Brian Schiff’s Blog

Kettlebells are very popular training tools these days.  I find them useful in many ways – improving grip strength, core activation, asymmetrical loading, etc.  With that said, I also feel with movement flaws and/or improper technique, they carry an inherent injury risk.

It is interesting to note that some people find swings to be very therapeutic and good for their back, while others who are capable of lifting very high loads with traditional lifts find them to be irritating to the spine.  So why is this?

If you are like me, knowing the “why” or “cause and effect” behind exercise is very important.  I am not one to blindly use an exercise without knowing its intended purpose and then quantifying risk vs. reward and results. So, it was with great interest I read Stuart McGill and Leigh Marshall’s recent article on kettlebell swings, snatches and bottoms-up carries in the NSCA Journal of Strength & Conditioning Research (Jan 2012).

Click here for the abstract.

While the sample size is small, I think the article provides some gems in regard to training given no one has really looked at spine loading during various swings and carries.  The authors used surface EMG to record muscle activation of the back, hip and core muscles throughout the various exercises – swing, swing with Kime (abdominal pulse at top of the swing), swing to snatch, racked carry and bottoms-up carry.

Without going into all the tiny details, I wanted to share what I consider to be some key takeaways for rehab and training:

• Unlike traditional low back extension exercises such as lifting a bar or squatting exercises, the swing creates a relatively high posterior shear force (namely L4 on L5) in relation to the compressive load – this may explain why some powerlifters have no issues with heavy dead lifts but are bothered by swings
• Both compressive and shear forces were highest at the beginning of the swing
• From a compressive standpoint loads with a 16 kg kettlebell (swing) are less than one-half of that of lifting 27 kg on an Olympic bar and these would seemingly pose a low relative injury risk
• KB swings do appear to require sufficient spine stability in this shear mode to ensure that is is a “safe” exercise selection
• Those with back pain develop movement flaws and the authors report one of the most common is to move the spine under load instead of the hips – so instead of hip hinging, injured clientele are more apt to shift or bend the spine leading to repetitive and harmful forces
• A modified approach to swings with careful cueing and progression is suggested for clinicians
• The bottoms-up carry poses more challenge to the core musculature likely due to requiring more grip strength (thus stiffening the core per McGill in Ultimate Back Fitness & Performance) as well as necessitating more control to carry it, hence making it a good choice for training in terms of activation of these muscles

So, in my mind kettlebell training (like any other form of training) requires proper form, movement assessment and an intimate knowledge of the client’s medical and training history.  In addition to that, we must carefully scrutinize execution of the exercise and deliver appropriate feedback and analysis.

While maximal shear occurs at the bottom, I cannot help but wonder about the potential impact of tight iliopsoas muscles given their unique relationship to the lumbar spine and reverse muscle action.  It would be interesting to know if those with a greater anterior tilt and tightness are more likely to experience higher shear forces or potential back soreness over time.

This brings the discussion back to quality of movement and movement assessment.  In my mind, adequately assessing the hips (flexibility, strength and stability) is also a key variable in determining how best to approach integrating the swings.  As Gray would say, the lumbar spine needs stability while the hips require mobility.

A lack of hip mobility is definitely a relative precaution for swings in my mind.  On top of that, fundamental hip strength/stability and core strength should be evident.  Perhaps even regressing to rudimentary hip thrusts and bridges may be the best place to start for those needing a primer on form and proper movement before moving to a basic swing.

Nonetheless, a big thanks to Stuart McGill and Leigh Marshall for this work and giving us some practical food for thought.  I hope this information helps you as much as it did me.  May your training be safe and effective!

Through my clinical practice and sports performance training, I continue to focus on eliminating core and hip dysfunction.  I think many of the knee problems I see in runners and females are related to weakness in the glutes and small lateral rotators.  There has also been quite a buzz about a recent article written in the Strength & Conditioning Journal on crunches and whether spinal flexion may actually be good for you.

This topic alone could take up several posts so, I will not delve into that today.  However, as one who has experienced sciatica and disc injury firsthand, I probably tend to fall a little more in the camp of focusing on a neutral spine and resisting external forces as I feel this helps improve performance and reduce injury risk.  In that vain, I have been continuing to develop my own core and hip stability progressions with my advanced clients/athletes.

I have been doing a series of posts for BOSU and PFP in my Functionally Fit Column.  In my last post, I covered a 3D mountian climber with hip extension.  In today’s post,  I am covering a great core exercise with the BOSU Ballast Ball focusing on hip extension with the goal of improving shoulder, core and hip stability while promoting hip extension and disassociation.

In the video below you can check out the progressions (incline and decline)

Click here to read the full article on technique and application.  The article reviews a regression for those not ready to tackle this quite yet.  I think you will find this exercise challenging and rewarding.

I have had the pleasure of authoring a bi-weekly column for PFP’s online magazine entitled “Functionally Fit” for over three years now.  This column gives me a creative avenue to display my specific training techniques and teach others how to build a better functional body in the process.

One of the greatest things about exercise is all the different options, variations and tweaks available to bring about a desired physical change in the human body.  As Alwyn Cosgrove once said, “Exercise is like medicine.”  By this, he means the right dosage and application is critical.  I could not agree more.

As training and rehab continue to evolve and become even more intertwined, we as practitioners need to continue seeking ways to get more from our exercises.  I personally use lots of different training tools in my trade, but I am always seeking to get the biggest return on my exercise investments.  Today, I am sharing one such exercise with you, the 3D Mountain Climber with Hip Extension.  Check out the video below:

In this video, I am working to improve shoulder, hip and core stability as well as strongly encourage hip disassociation. Many clients I train and rehab simply are asymmetrical or cannot disassociate their hips which leads to flawed movement patterns and leaks int he kinetic chain.

I used this exercise in our core training series we were doing with the Carolina Hurricanes in their pre-season conditioning sessions that we just recently completed. It is not easy, but delivers so much benefit for just one movement. In the video I display a BOSU balance trainer, but in my online column for PFP, I include a full buildup progression as well. Click here to read the column.

Many people like to do lunges in the gym.  Many people do them wrong.  Some simply do not know proper form, while others have mechanical issues preventing them from executing proper form.

Unfortunately, many clients struggle to keep the knee in line with the foot, and the knee often caves inward.  Even with verbal, visual and tactile cues, they may still struggle to master the proper form due to flexibility and strength imbalances. This may have to do with limited ankle mobility, but for the purposes of this post, I want to address the hip.  More specifically, people often lack mobility, stability and strength in the hips.

I recently wrote two columns for PFP Magazine featuring two exercises I use to clean up lunge form:

1. Torso Rotational Lunges
2. Diagonal Hip Flexor Lunge Step

The torso rotational lunge is great for integrated muscle activation of the gluteus medius, while I utilize the diagonal hip flexor lunge step to address hip flexor tightness and limited thoracic spine mobility.

Torso Rotational Lunge

Diagonal Hip Flexor Lunge Step

In these columns, I specifically review regressions and progressions.  So, whether you train clients or simply want to take your lunges to the next level, check out the full columns online at PFP below:

Click here for the Torso Rotational Lunges

Click here for the Diagonal Hip Flexor Lunge Step

Looking for more cutting edge training tips and rehab/injury prevention strategies?  Subscribe to my members’ only Training & Sports Medicine Update available at www.BrianSchiff.com.