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Stuff to Read While You’re Pretending to Work: 5/10/12

Several month’s ago Adam Bornstein (yes, THAT Adam Bornstein) contacted me and asked if I’d be interested in submitting an ab routine for his upcoming book, The Women’s Health Big Book of Abs. Without blinking an eye I said yes, sent a little sumthin sumthin Adam’s way, and then completely forgot about it.

Just the other day he messages me and says, “dude, it’s available.  Thanks for the help.”

And here you go……

Women’s Health Big Book of Abs – Adam Bornstein

As the title suggests, the book covers all the essential diet and fitness information one would need to get rid of that muffin top and attain lean, sexy abs. Cooler still is that the book contains contributions from a bunch of other peeps in the health and fitness world you may be familiar with:  Bret Contreras, Jim Smith, PJ Striet, and God……so you know it’s legit.

Glute-Licious: Maybe You’re Just Not Ready for This Jelly – Kellie Davis

Still a tad skeptical behind the power of the hip (or glute) barbell thrust? Still think it’s just a gimmicky exercise that has no merit? Well, in this post Kellie demonstrates that not only are you wrong, but that you’re missing out on some serious glute-licious development.  Indeed!

One Squat to Rule Them All – Ben Coker

It’s after reading articles like this that I REALLY wish I was somewhat (even remotely) proficient with PhotoShop.  Not to diminish the actual content, Ben’s introductory title – The Lord of the Squats – was priceless!

Speaking of the content, this was an EXCELLENT article on the benefits of box squats.  I’ve been a hyyyyyoge advocate of box squats for years, and it’s nice to see other coaches out there spreading the love, too.

Much like Ben, I feel box squats are a superb way to teach someone the proper hip hinge pattern as well as target an area that tends to be woefully weak for most individuals – the posterior chain.  Additionally, box squats offer unique advantages for those with banged up knees (utilizes more of a vertical shin angle) and back (reduced spinal loading on L5-S1).

In short, they’re the bees knees and you should be doing them.

One last thing…………………

Muscle Imbalances Revealed 3.0 (Lower Body Edition)

This is the product that initially launched the Muscle Imbalances Revealed series (I was involved with the Upper Body edition), and it’s recently been upgraded with a ton of great additions:

  • Corrective Exercises for Performance
  • DB Mobility Workout
  • Strategies for Hip and Ankle Mobility
  • Injury of the Month – Rick Kaselj’s fantastic monthly resource for fitness professionals

Lets say you bought the upper body edition (thank you by the way), and you loved it.  It changed your life. Yet, you don’t have the lower body edition to compliment it.  That’s like owning The Godfather Part II and not The Godfather (lets just pretend Part III didn’t happen).  It’s a sin!

Lucky for you, MIRL is now on sale – for 31% off the original price – from now until the end of week. Holla!

 

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Exercises You Should Be Doing: Tall Kneeling Landmine

You may be wondering why I’ve been out of commission since like the middle of the last week. For starters, Joe’s post – Just Because a Doctor Said It: A Response – was such a huge hit, and got such a great response, that I wanted to keep it up for a few days to maximize the total number of people who would read it.

Secondly, my girlfriend was out of town for a day and half and I took every opportunity to catch up on some of the manly things I never have a chance to take part it.  You know stuff like growing a beard, staying up past midnight, and chopping down trees just for the hell of it.

Of course I didn’t do ANY of those things. Instead, all I did was use the time to be as productive as possible and spent my entire Friday afternoon (and night) catching up on programs that needed to be written, doing some (pleasure) reading, and then hanging out at Panera where I put the finishing touches on another article that I just submitted to T-Nation.  Oh, and I ate a lot of bacon.

And, just like the rest of the free world (or at least the parts that have an IMAX), I also went to see The Avengers. All I have to say is holy epicness.

What’s more, did you happen to see how much freakin money that thing made this past weekend?  It SHATTERED the previous opening weekend record – previously held by Harry Potter and the Deathly Hallows: Part 2.  I think it made something like a kazillion bajallion dollars.*  Crazy.

With money like that, I wouldn’t be surprised to hear about Joss Whedon – the director – taking a martini bath every two hours.**

Anyways, it’s a gorgeous day here in Boston and we haven’t seen the sun in like a week.  Coincidentally, both Lisa and I have the day off and we’re going to take full advantage of it and walk around and enjoy the sites.  But, before I leave, here’s an exercise you should be doing.

Tall Kneeling Landmine

Who Did I Steal It From:  No one, technically.  But I know it’s been made popular by the likes of Mike Boyle and Gray Cook.

What Does It Do:  Since “core” training is all the rage just about everywhere you turn, it’s important to train it in a manner that it’s designed for. While there are several applicable “actions” of the core, this exercise specifically targets both rotatary stability and anti-extension.

  • Rotatary Stability:  Essentially this is akin to preventing unwanted motion – especially in the lumbo-pelvic-hip area. With this exercise it’s important to lock the center in place and to have as little motion as possible in that area.  Of note, when done correctly, this exercise also HAMMERS the external obliques.
  • Anti-Extension:  Again, while locking oneself into position, another key component of this exercise is to resist extension.

Key Coaching Cues:  One of (if the THE most) benefits of this movement is that it can be done anywhere, at any gym.  There’s no special equipment necessary. All you need is a barbell and a corner.  While you can’t see it in the video above, all the setup requires is placing the opposite end of the barbell in a corner so that it doesn’t slide around.

In terms of execution, the main point to consider is to emphasize a LONG-lever. In other words, try to keep your arms as straight as possible (maybe a very slight elbow bend) and focus on making as large of an arc as possible WITHOUT compensating.  Trust me, it’s much harder than it looks, and you won’t need a lot of weight to feel the effectiveness.

Furthermore, I like to tell people to dig their toes into the ground (more dorsiflexion) and to squeeze their glutes as hard as they possibly can.

I tend to shoot for anywhere between 5-8 repetitions per side, usually using the lower end with newbies and those who are generally weak.

Try it out today and let me know what you think!

* = rounded up.

** = you know, because that’s what rich people do. Right?

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Just Because A Doctor Said It – A Response

About a week and a half ago I posted a Facebook status which read, “I’m sorry, but just because ‘your doctor said so’ doesn’t mean you’re right.”

It was in response to an article that Adam Bornstein wrote on Livestrong.com titled The Most Dangerous Diets Ever, where a handful of readers were up in arms that he dissed the HCG Diet.

For those unaware, the HCG Diet is where one injects hormones (derived from the human placenta) into their while following a 500-800 kcal per day diet for “x” number of days…..

……under a doctor’s supervision, of course.

I’ve made it known in the past how I’m not a fan of this “diet”, and that I find it absurd that anyone would think injecting themselves with (EXPENSIVE) hormones while following such a pitifully low caloric intake for an extended period of time is a healthy endeavor.

More to the point, I find it downright appalling that any physician would endorse such a plan and then recommend to his or her client(s) to try it.

Makes me wonder whether they went to an actual medical school or Hogwarts School of Witchcraft and Wizardry.  Hahahahahaha. See what I just did there?  Zing!

That notwithstanding, the main argument for those who defend the diet is “well, my doctor said it was safe.”

Riiiiigggggghhhhhtttt.  Lets not forget that there was a time when doctor’s recommended that people smoke for its health benefits.

To reiterate what I said earlier in the week:

I’m not saying that ALL fall under this umbrella – there are undoubtedly many superb primary care personnel out there – but I find it hard to believe that any doctor would advocate this diet without some monetary kickback or incentive to do so.

It’s a lot easier to tell someone to drop $1500 on hormone injections than teach them proper eating and lifestyle habits, I suppose.

Then again, doctors don’t necessarily practice health and wellness, they practice medicine. If you present with a symptom, they’re going to treat that symptom with medicine. So, I guess I can’t fault those who do advocate this diet. Most get two weeks of course work in nutrition – max – during medical school.  Many think apple juice is the same thing as an apple!

To that end, today I’d like to share a guest post from Joe Lightfoot who, as a current medical student AND strength coach, has a unique perspective on the topic.

Enjoy!

Just Because a Doctor Said It – A Response

Tony’s recent Facebook status update (and blog post) regarding doctors created quite a lot of debate, and a lot of interesting thoughts were expressed. However, I felt the overriding response was one of negativity towards doctors.

It inspired me to write the following blog post. So how come I feel strongly enough about the issues to write about it?

My Story

Well, I’m about to graduate medical school this July and I’m also a coach (currently I work as the S&C coach to the England Under 19 Lacrosse team and I also work with non-athletes too). As I’ve seen it from both sides, I hope I can add a new perspective to the debate.

First off, I agree 100% with Tony’s statement. Just because a doctor does say something it doesn’t necessarily mean it’s true.

But you shouldn’t be surprised or offended when a client has the point of view. Doctors have held, and will continue to hold a position in society whereby the public trusts them (whether rightly or wrongly in certain situations).

Why? I feel it’s due to the differing barriers of entry for both professions. To become a coach or trainer is relatively easy, however to become a doctor you have to complete either five years of medical school in the UK, or a total of eight years in the US counting undergraduate studies and then medical school.

Now the length of formal schooling is not a sure fire test of how correct someone is, but if you were a member of the public with no prior knowledge, who would you trust?

The client doesn’t know that you’re a hotshot trainer or coach who’s well read, takes care of continuing education, and has a wealth of experience. You could be someone who did one certification and professes to know everything.

Furthermore getting a client or athlete to trust you is your job. So whilst it’s damn annoying when someone believes something incorrect just due to someone’s perceived authority, attacking that said person won’t help the matter.

I think by demonstrating credentials, building trust and offering evidence to back up your advice is the best way to have an impact on your clients.

As a coach, I think a doctor’s position of trust is something you should use, not try and dispute. Rather than someone to fight against, that doctor could become one of your best allies in promoting healthy behaviours. I think it all begins with reaching out to the doctors of your clients and forming a partnership, and even offering education on the area of your expertise.

Doctor’s Knowledge Of Lifestyle

So do doctors know about lifestyle advice? The short answer is no. You’d be mortified if I told you how much education and training I’ve had regarding exercise and nutrition.

If I had to sum up my experience at medical school in one sentence, I’d do so like this: I have learned about disease, but I haven’t learned about health.

Doctors need more education on everything to do with lifestyle advice, particularly exercise and nutrition. That is indisputable.

But it isn’t all bad news. I’m currently visiting the US and shadowing a number of doctors in Boston. I recently met one doctor who is currently studying for the CSCS. Her reason? Exercise is one of the most important things her patients can do.

This isn’t a lone example. There is a light at the end of the tunnel.

Why All The Negativity?

Like any profession there are good and bad people. Medicine, like coaching, is no exception.

To say all doctors are egotistical, cheat on the wives, don’t practice continuing education or think critically is wrong, and frankly offensive.

Whilst some are motivated by money and titles, the vast majority of people became doctors because they want to help their patients.

If you took just a snap shot, you could quite easily come to the conclusion that all trainers are just out to sell the latest gadget to make money, and coaches all shout and scream at athletes until they collapse. In fact, the opposite is true, and the industry is full of awesome people who know their stuff and make a major positive impact on people’s lives.

The Future

Mike Boyle has said it; I think I’ve heard Dan John say it: Coaches and trainers are a front line defense against disease and illness, and we’re some of the few professionals practicing proactive healthcare and preventative medicine.

Doctors should welcome coaches and trainers support, guidance and help. Medicine is becoming increasingly multi-disciplinary and I hope to shortly see the day when patients are referred to strength & conditioning coaches.

So what can we do? It all starts with education. I’ve made it a life goal to bring the medical profession up to speed on lifestyle advice, and create a true health service with the Move Eat Treat campaign.

This campaign aims to educate health care professionals on lifestyle advice, including nutrition and exercise. Coaches and trainers have a wealth of information, which doctors need to embrace and understand.

Final Thoughts

Someone once told me that to change a health care philosophy would take 50 years. So I figured we best get started. A major step is getting doctors and coaches to work together, and it starts with mutual respect of each other skills.

Who’s up for creating a proactive health service? I’d love your support for the campaign HERE.

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The (Not So) Obvious Causes of Low Back Pain

Back pain is a bitch.  There’s really no other way to describe it. It’s been said that 80% of Americans will experience it at one point or another, which, when you run the numbers, is like four out of five people.  Yep, that’s what I like to call math.

Needless to say, back pain bites the big one and it’s easily the #1 cause for things like days missed from work, training days lost, not to mention the burden it places on health care costs.

The mechanisms for back pain are many, but can really be categorized into two camps:

1.  One, massive, blunt force trauma:  car accident, falling off a ladder, getting Terry Tated in your office for not refilling the coffee pot.

2. Repeated, low-grade, aberrant motor patterns which inevitably lead to something bad happening.  Sitting at a desk all day comes to mind. In addition, we all know of someone who either bent over to tie his or her shoe or simply to pick up a pencil who ended up blowing out their back. The body is going to use the path of least resistance to get the job done, and unfortunately, because most people have the movement quality of a ham sandwich (poor hip mobility, poor t-spine mobility, etc), the lumbar spine, literally, gets eaten up.

While it’s a bit overkill, our spines can be thought of as a credit card.  Bend it back and forth enough times, and eventually, it will break.

As a coach who works with elite athletes as well as people in the general population, I’ve seen my fair share of back issues, and I wholeheartedly feel that a structured strength training regimen geared towards improving movement quality, addressing any postural imbalances/dysfunctions, as well as “cementing” proper motor patterns is one of the best defenses in preventing low back pain in the first place.

Coaching someone how to achieve and maintain a neutral spine (something I wrote about HERE and HERE) would be high on the priority list.

Coaching someone how to properly perform a hip hinge or helping them clean up their squat pattern – utilizing the appropriate progressions (and regressions) – would also be kind of important.

And, of course, we can’t neglect staples like encouraging spinal endurance (planks), as well as placing a premium on proper lumbo-pelvic-hip control (core stability exercises like chops/lifts, Pallof Presses, and the like).

All of these things are great, and certainly will set people up for success, but there are many (MANY) less obvious components that often get over-looked.

Stealing an analogy from the great Dr. McGill – it’s the hammer and thumb paradox.  Lightly tap your thumb with a hammer and not much will happen.  No big deal, right?  After a few thousand taps, however, you’ll be singing a different story.

Keeping this theme in mind, lets take the birddog exercise.  Simple exercise, that many fitness professionals use with their clients to help improve dissociation of the lumber spine from the hips, and to teach co-contraction of the anterior core and erectors with little to no spinal loading.

Simple exercise, for sure, but not quite so simple in it’s execution.  If you glance at the picture to the left, you’ll notice the concave shape of the back and see that she’s just hanging on her lumbar spine.  Not exactly ideal execution.

If this were someone suffering from low back pain, would this alleviate their symptoms or make them worse?  My guess would be the latter.

Taking it a step further, have you ever watched people foam roll?  There’s no questioning it’s efficacy towards helping to improve tissue quality, and we have every one of our clients do it prior to their training session.

The thing to consider, though, is that when you’re dealing with someone with a history of low back pain – whether they’re currently symptomatic or not – you need to stay on top of them so that they’re not making the same mistake as above and hanging on their lumbar spine; essentially living in a constant state of extension.

Rather, what should happen is that they “brace” their core and maintain more of a neutral spinal position as they roll around (reference the fine looking gentleman to the right).

It’s borderline OCD, I know……..but I can’t stress enough how important it is to make the small things matter.

Take away the hammer.

Using an example that’s a bit more exciting, lets take the overhead press and break that down.  Now, I have nothing against the overhead press – far from it.  But when you actually watch a vast majority of people perform it, don’t be surprised if your eyes start bleeding.  With a keen eye, what you’ll almost always witness is someone substituting excessive lumbar extension for shoulder flexion. But damn, it can look gooooooooooood at times.

When this happens, it’s usually beneficial to regress the exercise a bit and take some of the joints out of the equation, ALA the Gray Cook approach.

In the half kneeling position, I’m essentially taking my lower half out of the equation where I can now focus on pressing the weight over my head WITHOUT compensating with the lumber spine.  The key here is to “dig” the rear toes into the ground and to squeeze the glute of the trailing leg, hard!  As I press, I’m thinking “elbow to ear.”

Moving to a standing position, strength coach Dave Rak (he’s single, ladies) demonstrates a variation he showed me with one hip flexed:

Here, we’re still able to “lock” the lumbar spine in place and alleviate as much body english as possible.  What’s more, there’s an awesome glute activation component in the trailing leg.  Yes, I understand you won’t be able to use as much weight, but that’s not the point (yet). Once we can perfect the movement pattern, and take some of the burden off the lumbar spine, then we can load it and satiate our inner meathead.

Belly Breathing – The Right Way

One last point to consider, and this is something that I never even thought of until Bill Hartman pulled a Bill Hartman and made me realize how stupid I am, is the idea of belly breathing into the belt.

I’ve stated my opinion on weight belts in the past, and have always been told to PUSH OUT in order to increase intra-abdominal pressure (and thus, spinal stability).

As Bill demonstrates in this video, that’s not necessarily correct:

And there you have it:  just a few more things to consider when discussing the topic of low back pain.  Sometimes it’s not the quite so obvious things that are causing the issue(s).

Have your own ideas to share?  I’d love to hear them below.