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The Movable Rib Cage

You may be surprised, as I was, to discover how much movement should be available in a rib cage when it retains its optimal mobility. The majority of the joints in the body are in the thorax, where each rib connects to its vertebra in the back and to the cartilage and sternum in the front. The more joints, the more small adjustments can be made; there is a lot of movement possibility here if it’s not locked down.

Instead of rib cage, the Feldenkrais group uses the term rib basket to remove the impression of jailed immobility. When I heard that, I wished I’d learned it earlier; I really had no idea the rib cage was mobile. Happily, though, that lost mobility is recoverable once you discover the problem and start working on the fix.

Most of us have tight lats, and as you know, the lats encase much of the bottom and sides of the thoracic cavity. Any chronic tightness will restrain joint movement, and tightness of the lats, traps, serratus and intercostals are no different.  Even the rectus abdominus—the six-pack—will stifle rib cage mobility when the region is overly tight and pulling at the bottom of the rib basket.

Respiration also inhibits movement of the surrounding ribs, and this is one reason restoring respiration quality is at the top of Evan Osar’s fix-it list. He talked about this at length in both of the IDEA presentations I attended, including a demonstration of crocodile breathing.

Get yourself on the floor and follow along with Dave Whitley and Geoff Neupert here:

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Habit causes the majority of thoracic movement problems. The idea of suck in the chest may not happen in today’s world, but it sure did in yesterday’s. Actually, these days, if advertising is any indication, it’s the young men who inhabit this image, whereas in the previous generations, it was the young women. Having been one of those at the time and having carried that immobility forward into adulthood, my sincere suggestion is to break that habit now while it’s easy [easier, that is].

The forward head posture many of us develop as we get a little older, and especially as we spend more time sitting at these computers, will absolutely lock up the rib cage. When the shoulders are pulled forward, the shoulder blades lose their ability to shift in and out, up and down, and with that so goes the clavicles. When the entire shoulder yoke gets stiff and immobile, what do you suppose happens to the thoracic cavity it’s attached to? Bingo, you hit the jackpot on that one: Locked down.

Finally we get to the neurological factor, the brain part, where in addition to bad habits, we discover plain-old forgetfulness. Odd to think of forgetting how to move the ribs as we reach for over the counter for the latte, but it’s happening, and unless you make yourself aware, it’ll keep happening as the years and decades mount. Other than the fortunate few, the older we get, the more immobile the rib cage unless – or until! – we purposefully keep it moving.

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Here’s a longer intro to learning this type of movement awareness at home.


San Jose Kettlebell Workshop: Mark Reifkind, Dave Whitley, Tracy Reifkind

Last fall after an off-the-cuff comment by Dave Whitley in our IronOnline forum, he, Mark and Tracy  Reifkind and I started pulling together the pieces for a kettlebell workshop here in the San Jose area.

Featuring Rif, IronTamer Dave and Tracy, we’re set for Sunday, May 2nd, $149. This includes lunch (thought you guys would think that was important enough to list), and we’ll be filming this for dvd; the workshop fee includes a free dvd set once the dvds are ready.

We’re holding this at Greg Everett’s Catalyst Athletics in Sunnyvale. It’s just a few miles from the San Jose airport, if anyone wants to fly in, and we got a great discount ($59 down from $109) at a hotel about a mile from Greg’s that includes a hot breakfast (won’t be fancy, don’t get your expectations too high), and a free shuttle from the airport. We’ll have a number of people around, so no one will need to rent a car if flying in… we’re a friendly bunch.

Rif is teaching everything we need to know about lat strength, how to use the lats better in pressing and pulling, tissue quality and length and other stuff we never think of about these important back muscles.

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Dave is presenting twice, once on kettlebells as a tool to teach movement and tension principles, the getup as the foundation for all grinding kettlebell lifts, how to perform the bent press and how to boost your military pressing power. His second session is on strongman stuff, how to learn bending and grip strength, breathing and feats of strength, and how these techniques can be used in our regular training.

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Tracy is the Swing Queen. She uses a variety of swing progressions to add intensity to this simple exercise. Instead of just doing a few sets of swings and moving on, she teach us how to program the swings in ways we never thought of.

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At the end of the day, they’ll bring it all back together for an hour of open questions and answers. We’ll be able to ask whatever was missed during the day, but better yet, we’ll see if they have different answers or if they share the same views. This promises to be my favorite part of the day.

Here are the rest of the details, including a sidebar with plenty of links to the presenters’ websites, blogs and video archives: San Jose Kettlebell Workshop.


Assess and Correct: Bill Hartman, Mike Robertson, Eric Cressey

In the new dvd set, Assess and Correct: Breaking Barriers to Unlock Performance, corrective exercise authorities Bill Hartman, Mike Robertson and Eric Cressey team up to give us a group of joint by joint self-assessments to identify movement deficiencies. Over the years, I’ve gravitated toward learning the various alternative movement-based modes of pain relief, and these three guys have contributed to that learning, Mike mostly about knees, Eric mostly about shoulders and Bill, well… everything that moves. Given that history, I was eager to get a look at their latest work.

This is a two-dvd set, the first one guiding us through the various assessments, and the second a corrective exercise documentary including progressions ranging from easy to difficult to be used once the evaluations are complete.

Thomas tabletop test
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The assessment dvd includes the following tests (27 variations), each with visual, vocal and bullet point coaching cues: how to do it, what to look for and what would be considered normal.

  • Neutral spinal alignment
  • Cervical flexion
  • Thoracic spine rotation
  • Pec minor length
  • Pec major length (clavicular and sternal)
  • Shoulder flexion
  • External shoulder rotation
  • Internal shoulder rotation
  • Scapular upward rotation
  • Straight leg raise
  • Groin muscle stiffness
  • Hip and knee flexion
  • Hip flexor strength
  • Quadraped rockbacks
  • Prone knee flexion
  • Thomas hip extension test
  • Hip abduction
  • Hip adduction
  • Hip internal rotation, seated and prone
  • Hip external rotation, seated and prone
  • Ankle dorsiflexion
  • Glute medius function
  • Glute maximus function

This review took awhile! I thought I would just let the dvd run while I made notes, but I found myself stopping to try every test. You’ll be pleased to know I “passed,” but I think I’d like to get any one of these guys to run me through the appraisals. I might have cheated.

Seriously, it will help to have a base of movement knowledge when doing the assessments for awareness in instinctively cheating the tests.  But still, with ample attention and patience, anyone can do this.

The set also comes with three pdf e-books , one a 137-page manual that reinforces and builds upon the teaching of the dvds, the second is 21 pages of sample warm-ups based on individual corrective needs and pain issues (I’m using page 21, the desk jockey option, which I’m sure is not an afterthought even if it is the last page), and the final is a 12-page document of their favorite static stretches, done after foam rolling and before dynamic movement… the Great Eight, my new everyday stretch list.

The right corrective exercises as chosen using the pd manual after running the assessments and watching the second dvd with its 78 exercises is miraculous.

Reverse lunge with posterolateral reach
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But it’s not magic and it can’t be rushed. To get out of chronic pain or to break through a movement-caused performance barrier, you have to tackle this like it’s your job.

At $127, I know that’s a hefty price for most of us, but that’s about the cost of an hour medical or alternative therapy session, and I’m pretty sure if you pay attention and slowly work through the assessments and corrective exercise suggestions, this investment will get you out of chronic pain, while that doctor visit, chiropractor or massage would, at best, provide only temporary relief. You do have to do your own work, though, so it’s a little more of a challenge than an hour on a massage table.

Bottom line: All thumbs up. These guys do great work. Putting this level of material in a simple, easy-to-understand package for those of us not schooled in physical therapy is very amazing, and much appreciated.

Here again is the link: Assess and Correct  or to copy and paste, go here:

http://www.assessandcorrect.com/about/


Classifications of Single-Leg Exercises

Excerpted from Advances in Functional Training, Michael Boyle, $34.95, pages 216-219

I worked on this book for about two months last fall. Before beginning, I was very familiar with Michael, had read his earlier book Functional Training for Sports several times, had read most of his published articles, was a member of his Strengthcoach.com website and had read many of his forum posts there. You can assume, then, while I appreciated having all this material collected in one place—in print—and categorized for each part to build upon the last, there wasn’t much that was entirely new to me. That is… until I got to the single-leg exercise classifications. These are entirely logical, and I felt like I knew them instinctively, but reading and pondering these explanations was illuminating. The following represents four pages excerpted from the 28-page section covering training on one leg. I think it’s brilliant stuff. ~ Laree

One of the major changes of the last decade in the fields of strength and conditioning and personal training has been an increased emphasis on exercises considered both functional and multi-planar. Where many strength coaches and trainers previously relied on bilateral exercises like squats and leg presses, we now regularly use exercises like lunges and one-leg squats. We’ll next look at the menu of single-leg exercises to classify the relative differences and benefits of each exercise, and evaluate where these exercises might best fit into our programs.

As we use more and more single-leg exercises with our athletes, we’ve broken these exercises into categories and placed the exercises in progressions. One of the drawbacks of having a broad range of exercises available is determining which exercise is appropriate for which individual, and at what point in training should each be used.

We often see an advanced exercise like lunges capable of producing extreme soreness recommended as a cure-all for nearly every lower-body issue. The current thought in some circles seems to be when in doubt, lunge. Yet prescribing an advanced single-leg exercise for a beginner can be a crippling introduction to the world of unilateral training. Using lunges initially can make sports practice difficult for the next few days.

When looking at single-leg exercises, it’s apparent they can be broken into knee-dominant exercises, variations of a squatting movement, and hip-dominant exercises, or those that prioritize the glutes and hamstrings and are variations of straight-leg deadlifts or bridging exercises.

Further investigation of the demands of single-leg exercises makes it necessary to break single-leg knee-dominant exercises into static exercises like one-leg squats, and dynamic exercises such as lunges and slideboard lunges.

In static single-leg exercises, there is no movement of the feet. One or both feet stay in contact with the ground. The body moves up and down in the sagittal plane or potentially side to side in the frontal plane, as in a lateral squat. Static knee-dominant exercise can further be broken into either static unsupported or static supported exercises.

Static Supported Exercises

Single-leg supported exercises describe a one-leg exercise done with some support from the remaining leg. The non-working leg could either be in contact with the floor as in a split squat or on a bench. These are not dynamic exercises as they lack translation. The center of mass stays in the confines of the base of support and the feet do not move.

A split squat is what we call a single-leg, static, supported exercise. It’s static: We’re not moving. It’s not a lunge. There is no step. It’s supported: We have the back foot in contact with the ground, a box, bench, or something else. Other examples would include the one-leg bench squat, the lateral squat and the rotational squat.

The rear-foot-elevated split squat, while harder, is still a static, supported exercise. All we’ve done is shifted the load more onto the front leg. This is a harder exercise than the split squat, and probably a better exercise for the more advanced athlete. This is a really important single-leg strength exercise, but it’s still static.

The pelvic implications of supported exercises are very different from the pelvic implications found in single-leg squatting, or other unsupported exercises. It’s very different in terms of what it’s asking the pelvis to do.

Single-leg supported exercises are a great introduction to single-leg training and should always precede the dynamic variations. An additional benefit of single-leg supported exercise is these exercises are excellent for flexibility.

Static Unsupported Exercises

Static unsupported single-leg exercises consist of single-leg movements done on one leg only. The non-working extremity is not allowed to touch the ground or any other object such as a bench. The only true static unsupported exercises are variations of one-leg squats. These may be referred to as one-leg squats, balance squats or step-downs in various texts.

The single-leg squat is an excellent example of knee stability. We won’t find an example better than that. As we look at a single-leg squat, we should think knee stability; this is the ability to exist in what we would call a single-leg, unsupported environment. Many of the single-leg unsupported exercises are frequently used as dynamic warm-up exercises, and are excellent for more experienced trainees in that function.

Carryover Limitations

Until recently, I did not distinguish between static unsupported and static supported exercise. Strength and conditioning coach Karen Wood convinced me otherwise. Wood’s rational is the limited functional carryover from the single-leg supported category to the single-leg unsupported category. In other words, performance of exercises like splits squats or rear-foot-elevated split squats did not carryover to performance in a true one-leg squat.

In static supported exercises, the hip rotators, adductors and glute medius do not take as active a role in stabilizing the femur. In true static unsupported exercises, the hip rotators, adductors and glute medius must actively work to prevent internal rotation of the femur. Static unsupported exercises are essentially tri-planar, as the movement may be sagittal, but the stabilizers must also prevent movement in the frontal and transverse planes.

A static unsupported exercise becomes a tri-planar movement automatically as the stabilizers work as anti-rotators. Wood’s thought process has caused me to program exercises in a manner we now define as progressive range of motion.

Progressive Range of Motion

Earlier in my career I would have scoffed at the idea of using partial movements. However, as I became involved in the rehabilitation of athletes with patella-femoral problems, I came to realize range of motion in the lower body needs to take a back seat to femoral control. Often in static supported exercises like a split squat or a one-leg bench squat, the athlete can move through a full range of motion, perhaps with significant loads, but still be unable to control the motion of the femur in an unsupported environment. In this case, lower-body strength is wasted because it does not fulfill its obligation to control the motion of the femur.

To illustrate the concept, in our facility, a single-leg squat will be done only to a pain-free range that demonstrates control of the femur relative to adduction and internal rotation. In other words, it is not enough to squat low. The trainee must squat low while maintaining control of the femur from the hip musculature.

In progressive range of motion training, the bodyweight load remains constant, while the range of motion is progressively increased. Once the trainee demonstrates full, controlled range of motion, the programming reverts back to basic progressive resistance concepts.

In the same program or in the same workout, we may simultaneously be using a single-leg unsupported exercise with progressive range of motion as in partial one-leg squats, followed by a single-leg supported exercise done through a full range of motion.

Progressions

Split squats should precede lunges; lateral squats should precede lateral lunges; and rotational squats should precede rotational or transverse lunges. Failure to do this will result in exceptional soreness, possible disruption of the training program, and often a loss of confidence in the coach or trainer by the athlete or client.

The reason for the exceptional soreness lies in the sagittal emphasis of most training programs. Many times range of motion is consistently gained in the same plane of motion; motion out of the sagittal plane involves muscle fibers and action not previously encountered.

Athletes often report unusual levels of soreness in an area that appears to be the adductors or the medial hamstrings and it sometimes seems even worse with lunges. Rolfer and author Thomas Myers describes the adductor magnus as the fourth hamstring, and in fact the adductor magnus is the third most powerful hip extensor.

Adductor magnus assists in hip extension by providing a counterbalance to the external rotator capability of the glute max, the most powerful hip extensor. The combination of extreme knee and hip flexion in a single-leg exercise stresses the anti-rotator and extensor capabilities of the adductor magnus in a way completely unfamiliar. This causes unusual soreness that can be injurious or even confused with an actual groin strain.

Many athletes don’t use the adductor magnus as a hip extensor until they begin to squat low or begin performing walking lunges. When they do these exercises, they activate the adductor magnus. The response is usually a painful one. The adductors, primarily the adductor magnus, plays a critical role in sprinting, acting as both a powerful hip extensor and a counterbalance to the external rotating capability of the glute max.

Dynamic Unsupported Single-Leg Exercise

The remaining single-leg exercises would be classified as dynamic exercises. In dynamic single-leg exercises, the body is translated in either the sagittal plane (lunge, slideboard lunge, Valslide lunge, TRX lunge or walking lunge), frontal plane (lateral lunge), or transverse plane (rotational lunge).

Dynamic single-leg exercises are among the most significant soreness producers in the coach’s toolbox, and should be implemented with great care. A static supported version of the exercise should precede the dynamic version for a three-week period. Lunges should not be used until the trainee has done at least three weeks of split squats.

Accelerative and Decelerative Patterns

It is further necessary to categorize dynamic single-leg exercises into accelerative and decelerative patterns. Accelerative patterns would be walking lunges and slideboard lunges. Accelerative exercises are pulling actions that mimic the mechanics of an athlete accelerating toward an object. These have high transfer capability to running.

Decelerative patterns would include conventional lunges, lateral lunges or any multi-planar, transverse or rotational version. The decelerative patterns have more application to braking and direction-change skills. Decelerative exercises are excellent for injury prevention, whereas accelerative exercises will greatly enhance movement capability. Both types are necessary, but they should not be viewed as either strongly related or interchangeable since they are markedly different.

The accelerative dynamic single-leg exercises have been inappropriately named and misclassified. Walking lunges, Valslide lunges and slideboard lunges are actually hip-dominant exercises that look knee-dominant.

Although the action in a walking lunge or slideboard lunge appears to be the identical movement to a conventional push-back lunge, the muscle actions are entirely different. Conventional lunges are knee-dominant and quadriceps-oriented and don’t produce unusual soreness. Any of the walking, slideboard and Valslide variations will produce exceptional soreness, particularly in the long adductors as noted above.

Effectively programming single-leg exercises takes on an entirely new dimension in light of this. In our programming, I have relied far too heavily on the static versions and have not used enough of the dynamic. In fact, the accelerative options may be the best one-size-fits-all choice.

Excerpted from Advances in Functional Training, Michael Boyle, $34.95, pages 216-219