I was perusing Instagram a few months ago when I came across my friend’s, Andrew Coates, feed. He had just posted a video of himself performing an impressive set of Supported Bulgarian Split Squats.
Or, Hatfield Squats for the meatheads in the house.
It was something like 365 lb for 5 repetitions.
As I said, at first I was like “huh.”
Then I was like, “damn, that’s strong.”
And then I was like, “pffft, whatever, I want in on this parade.”
At that point I was roughly 5-6 weeks post Achilles repair surgery and was training pretty aggressively in the gym. That said I was still looking for ways to expand or improve upon my Trainable Menu.
I.e., Focusing on stuff I could train rather than stuff I couldn’t.
A day or two later I posted a video of myself performing a set of close to 300 lb for 6-8 reps on my NON-affected leg. I tagged Andrew who then tagged a few other colleagues who were also inspired by his escapades; one of whom was Luka Hocevar, owner of Vigor Ground Fitness in Renton, WA.
Some good ol’ fashioned friendly competition ensued.
Each week we continued to post our progress and I enjoyed it, which was weird because, despite what coaches on the internet like to pretend, I fucking hate performing single leg work.
1. Nazi’s
2. Kipping pull-ups
3. People who wax poetic about keto.
.
.
.
44. Single leg work.
45. Talking about feelings.
Anyway, as it happens, myself, Andrew, and Luka teamed up to write an article for T-Nation.com that just went live today. In it we break down anything and everything as it relates to the Supported Bulgarian Split Squat and why you should consider adding it to YOUR training arsenal.
Hi, my name is Tony and I ruptured my Achilles tendon earlier this year.
It was the first significant injury of my life and one that, as it happens, happens often (and without warning). Since my injury six months ago I’ve met numerous people who have gone through the same dumpster fire of an experience.2.And as a result I’ve documented my rehab and post-surgery training via my IG account using the hashtags #findyourtrainablemenu and #achillesgate2020.
However, I figured something more in depth and robust with regards to explaining the mechanism of Achilles rupture (as well discussing prevention) could be of benefit to the masses. To that end, my fellow coaches and colleagues – Dr. Bo Bobenko and Shane McLean – offered to write something for the site to cover exactly that.
For what it’s worth: I peppered in a few comments myself along the way.
I hope it helps and enjoy.
Measures to Strengthen & Prevent Achilles Injuries
When admiring yourself, flexing away, do you ever give thought to the unsung hero of muscle? You know, the things that attach the muscles to your bones: the tendons. You probably don’t give much thought, until it’s too late.
Unless you’ve had your head in the sand, you know our resident funny man and light saber fighter extraordinaire, Tony Gentilcore tore his Achilles tendon while hanging out with the in-laws in Florida six months ago
NOTE FROM TG: It’s important to remember that correlation doesn’t equal causation here. My in-laws didn’t cause my Achilles rupture…;o)3
Tony, a big strong guy with no history of serious injury performs a drill he has done before and boom, suddenly it’s not his day, week, month or even his year….
NOTE FROM TG: For those interested, HERE is a great depiction of the exercise (and mechanism) that served as the impetus to my injury.
The “Jump Back” Start
This video almost exactly showcases what happened. The only difference is that I didn’t preload my sprint with a three-hop thingamajig (just one), and in my case, once my back leg planted, I fell immediately to the ground.
Plus I may or not have been wearing a cape.
A Little Background On The Achilles Tendon
The tendon is named after the ancient Greek mythological figure Achilles (and not Brad Pitt) as it was the only part of his body that was still vulnerable after his mother had dipped him into the River Styx. Plus, we all know where he got shot with an arrow, at least in the movie.
The Achilles tendon is the thickest and strongest tendon in the human body. It’s the tendinous extension of the three-headed calf muscle soleus and the two-headed gastrocnemius and it inserts on the calcaneus (heel).
The contraction of the calf muscles transfers a force through the Achilles tendon, which enables plantar flexion of the foot and allows for actions such as walking, running, jumping, bounding, sprinting, and skipping.
During these movements, the Achilles tendon is subject to the highest loads in the body, with tensile loads up to 10 times the body’s weight.
The reasons for this are twofold: First, the Achilles consists of type II fast-twitch fibers, and this elasticity allows for rapid forward and backwards movement. Secondly, the tendon type I fibers of collagen and elastin which are lined up parallel from calf to heel, are responsible for the Achilles tendon strength. (1)
The Achilles due to its strength and its ability to handle high loads makes it a resilient tendon, which is good and bad. Good because it can handle lots of load and bad because it’s not always going to send pain signals to the brain every time something goes wrong.
This is one reason why Achilles tears can happen without warning.
Types Of Achilles Injuries
When your achilles hurts or you feel pain you’ll often be told ‘You got tendonitis bro’ But there are few different types of Achilles injuries besides tendonitis.
1. Achilles Tendon Tears
This is the mack daddy of all tendon injuries and like with Tony, it often happens without warning. If you hear a pop and a pain that radiates up your lower leg, there’s no second guessing what you’ve done.
NOTE FROM TG: The best way I can explain the sensation is that it feels like someone taking a sledgehammer right to your ankle. It doesn’t tickle.
2. Achilles Tendinopathy
Tendinopathy is a degeneration of the collagen protein fibers that form the Achilles. Its symptoms include increasing pain at the heel, stiffness, swelling at the back of your ankle, and a grating noise or creaking feeling when moving your ankle.
3. Achilles Tendonitis
Tendonitis is acute inflammation of the tendon and its symptoms include pain and stiffness in the morning, pain that worsens with activity, extreme pain the day after exercise.
There are two types of Achilles tendonitis: insertional and noninsertional.
Insertional Achilles tendonitis affects the lower portion of your tendon where it attaches to your heel bone often caused by bone spurs.
Noninsertional Achilles tendonitis involves fibers in the middle portion of the tendon.
4. Achilles Tendinosis
Tendinosis is the non-inflammatory degeneration of the collagen fibers of the tendon. This includes changes to the structure or composition of the tendon that results from repetitive strains without proper healing.
Achilles and calf tightness are common causes of Achilles tendinosis. Plus insertional Achilles tendinosis is often associated with heel spurs as it rubs against the achilles causing small tears.
Activities That Cause Achilles Tears
Achilles tendon tears happen to people who do things where they quickly speed up, slow down, or pivot, such as:
Running
Gymnastics
Dance
Football
Baseball
Softball
Basketball
Tennis
Fighting Zombies, Salsa Dancing, Talking About Feelings (<— things added by Tony)
Achilles tears tend to happen when you start moving suddenly as you push off and lift rather than land. Sometimes these abrupt actions can be too much for the tendon to handle.
Here is the statistical lowdown on how tears happen.
90% of injuries occur with an acceleration/deceleration movements mentioned above
Only 15-20% of men reported any sort of heel pain/tendinosis before the injury
50% of men who have an Achilles Rupture had tissue degeneration before the injury
Typically occurs 30 minutes after moving around
Research has shown Achilles tears include clear degenerative changes before the rupture but many of the Achilles tendon ruptures occur suddenly without any preceding signs or symptoms. (2)
For instance, Tony’s tear was caused by aggressive eccentric load (jump back start) combined with poor load management and then “jumping” right back into sprinting.
NOTE FROM TG: Exactly. Part of the problem was sheer bad luck. But too, up until that point – eight or so weeks into pandemic quarantine – I hadn’t been doing much (if any) plyometric activity.
In his mind it was all systems go. The main point here is there’s not one definitive “cause.” of Achillies tears. It’s equal parts shit-happens and bad luck.
Big Picture With Tendon Pain Modulation
1. CNS Response
The CNS is incredible at responding to and adapting to pain modulation. This is a good thing to keep going and for our survival but makes understanding our tendon health much trickier because damage can exist without pain.
2. Load Management and Exposure
This is probably the single most important component to tendon health that we should seek to understand and pay attention to. It can be intimidating to truly track your loads/exposure, but the better we get at it, the more we increase our chance of avoiding injury.
All of the research continues to bear out controlling the load on tendons is the best way to make any kind of change. The analogy I often use when explaining this to patients is the comparison to a wall that continues to take damage or have a crack and we need to keep adding spackle to it every 48 hours to reinforce it and strengthen the overall structure.
How To Prevent Achilles Tears
The experts and research are a bit mixed on this therefore the safest approach in my mind is to increase the variety of loads you place on the tendons.
Unless training for a specific sport or activity, then we should focus on preserving the natural capacity of what the tendon is meant to do, which is to absorb and transfer forces effectively in the simplest of terms.
Pogo Jumps
Heel Taps
A Daily Routine to Incorporate Into Your Movement Prep
You need tendon loading with multiple angles and a plan for tempo for the long term. My go to is often for heavy slow resistance, four seconds eccentric, three seconds concentric, carefully plotted over 12 weeks. There is strong research to support this concept.
A quote I really like about this:
“We start dying when we stop jumping.”
Assessment can be vital, but there is no Gold standard. Personally, I use my hands to assess pain tolerance to pressure at the tendon as one way to track progress of tendon health, but this is not well supported by research and requires me to have physical access to you which can be limiting indeed.
If you haven’t loaded the tendon recently, some easy options are
Calf raises with full range of motion, faster up slower down, aiming for 20 reps per leg as a baseline for tendon health. This allows us to look for asymmetries as well as an overall deficit based on training age.
In terms of a plan to increase your activity tolerance:
Firstly, I like to think of the principle of 10% per session as a safe progression. Meaning, in terms of a weekly volume a nice progression is to add 10% to the previous week.
Secondly, the quote that drives me here is:
“We tend to overestimate what we can accomplish in a month and underestimate what we can accomplish in a year.”
Therefore, a long term strategy for tendon health should be implemented.
Exercise Is Important But So Is Diet
It goes without saying reducing stress, sleeping soundly, and eating nutritious foods not only helps you…
…but your tendons specifically.
But I said it anyway.
However, there are a few supplements on top of eating and sleeping well, reducing stress and moving better which help heal and keep tendons resilient. Notice the word supplement. These should NOT be your priority to help your tendons stay healthy or heal after an injury.
Primary should always be eating real high quality foods.
The first and most obvious supplement is Vitamin C.
Vitamin C is absolutely essential for synthesis of collagen which makes the tendons type 1 slow twitch fibers strong. Pre clinical studies have shown vitamin C has the potential to accelerate bone healing after a fracture, increase type I collagen synthesis, and reduce oxidative stress after a tendon injury. (3)
Supplementing with Vitamin A helps the process of forming new tissue (collagen) and your immune system. A stronger immune system can prevent microorganisms from further damaging your tendons.
Vitamin E has anti-inflammatory properties which helps reduce tendon inflammation, and helps the healing of damaged tendons which can lead to a reduction of tendon pain. (4)
The science and research is limited on diet and tendon health and there are probably other things out there that can help. It is an ever expanding field so stay tuned.
NOTE FROM TG: At the moment, I like the Collagen Peptides from Momentous because they use Vitamin C, and FORTIGEL® , which is a formula designed and tested to promote collagen synthesis in tendons and ligaments.
(👆👆👆 Discount:GENTILCORE25 gets you 25% off your first order when you sign up for a subscription 👆👆👆)
Most collagen out there is basically like buying a pack of J-E-L-L-O, focusing on hair, skin and nails, but this stuff is solid and provides a bit more heft.
Here’s the daily “Wolverine Cocktail” I’ve taken every day since my surgery on June 1, 2020:
Tendon tears often happen without warning and it doesn’t discriminate on whether you’re fit or not. One moment you’re about to move quick and the next you’re on the ground.
The best things you can do before engaging in risky tendon activities:
Warm up properly
Load the tendon appropriately
Reduce stress, eat and sleep better.
But as you’ve seen by Tony’s experience, there are no guarantees. Please do your best so you don’t hear the pop from hell.
Authors’ Bios
Shane “Balance Guy” McLean, is an A.C.E Certified Personal Trainer working deep in the heart of Louisiana with the gators.
Dr. Bo Babenko is the owner of FitCare Physio focusing on virtual health coaching and helping people attack the 5 pillars of health: movement, nutrition, recovery, mindset, connection.
References
Michael Wong; Achraf H. Jardaly; John Kiel.Anatomy, Bony Pelvis and Lower Limb, Achilles Tendon.
Nicholas N DePhillipo et al. Efficacy of Vitamin C Supplementation on Collagen Synthesis and Oxidative Stress After Musculoskeletal Injuries: A Systematic Review. Orthop J Sports Med 2018 Oct 25;6(10)
Christopher Tack,Faye ShorthouseLindsy Kass. The Physiological Mechanisms of Effect of Vitamins and Amino Acids on Tendon and Muscle Healing: A Systematic Review. Int J Sport Nutr Exerc Metab 2018 May 1;28(3):294-311.
1. Writing Periodized Programs for Gen Pop Clients
I know this may ruffle a few feathers out there, but I really struggle with the idea of writing periodized (meaning, several weeks or months in advance) training programs for the general population.
When working with a competitive athlete who has their year broken up between an “off-season” and “in-season” as it relates to their respective sport…
…yes, it makes sense to write a more detailed, thorough, and robust plan to prepare them for those rigors
Being more meticulous with managing stress, ascertaining precise volumes & loads, managing rest periods, and possibly even going so far as to measuring things like bar speed are all appropriate when preparing an athlete for a competitive season.
Tom, who’s 49 and works in Human Resources, has two kids at home, a cranky left shoulder, and is just looking to lose a little fat and maybe match his squatting numbers from college isn’t Bo Jackson.
He doesn’t need to prepare for Sunday or hit a 400 ft home runs.4
This is NOT to insinuate I don’t feel general pop clients don’t require planning or structure within their programming. I just don’t feel having them follow a Block Periodized program so that their bench press peaks to coincide with their kids clarinet recital in the Spring is really the panacea for progress.
What’s more, “life” just has a knack for getting in the way:
Kids get sick
Work piles up
Vacations get planned
Fucking global pandemics happen
Certainly, I’m not suggesting to take a haphazard (or “winging it”) approach, but writing training programs several weeks – or more aggressively: months – in advance, while well-intentioned, is rarely going to “stick” with most gen pop clients.
The more cogent approach will almost always be to write 2-4 week micro-cycle programs, but under the assumption that on any given day “Tom” is going to show up for a session and need some tweaking done.
2. Speaking of Athletes Though
My friend Mike Perry, owner of Skill of Strength here in Massachusetts, posted this hilarious (albeit 100% appropriate) meme on his feed today:
I see this happen often: Someone will go on and wax poetic about how “so and so” does “such and such” in the weight room so why can’t I?
To steal a few examples from Mike:
1️⃣ A loaded valgus knee is not dangerous, just look at Chinese weightlifters!
2️⃣ GSP does a ton of gymnastics, that’s what I should be doing!!
3️⃣ Tom Brady only uses bands and look at his success.
4️⃣ Lebron has amazing balance from standing and kneeling on stability balls
There’s one thing that all high-level athletes have that you don’t.
And it’s untrainable.
Natural selection.
Nature picked for them their parents and not yours.
They have superior genetics and would be elite at their sport despite some of the questionable things they do in the weight room.
One athlete may post something on social media where they’re performing some circus-trick exercise and another may post something about how they avoid foods that are colored red.
Don’t do it.
Stop it.
STOP.
You’re not them.
So I guess what I’m struggling with here is resisting the urge to jump into a shark’s mouth every time I see someone – whether a coach or just some rando – attempting to make this borderline moronic argument.5
3. Spelling Calander Calendar Correctly the First Time
Dammit!
Every…single…time.
4. Convincing Fit Pros That Rotator Cuff Training Is So Much More Than Band Exercises
I know some will see this and read the following:
“Tony Gentilcore hates band work for rotator cuff exercises. He also hates bacon, oxygen, and kitty cuddles.”
To set the record straight: I have nothing against band work for the rotator cuff.
They’re splendid (when performed correctly, of course).
In terms of EMG activation, band work (as well as Side Lying External Rotations) have been shown to be top dog.
That said, there’s so much more to rotator cuff training and shoulder health in general than just standing (or lying) in-place performing endless repetitions of external rotations.
The shoulder is a dynamic joint and if we wanted to be nit-picky it’s main job is to maintain joint centration where the humeral head stays “centered” within the glenoid fossa.
I’ve long championed the efficacy of implementing rhythmic stabilizations as part of a rotator cuff training strategy.
Note to Self: This video is a decade old for crying out loud; update it.
However, taking things to the next level, my friends at Back Bay Health – Laura & Tim Latham – posted this fantastic idea on their IG today:
Whenever someone rounds their back on a deadlift two things happen:
A baby seal dies.
I have to fight off the urge to throw my face into a fire.
Caveats exist, however.
Everyone at some point will round their back.
Elite lifters will do it – sometimes on purpose – to lock out a max effort lift.
Newbie and intermediate lifters will do it – almost always not on purpose – to lock out any lift…🤪
The difference is that elite lifters are strong (and knowledgable) enough to know how to self-correct when teetering with a precarious position (end-range spinal flexion), and mostly everyone else is not an elite lifter.
As I’ve noted repeatedly, if your goal is to become a deadlifting Terminator then the bulk of your accessory work should address either a weakness or technique flaw.
The SLOW START deadlift is a superb choice for those lifters who have trouble with their hips coming up too early and/or have a difficult time with maintaining upper back tension. I’ve been using this with a my clients and it’s been magical to see the progress they’ve made with their technique.
Performing 3-5 sets of 3-5 reps using 50-70% of 1-rep max should do the trick.
Some people will read the title of this post and see what they want to see…
“…Tony G has lost his mind. He’s telling people that doing eccentric only pull-ups to help build their actual pull-up is wrong. He also hates kittens.”
Others will know better and actually continue reading.
The Missing Ingredient to Conquering Your First Pull-Up
I’d be remiss not to note that most competent programs designed to help people become pull-up badasses either emphasize or incorporate eccentric only variations.
Hell, one of the most baller programs out there (and one I reference often myself) – Meghan Callaway’s Ultimate Pull-Up Program (ahem, it’s its 3-year anniversary this week and it’s on sale for 50% OFF the regular price hint, hint, nudge, nudge) – incorporates a bevy of eccentric only pull-ups…
…among many, many other things.
I mean, it’s well established that the eccentric (or lowering) portion of any exercise is generally where a trainee is strongest, can handle the most load, and, potentially, leads to the most muscle growth.
All the above being the case, when it comes to BUILDING the pull-up, I still feel too many trainees (women AND men, mind you) miss the forest for the trees.
Despite it being an excellent choice, performing 5 to 10 lackluster eccentric only pull-ups week in and week out does not a pull-up make.
It’s akin to me posting a shirtless pic on my Match.com profile – and only a shirtless pic – and then underneath that pic typing…
First of all: I’m a happily married man and don’t have a Match.com profile. It’s just a metaphor. But, coincidentally enough, I did meet my wife there…;o)
Second: I’d like to think my superior writing skills and uncanny wit was what won her over and led to us meeting for our first date four days after crossing paths digitally.
Third: In the age of Tinder, Bumble, and the litany of other dating apps at society’s disposal, do people even use Match.com anymore?
Where was I?
Right, what else to focus on other than eccentric only pull-ups.
Do More
I think one of the biggest mistakes I see most people make with their pull-up/chin-up programming is that they simply don’t train the pattern enough.
Most people will train their pull-up once, maybe twice per week.
This isn’t enough.
Pull-up badass, Artemis Scantalides, will often advocate a frequency of 4-5x per week.
However, this approach only works well for those who can already perform 3-5 pull-ups and are looking to level up that number.
If you can’t even perform one this would be a daunting prospect to say the least.
That said, I think staying cognizant of total VOLUME is an often overlooked component of pull-up progress.
As in: A metric fuck ton (which is just a tad below a metric boat load) of pulling volume is undoubtedly going to result in some cool things happening.
I like to incorporate the following (hybrid) vertical pulling progressions when working with an individual working toward their first pull-up
This is hands down one of my favorite accessory “pull-up builder” exercises (and upper back exercises in general).
I LOVE the lat stretch in the bottom position.
If someone is looking to conquer their first pull-up I’d be more inclined to include one of these exercises as part of EVERY training session aiming for 2-4 sets of 5-15 repetitions
The “easier” drills are assigned more sets and reps.
The “harder” drills are assigned less sets and reps.
Sick beats optional.
Ultimate Pull-Up Program & Ultimate Push-Up Program
All this week you can purchase Meghan Callaway’s Ultimate Pull-Up Program at 50% off the regular price. Meghan is one of the best coaches I know and this program is without hesitation THE “go-t0” program if you’re looking to take your pull-up game to the next level.
Moreover, you also have the option of purchasing both the Ultimate Pull-Up Program & the Ultimate Push-Up Program at a heavily discounted price.
Nevertheless, given many people have lost access to their regular gyms due to COVID-19 and have been regulated to training mostly at home these two programs couldn’t come at a better time.
I’m a firm believer in many things: The Earth is round. The Bourne Ultimatum is the best Bourne movie. And most accessory work should address a weakness or technique flaw with one of your main lifts.
Enter paused deadlifts.
There’s no sugar coating here: these can be absolutely brutal, but they accomplish a few important things:
They help synchronize the shoulders and hips (namely the latter) from coming up too fast.
They help improve upper back (lat) tension.
They get people stronger in ranges of motion where they’re weakest.
For programming purposes, aim for sets of 3-5 reps using 50-65% of 1-rep max, pausing 2-3 inches off the floor (or at mid-shin level depending on the individual and where the bar tends to stall) for a 2-3 second count each rep.
If you want to up the ante even further, perform a full pause in the same spot on the way up AND the way down.
My good friend – and currently #7 on my list of Top 10 man crushes – David Otey was in town to teach the course.
It was lovely to spend time with my friend whom I hadn’t seen in several months. But too, after an equal gap in absence, it was downright biblical to finally be amongst a group of fitness professionals in a learning environment. I didn’t realize how much I missed in-person continuing education until I was marinating in it for a few hours.
I took home a bounty of insights and ideas in the few hours I was there, however there was one analogy in particular David used that really resonated with me
Do Not Cross Doesn’t Really Mean You Can’t Cross: Fitness in a Nutshell
Anyone who lives in a large city is familiar with the throng of “Do Not Cross” signs peppering the sidewalks and streets.
Pedestrian life is controlled by their never-ending playlist counting down when it’s safe to cross a street and when it’s not.
They’re there for a reason; for our safety and the public good.
Not surprisingly, most people ignore them and cross the street anyway.7
And 99.9999% of the time…it’s fine. We survive. Not a scratch.
…but your head better be on swivel.
The same theme applies to lifting weights. As David noted during his talk on squat assessment and squat technique, people can back squat with a straight bar (often considered at the top of the pyramid in terms of most advanced squat variations), but it only takes that one time using too much load or being too overzealous where something goes awry.
Likewise, think about the conventional deadlift.
I’d argue the conventional deadlift – particularly when performed from the floor – is the most advanced variation of deadlift one can perform:
Axis of rotation is further away from the barbell.
More shear load on the spine.
More likely your soul will leave your body.
It requires a fair amount of mobility (access to requisite hip flexion, thoracic extension, ankle dorsiflexion) as well as picking the right parents (short torso, long arms) to be able to get into and maintain the proper spine position to perform safely.
NOTE: I believe Dr. Stuart McGill has noted in his research that something like 93% of the people he’s assessed during his career could not perform a conventional deadlift from the floor without compensating through their lumbar spine in some fashion (I.e., loaded spinal flexion).
NOTE II: Maybe it’s 91%. No, wait, 87%. Either way, it’s a lot…;o)
All of this to say: Yes, back squatting is fine. As are conventional deadlifts. But they’re both examples where the bulk of trainees are crossing the street when the “do not cross” sign is flashing.
Most can do them.
And most will probably be fine.
However, this is why it’s imperative to assess your clients/athletes and be more cognizant of “fitting” any program to THEM – and their injury history, their goals, their ability level, and yes, their anthropometry – rather than the other way around.
We can vastly reduce the risk of injury with most trainees by utilizing safer alternatives that tend to be a better fit across the board anyway – like the Trap Bar Deadlift, Front Squat, or even a SSB Bar Squat.
It’s still squatting and deadlifting…
…you’re just, you know, less likely to be taken out by a moped.
You’ve heard these before: Chest up. Extend your T-spine. Create torque in your hips.
Those are cues which work well for some, but can sound like Elvish to many trainees, particularly when they’re new to deadlifting. Instead, get more acquainted with external cues which, contrast to their internal counterparts (which speak to what the body is doing in space), imply intent or direction.
These can be game changers when it comes to helping people better understand what you’re asking them to do as a coach.
To me, the conventional deadlift (feet closer together, hands outside knees) is the most advanced variation of the deadlift and likely not the best starting point for most lifters.
Yet, purists out there would prefer passing a kidney stone through their eyeballs than ever consider reverting to a sumo style.
Whether it’s someone’s anatomy (short arms and/or long torso) or mobility deficits (hip flexion ROM, thoracic spine extension, or even ankle dorsiflexion) the conventional style deadlift might not be a great choice…for now.
A sumo-style deadlift (wider stance, hands inside the knees) may be the better option. It allows for a more upright torso, decreasing shearing forces on the spine, which can make things infinitely friendlier.
Stop being a slave to your ego and realize you don’t have to pull conventional all the time (or ever) despite what that dude at the YMCA who competed in one powerlifting meet back in 1998 told you.
You can’t go more than a few clicks on the internet before you inevitably come across some coach or trainer discussing the merits of positional breathing and how it can help improve performance in the weight room (and on the field).
(👆👆👆 I guess this depends on what part of the internet you peruse…BOM, CHICKA, BOM BOM 😉 😉 😉 )
Nevertheless, if you’re someone who geeks out over the human body and movement in general “positional breathing” is a term you’ve definitely come across.
And you likely still aren’t understanding it’s relevance.
I have a treat for you today. Dr. Michelle Boland (a Boston based strength & conditioning coach and one of the smartest people I’ve ever met) was kind enough to offer to write on the topic for this website.
Enjoy!
Positional Breathing: The Implementation of Training Principles
Note From TG: For a bit of an “amuse bouche” on the topic of positional breathing I’d encourage you to check out two posts I wrote on the topic HERE and HERE.
Identify
Our role as fitness professionals is to determine what is important for our clients. In order to do so, we need to identify what is important, formulate principles, and then follow through with implementation.
A way to identify and formulate what is important to us as trainers, is to create principles. Principles are simply what you believe in and what you teach your clients. Principles serve as a hierarchy of reasoning for your training methods, which include your choice of exercises, organization of training sessions, program design decisions, and communication strategies.
In this article, I am going to review my first two training principles:
Training Principle 1: All movement is shape change (influence from Bill Hartman)
Training Principle 2: Proximal position influences distal movement abilities
Formulate
Movement is about shape change.
We change shapes by expanding and compressing areas of the body.
Movement will occur in areas of the body that we are able to expand and movement will be limited in areas of the body that, for some reason, we have compressed. The ability of an athlete to transition from expanded positions to compressed positions informs their ability to change shape and express movement.
Movement occurs in a multitude of directions depending on both position and respiration. Certain positions will bias certain parts of the body to be able to expand more freely, allowing increased movement availability. Respiration can further support the ability to expand and compress areas of the body, as an inhalation emphasizes expansion and an exhalation emphasizes compression.
(👇👇👇 Just a small, teeny-tiny taste of importance of positional breathing 👇👇👇)
Position selection is my foundation of exercise selection.
Positions such as supine, prone, side lying, tall kneeling, half kneeling, staggered stance, lateral stance, and standing can magnify which areas of the body that will be expanded or compressed. Additional components of positions can include reaching one arm forward, reaching arms overhead, elevating a heel, or elevating a toe. Furthermore, pairing phases of respiration within these positions will further support where movement will be limited or enhanced.
The position of the proximal bony structures of the body, such as the rib cage and pelvis, can greatly enable or restrict movement. Positional stacking of the thorax and pelvis provides an anchor for movement. Respiration then provides the ability to create expansion in the thorax and pelvis, thus providing expansion areas of the body, within joint spaces, allowing our limbs to express pain-free movement.
Lifting heavy weights can often compress areas of our body and reduce our ability to expand and rotate through our trunk and hips, limiting movement, and negatively affecting our ability to perform. Remember, expansion begets movement freedom, so adding positional breathing work or pairing movement with respiration can create opportunities for expansion.
Implement
Where is a good place to start with positional breathing work?
Start by thinking about what you already do.
Then, apply your new lens of where you want movement to occur.
Finally, label the positions of the exercises and pair respiration within those movements. Pair an inhalation when you want to enhance expansion and an exhalation when you want to enhance compression. Here are a few examples of how I implement my two training principles into exercise selection. Movement within each example can be supported or limited with changes in position, respiration, or execution.
1. Supine Reach
The supine position is combined with a bilateral arm reach forward with the intention to expand the upper thorax during inhalation. The position can also be used as a tool to teach stacking the thorax over the pelvis by cueing a hip tuck and soft exhale to move the front side of the ribcage downward. Our “stack” IS the set-up position for your main loaded, lift exercises (squat, deadlift, etc).
Check out how the inhalation expands the upper thorax and the exhalation creates compression.
Now you will not be able to take your eyes away from those two movement strategies.
2. Staggered Stance “Camporini” Deadlift
The staggered stance position is going to magnify the expansive capabilities of the lower, posterior hip of the back leg. The staggered stance position allows you to use the front leg to push back to the side of the back leg and align the pelvis and thorax back and to the side of the back leg.
The opposite arm reach allows you to transition the weight to the back leg. The expansive capabilities can be enhanced in the posterior hip with an inhale during the hip movement backwards (hinging).
3. Low Cable Step-Up
The staggered stance position puts the hip of the elevated leg in flexion (expansive) and the hip of the leg on the ground in an extension (compressive) biased position.
The addition of an opposite arm cable hold expands the backside of the upper back (avoid resisting the cable). The posterior hip of the elevated leg will compress as the individual pushes their foot into the ground and moves against gravity to perform the step-up.
At the bottom position, expansion can be enhanced in the posterior side of the flexed hip and posterior side of the arm holding the cable during an inhalation. Coaching cues may magnify expansion and compression within areas of the body by pairing respiration within phases of the exercise. Try inhaling at the bottom position and exhaling during the movement/step-up.
4. High Hip Reverse Bear Crawl
The bear crawl exercise is performed in a prone position. The additional component of the high hips and reverse direction promotes expansion in the upper thorax and posterior hips. You can coach continuous breathing through the movement or pause at certain points to inhale.
This is a fantastic warm-up exercise!
5. Tempo Squat Paired with Respiration
The squat starts in a standing position.
The assisted squat will also include a positional component of both arms reaching forward (same as goblet squat, zercher squat, or safety bar squat) which encourages the ‘stack’ position of the thorax and pelvis. The assisted squat is an example of turning positional breathing work into fitness. The squat movement requires both expansive and compressive capabilities within various phases of the movement in order to be able to descend and ascend against gravity.
The exercise can be used to teach people to change levels with a stacked, vertical torso. As a general notion, inhale down and exhale up.
6. Medicine Ball Lateral Stance Weight Shift Load and Release Throw
The exercise is performed in a lateral stance position.
Here, we are adding fitness with an emphasis on power, to positional breathing work!
Pair an inhalation with pulling the medicine ball across the body (transitioning weight from inside to outside leg) to bias expansion of the posterior hip of the outside leg. Then pair an exhalation with the throw to bias compression, exiting the hip of the outside leg.
This exercise also encourages rotational abilities and power through creating expansion and compression in specific areas of the body. For example, if you want to promote right rotation, you will need right anterior compression, right posterior expansion, left posterior compression and left anterior expansion abilities.
Conclusion
The use of positional breathing activities can improve our abilities to move with speed, free up range of motion at the shoulders and hips, rotate powerfully, and move up and down efficiently. My training principles are derived from this concept. My specific strategies are implemented through exercise selection, cueing, teaching, and pairing respiration with movement phases.
The ‘stacked’ position emphasizes a congruent relationship between the rib cage and pelvis (thoracic and pelvic diaphragm) and I believe it can serve as a foundational position to support movement. I want to thank Bill Hartman for exposing me to this lens of movement.
Implement these strategies with your clients and you’ll discover that positional breathing work WILL help your clients squat, hinge, run, rotate, and move better.
Principle Based Coaching
A strategy such as positional breathing work for better client movement is only as good as your ability to implement and communicate it with your clients. We become better at implementation and communication through analysis and development of our PRINCIPLES.
In this webinar, we will take a step back and learn the skills to formulate principles, make new information useful, AND IMPLEMENT information. At the end of the webinar you will know how training principles can be used to:
Make new information useful to YOU, YOUR clients, and YOUR business
Clarify your coaching decisions
Develop a more pinpointed coaching eye
Plan more effectively to get your client results
Gain confidence in your abilities and formulate your own coaching identity