2.22.2011

Top 5 Training Mistakes

JMC and Jason Reed recently gave me an opportunity to speak on their radio program called Fresh Set. One of the topics we hit on was common training mistakes. Let's just say that my speaking skillz could use some work.

Truly legitimate disclaimer: No matter how many mistakes this training snob wants to write about, the biggest mistake is not training at all, sitting around complaining about how you look and feel and "use-ta" be way awesome.

Nonetheless, if you're awesome enough to undertake the discipline of regular exercise, get the full pay off. Try to avoid these mistakes.

1. Failing to set specific goals.

You should be specific about a few goals, both long- and short-term. Goals like "gain muscle" and "lean out" are not going to cut it. Identify and write down realistic yet challenging goals, so you see it concrete. Make sure there's a time frame. Don't try to accomplish anything too fast or set too many goals at once.

There's nothing wrong with setting a goal to complete a 5K race or half marathon if you enjoy that sort of thing. But distance running is not the measure of all things fitness. Neither is bench press THE measure of the man.

Writing out specific goals helps you choose your training wisely. For example, no reasonably fit person is going to max out their fat loss and muscle gain at the same time. If you're fairly sturdy and strong and would like to focus on your conditioning, don't also expect to put on 10 pounds of muscle.
Goals for a wiry 20 year-old may be to attain 18 body weight chin-ups and a 28" vertical jump. If those are the goals, then don't train with a body part split routine that's tailored for a 35 year-old bodybuilder who's mostly sedentary outside of the gym.

If your goal is to lose 4 pounds per month over six months and maintain that weight at 12 months, then don't train like a marathoner. I've seen people get trapped in the cycle that you simply can't win: eating less and less and jogging longer and longer distances to sustain weight loss. There are better ways to go about this.

2. Poor exercise selection.

First off, you can and should do more than just run (or walk). In this writing I proclaimed the good news that you don't have to jog!

I'm no fan of machines for strength training. Leg press and lat pull-down machines are okay at times. Chest press when you're in a hurry. But that seated torso twists machine? I've written about the ridiculous leg outtie-inny machines here.

Free weights are best; just you and some iron and gravity. Understand that a very large portion of functional strength has to do with building a strong and efficient nervous system. That simply doesn't happen when doing hard core Nautilus seated shoulder raises or Hammer Strength leg extensions.

Skipping the three sets of 8 to 12 on 10 different strength training machines should leave you plenty of time to get well acquainted with the big lifts. Squats, dead lifts, overhead presses, horizontal presses (bench, dumbbell presses, etc.), weighted dips, rowing, and weighted chin-ups. Depending on your baseline strength, stability, and mobility, it may take you 3 or 4 months to identify what variation of these lifts are best for you, and another month or two to find your groove of good form in those lifts.

ACTUAL RESULTS from doing one dead lift!
 And yes, people get hurt jumping into the best exercises like squats, dead lifts, and heavy presses when they haven't given adequate time and careful attention to the details. Be patient and move along slowly. No, really be patient.

Some of the most unglamorous advice you will read: put the time into identifying what exercise variations are best for you and perfecting form. Maybe you simply can't squat safely, but I'm pretty sure that your knees and low back will tolerate heavy single leg squats and backward lunges off a step.

Also, a lot of isolation exercises, free weights or otherwise, are rarely a good idea. This includes ab crunches. And that thing where you do a massive drop set of bicep curls, going down the rack from heavier to lighter dumbbells? You will never see a fit and strong guy doing that.

If I could pick just one exercise that's most worthy of heckling, it's tricep kickbacks. Don't let me catch you doing them unless you can press at least 193.67 pounds overhead or do eleventeen handstand push-ups.

3. Poor frequency.

What I'm referring to here is over-doing it or under-doing it on a regular basis. People seem to be gung-ho all-out or nothing. Both work against you.

Athletes push themselves hard under the weights 2 or 3 times per week, then condition for their sport twice per week on top of games and practice. That's a lot of time and painful effort for little to no benefit. Is it any wonder that performance goes down when coaches and athletes pay no respect to recovery?

On the other hand, some folks never get around to consistent exercise because they just don't have the time. If working out means packing a bag and driving to the gym and shooting the breeze and training 3 sets of 10 on 15 different resistance training machines then doing some abs and cardio then driving home; well yeah, who has time for that?

Just about anyone can warm up and then go run (or speed walk) some intervals on a hill. It takes very little time and equipment to perform variations of squats and/or deadlifts, an upper body horizontal push and pull, and an upper body vertical push and pull.

4. Too much variation.

This refers to changing things up and beginning a new training scheme every other week. While getting stale and stuck in a training rut can also be a problem, rarely do people work too hard at a good training cycle for too long. Structured variation is absolutely called for. But please understand that "never doing the same thing twice" isn't necessarily a good thing, especially for athletes.

The term muscle confusion has been used to describe variety. Varying reps, exercises, and other training variables so that you never adapt to one thing. The bad news is that you never adapt to one thing. Muscle confusion is great if you want to be perpetually sore and never find your true limits in any performance measure. I call that chasing fatigue. Why are you getting tired and (later) sore? "Confusing" your muscles is a lot easier than challenging them head on to do 2% more/faster/higher than they did 2 weeks ago.

Again, be patient. Beginning slow and easy seems to build a "training momentum" that helps you continue to roll when things really get challenging. Schedule your routine and set your goals over months and years, not days and weeks.

5. Incompatible nutrition

I'm no nutritionist, but running two miles 3 or 4 times per week is not a license to eat like a stray animal. I've wondered how adult men can play some pretty intense basketball 2 or 3 days per week and look exactly the same year to year. I'm really not one to judge others, but they are often the ones complaining about getting heavier. On the other hand, super strict dieting and other fast weight loss tricks will come back to get you one way or another.

If you're training like a bear to gain size or strength in the middle of practices and an active life style, for heaven's sake, eat. A lot. It's much harder to put on lean (muscle) weight than it is to lose (fat) weight. If you're training hard and eating boatloads of mostly healthy food and somehow getting a big beer belly, deal with that later. Until then you need to eat to support muscle growth and not worry about getting simultaneously more ripped. Putting on some muscle always causes the body to appear more "ripped," even if you have not actually lost any (fat) weight.

6. Oh, and here's a bonus training mistake that I don't see often, but a big one nonetheless.





For heaven's sake, WHY?

Seriously get off the unstable surfaces unless you're rehabbing a significant ankle or knee injury/surgery.

2.15.2011

High Performance Minutia

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I don't think you're nervous enough
It happened to show its own face
Search for the soulless ends
Now point him towards rest. 


      -Chevelle/Highland's Apparition


Power = Force X Velocity

There are many methods (exercises, program design, equipment, supplements, etc.) of developing a powerful body. Some of them are nearly worthless. Quite a few provide an ounce of benefit in exchange for a boatload of effort and expense. The few that deliver that tiny edge with little expense? Those are the details you want to give some attention.

A recent edition of the Strength and Conditioning Journal  contained three studies on the type of strength and conditioning minutia that I can stand behind. If you want to develop more power in training and achieve new heights in competition, get scared and have some caffeine.

Researchers noted wins and losses of high level power lifters, collecting data on various hormone levels before, during, and after competition (1). Although all competitors experienced a surge in testosterone after their events, the winners hit a higher level than the losers. It feels great to compete and to be finished, and victory is sweet.

More importantly, those with the highest cortisol levels before battling the weights demonstrated superior lifts. The ones who lifted the most were nervous, excited, on edge. There are a number of ways that elevated cortisol is thought to improve athletic performance. "Fight or flight" helps the brain, nervous system, and muscles to lift things, apparently about 2 to 3% heavier than those with less cortisol.

The second study examined the effect of caffeine on bench press performance. All subjects performed a bench press test after having either caffeine or no caffeine (on two different days). After a moderate does of caffeine, subjects completed (on average) two more repetitions in a bench press test and reported lower levels of perceived exertion.

This study adds to a long line of evidence (some of which I talked about HERE) that caffeine helps your body to move better and your mind to feel like pushing it. But don't overdo it, rock star.

The final study measured each participants vertical jump under three slightly different conditions. The conditions were 1) jump as high as you can, just jump, 2) jump for maximal height, reaching toward a target, and 3) jump as high as you can over a hurdle set near the subjects estimated peak jump height.

Subjects jumped highest when a challenging hurdle was placed in front of them. I've had suspicions on this for quite a while. In the back yard, I've made friends jump onto and over picnic tables and lawn chairs stacked on boogie boards. 


Jumping into naked air is kind of lame. Jumping toward a target is good for some motivation and feedback, but it's not the same as jumping OVER a challenging obstacle that scares and mocks you. You have to ignore any hint of fatigue and make every jump count, or else you pay a little. The result is a lot of repeated, extra high maximal effort jumps, which adds up to a killer vert.


                                                 O's ottoman jump

Forget the supplement stack, the fancy chrome exercise machinery, and the reverse undulated periodization lifting schedules. Cortisol, caffeine, and lawn chairs are your ticket to Awesometown. And rest, we all need rest.

Maybe it should have been Awesomeville. I don't know, I haven't been there myself. I was just excited to see some verification of the back yard and basement observations.

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1. The effects of training volume and competition on the salivary cortisol concentrations of olympic weightlifers. BT Crether et. al, J Strength and Conditioning Research 25(1) 10-15, 2011. 


2. The effects of caffeine ingestion on mood state and bench press performance. MJ Duncan et. al. J Strength and Conditioning Research 25(1) 178-185, 2011.


3. Kinematic and kinetic variation among three depth jump conditions in male NCAA DIII Athletes. JP Smith et. al, J Strength and Conditioning Research 25(1) 94-102. 2011.

2.08.2011

Donkey Shoulders

Shoulders can be a bit tricky, to say the least. They're like donkeys, responding better to a smart coaxing than a kick in the ribs. The more you try to force them, the more they inflame and stubbornly resist. And don't try to sleep on one - a sore shoulder or a donkey.
I've learned to be pretty conservative with exercise and hands-on mobilization directed at the shoulder, at least for the initial visit or two. Shoulders will refuse to do their part very well until you've addressed the lay of the land around them, namely the scapula, thoracic spine, and soft tissue restrictions of nearby muscles and fascia. 

Understanding finnicky donkey shoulders (as well as many other orthopedic problems) requires a good grasp on the concept of a symptom threshold. Symptom threshold is why it's challenging (or dishonest) to say precisely why any one body part is not happy.

Many people have tears in the cartilage ring that deepens the shoulder socket (the labrum), rotator cuff tears, or other structural defects of the scapula. Many times inflammation of the involved tissue is visible when viewed under a microscope. But not all of those people have problems. Many of them function fairly well because they haven't reached the threshold of pain...

YET.

There's usually a number of factors that contribute to crossing that threshold. I've read and learned through experience that while most people manage to get by, their body is just a step or two removed from threshold.

A fall, a heavy strain, or last weekends painting project may have seriously stirred up a shoulder pain, but there are often factors that have been years in the making. Those "years in the making" issues often keep the involved tissue from healing correctly after trauma.


Shoulder... mistakes.

 A typical example of the symptomatic threshold might look something like this:

-Most people sit for a significant amount of time with their thoracic spine slumpy, their shoulder blades protracted and arms rolled in front of them (poor static posture - factor 1).

This exercise is good for physical therapists.
Do it if you want to go to rehab.
-Then don't exercise much, or they go and exercise, performing far too many pressing movements (poor exercise program selection - factor 2).

-The exercise and other movements takes place in that same kyphotic, protracted position (improper movement patterns layered on poor posture - factor 3).

-They have weak rotator cuff and upper back muscles (factor 4).

-Maybe they have a type 3 acromion. This is a slight structural issue of the shoulder blade that allows less space for the upper arm bone and shoulder tendons (factor 5).

-On top of those issues that were present all along, the person suddenly gets a "factor 6." Maybe that's a weekend golf tournament or tree pruning competition. Or maybe there's trauma, like a fall from a horse or bike.

The point is that there's some kind of heavy strain, trauma, or repetitive overuse that's simply the straw that broke the camel's back. The shoulder that had been sitting on the brink of a problem crosses the threshold, and ouch.

When it's been a few weeks and the shoulder has not recovered from factor six, you really do need to address the other factors.

Simply resting and taking some medicine will often get the shoulder back below threshold. But all it takes to get back to square one is an awkward reach, throw, or lift. The more modifiable factors that you can address with rehab and other modalities, the better chance you have of keeping that shoulder functioning how you want it to. 

That's about the best we can do. 
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2.02.2011

weather the weather


 - - - - -

Lately the weather
has been so much better
and consequently so have I .          

-Reliant K


Many of my patients claim they can tell when bad weather is coming. They feel it in their joints, and I believe them. Why does bad weather seem to cause people to turn into meteorologists?

After reading some reviews like this semi-scientific look into meteorology, I imagine that grandmas knee couldn't do much worse than the local accuweather team, especially if grandma reported the forecast with charm and charisma.

"Yeah, it's going to rain tomorrow. Or maybe snow. About zero to ten inches."

Wintery mix? Is "wintery" a word? Spell check says no.


Anyway, one reasonable explanation for the achy and stiff joints has to do with barometric pressure.
Every moving joint in the body is encapsulated by a tough connective tissue called the...joint capsule (imagine that). Joint capsules add a little stability and secrete synovial fluid. Synovial fluid delivers nutrients to joint structures and helps to lubricate the spin, glide, and roll that takes place between cartilage and bone.

There's good evidence that synovial fluid responds to changes in barometric pressure, just like any other type of fluid. When the barometric pressure drops, the pressure of the synovial fluid also drops, which may cause fluid retention within and around the joint capsule. 

Under normal circumstances, a little change in the pressure and fluid content of the joints is no big deal. You don't hear many teenagers going around forecasting rainfall based on how high they can elevate their shoulders. But degenerative and inflamed joints are highly sensitive to such changes in pressure.

Change is the key word here. There has been no clear scientific connection between specific joint symptoms and barometric pressure. If anything, it's simply the change in barometric pressure, altitude, humidity, and other conditions that are thought to lead to symptoms.

In other words, moving to Florida is not going to fix arthritis, and a bad back should be able to tell when good as well as bad weather is coming. Everyone hurts more on a gray February day in the mid-Atlantic. A week in Aruba may be "medically necessary," indeed, but your synovial fluid won't be thanking you for all the change.

And if your physical therapist asks if his plan of care has left you moving better, worse, or no different, whatever you do, don't put the blame on you. Blame it on the rain. Yeah, yeah.

 - - - - -

1.18.2011

no brain - no gain (III)

Part one introduced this series and the limited value of complete rest for "treating" pain. Part two focused on some specifics of back and neck pain. This final entry offers a few thoughts on pain as related to high level sports performance.


One of the things that separates good from the great athletes is the ability to endure both "good" pains and "bad" pains. Pain? Yes, please. It hurts to be awesome, and we should make no apologies there.

I don't care what sport you're talking about, from cheer leading to golf (okay, maybe not golf)...to mountain climbing, neither of which I know much about. In just about everything that a 67 year old man can't easily destroy you (like golf), there comes a point where you have to decide if you want to have fun or work to get better. Even snowboarding becomes tedious, I'm sure.

The best athletes are driven. They enjoy the sport/activity so much that it's worth it for them to sacrifice a significant portion of their lives in order to be the best they possibly can be. They have consistently delivered the goods for a decade or more, and nobody was calling them "lucky" or commenting on their "freak genetics" when they were stuck at practices for three hours a day and up early for individual conditioning and skill work.

While I don't have "beef" with the pain and suffering required to achieve new heights of performance, I do have a problem with the typical training methods. If you're going to dive in and suffer in order to build a better machine, so be it. But oh, what a shame, to sacrifice and be miserable in order to stay the same or go backwards?

A recent issue of the official publication of the National Strength and Conditioning Association is a perfect illustration of the typical overkill. One article details an off-season training program for football players. The speed conditioning workout includes 4 80-yard sprints, 6 60-yard sprints, 8 40's, and 10 20's, all separated by twenty seconds of rest. And this was after 20 to 30 minutes of dynamic warm-ups and form running drills. Oh, and the training week is to include another conditioning day similiar to this as well as two to three days of heavy lower body weight training.

Are you kidding me? Are they training some kind of half human machines? This speed program definitely sounds like the work of a coach or trainer who hasn't actually done a hard sprint in a very long while.

I'm sure your typical 340-pound lineman can do 28 sprints of any distance and set new personal records in squats and power cleans the next day. I question if it's possible for even the leanest, meanest defensive backs to make it through this workout going full bore, without pacing the "sprints." Athletes who are deconditioned and in need of some leaning out may become faster. But the far majority of football players are going to be run into the ground, made literally slower and less powerful in no time flat.

As mentioned in this piece about over training, the body responds not by how much training an athlete performs, but by how much training an athlete can recover from. Every athlete is different. You don't need a PhD in kinesiology to know that these two athletes couldn't possibly both benefit from the same training program.

Probably could use some speed/conditioning focus for the demands of basketball.

Could use strength/power focus for the demands of baseball.
I believe you can and should focus on strength/power while maintaining "conditioning" or focus on "conditioning" while maintaining strength and power. But you simply cannot make optimal improvement in both. Yet is seems that we try to accomplish both, year round, training young athletes as if they're otherwise sedentary middle aged men who need to lose 30 pounds in order to compete as middle distance runners.

Pain and gain, yes, but what kind?
The typical wiry 15 or 22 year-old will never gain much size or explosive strength on an off season running protocol like the one above. They should sprint, for sure. They should train brutally hard in the weight room, and rest and recover. It's the off season, for crying out loud. Pick a goal and stick with it.

Running bleachers three days per week and being timed in the mile can be painful. Quite painful indeed. But that's far from the best way to increase vertical jump and sprint speed. There's little reason why higher level athletes should have to bench press or perform any other pressing type movement more than twice per week.

 What do I know - I'm not a coach at the high school or collegiate level. But I've been run into the ground by a few. I regularly see the consequences of the "more is better" mentality all the time. Why do young athletes and their parents jump through all these hoops with unproven overkill training methods? Am I missing something?

?
 - - - - -

1.13.2011

no brain - no gain (II)

The previous entry made the claim that "no pain - no gain" is a half-truth. Yes, it's cool that the words pain and gain rhyme, but there's a lot of other words that end in -ain that maybe we should give more attention. Besides, you don't see wheat farmers walking around in T-shirts that proclaim in bold script "no rain - no grain!!!"

It's easy, you see?

"Well, no pain - no gain" is never an acceptable answer or motivational statement. Pain informs! Knowing a few details is tremendously beneficial to the pursuit of health and fitness.

Of course there are gainful pains associated with discomfort as well as bad pains associated with injury and regression. While the "just work it out" philosophy is rarely beneficial, it also holds potential for damage. On the other hand, more than a few days of rest is a less-than-proactive way of dealing with pain. Two weeks of rest does little to get a person moving toward their goals.

Since about 9 out of 10 people will experience varying degrees of spine pain at some point in their life, it may be good to know:

Case in point 2 - Centralization is less pain here, more pain there 

While pain in and immediately around the spine can certainly be miserable, the prognosis for short-term recovery is usually quite good. On the other hand, pain that starts to migrate away from the neck and back is bad news. Call it sciatica or radiculopathy or radiating; the tingly and numb feeling down an arm or leg, the stabbing shoulder blade or buttock pain, and a rapid onset of weakness are all symptoms of nerve root compression associated with significant spine issues. That ain't no muscle spasm.

When it comes to activities and movement that increase symptoms peripherally, no pain - no gain is just about the last philosophy you want to live by. On the other hand, positions and movements that decrease peripheral symptoms should be encouraged, even though that often comes with an increase in pain near the spine.

Lets say you do one of the simplest tests for the lumbar spine, standing and bending forward toward your toes. If ten or twenty movements in that direction cause an increase in peripheral pain or makes the back or buttock pain feel like it's migrating down to the knee or foot, avoid that direction of movement, at least for now. But if repeated bending forward or backward happens to cause centralization of symptoms (a reduction in peripheral pain or numbness), we explore that direction of movement further even if it causes an increase in central back pain.

Generally speaking, anything that causes peripheral pain gets a red light. Activities that cause peripheral pain to "move" to a more central region get a yellow light (proceed with caution). Systematically applying basic, gentle movements allows you to gradually hone in on appropriate loading strategies.

There's an art to "tweaking" the basic movements, and that's where qualified orthopedic care -ahem- comes in. The process allows us rehab people to perform manipulations and other hands-on procedures without fear of making the problem worse, as random cranking often does.

Systematic force progression sounds a lot less impressive than dramatic cracks and pops and requires quite a bit more time, but there's much less risk of harm than trying to jam that baby "back in." An added benefit is that many times patients suffering back pain can learn how to treat themselves, independently, without needing to be "adjusted" 3 times per week for 3 or 30 weeks. In the very least, clients learn how to reinforce the hands-on work of their rehab provider, which often goes a long way toward that independence.

The ability or inability to get peripheral pain to centralize is important. Researchers examine a wide range of factors involved with back and neck pain, from the patients flexibility and strength to their body weight to their work environment to their tendencies toward depression, and it turns out that centralization is one of the only things that is predictive of good long-term recovery. That's why I sometimes tell clients that I'd be happy to give them MORE back pain, especially when that goes along with less peripheral pain.

A specific type of pain = a specific type of gain. This is not cheesy 80's sentiment or the opinion of one wack-o PT. It's evidence-based medicine that actually helps someone beyond the rehab provider trying to justify endless "adjustments".

[The final installment of this series will talk about pain and sports performance.]

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1.06.2011

no brain no gain

 - - - - -

I hear “no pain, no gain” almost daily. The mantra comes from the lips of the frail elderly and hulking construction workers, scholars and adolescents. I nod my head with mild approval to show that I appreciate the willing spirit.

But of course there are different types of pain. I stubbed my toe yesterday and gain eluded me, other than remembering not to try walking through my garage in the dark. At least it wasn't this painful:




Beyond accidental bumps and painful mistakes, sometimes the best intention and discipline of the will may actually work against the "gain" wanted in the first place. Pain is an extremely intricate, life-saving message. No pain, no gain - insane.

Beginning an exercise regimen when you’ve neglected your body for a while is a painful decision. Then comes sweat and breathlessness, not to mention the pain of walking away from the second doughnut and taking time to plan and prepare balanced meals. But "no pain, no gain" should be put on the shelf beside "listen to your heart" and other half-truths of the 1980's.

Case in point 1 - Just need to work it out

People say this as they place one hand on the painful area while rolling the involved joint in some kind of circular motion. Has that ever worked? For very long? When is it okay to take a few Advil and just get moving? Is a few weeks off all you need?

Advil and a few weeks off will get you better until you try doing some physical activity again, which usually translates into doing a lot of nothing. It's true that a few weeks off may do the trick when an injury or issue was caused by accidental trauma. But a few weeks off does nothing to address the biomechanical issues and other factors that cause most instances of tissue overload and injury.

If running has been hurting your knees, the best treatment may be a few weeks off and then some. That allows time to strengthen the core and hips and improve mobility of the ankles, hips, and spine. It's often necessary to address soft tissue restrictions and the subtleties of running mechanics. Finally, don't go back at it without a structured plan of resuming the desired distance and frequency of running.

And then see what happens! Just stay away from the bulls, won't ya?

The next installment will provide two more illustration of dealing with pain mindfully, through common occurrences in the areas of back pain and sports performance.