignore it.
If we put the training wheels on a child’s first bike and took the time to demonstrate how the wheels work and challenged the child with a goal, learning would be accelerated. Saying “Honey, these little wheels are there to catch you, but try to never lean on them” would provide cleaner learning and would not set up a situation in which the child would need to unlearn something later.
A great little perception and education tool would be to put some tape around the perimeter of each training wheel and have your little learner attempt to ride short distances without marking up the tape. You could let the child also just have fun and ride and play, but every now and then, do the tape test. When you’re not looking, the child would probably practice a little as kids always do. The subtle message you are sending is, here is the safety net…now try not to use it!
The beginning of corrective exercise is no different. This is particularly important when creating a stability experience that could potentially become an exercise. Too much help or advice will not force the sensory motor system to perceive a problem and start searching for a behavior to recapture control.
For example, sometimes the narrow base in quadruped or half-kneeling is actually the exercise—just the narrow position. People may work for minutes, struggling to find balance in a narrow-base half-kneeling posture drill. Some will get discouraged and say, “Wow, I can’t even get in position for the exercise!”
You can counter that with, “You are doing great. Apparently, this is your exercise. It’s right at the edge of your ability. Your brain and body are working it out. You’re making connections and working out angles. You’re learning to feel and do, and feel more. Thanks for helping me find your exercise.”
Flight simulators are designed to allow a student pilot to make mistakes without risking life and limb. The simulators still indicate and report mistakes, and that is where the learning comes from. Safe perception and correction of many movement mistakes will improve movement learning speed.
Once the training wheels come off, you can’t verbalize how to ride a bike, can you? You can explain how it feels, but you can’t say how you do it. Riding a bike is a perceptual and behavioral experience that does not lend itself to complete or compressive verbal description.
The ability to perform a stable half-kneeling posture or a solid single-leg stance is no different. Those who can do it cannot explain it as quickly as struggling can produce it in those who can’t, provided it’s a correctly dosed experience.
The point here is that correctives need to be challenging and mildly stressful, but they always need to be safe.
Modern conveniences are partially to blame for many of our movement problems. Adaptive movement behaviors are minimized every time a new group of modern conveniences is introduced. The loss of adaptability represents specialization, and overspecialization is the kiss of death for biological organisms. Modern conveniences are nice and we should keep them, but what happens when we start adapting exercise equipment to make those more convenient, too?
If exercise were a movement-quality stressor, movement patterns might be maintained. However, modern exercise equipment is usually designed to allow quantity regardless of the level of quality. This is the fundamental reason some self-limiting activities should be performed as part of a general exercise program.
Physical exercise is the last chance we have to maintain physical adaptability, and when we lose that adaptability, corrective exercises must fix it. Once corrected, better exercise choices should maintain it. Corrective exercise and general exercise must produce manageable stress in areas of both quality and quantity, and if it doesn’t, it’s not likely to produce appreciable authentic movement.
ADVANCED CORRECTIVE STRATEGIES
Advanced corrective strategies are drills used to incorporate and coordinate the attributes of mobility and stability into movement patterns. It’s common for a person to have the mobility and stability required, but for some reason be unable to perform a movement pattern. This individual has the physical and mechanical ability, but just can’t produce the behavior. We need to help connect the dots and turn ability into behavior.
Sometimes the person is thinking too much, obsessing too much, or concentrating on the wrong thing. Of course, the opposite can be true as well—the client or patient might be detached, under-sensitive, and out of sync with a posture or movement. That person is over-processing something natural, authentic and fundamental, or is not connected to it at all.
Advanced corrective exercises break these cycles four different ways. No single way is best; each one provides an option that you can employ to incorporate movement fundamentals into movement patterns. Each of these techniques can be called advanced, but these are really just movement pattern retraining.
Different problems and personalities will respond differently to each technique. Do not disregard the basic correctives in the previous chapter. They create the foundation and might produce all the correction needed to change a screen or assessment.
The advanced corrective strategies that follow are designed to work with fundamental mobility and stability already in place. Each drill or technique has a trick it plays on the perceptional and behavioral systems, but the trick can only be effective if the criterion is in place prior to the activity.
Journal Reference:
- Luke F. Olsson, Michael C. Grugan, Joseph N. Martin, Daniel J. Madigan. Perfectionism and Burnout in Athletes: The Mediating Role of Perceived Stress. Journal of Clinical Sport Psychology, 2021; 1 DOI:
Velocity at what cost? MLB's hardest throwers keep succumbing to Tommy John surgery
Aug 31, 2023
From Little League to MLB, baseball's never-ending quest for velocity runs parallel to the 'astronomical' frequency of Tommy John surgery.
The road to a 100 mph fastball is littered with ruptured ulnar collateral ligaments. And it’s also a significantly dangerous destination upon arrival for Major League Baseball’s top flamethrowers.
So much remains unknown about pitcher health – why some get hurt, while others enjoy decades of incident-free hard throwing – and through countless studies, trials and one 384-page bible on the subject, best practices have emerged but not definitive answers.
Yet it’s hard to ignore a correlation between extremely hard throwers and major elbow injuries. This year’s velocity kings bear the evidence.
Of the top 64 hardest throwers this season based on average fastball velocity calculated by Statcast, 30 – nearly half – have undergone reconstructive Tommy John surgery on their pitching elbows or are expected to undergo the procedure soon, according to USA TODAY Sports research.
That population is headlined by two pitchers at the bottom of this ultra-velocity club – Los Angeles Angels two-way superstar Shohei Ohtani and Tampa Bay Rays ace Shane McClanahan, who each averaged 96.8 mph with their fastballs this season and recently blew out their UCLs a second time.
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McClanahan became the eighth Rays pitcher to undergo Tommy John surgery since 2020 and the third member of their rotation to suffer a season-ending elbow injury, though at 81-52, they retain the second-best record in the American League.
Ohtani is mulling whether to undergo a second procedure - he suffered his first UCL failure in 2018 - and has continued to serve as the Los Angeles Angels’ designated hitter, with hundreds of millions of dollars in free agency at stake this winter.
While Ohtani’s Angels had faded from serious playoff contentions before he walked off the mound in pain Aug. 23, the postseason will be greatly affected by hard throwers shelved by a failed elbow.
Baltimore Orioles closer Felix Bautista, who averaged 99.5 mph on his fastball and struck out 110 in 61 innings, exited Friday’s game one strike away from his 34th save. The Orioles announced Saturday he has a UCL injury but have not revealed if surgery will be required.
And like McClanahan, two-time Cy Young Award winner Jacob deGrom – who gassed his fastball up to 98.7 mph in this, the first year of a $185 million deal with Texas – underwent his second elbow reconstruction procedure in June.
These high-profile, debilitating injuries, while representing a small sample, have nonetheless mirrored the frustrations of orthopedists and biomechanical experts who have seen reconstructive surgeries rise along with fastball velocity as pitchers young and old are convinced big velo is the overriding factor in getting scouted, signed and paid.
“It’s very frustrating to me and my colleagues,” says Dr. Glenn Fleisig, biomechanics research director at the pioneering American Sports Medicine Institute in Birmingham. “Frankly, the number of Tommy John injuries in minor league and major league baseball continues to rise.
“If you chart the rates of Tommy John injuries injuries compared to the average fastball velocity, it’s scary how the graphs look the same.”
The average fastball velocity in MLB increased from 90.5 in 2008 to 93.9 in 2022. And from 2016 to 2022, the number of pitches registering 100 mph leaped 72%, from 1,948 to 3,356.
It used to be that pitchers would go as hard as they can as long as they can – as in, innings in a given start. Now, length too often is measured in how long their elbow survives, leaving teams to reap the benefits in the short term but ultimately ponder a phrase more often associated with football.
Next man up.
“It’s astronomical,” Stan Conte, a senior medical director for the Miami Marlins and consultant to MLB, told USA TODAY Sports. “Part of the reason is because the damn surgery works. In MLB, 84% get back to their previous performance. Ninety percent get back to pitching competitively.
“To me, it’s funny guys aren’t afraid of Tommy John surgery. The question is, what’s causing it?”
'To get to the next level, you gotta throw 97-99'
To Conte, a longtime trainer for the Giants and Dodgers who also operates a sports performance clinic in Arizona, it is not purely the quest for velocity. Advances made in weight- and weighted-ball training have cleared a path to an upper-90s fastball that may supplant or enhance the natural ability gifted in a pitcher’s arm.
Certainly, there are safe ways to build velocity, and hundreds of professional pitchers have healthy elbows and mid-90s fastballs to show for it.
Yet the failure of baseball’s most important ligament is a multi-factorial puzzle, with mechanics and fatigue likely the most crucial – and potentially compromised by throwing hard.
A survey Conte conducted of thousands of minor league players in 2010 revealed that roughly 60 had undergone Tommy John surgery in either their amateur or pro careers. A similar survey conducted in 2021 revealed that more than 250 minor-leaguers in that population had undergone the procedure.
Nowadays, the chase for velocity begins not on a spring training backfield or minor league complex but at a private training facility or college campus, the pitcher likely still in their teens.
That creates a significant variance in quality of instruction compared to the caliber an athlete might enjoy at the game’s highest level.
“Nobody is really teaching good mechanics,” says Conte. “What they’re saying in college is, you want to get to the next level, you gotta throw 97-99. It doesn’t matter if you hit the bull or can’t throw a strike.”
Of our 30 pitchers with reconstructed or compromised UCLs atop the Statcast velocity leaderboard, 16 underwent Tommy John surgery either as amateurs or in Class A or lower professional ball, according to statistical analyst Joe Roegele’s database.
McClanahan, Marlins starter Jesús Luzardo and Rays reliever Pete Fairbanks each had surgery in high school, with Fairbanks going under the knife again in A ball. Trevor Megill, Spencer Strider and Jeff Hoffman had surgery in college, while Fairbanks and 10 others had elbow reconstruction before even surviving the Darwinist world of the low minors.
Just two suffered injuries in AA or AAA ball, with the rest at the major league level.
Load management
Grayson Rodriguez’s locker is just a few stalls down from All-Star closer Bautista in the Baltimore Orioles’ clubhouse, the positioning a cruel reminder of the vagaries of elbow health. The Orioles are bound for the playoffs, but while Rodriguez is pitching his way into the postseason rotation as a rookie, Bautista likely will miss the proceedings.
Even if he avoids surgery, Bautista probably won’t have an onramp to rest and rehab the injury. At 99.5 mph, Bautista threw the sixth-hardest fastball in the majors this year, and in a memorable nine-pitch battle with Houston’s Kyle Tucker that culminated in a grand slam on Aug. 8, Bautista threw six pitches that exceeded 100 mph, topping out at 102.
As a starting pitcher, Rodriguez doesn’t quite live in that rent district; his fastball tops out at 97.4 mph, 40th on the list but fifth among starters. What makes him special is hitting 98.4 mph on his 93rd pitch, as he did Monday in the greatest start of his young career, throwing six shutout innings against the Chicago White Sox.
Perhaps more notably, Rodriguez, 23, has survived the crucible of amateur ball and the minor leagues without major injury, an outcome for which he credits his parents – who watched his pitch counts and usage warily as a youth – and the Orioles for handling his workload as a pro.
“I was very fortunate my parents cared a lot about my health when I was younger, and really just being adamant about if I’d thrown too many pitches, or hadn’t had enough rest,” says Rodriguez, who recounts games of long toss with his father on their Texas street, a young Rodriguez envisioning the day he’d someday reach a certain light pole from his driveway.
“This organization does a really good job managing pitcher workloads. I think they really have our health in mind.”
Rodriguez, a true horse at 6-5, 230 pounds, works out with weighted balls to improve velocity, but only in the offseason to avoid further strain during the year. In a sense, Rodriguez represents the potentially modern ideal of a pitcher – one who can throw 100 mph, repeat his mechanics, leverage his natural ability but enhance his velocity.
“I was very fortunate my parents cared a lot about my health when I was younger, and really just being adamant about if I’d thrown too many pitches, or hadn’t had enough rest,” says Rodriguez, who recounts games of long toss with his father on their Texas street, a young Rodriguez envisioning the day he’d someday reach a certain light pole from his driveway.
“This organization does a really good job managing pitcher workloads. I think they really have our health in mind.”
Rodriguez, a true horse at 6-5, 230 pounds, works out with weighted balls to improve velocity, but only in the offseason to avoid further strain during the year. In a sense, Rodriguez represents the potentially modern ideal of a pitcher – one who can throw 100 mph, repeat his mechanics, leverage his natural ability but enhance his velocity.
And hold it for 100 pitches.
Veteran pitcher Michael Lorenzen says he believes the future will bring a generation of “guys sitting 99 (mph) and throwing 210 innings.” Yet he, too, believes the radar gun is a modern ill, forcing pitchers to compromise their health when the readings are suboptimal.
“Back in the day, guys like Nolan Ryan, if they didn’t feel great that day, could throw 87 mph and just say, ‘I didn’t have my best fastball that day,” says Lorenzen, 31, an All-Star this season. “But if I were to go out there and throw seven fastballs at 88 mph, the trainers would be out on the mound.
“So what does that do in my mind? If I have 88 mph in the tank, to me that tells me I have to throw 95. Say I throw 50 fastballs at 95 when I should be throwing 88 because my body doesn’t feel great, it’s all because I don’t want to spark any red flags. It’s extremely compromising on the body.
“So what do you do? You say, ‘I need to be up at 95. I have more in the tank.’ So you’re fatigued, you do it again, you do it enough times, you’re going to go down.”
Speed vs. safety
Indeed, in an ideal setting, Conte says three elements are working to protect the UCL, each bearing roughly equal responsibility: The bones (ulna, radius, humerus), the flexor tendon and the ligament itself.
Fatigue can compromise the flexor tendon, which is why a flexor strain sets off red flags and, in some cases, be a precursor to a torn UCL.
Maximum velocity does not help the cause, either.
Fleisig helped conduct a 2019 study on fastball velocity and torque on the elbow. While it did not find that harder throwers placed greater torque on their elbows than softer tossers, it did conclude that “within-subjects analyses suggested a deliberate reduction in velocity will reduce the load on an individual pitcher’s elbow.”
For practical purposes, Conte points to Marlins right-hander and reigning Cy Young Award winner Sandy Alcantara as the gold standard for varying velocity. Alcantara’s fastball ranks 30th in average velocity, at 97.9 mph, although his sinking fastball can touch 101 mph.
More important, his four-pitch mix lessens the importance on what Conte calls the most dangerous pitch for a hurler: The maximum-effort fastball.
Alcantara is closing in on his fourth consecutive full season of making at least 30 starts and pitching at least 197 innings. That makes him a rarity during a period Conte said was MLB's most tumultuous period of injuries - with more than 800 players going on the injured list in 2022.
A literal arms race
The fight to curtail lost years due to elbow failures is happening on two fronts.
First is repair. It will soon be five years since Dallas-based orthopedist Keith Meister began using an extra-large tightening suture on Tommy John repairs, hoping to result in a stronger graft that can better withstand the stress of a 100-mph fastball. Orthopedist Jeffrey Dugas, one of Fleisig’s co-authors on elbow torque research, pioneered the internal brace procedure that has become increasingly popular for two-time Tommy John patients, in part because it offers a potentially shorter recovery time than the standard 18 months for a starting pitcher.
And the second is prevention. The biomechanics space is growing more crowded and in an effort to share information and unify best practices, the American Baseball Biomechanics Society was born in 2020. While proprietary information remains the artillery of modern warfare in baseball – and injury prevention is no different – Fleisig says the group aims to leverage technology and information to the greater good of the industry.
Beyond that, the injury prevention space is not holding its collective breath awaiting a paradigm shift. Velocity – the quest for it, its deployment to get outs and get paid – won’t be diminishing anytime soon.
Only the industry can decide how many injuries are too much, and whether availability, still, is the best ability.
“I think as the word gets out there, as the mindset changes, I’m hopeful there will be a shift in what teams are looking for and therefore what players are trying to do to move forward,” says Fleisig. “Every team wants to be the World Series champion. To do that, they need pitchers who are excellent and stay healthy.
“You’re not excellent if you’re here rehabbing in Birmingham.”
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