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Dean Somerset Interviews Me – Part 2Written on March 15, 2011 at 2:43 pm, by Eric Cressey This is the second half of an interview I did for Dean Somerset’s website. In case you missed part 1, you can check it out HERE. DS: What are the best supplements for the money, in your opinion? EC: For most folks, fish oil, vitamin D, a decent low-carb protein powder, creatine, and a greens supplement (I prefer Athletic Greens) will get the job done. I’d add in probiotics for many people as well. The longer I’m in this field, the more of a minimalist I become. DS: There are a lot of misconceptions and misinterpretations on core strength and core training out there. Some say you have to lay perfectly still and think happy thoughts while flexing your belly button, while other say you need to use stability balls to get anything, and other say heavy stuff on your shoulders does the trick. Also, the definition of where the core is and what it does seems to be either incomplete, or somewhat lacking in common sense, as most of the anatomical diagrams will show the core as a hollow vessel, and eliminate the internal organs from the picture. What do you consider to be important in the anatomy of the core, and what would be your go-to core training exercises? EC: I tend to fall in the camp that it encompasses just about the entire body. We can all agree that the hamstrings probably deserve a place in the role of the core, since they attach to the pelvis via the ischial tuberosity and sacrotuberous ligament, right? Well, those same hamstrings attach below the knee on both the tibia and fibula. They share a function (knee flexion) with the gastrocnemius, clearly are in close “fascial proximity,” and have neural innervations from the same origin at the lumbar spine (sciatic nerve). The gastrocnemious attaches on the calcaneus – so we’ve established “hip to foot” relationships of the “core.” Add latissimus dorsi to the picture. It attaches to the iliac crest, thoracolumbar fascia, thoracic spine, ribs, scapula, and humerus. That would be a “hip to arm” connection, right? Add in the trapezius, which runs from as far down as T12 to the base of the skull, and you can argue that you’ve got a “hip to head” relationship, too. We’ll just train it with crunches, though, right??? I don’t think it’s as simple as just memorizing the anatomy of the muscles surrounding the lumbar spine; it’s about understanding the complex, functional relationship among all the muscles and their tendons, the ligaments, the fascia, the nerves, and the bony structures to which they attach. Things are more complex than we try to make them – which is probably why a lot of people have chronic back pain that goes misdiagnosed and mistreated. While much of the industry has gone to the “don’t move the lumbar spine” end of the continuum, it’s really not that black and white. It – like any other body segment – should have some movement. The problem just becomes when we add load to that movement. And, more specifically, things get dangerous when we add load to the end range of that movement. Going into full lumbar flexion with an 800-pound deadlift isn’t going to make your intervertebral discs very happy, and not controlling violent extension and rotation during an athletic movement like swinging or throwing could very well leave you with a stress fracture, oblique strain, or spondylolisthesis at some point. That said, there should be movement during daily activities; otherwise, we wouldn’t be able to tie our shoes, and my puppy wouldn’t be able to lick his unmentionables for twenty minutes every night before he falls asleep. When we start adding resistance, crazy velocity, and high volumes to the equation, though, we change the game. To that end, I’ll continue to train anti-rotation and anti-extension exercises in the gym because the favorable outcomes we’ve seen with this approach have been tremendous. If it ain’t broken, don’t fix it. DS: Chewing tobacco: help or hindrance?? DS: I had a client who I was training for hockey a few years ago, and he forgot to go to the washroom for what I like to call a “pre-game.” During the middle of his heavy squats, while I was spotting him, he, well for a lack of better term, he “released,” and had to go change his shorts. Any training blooper highlight moments from CP? EC: Honestly, there are too many to list! Most of them take place when our pro baseball guys are just shooting the breeze in the office. Throw in a British golfer, pro boxer, or Ironman competitor, and you get enough people from different walks of life to make any conversation memorable and absolutely hilarious. To that end, we actually have a quote book in the office; it’s got dozens of pages of stupid things that have been said over the past three years or so. DS: Who is the bigger prankster, you or Tony? EC: I’m not sure that I’d say that either of us are huge pranksters, but Tony is definitely the brunt of a lot more jokes at CP. We always joke that every 2-3 months, we have a “Tony Moment” where he learns about something and is absolutely blown away to find out that we had already known about it for months. That said, the CP jester is definitely our pitching coordinator, Matt Blake, as some of these videos show: DS: You have a lot of people looking up to you and aspiring to hit the level of professional success that you’ve been able to attain in a relatively short period of time. Who do you look up to so that you’re continuously motivated to push and achieve more? EC: That is a tough question to answer because my goal has never been to “be” someone else. If I was to blindly follow someone else’s steps, it wouldn’t be the career I had in mind. So, I feel like if you are going to be successful in what you do, there has to be some degree of innate motivation in you. That said, I look to a lot of people for inspiration. My father owns his own business and that had a more profound impact on me than you could possibly imagine as I opened my own facility. Without even knowing it, he taught me that your business problems are your own and that you never make them anyone else’s problems. And, give your employees autonomy, and as long as you’ve picked the right people, they won’t let you down. My mother is a high school teacher and administrator – and is pretty much the Mother Teresa of my hometown. Over the years, I’ve watched on numerous occasions as she has fed some of her students who couldn’t afford to eat. I’ve gone to the grocery store with her countless times – and it always takes an extra hour or so because she runs into so many grateful parents and students she’s dealt with over the years. She established the first International Baccalaureate (IB) curriculum in the state of Maine at her school. She didn’t have to do any of this; it wasn’t mandated by her salary, and it certainly isn’t something a lot of other teachers do. She taught me that your job has to fulfill you in some way far more significant than money, and that good will never runs out. My grandparents were married for over 60 years before my grandfather passed away this fall. They taught me that family comes first – and my wife and I have had many talks about how they educated us on how a marriage should work. In the industry, there are quite a few people I look to for advice. Alwyn Cosgrove has taught me a ton about how to run a business. Mike Robertson has been a guy with whom I’ve collaborated a lot – and we’ve both gotten better in the process. I look to guys like Bill Hartman and Charlie Weingroff as very bright individuals who simply enjoy learning for the sake of learning – and that’s something I enjoy. Pat Rigsby is a guy who has shown me more about how to balance all of life’s demands – from family time to various business endeavors. I could go on and on, but the point is that I draw inspiration from a lot of sources – both intrinsic and extrinsic. DS: You’ve stated that for baseball player, olympic lifting and vertical jumping aren’t really necessary as the sport doesn’t require it. Most trainers gave you hell, but you stood your ground and proved them all wrong. What other concepts have you brought to the table that have helped re-form many common misconceptions about training and sports development? EC: It’s funny; right after I published that piece at T-nation about how power is “plane-specific,” I got an email from a researcher who was studying the exact same thing – and finding preliminary data that completely verified what I’d said. Sometimes, research is out there to validate what we’re already doing. Whether I’ve made people changed their thought processes or not, a few things I’ve tried to bring to the forefront are: 1. The Difference Between Inefficiency and Pathology – We’ve always been taught that if an x-ray or MRI tells us that we’re structurally out of whack, then we’re screwed. The truth is that all of us – even when we’re asymptomatic – have structural issues on diagnostic imaging. The people who are in pain are the ones who don’t move efficiently on top of these structural flaws. I see this every day with the pitching shoulders that come through my door; I assume that they’re all “broken” and that we are just managing them to avoid them hitting a painful threshold. 2. The Concept of Long-Term Athletic Development Beginning with Strength – This is an area where I’ve tried to lead by example with our training model at Cressey Performance. I’m not interested in running a group of 20 14-year-olds through a bunch of agility ladders. If we want the best long term results and safety, our #1 job in a youth population is to improve strength. Sure, they run faster, jump higher, and throw harder – but they also decelerate better and change directions more efficiently. You can run all the “quickness drills” that you want with a young population, but the truth is that you’ll never improve speed or agility unless you teach them to put more force in to the ground. It’s like polishing the hub cabs on a car with no horsepower; you’re studying for the wrong test. Unfortunately, there are a lot of facilities out there that are just about finding a training model that allows one to run a ton of kids through the same program without much concern for the actual benefits to be gained (or lack thereof). I’m not interested in babysitting. 3. The Differences Between Flexibility and Mobility – This was a key portion of my contribution to the recently released IYCA High School Strength Coach Certification. Mobility refers to the ability to reach certain positions, whereas flexibility refers to just one factor (joint range of motion) that affects that ability. Mobility is also dependent on stability, the foundation for which is neuromuscular recruitment. When we test flexibility, we’re talking about isolated testing of relaxed muscles/tendons. To be blunt, we’re ignoring the nervous system. Mobility encompasses multiple joints and therefore likely involves fascial contributions to movement, whereas flexibility may only involve 1-2 joints and may therefore minimize the impact of fascia on an assessment. Finally, and perhaps most importantly, we can easily assess mobility in a general sense – but determining the cause of limitations is more challenging. Flexibility, too, is a quick assessment – but correcting the limitation discovered doesn’t guarantee that movement quality will improve. 4. The belief that there is always something you can do to get better, regardless of injury – I’ve never been a fan of doctors and physical therapists telling injured patients to “just rest.” First off, rest alone is rarely the answer. Just as importantly, though, this recommendation ignores the fact that there are endocrine, immune, functional, psychological, and social benefits that are still to be derived from exercising. When I’m working with clients who are injured, I feel that it’s my job to show them what they can do and not just what they can’t do. And, there is always something you can do to maintain a training effect. 5. Weighted baseballs might actually be safer than traditional 5oz baseballs – and at the very least, they can be a beneficial training addition. This article sums it up quite well, so I won’t reinvent the wheel. A lot of people can’t believe it when I saw that we used weighted balls, but the results have been nothing short of fantastic. These are just the few things that came to mind right off the top of my head. I’d like to think that there are more! Sign-up Today for our FREE Newsletter and receive a deadlift technique tutorial! Lose Fat, Gain Muscle, Get Strong: Eric Cressey’s Best Articles of 2010Written on December 31, 2010 at 4:46 am, by Eric Cressey Show and Go: High Performance Training to Look, Feel, and Move Better – This was obviously my biggest project of 2010. I actually began writing the strength and conditioning programs and filming the exercise demonstration videos in 2009, and put all the “guinea pigs” through the four-month program beginning in February. When they completed it as the start of the summer rolled around, I made some modifications based on their feedback and then got cracking on writing up all the tag along resources. Finally, in September, Show and Go was ready to roll. So, in effect, it took 10-11 months to take this product from start to finish – a lot of hard work, to say the least. My reward has been well worth it, though, as the feedback has been awesome. Thanks so much to everyone who has picked up a copy. Optimal Shoulder Performance – This was a seminar that Mike Reinold and I filmed in November of 2009, and our goal was to create a resource that brought together concepts from both the shoulder rehabilitation and shoulder performance training fields to effectively bridge the gap for those looking to prevent and/or treat shoulder pain. In the process, I learned a lot from Mike, and I think that together, we brought rehabilitation specialists and fitness professionals closer to being on the same page. Why President Obama Throws Like a Girl – A lot of people took this as a political commentary, but to be honest, it was really just me talking about the concept of retroversion as it applies to a throwing shoulder – with a little humor thrown in, of course! Overbearing Dads and Kids Who Throw Cheddar – This one was remarkably easy to write because I’ve received a lot of emails from overbearing Dads asking about increasing throwing velocity in their kids. What I Learned in 2009 – I wrote this article for T-Nation back at the beginning of the year, and always enjoy these yearly pieces. In fact, I’m working on my 2010 one for them now! What a Stressed Out Bride Can Teach You About Training Success – I wrote this less than a month out from my wedding, so you could say that I had a good frame of reference. Baseball Showcases: A Great Way to Waste Money and Get Injured – In case the title didn’t tip you off, I’m not much of a fan of baseball showcases. Cueing: Just One Piece of Semi-Private Training Success – Part 1 and Part 2 - These articles were featured at fitbusinessinsider.com. I enjoy writing about not only the training side of things, but some of the things we’ve done well to build up our business. Three Years of Cressey Performance: The Right Reasons and the Right Way – This might have been the top post of the year, in my eyes. My job is very cool. How to Attack Continuing Education in the Fitness Industry – Here’s another fitness business post. Want to Be a Personal Trainer or Strength Coach? Start Here. – And another! The Skinny on Strasburg’s Injury – I hate to make blog content out of someone else’s misfortune, but it was a good opportunity to make some points that I think are very valid to the discussion of not only Stephen Strasburg’s elbow injury, but a lot of the pitching injuries we see in youth baseball. Surely, there are many more to list, but I don’t want this to run too long! Have a safe and happy new year, and keep an eye out for the first content of 2011, which is coming very soon!
Sign-up Today for our FREE Newsletter: Weight Training For Baseball: Best Videos of 2010Written on December 30, 2010 at 4:55 am, by Eric Cressey I made an effort to get more videos up on the site this year, as I know a lot of folks are visual learners and/or just enjoy being able to listen to a blog, as opposed to reading it. Here are some highlights from the past year: The Absolute Speed to Absolute Strength Continuum – Regardless of your sport, there are valuable take-home messages. I just used throwing velocity in baseball pitchers as an example, as it’s my frame of reference. Should Pitchers Overhead Press? - This was an excerpt from Mike Reinold and my Optimal Shoulder Performance seminar (which became a popular DVD set for the year). Shoulder Impingement vs. Rotator Cuff Tears – Speaking of Mike, here’s a bit from the man himself from that seminar DVD set. Thoracic and Glenohumeral Joint Mobility Drills – The folks at Men’s Health tracked me down in the lobby at Perform Better in Providence and asked if I could take them through a few shoulder mobility drills we commonly use – and this was the result. Cressey West – This kicks off the funny videos from the past year. A few pro baseball players that I program for in a distance-based format created this spoof video as a way of saying thank you. Tank Nap – My puppy taking a nap in a provocative position. What’s more cute? Matt Blake Draft Tracker – CP’s resident court jester and pitching instructor airs his frustrations on draft day. 1RM Cable Horizontal Abduction – More from the man, the myth, the legend. You can find a lot more videos on my YouTube page HERE and the Cressey Performance YouTube page HERE. Sign-up Today for our FREE Newsletter: Weight Training for Baseball: Featured ArticlesWritten on December 29, 2010 at 7:24 am, by Eric Cressey I really enjoy writing multi-part features here at EricCressey.com because it really affords me more time to dig deep into a topic of interest to both my readers and me. In many ways, it’s like writing a book. Here were three noteworthy features I published in 2010: Understanding Elbow Pain - Whether you were a baseball pitcher trying to prevent a Tommy John surgery or recreational weightlifter with “tennis elbow,” this series had something for you. Part 1: Functional Anatomy Strategies for Correcting Bad Posture – This series was published more recently, and was extremely well received. It’s a combination of both quick programming tips and long-term modifications you can use to eliminate poor posture. Strategies for Correcting Bad Posture: Part 1 A New Paradigm for Performance Testing – This two-part feature was actually an interview with Bioletic founder, Dr. Rick Cohen. In it, we discuss the importance of testing athletes for deficiencies and strategically correcting them. We’ve begun to use Bioletics more and more with our athletes, and I highly recommend their thorough and forward thinking services. A New Paradigm for Performance Testing: Part 1 I already have a few series planned for 2011, so keep an eye out for them! In the meantime, we have two more “Best of 2010″ features in store before Friday at midnight. Sign-up Today for our FREE Newsletter: Making the Case for Long Toss in a Throwing ProgramWritten on December 12, 2010 at 12:05 pm, by Eric Cressey Long toss may have been scorned by quite a few baseball traditionalists, but I am a big fan of it – and our guys have responded outstandingly to the way we’ve used it. Perhaps it’s just my “1+1=2” logic at work, but I just feel like if you can build up the arm speed to throw the ball a loooonngggg way, then you’ll be able to carry that over to the mound as soon as you get your pitching mechanics dialed in. And, this has certainly been validated with our athletes, as we have loads of professional pitchers who absolutely swear by long toss (both off- and in-season). So, you can understand why I got excited when my good buddy, Alan Jaeger – a man who has devoted a big chunk of his life to getting long toss “accepted” in the baseball community – was featured in this article at MLB.com about what a difference it makes – including for the Texas Rangers on their road to the World Series. I was, however, not a fan of this paragraph in the article: “Former Red Sox pitcher Dick Mills has a business built around teaching mechanics and maximizing velocity, and he is a staunch opponent of long tossing. He has released countless YouTube videos angrily decrying this practice. In his latest, ‘How Long Toss Can Ruin Your Pitching Mechanics and Your Arm,’ he says, ‘Why would you practice mechanics that are totally different and will not help a pitcher during a game? And why would you practice throwing mechanics that are clearly more stressful where the arm does most of the work?’” Taking it a step further, here’s a Dick Mills quote I came across a few years ago: “Training will not teach you how to apply more force…only mechanics can do that. And pitching is not about applying more effort into a pitch but is about producing more skilled movements from better timing of all the parts. That will help produce more force. No matter how hard you try, you will not get that from your strength training program…no matter who designed it, how much they have promised you it would or your hope that it will be the secret for you.” While I agree (obviously) on the importance of mechanics and timing, effectively, we’re still being told that long toss, strength training, and weighted balls are all ineffective modalities for developing the pitcher – which leaves us with what, bullpens and stretching? It sounds like every youth baseball practice in the country nowadays – and all we’re getting now are injured shoulders and elbows at astronomical rates. Something isn’t right – and the message is very clear: specificity is a very slippery slope. On one hand, when it comes to mechanics, you need to throw off the mound to get things fine-tuned to achieve efficiency. On the other hand, research has shown that arm stress is higher when you’re on the mound (there is less external rotation at stride foot contact with flat ground throwing). Additionally, every pitch that’s thrown is really a step in the direction of sports specialization for a youth baseball player – and something needs to balance that out. Why? Well, specializing at a young age is destroying kids. As a great study from Olsen et al. showed, young pitchers who require surgery pitched “significantly more months per year, games per year, innings per game, pitches per game, pitches per year, and warm-up pitches before a game. These pitchers were more frequently starting pitchers, pitched in more showcases, pitched with higher velocity, and pitched more often with arm pain and fatigue.” And people think that kid need more work on the mound? What they need are more structured throwing sessions (practice, not competition) and a comprehensive throwing and strength and conditioning program to prepare them for the demands they’ll face. But those aren’t specific enough, are they?!?!?! Well, let’s talk about specificity a bit more. Actually, let’s read – from renowned physical therapist Gray Cook, a guy who certainly knows a thing or two about why people get injured: The physical presentation of differently trained bodies often provides a signature of the type and style of activity that developed it. Those who are exclusive in their activities seem more often be molded to their activities, and sometimes actually over-molded. These individuals can actually lose movements and muscles that would make alternate activities much easier. Specialization can rob us of our innate ability to express all of our movement potential. This is why I encourage highly specialized athletes to balance their functional movement patterns. They don’t so much need to train all movement patterns, they just need to maintain them. When a functional movement pattern is lost, it forecasts a fundamental crack in a foundation designed to be balanced. The point is not that specialization is bad—it only presents a problem when the singular activity over-molds to the point of losing balance. While there are probably 15-20 awesome messages we can take home from the previous two paragraphs, here’s the big one I want to highlight: it’s our job as coaches to find the biggest window of adaptation a pitcher has and bring it up to speed – while simultaneously keeping other qualities in mind. If he’s stiff, we work on mobility. If he’s weak, we get him strong. If he’s a mechanical train wreck, we get him more bullpens. If his arm speed isn’t good, we work more on weighted balls and long toss. If you just take a 5-10, 120-pound 9th grader and have him throw bullpens exclusively, he’ll get better for a little bit, and then plateau hard unless you get him bigger and stronger. How does this work? It’s a little principle called Delayed Transmutation that Vladimir Zatsiorsky highlighted in Science and Practice of Strength Training. Zatsiorsky defines delayed transmutation as “the time period needed to transform acquired motor potential into athletic performance.” In other words, expand and improve your “motor pool” in the off-season, and it’ll be transformed into specific athletic performance when the time is right. And, as I wrote in The Ultimate Off-Season Training Manual, “the more experienced you are in a given sport, the less time it will take for you to transform this newfound strength and power [and mobility] into sporting contexts.” This is why professional pitchers can find their groove each year MUCH easier than high school pitchers in spite of the fact that they probably take more time off each year (2-3 months from throwing) than the typical overused kid who plays on 17 different AAU teams. That said, there’s a somewhat interesting exception to this rule: really untrained kids. I’ll give you two examples from the past week alone at Cressey Performance. We had a high school senior and a high school junior who both just started up their winter throwing programs to prepare for the season. The first told me that he was sore in his legs after throwing for the first time in his life. Effectively, without throwing a single pitch or really doing any lesson work (or even throwing off a mound), this kid has managed to change the neuromuscular recruitment patterns he uses to throw the baseball. Strength, power, and mobility took care of themselves: delayed transmutation. The second told me that his arm feels electric. Ask any experienced pitcher, and they’ll tell you that your arm is supposed to feel like absolute crap the first 4-5 days after an extended layoff, but it always gets better. However, when you’re a kid who has gotten more flexible and packed on a bunch of muscle mass, it’s like all of a sudden driving a Ferrari when you’re used to sharing a minivan with Mom: delayed transmutation. Specificity is important in any sport, but a it really is just the work as far to the right as you can go on the general to specific continuum. Elite sprinters do squats, lunges, Olympic lifts, jump squats, and body weight plyos as they work from left to right on the general-to-specific continuum to get faster. So, why do so many pitching coaches insist that pitchers stay as far to the right as possible? Symbolically, long toss is to pitchers what plyos are to sprinters: specific, but just general enough to make a profound difference. In a very roundabout way, I’ve made a case for long toss as something that can be classified as beneficial in much the same way that we recognize (well, most of us, at least) that mobility drills, foam rolling, strength training, movement training, and medicine ball drills to be excellent adjuncts to bullpens. In the process of learning to throw the baseball farther, we: 1. push arm speed up 2. train in a generally-specific fashion 3. improve contribution of the lower half 4. realize another specific, quantifiable marker (distance) of progress 5. keep throwing fun 6. train the arm with just enough LESS specificity to help keep pitchers healthy, as compared with mound work The question then becomes, “Why don’t some pitchers respond well to long toss?” In part 2, I’ll outline the most common mistakes I’ve seen:
The Absolute Strength to Absolute Speed Continuum (video) Sign up for a Free Copy of the Cressey Performance Post-Throwing Stretches: Throwing Programs: Not One-Size-Fits-AllWritten on November 9, 2010 at 3:00 am, by Eric Cressey I received a few separate emails this week from folks wondering how I plan our guys’ off-season throwing programs to include everything from long toss, to weighted baseballs, to mound work. Most people expect to be handed a simple throwing program – as one might receive with an interval throwing program following rehabilitation. The truth is that there isn’t a single throwing program that I give to all our guys; rather, each is designed with the athlete’s unique needs and circumstances taken into consideration. With that in mind, I thought I’d outline some of the factors we consider when creating a throwing program for our professional baseball pitchers (many of these principles can also be applied to younger throwers): 1. Where they struggle on the mound (poor control, poor velocity, lack of athleticism, etc.) 2. Whether I want them using weighted balls in addition to long toss and bullpens or not 3. How many innings they threw the previous year (the more they throw, the later they start) 4. Whether they are going to big league or minor league spring training (we have minor league guys an additional 2-3 weeks) 5. How much “risk” we’re willing to take with their throwing program (we’d be more aggressive with a 40th rounder than a big leaguer or first rounder; here is a detailed write-up on that front) 6. Whether they are a starter or reliever (relievers can start earlier because they’ve had fewer innings in the previous year) 7. What organization they are in (certain teams expect a LOT when guys show up, whereas others assume guys did very little throwing in the off-season and then hold them back when they arrive in spring training) 8. Whether guys play winter ball, Arizona Fall League, Team USA/Pan-American games, or go to instructionals 9. Whether they are big leaguers (season ends the last week in September, at the earliest) or minor leaguers (ends the first week in September) 10. What each guy tells you about his throwing history and how his arm feels. Any pitcher can always tell you more than you can ever accurately assume – so you just have to be willing to listen to him. Here are a few general rules of thumb: 1. Most throwing programs from professional organizations don’t have their pitchers playing catch until January 1 – and I think this is WAY too late to give pitchers adequate time to develop arm speed and durability in the off-season. 2. Relievers start earlier than starters (we are starting our relief pitchers three weeks ahead of our starters this year, on average). 3. Medicine ball volume comes down and throwing volume goes up. 4. Most of our guys who don’t go to instructionals, winter ball, the fall league, or Team USA start in November. Starters are generally right around Thanksgiving among minor leaguers, with some relievers a bit earlier. Big league guys don’t start throwing until mid- to late-December or even January 1. This is just the tip of the iceberg, but hopefully it gives you some insight into some of what goes through my mind as we work to increase throwing velocity and arm health. Enter your name and email below to receive the exact post-throwing stretches we use with many of our pitchers. Ulnar Collateral Ligament Injuries in Quarterbacks vs. PitchersWritten on July 26, 2010 at 5:39 am, by Eric Cressey Here’s an interesting study on the incidence of ulnar collateral ligament (UCL) injuries in professional football quarterbacks. With only ten reported cases between 1994 and 2008, it’s obviously (and not surprisingly) much lower than the rates we see in professional baseball players. This is right in line with what I discussed in Weighted Baseballs: Safe and Effective or Stupid and Dangerous?
However, what is very interesting to me is that 9/10 cases were treated non-operatively; in other words, Tommy John surgery is much less prescribed in football quarterbacks than baseball pitchers – meaning that the quarterbacks respond better to conservative treatment. What’s up with that? They are the same injuries – and presumably the same rehabilitation programs. In my eyes, it’s due to the sheer nature of the stress we see in a baseball pitch in comparison to a football throw. As a quarterback, you can probably “get by” with a slightly insufficient UCL if you have adequate muscular strength, flexibility, and tissue quality. While this is still the case in some baseball pitchers, the stresses on the passive structure (UCL) are still markedly higher on each throw, meaning that your chances of getting by conservatively are probably slightly poorer.
I’m sure that the nature of the sporting year plays into this as well. Football quarterbacks never attempt to throw year-round, so there isn’t a rush to return to throwing. There are, however, a lot of stupid baseball pitchers who think that they can pitch year-round, so kids often “jump the gun” on their throwing programs and make things worse before they can heal completely. That said, we’ve still worked with a lot of pitchers who have been able to come back and throw completely pain-free after being diagnosed with a partial UCL tear and undergoing conservative treatment (physical therapy). It’s an individual thing. Related Posts Understanding Elbow Pain – Part 3: Throwing Injuries
Stuff You Should Read: 4/4/10Written on April 4, 2010 at 4:00 pm, by Eric Cressey I’m about to head out to go to Fenway Park for the season-opening Red Sox vs. Yankees game. So, with the baseball season officially underway, I thought it’d be good to kick this week off with a collection of baseball-related recommended reading material. Of course, you can certainly always find plenty of great stuff on the Baseball Content Page here at EricCressey.com. That said, here are just a few personal favorite articles that I’ve written (it was tough to just pick a few, as I love writing about this stuff!): Developing Young Pitchers the Safe Way Risk-Reward in Training Pitchers Weighted Baseballs: Safe and Effective or Stupid and Dangerous? And a few baseball books that I’d highly recommend: License to Deal (great look at the sports agent/representation industry) And some favorite baseball-related DVDs: The 2009 Ultimate Pitching Coaches Bootcamp DVD Set Optimal Shoulder Performance (just released last week, and only around at the introductory price for a bit longer) Weighted Baseballs: Safe and Effective, or Stupid and Dangerous?Written on December 15, 2009 at 7:43 am, by Eric Cressey I get asked relatively frequently whether we use weighted baseballs with our pitchers, and if so, how they are incorporated. I figured it’d be worth a post to outline my thoughts. To answer these questions: Do you use weighted baseballs? Yes, with some of our pitchers. The asterisk that follows this statement is that they’re only implemented with those who have built a decent foundation of strength and mastered the fundamental mechanics of throwing a regular (5oz) baseball. So, the athletes we have that may be utilizing weighted baseballs are some of our pro guys, college guys, and more advanced high school guys. It is NOT something I think coaches should just implement on a gross scale with unprepared 13-year-old kids. But aren’t weighted baseballs dangerous? The first response that comes to mind is “Who decided a baseball should be 50z?” It’s actually a very arbitrary number. Quarterbacks throw 14-16oz footballs (140z is the dry weight; balls actually become heavier as they’re used more). And, you could say that a lot of quarterbacks throw every day – and potentially even more than pitchers throw. Yet, they have far fewer elbow and shoulder problems than pitchers – and usually far less coaching on the mechanics of throwing than pitchers.
Granted, there are differences in the way that footballs are thrown, as compared to baseballs, but you have to consider that tripling the weight of the ball would increase arm stress, right? Wrong! If you increase the weight of the implement, you slow down the arm action. In other words, you move further to the right on the absolute speed>>>>absolute strength continuum. In other words, weighted baseballs comprise a medium between traditional throwing drills (bullpens, long toss, flat ground drills) and what one encounters with medicine ball work and resistance training. If you slow down the arm action a bit, the deceleration demands drop – and it appears to be more arm-friendly. How are weighted baseballs incorporated? First, let me make two things abundantly clear: 1. You should never throw a weighted baseball off a mound (arm stress is higher when elevated) or with long-toss. We do all our weighted ball drills into a tarp/net from about 6-8 feet away. 2. You don’t play catch with weighted baseballs. Someone will get hurt if you try. Throw the ball, then walk to pick it up. We don’t start throwing weighted baseballs until we’ve built guys up on their long tossing and the arm is 100% ready. In other words, weighted ball work starts up right around the time that bullpens start. As an example, most of our guys start throwing right after Thanksgiving, and pick up bullpens around January 10 after about 5-6 weeks of long-tossing and flat-ground drill work with the 5oz ball. The entire throwing program for them encompasses about 14 weeks (sometimes a bit longer or shorter, depending on the individual). As an example, as I wrote previously, we used weighted balls with Oakland A’s minor league prospect Shawn Haviland last off-season, and he made a nice velocity jump from 87-88 to 90-94 in a single off-season. Looking back at Shawn’s program, his first session with weighted baseballs was January 11, and his last one was February 18th – so it wasn’t something he was doing year-round or in-season. We have, however, had scenarios where guys have used weighted baseballs to get ready for fall throwing appearances (for example, the World Wood Bat Tournament in Jupiter, FL every October). These guys push their winter throwing programs back because they accumulated mileage on their arms in the fall (one reason I don’t love fall baseball, but it’s part of the game as it’s played nowadays). When the time comes to implement the weighted baseball drills, they are either done as after long toss, after a bullpen, or as a stand-alone training session. They are never done before a bullpen, which comprises complete specificity with which you don’t want to interfere. All of our weighted baseball drills generally take place in the 7-11oz range. I do, however, know some very bright minds in the field who will go heavier. We always bring the athlete back to the normal 5oz ball at the end of each set. So, it might be three throws at 7oz, three throws at 9oz, and then three throws at 5oz, then rest. Other coaches may build all the way up (five at 7oz, five at 9oz, and five at 11oz) and then work their way back down to 5oz at the end of the session. Personally, I prefer to keep the learning loop short and keep the athlete cognizant of the 5oz feel with repeated sets as opposed to one big one. Matching the drill to the weight of the ball is absolutely imperative, too. As a general rule of thumb, I do not go above 8oz for any drill that has a considerable lay-back (as pictured below) component, as the stress on the elbow is already pretty high in this position.
We can go considerably heavier with drills that are more focused on what’s happening out in front of the body, though.
Which weighted baseballs do you use? We use this set from BaseballExpress.com; it includes 7-12oz balls, which is sufficient for most individuals. Sign-up Today for our FREE Baseball Newsletter and Receive a Copy of the Exact Stretches used by Cressey Performance Pitchers after they Throw! |
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