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Brian Schiff’s Blog

Injury Prevention, Sports Rehab & Performance Training Expert

Many parents call me and inquire about training their son or daughter with the primary goal of improved speed.  Most of the time, I turn the conversation to body control (acceleration & deceleration) as well as agility.  Most sports are not won or lost with pure linear speed.

Most sports I watch are won by superior athletic movement skill.  In other words, superior footwork and body control.  Over the years, I have been both awed and left wanting while watching some of my clients move for the first time.  The truly great ones make movement seem so fluid and effortless.

Those who struggle most on the court or field simply need to work to improve their footwork.  In particular, I like to focus on lateral quickness (agility).   Today’s short video clip reveals one of my favorite drills to heighten the ability to move side to side quickly and effortlessly. 

If your athlete has difficulty maintaining the proper form and rhythm initially, slow the drill down.  Emphasize that both feet touch down (minimal pressure on inside foot) but that the power comes from the outside foot pushing off.  I typically have my athletes work for 20-30 seconds and repeat 2-3 times.  Once they master the form, you may elect to use a higher hurdle to increase the emphasis on power as well.

Lately, my posts have focused on injury recovery and injury prevention. Time to switch gears a bit and share some of my philosophies on youth training for sport. I have worked with athletes of all ages (from 8 years old to professional soccer players). No two athletes are exactly alike. However, I often see similar technical and bio motor flaws in their movements.

One of the keys to making BIG impacts on their performance and movement capacity is teaching them simple drills to do repetitively at home. It is easy to overwhelm them with fancy drills and equipment (trainers can fall into this trap quickly). Admittedly, I did too early on when I first started in the industry. The real victory comes when you assess an athlete and identify 2-3 major things he/she can work to improve right away.

So, in my next 3 blog posts, I will share basic drills I use with all of my athletes that have made a significant impact on their form, speed and agility. The best part is that they can do these simple drills at home with minimal equipment too. The first video drill today is of a wall run.  See below:

The key in this particular drill is to maintain the proper forward lean and hip, knee and foot angles to maximize triple extension and facilitate motor learning so the athlete learns to synchronize arm and leg movement.  This drill can be done slow at first or even broken down into segments such as right, left, right (hold) and so on.  Personally, I have seen this single drill dramatically improve acceleration posture and running form in all of my younger kids.  Add it to your training arsenal if you do not use it now.  In the next post, I will reveal a lateral mobility drill that is my personal favorite for maximizing side to side foot speed.

Okay, today I am going to rant just a bit about two fundamental problems in modern America with repsect to medicine.  Before I get started, let me first say this blog post is not a universal generalization or assessment of all people or all physicians.  With that said, here is the email I received from a customer today that has spurred this post:

I’ve started on the rotator cuff muscle exercises and my right shoulder is already feeling better. The left shoulder, which has been torn for the longest, is not yet showing a noticeable improvement. Considering my doctor told me I’d have to ‘put up and shut up’ I am feeling very pleased.

So here are the 2 problems:

  1. MD’s are typically trained to prescribe pills and operate as opposed to encouraging and trusting the human mind and body to heal itself with the proper intervention
  2. Too many people just blindly accept the physician’s treatment approach without considering other qualified opinions or asking “why” the MD feels that way

In the case of my client above, the MD obviously told the patient if she chose not to undergo an operation that she would continue to suffer and needed to shut up and quit complaining.  While one shoulder has yet to improve, in less than one week on my program she is already seeing positive improvement.  Hmmm.  Surgery or exercise to relieve shoulder pain.  What would you choose out of the gate?  This is a no brainer in my mind.

Now, this client has a backbone and chose to look at other options.  Thankfully, she believes there is another way.  She did not just say okay and get in line for surgery.  She is optimistic that she can use conservative means to achieve pain resolution and restore function.  Trust me when I tell you the human body is remarkably resilient.  It will generally heal on its own if we simply get out of its way.  Too often, we ignore what it tells us and just do more damage until there is no choice aside from cortisone, pain pills or surgery to allow us to return to what we need to do as soon as possible.  Perhaps we simply need to practice patience over instant gratification.

 So, I want to encourage you to critically analyze what people tell you to do when it comes to your body.  Ask this magic one word question: “Why?”  Always know the “why” behind what you do when it comes to exercise, medication, surgery, etc.  I always have a “why” for every exercise I prescribe and implement in a client’s program.  There is no room for mindless prescription in exercise or medicine.  We need to treat every person differently based on their specific injury, needs, goals, work and life demands, and past medical history. 

My intention in sharing this post is not to bash physicians.  There are lots of excellent docs who practice case by case decision making and serve as true patient advocates.  However, there are also many who need to take a step back and recognize that pills and surgery are not always the answer despite what statistics and tendencies tell us.  If you or someone you know is suffering, be sure to ask their health care professionals “why.”

Many people suffer from general low back pain and sciatica.  Do you realize most of this pain is brought on by poor posture, too much sitting (slouched) and lack of mobility in the spine.  In today’s video, I discuss this issue and show you two simple exercises to do daily to prevent disc problems as well as eliminate back aches related to daily mechanical strain.

I get daily email from people suffering shoulder injuries all over the world. Many have questions regarding their MRI reports that somehow go unanswered by the MD or just are not explained clearly enough. Sound familiar?

One such email yesterday described an injury as a slat tear. I knew the customer probably meant SLAP tear even though he did not know the true description. Face it – deciphering MRI reports is like reading a foreign language unless you have medical training. Many people suffering from rotator cuff tears/tendonitis may also be suffering from a SLAP injury as well.

What does SLAP stand for? Superior Labrum Anterior to Posterior to be exact. Even more confusing, right? Think of it simply as an injury to the long head of your biceps tendon as it joins with the glenoid labrum (shoulder cartilage) in the top of your shoulder. This is actually more common than you may think. It can occur through a traumatic injury (fall for example) or through gradual stress/degeneration.

The long head of the biceps tendon assists the rotator cuff in depressing the humerus during elevation of the arm and overhead activities like throwing. In my experience, SLAP tears often require arthroscopic surgery to repair them in order to restore function and eliminate pain. If you have a torn labrum, minimize overhead stress or extending the arm fully beyond the plane of your body, especially with a straight arm under resistance.

Exercises in the gym that would place harmful stress on the labrum include full range bench press, military press, incline biceps curls, dips, upright rows above 90 degrees, and deep push-ups or flies and pull-ups. To rehab this injury conservatively, you should focus on scapular stabilization and rotator cuff strengthening, always taking care not to load the shoulder joint with significant weight at end ranges of motion.

I included a screenshot from one of my webinars of a few scapular strengthening exercises guaranteed to improve your shoulder function if you have such an injury. It includes a prone serratus punch progression (starts on the knees and advances to the toes) to increase serratus anterior strength, a muscle often shown to be weak and lacking endurance in those suffering from shoulder pain.  You will also see some quadruped rocking and advanced progressions of the serratus push-up using a BOSU trainer and BOSU ballast ball.

serratus-exercise-screenshot

I offer an on demand webinar on SLAP tears at www.alliedhealthed.com.  It includes anatomy, rehab, surgery and current research updates on the treatment of SLAP tears.