Home Posts tagged "Hip Flexor Strain"

Advice From a Former College Baseball Player: What If?

Today's guest post comes from current Cressey Performance intern, and former D1 college baseball player, James Cerbie. -EC

What if?

It’s the age-old question that has haunted athletes and competitive people for ages.

What if I had done this? What if I had done that? What if I hadn’t been stupid and done <fill in the blank>?

Unfortunately, these questions will never have answers. It’s impossible to go back and revisit what could have been. Rather, we’re left to look at the now, learn from our “what if” moments, and share our new understanding with another generation. That is where I now find myself.

I’m in the middle of my internship here at Cressey Performance, and to say I’m greeted with the “what if” question on a daily basis would be an understatement. Everyday I get a glance at how we train and prepare athletes, and get to reflect on how I was trained and prepared.

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And just to bring you up to speed, I’m speaking to the training and preparation of baseball athletes. I’m currently 24 years old and spent approximately 19 of those years playing baseball. It was my greatest passion growing up and I devoted countless hours to my craft. My hard work eventually paid off as I got to play Division 1 baseball at a great school (go Davidson). But, nevertheless, it’s impossible to wonder what could have been if I had known what I know now.

Here are 6 things I really wish I would have known, or done more of during my baseball career, courtesy of my experience here at Cressey Performance.

1. Get assessed.

I’ve always been a good athlete. That’s not to toot my own horn because I have my parents to thank for that more than anything; it just is what it is.

Because I was always a good athlete, however, I believe certain aspects of my training got overlooked. Number one on that list being an assessment.

Not once, throughout my entire athletic career, did I ever get assessed.

If I got injured or came up short on a certain task it was just chalked up to being an athlete:

“James…these things just happen. You’re a good athlete and getting injured is just a part of what you do.”

Oh really? A stress fracture in my back, multiple hip flexor strains, a pulled quad and a host of other injuries just happen for the sake of happening? Sorry, but that answer always frustrated me. What I really heard was:

“James…you keep getting injured but I really don’t know why.”

Don’t get me wrong, I understand that getting injured is a part of sports. Here’s the difference though: there are fluke injuries that pop up on the rare occasion, and then there’s being “chronically” injured which entails always being nagged by one thing or another.

Throughout my collegiate baseball career, I fell in the “chronically” injured category and would constantly be met with suggestions like:

“Oh, your hamstrings are tight. Just stretch those bad boys a couple times a day and that’ll help.”

“Oh, your hips are tight. Just stretch that and things should start feeling better.”

For those of you who haven’t tried the “stretch it because it’s tight” routine, let me save you the time and effort: it doesn’t work. There’s far more to it than that.

I don’t want to start sounding like a repetitive drumbeat, so let’s get to the point: you need to be assessed. It’s the number one most important thing you can do; it’ll help you stay healthy and take your performance to the next level.

I’ll use myself as example.

The first time I met Eric was about a year after I stopped playing baseball. Having heard great things about him, I visited Cressey Performance for a one-time consultation. Here’s an excerpt from the email Eric sent me, highlighting my “problems.”

“1. Your sit in significant scapular downward rotation, and your humeral head dives forward whenever you extend or externally rotate. These are super common in overhead throwing athletes, and you just took them a step further by also becoming an overhead pressing athlete! You simply don't get enough upward rotation when your arms elevate - and that's a big thing we'll address with these warm-ups.

2. Getting upward rotation and good overhead motion is also heavily dependent on building up anterior core stability. You're extremely lordotic and heavily overuse your lats to not only pull the spine into extension, but also take the scapula into depression/downward rotation. When lats are this overactive, your lower traps don't want to do their job. So, core stability closely relates to shoulder mobility and stability (not to mention breathing patterns and a host of other things). You could also see how your anterior weight bearing negatively affected your squat pattern, and why that counterbalance made so much of a difference.”

He actually talks about some of these issues in this video:

In short, here were my issues:

- I was incredibly extended with an obnoxious amount of anterior pelvic tilt
- I had crazy overactive, short and stiff lats
- Lower trap strength equivalent to that of a 7-year-old girl
- A 6 pack that meant nothing because my core was actually really weak

Cue epiphany.

I finally had answers to my seemingly endless list of injuries throughout college. Almost all of them could be tied back in one way or another to the list above and here’s the frustrating part: nobody had ever looked at these things before or had ever written me an individualized program to address them.

I was merely given generic “athletic” development programs that fed into and compounded my dysfunction.

Moral of the story? Get assessed.

2. Movement comes first.

I always equated problems with strength. I thought strength could solve any deficiencies I had and approached my training likewise. Looking back, I now realize how dumb that was.

More times than not, especially as you get older and advance from level to level, it has far less to do with strength and far more to do with how well you move. Like Gray Cook says, “Don’t layer fitness on top of dysfunction.”

Well, I layered a whole bunch of fitness on top of dysfunction.

This happened because one, I was never assessed, and two, I was incredibly stubborn. The thought of taking a step back to work on movement quality irked me like no other.

“I can squat over 400 lbs. Why am I going to go do goblet squats with an 80 lb dumbbell?”

This was foolish, and something the coaching staff at CP does an excellent job of handling. Because Cressey Performance puts every client through an assessment, they know what a client needs to work on and how to do so properly. Many times, this means taking a small step backward (from the client’s point of view) in order to take an enormous step forward.

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Unfortunately, most athletes are like I was. They want to always push the envelope and the thought of taking a step back is almost insulting.

Dear athletes: Please change this attitude.

I can’t harp on the importance of movement before strength enough. Do what you need to do to make sure you move well before you worry about building up strength. Your body and your career will thank you as you stay healthy and reach the highest levels of performance.

3. Focus on the little things.

It’s often the little things that get overlooked the most. These are things like prone trap raises, breathing patterns, soft tissue work and your posture outside the gym. They aren’t sexy and are, to be quite honest, boring.

It’s these boring and non-sexy items, however, that make a big difference.

Putting your full attention into the tiny details of arm care, how you breathe, how you stand, and how you often you foam roll will make the difference between being good and being exceptional.

Luckily, the athletes at CP have a staff that understands this and harps on it daily.

4. Do more single-leg work.

There were few things I hated doing more than lunges, single leg RDLs, split squats, step-ups…really any single-leg exercises. I hated them because I sucked at them.

Tell me to do something on two legs and I crushed it. Put me on one leg (especially my right) and I turned into Bambi on ice.

Okay, so it wasn’t that bad, but it definitely wasn’t my forte.

Instead of forcing myself to conquer this deficiency, I merely found ways to implement as much bilateral work as possible. Seeing as the vast majority of baseball, and pretty much all sports for that matter, are played on one leg, this wasn’t the smartest decision. I would have been far better off doing like we do at CP and hammering single-leg work.

Not just doing lightweight, high rep sets though, but getting truly strong on one leg:

Ultimately, I believe a lot of the success CP baseball players have is because they are forced to get strong on one leg, while most people take my approach and only get strong on two.

Side note: that’s not to say CP athletes don’t get strong on two legs, because they do.

5. Get outside the sagittal plane.

Oh…the beloved sagittal plane.

BodyPlanes

 

Visit most weight rooms and you’ll see people living in the sagittal plane:

Squatting…sagittal plane
Deadlifting…sagittal plane
Box jump…sagittal plane

And the list could easily go on. Most sports (and life for that matter), do not comply with this North-South straight-line orientation; they are lived in multiple planes of motion.

Just think through the complexity and mechanics of throwing a baseball. All the things that need to take place to ensure a ball is thrown at the correct velocity, with the right spin and the right trajectory to bring about the desired result. It’s pretty amazing stuff when you consider the minute details.

Here’s another cool little tidbit of info: power development is plane specific. Just because you can generate power in one plane doesn’t mean you’ll do so well in others.

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Yup…you guessed it. I missed the boat on this one also.

At CP, however, they get outside the sagittal plane, and do so often. First on this list is medicine ball throws.

They use a lot of different medicine ball throwing routines to help their athletes develop power in the transverse and frontal plane. A great example of such an exercise is the rotational med ball scoop toss:

Second, they implement exercises like the 1-arm kettlebell lateral lunge and heiden:


Lastly, they use off-set loading on exercises; this provides a rotational component to the movement because the body has to resist rotating towards one side vs. the other. A good example of such a movement would be a 1-arm 1-leg kettlebell RDL:

Although this barely scratches the surface when it comes to exercises used by Cressey Performance and the importance of training outside the sagittal plane, I hope it has given you a good frame of reference.

6. More doesn’t equal better.

There’s a time to push it and a time to back off. Being an in-season athlete is not one of the “push” times. Many coaches, however, forget this and continue pushing their athletes as if nothing has changed.

If you read Eric’s blog often (which I hope you do) you’ll know he says, “You can’t add something without taking something else away.” I really wish that quote could be plastered on the walls of weight rooms around the country.

When the volume of swings, throws and sprints picks up because you’ve started the season, then you have to start taking something away.

Having been lucky enough to spend the past few months at CP, I’ve gotten to witness this first hand. As pitchers begin entering their competitive season (when they’re obviously throwing more often), you see a change in the program to reflect the increased volume outside the weight room.

Medicine ball throws are scaled back, if not eliminated completely. Lifts move towards a two-day per week full body structure, and extra movement days are limited.

As an athlete, it’s easy to forget how everything you do adds up. Every swing, every throw, every sprint and every lift leaves traces in your nervous system. And, although you may be awesome, your body can only handle so much. I understand the desire to get in and work hard, but you have to remember that a lot of times, less is more.

Closing Thoughts

At the end of the day, this barely scratches the surface when it comes to things I wish I would have done differently. As opposed to dwelling on that, however, I’d rather write and share my experiences with coaches and athletes so they can avoid making the mistakes I did. Feel free to post questions or discuss your own experiences in the comments section below.

About the Author

James Cerbie is a cecerbie1rtified strength and conditioning specialist and USA weightlifting sports performance coach who is Precision Nutrition Level 1 and Crossfit Level 1 certified. He has been blessed to work with athletes from the middle school to professional level, including powerlifters, Olympic lifters and Crossfit athletes. Cerbie gets no greater enjoyment than seeing people improve, succeed and achieve their goals. He’s the owner of Rebel Performance and currently works as a strength and conditioning intern at Cressey Performance. You can follow him on Twitter and Facebook.

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Off-Ice Performance Training for Hockey

Cressey Performance was lucky to have Kevin Neeld around the facility last summer, and all our coaches were much better off thanks to this experience.  Kevin always makes some great points and is never afraid to question the norm - and do a ton of research.  Kevin's specialty is hockey, and he recently introduced an Off-Ice Performance Training E-Manual for hockey players and coaches that is absolutely fantastic.  I was fortunate enough to get an advanced copy, and it was so good that I couldn't wait to get an interview with him up here at EricCressey.com.  So, without further ado, here it is. EC: I'll be the first to admit that if I see another seminar presentation or article on "core training," I'm going to lose my lunch.  Interestingly, though (and to be blunt), yours in this product doesn't suck.  In other words, there is a lot to be learned both specific to hockey and in a general sense.  Can you explain for my readers in a bit of detail? KN: Sure thing.  In my experience, the reason core training is so poorly practiced is because people don't understand what muscles are involved in the core and what their collective function is.  Beyond the rectus abdominis ("6-pack" muscles) and the external and internal obliques, the core encompasses over a dozen other muscles that attach to the hips, rib cage, and spine.  Collectively, these muscles serves a few major, inter-related functions: 1) Control movement of the hips; 2) provide a stable base for leg and arm movement; and 3) create stiffness for efficient force transfer between the upper and lower body. My approach to core training is pretty straight forward: 1) Teach athletes awareness-what core stability is and feels like; 2) Train for core stability; 3) Progress to dynamic stability (stability challenged by internal or external forces); 4) Progress to training core stiffness and force transfer; 5) Combine force transfer and dynamic stability into one exercise. The progressions are explained in more detail in the course, but to give you an idea of what that looks like: 1) Abdominal draw-ins (for awareness, NOT transversus abdominis isolation...which is a stupid concept), and simply having the athlete put their hands over their stomach, fill their belly up with air, squeeze their core and continue to breathe. 2) Planks and bridges 3) Planks and bridges with partner perturbations 4) Medicine ball throws, tosses, and slams 5) Combined med ball exercises with holds in various positions challenged by a partner perturbation I hope that all makes sense.  The course doesn't go into full detail on medicine ball exercises because I really wanted to make the exercises and progressions realistic for a team setting, and typically there isn't a lot of equipment available. EC: Along these same lines, what are the specific injury issues that you prioritize in this e-manual? KN: Hockey players are plagued by hip and lower abdominal injuries.  What's scary is that the true causes and predisposing risk factors to these injuries are only starting to be explored in the research community.  Usually, creating an appropriate balance within and between the hip and core musculature can prevent these injuries.  For example, if you have a strength imbalance between the muscles on the outside and inside of your hip, your risk of adductor (commonly referred to as the "groin") strain increases.  If you have a strength imbalance between your adductors and your anterior abdominal musculature, your risk of lower abdominal injury increases.  As with most injuries, the key is creating a balance. As a quick note, creating balance often means utilizing unbalanced training.  Your readers may know this already since you talk about the same things with your baseball guys.  Hockey players take several dozens shots every week.  These shots usually involve forceful rotation in the same direction.  The best way to create balance would be to use an unbalanced training program with more rotation or anti-rotation exercises in the direction OPPOSITE to that in which they shoot.  This is where sport-specific training really threw people off.  Training "sport-specific" patterns again and again off the ice is likely to increase injury risk, not performance. Getting back to hip and lower abdominal injuries...Typically these injuries are a result of under-preparation or overuse, both of which can be addressed with similar training methods.  I first implemented some of the dynamic warm-up and core training exercises outlined in the course with the University of Delaware Men's Ice Hockey Team in 2006.  We had ZERO pre-season hip flexor or "groin" injuries.  Not a single player missed a single practice or game.  I've refined a lot of things since then, but a lot of the concepts are still the same.  Warm-up appropriately by improving range of motion around the right joints and activating the right muscles, and train the core for its true function, and you'll likely avoid these injuries. EC: Hockey players, like all athletes, have loads of competing demands - from on-ice technical work, to energy systems training, to resistance training, to flexibility training.  This manual does a great job of integrating all these features.  Where do you feel that most people make the biggest mistakes in this regard? KN: It really depends on the team, but the three things that seem to come up most often are: 1) The training of most youth programs involves a couple laps around the rink, a long stretch, maybe some jumping, push-ups and sit-ups.  These programs leave out a lot of important forms of training (e.g. dynamic flexibility, core stability, reactive agility, acceleration/deceleration, etc.). 2) Conditioning is still horribly misunderstood.  The idea that hockey players need to train for a well-developed "aerobic system" by going for long runs is pretty ridiculous.  We're talking about a sport that typically involves 30-45 second shifts, followed by several minutes of rest.  Within each shift, there are typically a few bouts of 3-5 second all out efforts, followed by periods of gliding, and usually a stoppage or two.  This breaks down into something like 20 seconds of high intensity effort every five minutes.  Repeated 20-minute jogs around the rink will make you well-conditioned for the wrong sport. 3) The largest problem I see in team settings is a complete disregard for the QUALITY of movement.  Hockey players and coaches are very driven, which usually means they want more, not better.  The first thing I do when working with a new team is sit them all down and tell them that focus will be placed on quality of movement before intensity or quantity of movement.  Moving the wrong way, at a high intensity or volume, will only make bad patterns worse.  I made a strong effort in the course to emphasize proper movement and technique and provide simple coaching cues so that people without a background in sport biomechanics can still move the right way. EC: A large percentage of the folks reading this resource are going to be high school athletes and coaches - many of whom play multiple sports.  What pieces of advice do you have for these folks?  How can they make the most of this training when they've got other sports on top of the competing demands we discussed above? KN: My advice: Keep playing multiple sports.  Early specialization (only playing hockey from a young age) will have detrimental effects on your development and movement quality as you get older.  Typically these are the players that dominate when they're 12-14, then drop off the map or are plagued by injuries at 20. To get to the heart of your question, good training is good training.  The course outlines quality training in the context of hockey, but the principles are mostly the same for all sports.  A strong, functional core will improve performance in all sports.  Training to improve acceleration, and your ability to rapidly decelerate and change direction explosively will improve performance in all sports.  I use many of the same dynamic warm-up progressions for hockey players as I do for athletes in all other sports (rowing, soccer, football, basketball, lacrosse, etc.).  All team-sport athletes need to be mobile, stable, strong, explosive, and quick.  I honestly can't think of a sport that wouldn't benefit from the training outlined in the course, which details how to alter the intensity and volume of your training in preparation for more important games (which becomes an increasingly important concept for athletes playing multiple sports at the same time). EC: Thanks for taking the time, Kevin.  Great points - and definitely a great resource, too. For more information on Kevin's Off-Ice Performance Training Course, head over to HockeyTrainingU.com.

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