Injury Prevention

Coaching the Forearm Wallslide

A deceptively simple exercise, the forearm wallslide delivers a huge ROI:

Priority #1: Breathing

If you were to say to me in 2006, Hey Sarah! Guess what?!? In 10-years you will be laying the foundation for high performance by pounding the crap out of breathing drills. I would have believed you***. It's pretty obvious, when you think about it, but the evidence for it's true importance has only been surfacing over the past couple of years. 

This is an insanely complex topic that can literally have an effect on the obvious: your ability to recover effectively between bouts of intense exercise allllll the way to the obscure and surprising: regaining normal range of motion about joints that have been previously all kinds of locked up.

So, here ya go. My long-winded explanation of why you or your child may be doing do many drills to re-pattern their breathing. The concept of training breathing patterns now forms the foundation for all SAPT athletes.

Below I've organized a loose hierarchy of what proper breathing actually accomplishes for us humans:

Life Support

Like everything else in the body we adjust to sub-optimal patterns and just assume everything is A-OK (ex: somehow staying alive when only eating frankenfoods). In this case, I'm referring to our bodies amazing ability to be totally out-of-whack and yet not collapse in on itself, biomechanically speaking.

But, as professionals in the industry of human performance, we know that those common mal-alignments in the body ultimately stem from poor pelvic balance and that is in fact causing the postural asymmetries.

What causes the problem with the pelvis in the first place? Traditionally, we’ve chalked it up to an increasingly sedentary environment - too much sitting, not enough moving. Even for children. In fact this problem first develops in children, all children.

So, let’s take it deeper. There is actually something else going on besides our chair bound, screen driven environment. It just so happens that if you look very deep, like inside your body, you will discover that the muscle responsible for respiration, the diaphragm, is actually itself asymmetrical! In fact, the thorax is packed with asymmetrical situations: the heart sets on one side, the liver on the other to adjust the diaphragm is divided into two domes (on the right and left sides) one dome is smaller and weaker than the other. This sets off a precipitation of events. All of which ultimately influence our athletic performance, efficiency, injury patterns and more.

Posture

Okay, let’s break this down. It’s important, so try to stay with me… I’m also working hard to keep up with myself. All kinds of important parts of the body attach and interact with the diaphragm. Since, by our bodies’s design, one side of the diaphragm is stronger than the other that means that certain compensatory patterns always develop. Always. If you are a human you have this pattern. 

The diaphragm is stronger on the right side, this ultimately means that we favor (and overwork) the right side of the body. While the left side becomes weakened and inefficient. 

From here we can see the commonplace asymmetries develop: one shoulder higher than the other, the rib cage set at predictable angles from right to left and front to back, the pelvis rotated predictably.

Injury Potential

Alright, we’re getting back on solid footing. The by-design asymmetry of our diaphragm causes the postural asymmetries that cause, over time, injury. 

How many times has a well meaning coach had an athlete statically stretch chronically tight hamstrings? Do they ever regain the proper ROM? Nope. But, those tight hamstrings are actually indicative of a risk for injury that points to pelvic misalignment and, you guessed it, points then towards diaphragm and thorax corrections that MUST occur before high performance can ever be achieved.

How many times has a pitching coach focused their injury prevention program to address only the throwing side? Good gracious that’s just layering on the problems.

Sub-Optimal Performance: Layers of dysfunction

Let’s continue to talk about the pitching coach who runs a one sided arm care program. Hey, it kind of makes sense. You throw with one arm, why wouldn’t focus on strengthening the musculature on just that side? 

Because you frack up the entirety of the athlete, that’s why.

Never, ever layer strength on top of dysfunction. The potential for injury skyrockets (that’s my opinion) and it becomes very difficult to make the foundational corrections (to backtrack). 

The result? The athlete has now gotten “stronger” and tighter and more imbalanced in the pursuit of performance. 

What should the approach have been? Fix the imbalances first, prioritize this as essential to performance, then and only then, begin to strengthen.

Recovery during repeated efforts

When respiration isn’t occurring efficiently, an athlete’s ability to recover between bouts of training (or plays in a game) will be suboptimal. Potentially leading to injury, compromised decision making (think ability to read a developing play), lost points, or a Loss.

Gait

We’ve established that the diaphragm will cause poor pelvic balance. But what does that mean for gait? 

“Walking and breathing are the foundations of movement and prerequisites for efficient, forceful, non-compensatory squatting, lunging, running, sprinting, leaping, hopping, or jumping ONLY WHEN three influential inputs are engaged: proprioception, referencing, and grounding.” PRI 

Pulled muscles, ligament tears, rolled ankles can all be traced back to a pelvis, and thus, breathing problem.

That tilted and rotated pelvis can be a real problem!

How many great (or on their way to great) athletic careers have been stopped in their tracks by an injury?

How to fix: Zone of Apposition

Moving forward with the understanding that breathing really is the key to life, we have to ask: how do you fix this?

There is something called the Zone of Apposition (ZOA) and this is the area where the diaphragm and ribcage over lap each other. We want to maximize this overlap through proper ribcage positioning.

Here’s the good news: train the ribcage to be in the proper position and now those imbalances start to clear up:

  • Better ROM at all joints
  • Better recovery for bouts of work
  • Less compensatory patterns throughout the body

Now we can work on performance

How SAPT uses/integrates breathing drills to achieve performance improvements:

  1. Ground based - 90/90, etc
  2. Against gravity —> Static
  3. Against gravity —> dynamic & sub-max
  4. Against gravity —> dynamic & max

What the athlete gets in return:

  • Better movement patterns (without forcing it)
  • Fewer injuries
  • Better recovery (between intense bouts and sessions)
  • More bulletproof and awesome

With regards to training the ZOA, it's not a matter of if it needs to be trained, rather the important aspect is for the coach to assess and determine what level the athlete needs to be placed at to get started and progressed forward.

***I'm sorry, I lied - in 2006, I was 25 - knew virtually nothing - and it was hard to tell me anything unless it was about box squats, deadlifts, or the bench press. 

Oh Dem Hammies! Hamstring Info and Harry Potter Analogies Part 1

Do you have tight hamstrings? Do you stretch them only to find that you’re not any closer to the suppleness that you desire in those posterior hip extenders? Have you tweaked/pulled your hamstring (due to your tightness maybe...)? Do you feel they’re tighter than Gringotts Bank Security?

 Today, we’ll go over some of the reasons why the hamstrings might be tight and in part 2 we’ll go over some of the prevention/rehabilitation techniques to deal with hamstring tweaks.

You may be surprised to find that your tight hamstrings are not actually tight… That sounds like something Professor Dumbledore might say.

Below are some of the potential culprits of “tight” hamstrings. (You’ll see why I put “tight” in quotation marks at the end.)

1. Protective tension.

This is when the brain is telling the hamstrings to remain “on,” for one reason or another, and it creates a sensation of tightness when the hamstrings are stretched. Why does this happen? I’m actually a good example of this. I have congenital laxity (meaning my joints are loose and I’m rather flexible) but for a period of about 3 years, my hamstrings were constantly tight and I could feel them being tugged on every time I bent over, and because of my laxity -and a lifetime of NEVER feeling tight- this was as odd as Hagrid’s love for horribly frightening beasts.

Here’s what was happening: my pelvis tilted, wildly I might add, anteriorly (forward).

Hamstrings pull the pelvis posteriorly or down and backwards.
Hamstrings pull the pelvis posteriorly or down and backwards.

The hamstrings attach to the (posterior) bottom of the pelvis (your “sit” bones) and my brain sensed the constant pelvic tilt and was desperately trying to prevent me tilting forward anymore by firing my hamstrings continually in an attempt to pull my pelvis back into a neutral position. That pelvic tilt results in instability throughout the lower back and pelvis. The brain HATES it when the body is unstable and will do anything necessary to regain stability, which in this case was locking down those hamstrings tighter than a Full Body-Bind Curse.

How do you fix APT? Through lots of dedicated anterior core work (i.e. plank variations) and glute strength. Once my pelvic tilt  was in a more neutral position… voilaThe tightness was gone. So, if your hamstrings feel tight, check our your pelvic alignment.  Stretching the hamstrings will NOT improve your flexibility in this case; they're already stretched to the max!

2. Neural tension.

I know this will sound similar to the above reason, but this particular tension generally results from an injury. The most likely answer is an injury to a lower back disc. (since the nerve for the hamstrings runs through that region.) If there’s damage to a disc in the L1-S1 region, there’s potentially compression on the nerve for the hamstrings which could result in mishaps in the neural messages (communication between brain and muscles) causing hamstring tightness. Usually this type of tension is accompanied by other symptoms such as tingling, shooting pain, electric pain or numbness. Two common tests to check for spinal issues are the slump test and the heel drop test (which consists of standing on your toes then dropping to you heels. If pain occurs, congratulations! You might have a compression issue.)

3 and 4. Nasty fibrotic tissue or tendonosis in the hamstring.

Sometimes muscle fibers get junky and gunky, from poor movements, overuse, or prior injury, -or all of the above- which changes the length and function of the muscle. Instead of the muscle fibers running parallel and working harmoniously, they’re twisted up like spaghetti noodles (and work as well together and a plate of spaghetti). Soft tissue work such as SMR or possibly work by a professional is in order to help restore the tissue quality.

adductor
adductor

Other areas to target for soft tissue would would be the adductors (since they attach to the pelvis as well) and those fellas are Gunk-City in a lot of folks.

5. The hamstring muscles are truly short.

Yep, they're are people out there either because of their genes (not their jeans. Ha!) or a surgery where the hamstring was immobilized in a shortened position (though this is not common), their hamstrings are physically shorter than they should be. This can happen over time (but to a small-ish degree) in folks who sit down a lot during the day because the pelvis is tilted posteriorly (tucking your butt under) which does shorten the hamstrings a bit. However, this probably isn’t the main source of tightness since they are only short at the very end range of motion.

So what have we learned? If your hamstring is tight, it’s not necessarily it’s fault nor will endless hamstring stretches change anything (even if you’re drew the genetic short stick. Stretching won’t do that much. Sorry.).  Soft tissue work in the hamstrings, adductors, and glutes as well as some dedicated anterior core work and glute training (*cough* swings *cough*) can help to solve some tight hamstring issues.

Check back in next week for some hamstring injury causes and care.