Lessons of the Jaw: A Few Thoughts on the Body's Intradependence
As you read this, I'm either in surgery or in the recovery room. For those who don't know, I am having lower jaw surgery to correct a severe over (also called "open bite") and cross bite. That being said, blogging might be a bit spotty (more so than usual) over the next couple weeks, but I'm going to do my best. Seeing as this surgery has been on the forefront of my mind for quite a while, I thought I'd share a bit of the physiology connections I've learned over the past year or so. It's actually pretty interesting how dependent the body is on it's collective parts. So dependent that something up in my face affects the rest of my body rather dramatically. We'll do bullet points because I really like them.
Lesson 1: Pain is sneaky. Sometimes the origin and/or cause is not where you think.
I've known I would need this corrective surgery at some point for quite a while now. About 3 years ago, I experienced severe and prolonged pain in my tempromandibular joint (TMJ), the hinge joint of your jaw that connects the lower to the upper. I didn't have the means to have surgery at the time and the pain receded a bit, so I put it on the back burner. Just over a year ago, I started having migraine/severe headaches in the front of my head that would last for days, even weeks. Medications didn't help. Then I started to have shoulder pain on my right side. This made me think something else was going on since I knew I wasn't doing anything that would aggravate my shoulder.
I popped over to this site and discovered that a tight sternocledomastoid can cause both pain in the head and shoulder. Sure enough, I had knots the size of marbles all along these muscles. Guess what? The SCM connects right up behind the ear, near the TMJ, thus a misaligned jaw (being used for thousands of reps per day) will definitely cause some tension in the poor ol' SCM.
Lesson 2: The suboccipital muscles are really, really important.
I also had pain in the base of my skull on a regular basis, thanks to irritated suboccipital muscles. I trolled around to find some information and perhaps home treatment to help manage the pain symptoms. I came across fellow strength coach, Patrick Ward's post here. Readit, seriously, it applies to everyone. It'll blow your mind how important those little muscles are to your overall health. Patrick Ward goes into the implications of tight suboccipitals and their effect down the stream, such as posture in general and neural control over postural muscles. I found it interesting that "voluntary trunk control" was one of the muscle functions affected. Guess what? I struggle with bracing my right side. I know that sounds weird, but I can not get as "tight" on the right side without really thinking about it. Might be why I have a collapsed disc to the right side?...
Lesson 3: It's seriously all connected.
Then I came across this paper (you don't have to read the whole thing unless you're super-into-science and research papers) that linked symptoms of TMJ dysfunction and jaw pain with the suboccipital muscles. Check out pages 13 (yup, I have all those symptoms, including impaired vision) I should also note that I've suffered from vertigo since I was 13, so perhaps, once my jaw/bite is corrected and those muscles are no longer strained, I might see a decrease in symptoms. Page 15 which connects hypertonic (too tight) neck muscles with TMJ muscles dysfunction and pain, and 17 describing short cervical muscles and posture and how they research has found correlations... craziness. Upper cross syndrome, a posture <--- description used by those in the health field, is either a creator of tight neck muscles or the result of tight suboccipitals. It's a bit of chicken-egg questions, but either way, they tend to coexist. So, if you have a hunched posture, try massaging the base of your skull, that might help loosen some things up!
Lesson 4: Pain eventually conquers proprioception
We recently had an in-service where we learned about the neuromuscular implications of injuries in regards to training athletes. The main point I retained was, if muscle tissue is acutely damaged, such as a sprain, or chronically irritated, such as repeated spraining of said ankle, the muscle spindles, which reside in the tendons, will no longer respond accordingly, much like Ariel responding to her father's command to stay away from land... Poorly.
Muscle spindles are proprioceptive organs that control the stretch-reflex, for example when the doctor taps your knee and your leg kicks forward a bit, the muscle spindles are rapidly stretched (when the mallet hits your patella tendon) and they respond by sending a signal to your brain to flex the quads (thus, pulling your knee into a bit of extension).
So, damaged muscle tissue, specifically the muscle spindles and especially chronically damaged tissue ("damaged" doesn't necessarily mean an acute injury, but a chronic posture, like your shoulders slumping and your neck protruding forward as you peer at the computer screen) tend to lose their ability to provide valuable feedback to the body in the form of proprioception (where your body is in space i.e. balance). Instead, pain signals are sent. This is bad on two fronts: 1) it hurts 2) lack of proprioception means loss of muscular control, be it voluntary or involuntary.
I don't know too much on how to restore muscle spindles and transfer them back to being proprioceptive and not pain oriented, but I do know that a) removing the irritaing stimulus (in my case, setting my jaw in the correct alignment) b) improving tissue quality through manual therapy (professional or at home) and c) retraining the muscles to move how they should (i.e. standing up straight instead of slouching, or going back to the ankle example, walking without a limp or favoring the ankle).
Lesson 5: Implications for training.
Another random fact, there's a correlation with a cross bite and scapular winging (the shoulder blade sticking up instead of laying flat on the rib cage). Winging impairs overhead movement, messes up the rhythm of the humerus and shoulder girdle and makes picking and lifting heavy things a bit problematic. I've done just about every exercise under the sun to fix my wing, to no avail... maybe surgery?
Anyway, as a coach, just by looking at my own situation helps me work with our athletes here at SAPT. If at first the basic, usual cues don't fix a problem, like "pulling yourself to the floor" during a push up to fix a winging scapula or "crack a walnut" to prevent knee pain during the squat, then, maybe there's an underlying issue that demands a different approach. Maybe some dedicated soft tissue work is in order to correct a nagging pain or it might be severe enough to refer out to a physical therapist or doctor. Whatever the case, if after working with an athlete diligently doesn't solve the problem, probably time to delve a bit deeper. (and check their bite! Kidding.)
10 Reasons You Should Swing Heavy Bells
So, I forgot to post on Wednesday. Sorry folks! To make up for it, I present this: As the title states: Swing. Big. Bells.
Me and Natasha, just swinging around.
1. Glute strength- Do you want a strong butt? Of course you do, that's why you read this site. Swings are fantastic glute builders. The glutes are the most powerful hip extensors so it makes sense to perform exercises that force the glutes to extend the hips... hmmm, sounds like swings huh? The powerful snap of the swing carries over into other lifts such as the deadlift and squat. The glutes also play in vital role in sprinting and jumping. So if you want to be the Athlete-Of-Steel, you needs buns of steel. Swing it baby!
Gotta build the wheels if you want speed!
2. Upper back strength- During the swing, the upper back is essentially holding an isometric contraction to maintain the "chest up" postion throughout the swing. The lats are working hard to keep the bell close to the body (so it doesn't go flying away and pull you with it). The rhomboids and the teres major and minor are doing their duty of keeping the shoulder blades down and back and keeping the humerus in it's socket (kinda important). Guess what? Chin/Pull ups require those muscles too.
All my ButtKamp Ladies are swingers (the G-Rated kind, not the other kind) and ALL my ButtKamp Ladies' have improved in the pull up/chin up. We now have 2 women who are able to do a body weight chin up...(Suzanne, above, is one. The day after this, she nailed it!) pretty awesome! Personally, I've noticed an marked difference in my pull up strength, both my 1-rep max (weight on my waist) and my total rep max (how many I can do) have increased. With all the work the lats and upper back do in the swing, I don't think it's a cowinky-dink. Once again, the upper back strength also carries over to the big girl/boy lifts: squats and deads. Try performing either with a weak upper back and you'll find yourself stapled by the weight.
3. Injury prevention/rehab for lower backs- I professed my love and belief in swings for back rehab on Wednesday. The nature of swings, strengthening glutes, upper back, the spinal erectors, and core muscles, perfectly align with the needs of most back-pain sufferers. Most of us have, weak glutes, upper backs, cores, and spinal erectors. I know mine were (thus part of the reason I have injuries). While I can't claim that swings will heal any injury, they can at least prevent further injury (or injury if there isn't one present) and build up the muscles that protect the injury.
4. Grip strength- When your forced to grip a heavy weight while it's moving, you're going to build up some pretty strong hand and forearm muscles. One of my weak links in the deadlift (and pull ups) was my grip. I found this out pretty quickly once I started doing high rep, heavy swings. My forearms were on fire and my grip often gave out before the rest of me did. If you like picking up heavy things and walking around, swings will help build up an iron grip so you can pick up heavier things and walk around even more.
Keep on walkin'...
5. Cardiovascular and muscular endurance- Don't like running? Me neither. I do love to swing though. Swinging is excellent for building up cardiovascular endurance and muscular endurance (the ability for muscles to produce sub-max force over an extended period of time). Don't believe me? Try this: do a ladder of 1-2-3-4-5-6-7-8-9-10-9-8-7-6-5-4-3-2-1. Take a breath for every swing you do. How do you feel? Oh wait, I can't hear your over you pounding heart and labored breathing...
I see too many people talk while using this...
6. Core strength and function- During the swing, the midsection must remain tight not only to protect the spine, but also to transfer the force of the glute contractions into the bell to swing it. The core has to also be able to relax slightly so you can breathe throughout the workout (pretty important piece of exercise, that breathing. Generally, you inhale on the way down, brace on the way up, and breathe out forcefully at the apex of the swing.) and immediately brace for the next cycle of contraction as the bell swings forward. For those with back pain, sometimes the core muscles aren't firing in the right order. Swings help retrain the muscles in this sense.
7. Joint-Friendly conditioning- As mentioned, swings are pretty safe for those with back injuries (most of the time anyway). They're a perfect conditioning tool for those with cranky knees, ankles, and shoulders (mostly). They're also good introductory training for deconditioned individuals as they're scalable to individual strength and fitness levels. Unlike running, which essentially is thousands of one-legged hops, swings have very little negative joint impact (the elbows can take a beating if the upper back isn't doing it's job though so be prudent!) so it's less likely that you'll sustain an injury and want to quit exercising.
Done...
8. Leanness- This is more anecdotal than factual, but swinging promotes leanness better than any other form of conditioning I've run across (outside of regular sprint sessions, which can take their toll on the system physically as they're pretty stressful). Coach Dan John has spoken of the power of the swing to help athletes/trainees maintain a lower body fat percentage and I've noticed in myself as well. It's not going to be the magic bullet, but for those who train hard and eat pretty well, the addition of swings can help pull the body fat down a bit without too much stress to your system.
9. Overall strength- Swings involve the whole body, in case you couldn't tell from the above points. If you want to increase your strength, add some of these in and you'll be amazed at the carry over into the rest of your workouts/activities.
Hagrid-like strength in a little body
10. Self-Defense- If swings help build up the glutes and hamstrings, which are the primary movers and shakers of sprinting, should you be attacked by zombies or some other terrifying creature, you'll be able to scamper away pretty darn fast. Or, if you're brave, just swing your bell at them and let go. 60+ pounds to the face will mess any body up. Pretty sure Kathy could take down any foe.
If those didn't convince you then, well, I have no words.
You're Doing It Wrong: Split Squats (lunges) and Knees Edition
I haven't done one of these posts in a while so I thought it was high time we had another "You're Doing It Wrong" post.
Diving right in, a common complaint we hear at SAPT is knee pain during split squat or lunge variations. Typically it's pain in the front of the knee, though sometimes it's on the sides as well.
*Disclaimer* Please remember that I'm not diagnosing anything and if these general fixes in this post don't help your knees feel better, I'd say there's probably an underlying issue that needs more digging either from a coach (for the easy, common problems like tight or weak glutes) or a therapist of some sort (assuming the coach refers you to someone if your pain is outside of their scope of practice).
Ok, so two of the most common errors we see during split squat/lunges are:
1. Pitching forward into the front knee with the shin angle less than 90 degrees to the floor. Typically, the front heel rises off the floor as well, thus limiting glute involvement in the movement (mostly of the front leg). Glutes don't like that; they like to be involved with exercise so don't leave them out!
2. Shifting too much of the body's weight to the back leg and crumpling into a ball of poo in the back. The front shin will often drift past 90. Again, this position takes out the glutes' involvement and puts too much emphasis in the quads. This causes more pressure to be exerted on the knee joint, which makes it cranky.
Here's a video to distinguish the two errors, followed by a correct split squat. Note that these form corrections carry over to the lunge variations as well.
So how do you do it right?
1. Keep a 70/30 weight distritbution of front to back leg.
2. Keep your front heel down and push through it (as if you were squishing a bug) as you straighten your legs.
3. Squeeze your butt and abs (hmmm.. that sounds familiar.)
4. Don't let your front knee stray over your toes. Your knees will be happier that way.
That's it! Follow those simple guidelines and split squats and your knees should work together like the Harry Potter Trio!
For the Overextended Part II
A few months ago I wrote a post on warming up for those with a chronically overextended lumbar spine. Since then I’ve gotten a few requests for a sequel post, so... Without further adieu…
For the Overextended Part II: The Lift
In my first post I discussed “prepping” for the lift for those with exaggerated lordosis. I babbled about targeted stretching, mobilizing, and activation exercises used in conjunction with the idea that it would help “tuck” the hips under a bit more and reduce that ridiculous curve in the lower back that ails us.
For many that'll do the trick. After the warm-up they can feel their abs and glutes engage a bit more throughout their lifting session and they feel much more secure about their lower back health.
However, there are those that need more than a 15 minute warm-up to relieve them of their discomfort caused by the overextension. These might be the people with hip flexors that refuse to let go, erectors in constant spasm, and glutes that seem to have tragically passed away from years of desk work.
For these people with symptoms a bit more severe than the rest, some careful consideration should be taken into not only their warm-up but the structure of the lifting program itself. Here are a few exercises I like to use to fight against the overextension apocalypse.
Lower Body
Front Squats
For improved posture I tend to favor front squats over back squats mainly because it really helps to emphasize t-spine extension. Like I mentioned in my previous post, a hyperlordodic posture is often accompanied by significant kyphosis in the upper back. By focusing on keeping the upper back tight and the elbows up and in, front squats basically become a good way to practice good posture under resistance. (Practice makes permanent!)
Split Squats
Remember to do your split squats with all of the knee health rules in mind (keep the knee tracking straight ahead, try to keep a vertical shin), but add this one: squeeze the glute of your rear leg HARD the entire time. If you really flex that rear buttcheek you will feel a good stretch in that hip flexor as you descend to the bottom position.
Pull-Throughs and Glute Bridges
Keep hammering away at your posterior chain strength and emphasize the “tuck under” with your hips. Pull-throughs with a band or cable column is a great way to train the backside while avoiding any compression on your spine. Also throw in some glute bridges into your actual lift! They shouldn’t be reserved for just the warm-up.
Glute bridging variations are endless:
-Double Leg -Single Leg -Double Leg Concentric with Single Leg Eccentric -With a Barbell -With Chains -With a Barbell AND Chains -Back Elevated -Feet Elevated -Back AND Feet Elevated
Get to 'em!
KB Swings
Same idea as above: POSTERIOR CHAIN WORK. Perfect the hinge and develop incredible hip thrusting power. I recommend getting Kelsey or another well-qualified coach to supervise if you haven’t done them before. A correctly performed swing session can do wonders for your posture, but a bad swing sesh can wreak havoc on your lower back!
Upper Body
½ Kneeling Work
Do standing overhead presses and barbell rows make your lower back cranky? Fear not, and enter the ½ kneeling realm of pushing and pulling. Getting into the ½ kneeling position does a great job of positioning overextended spines back to neutral. Replace some of your pressing movements with single arm ½ kneeling landmine, kettlebell, or dumbbell presses. Then make sure to get your pulling in and grab a band or a cable column to do some ½ kneeling rows as well.
Push-Ups and Inverted Rows
Easy enough right? If you take away the movement from the upper extremities, these exercises become a plank or an isometric glute bridge, respectively. What I mean by that is you MUST make sure you keep your abs tight and your hips (NOT lower back) locked in extension as you do your push-ups and rows. When you feel like you’re starting to arch, call it a set or reset your hips.
Benching…?
Bench pressing can help improve my overextended posture?! No, I doubt it. However, I’m throwing it on here for a couple reasons 1) A lot of us are probably going to bench anyway. 2) It may be part of your team’s strength program for high school, college, or beyond.
Many trainees (including myself) prefer to bench with an arch. It helps to get into a position of better leverage and feels a bit smoother on the shoulders. When setting up to bench with a significant arch there is going to be some extension in the lower back, but you should try your best to emphasize the arch coming from the thoracic spine. If you cannot get into an arched back position on the bench without discomfort you still have options. You can simply bench with less of an arch, and by elevating your feet on weight plates you will be able to get a flatter back posture more comfortably. Another option you have is... don't bench. What?!
Floor Press
Take it to the floor! Bring your feet in and keep your back flat against the ground. That should quench your thirst for supine barbell pressing.
Anterior Core Work
Always throw in some work for your abs. Stronger abs will help pull that pelvis up in the front and decrease that anterior tilt. Anti-rotation presses, reverse crunches, roll-outs with a stability ball or an ab-wheel, and stir-the pots are all good options. One of my favorites is a plank. Boring you say? Load it up! Start stacking plates on your back and try to PR every time.
Fin That’s it for now. Can’t guarantee a part III, but you never know!
10 Things I'd like to Share from 2012
As I opened my computer this morning, it didn't take long to realize I had a list of non sequiturs running around my brain. As 2012 is drawing to a close, why not allow them to run around on paper, forming a random thoughts post. Here are 10 things I either remembered, learned, or simply felt like sharing from the past year: 1. Taking the time to teach an athlete to "sit into the hip" during the foundational phases of jump training in the frontal and transverse planes will do wonders for their athletic development, as they progress onward to more "advanced" stages of change-of-direction training and force transfer outside of the sagittal plane.
Notice how in the video above, I use a "soft knee" during each landing and and push my hips back to decelerate. This displays the proper utilization of the glutes and other active restraints of the hip to create "tri-planar" stability: eccentrially controlling flexion, internal rotation, and adduction of the femur upon each ground contact.
However, the video below shows how you'll typically see people perform lateral hurdle (or cone) hops. Note how I rely much more heavily on the passive supports of my body - namely, ligaments, menisci, and other joint structures - to decelerate each landing.
Many athletes will land with a "double step," or even fall over, when learning how to decelerate correctly for the first time. Investing ample time in mastering this entry-level progression will pay huge dividends later on within the realm of injury risk reduction, change-of-direction speed, and rotational power on the field.
2. I love coffee, and, as a result, one of the best parts of my day (other than a good poop) is preparing and enjoying a quality brew early in the morning. Either that, or visiting my favorite local coffee shop, Caffe Amouri, where I settle down to do computer work alongside my faithful squire, Aragorn.
The best decision I made this past year to enhance the morning experience of home-brewing coffee was to purchase a Clever Dripper to prepare my morning elixir. Some of you may recognize it as the "pour over" or "hand pour" method.
With it, you receive all the benefits of a french press - full extraction of the flavors and sugars of the bean - but without the "mud" that typically resides at the bottom of a the mug. The Clever Dripper also WAY easier to clean than a french press.
I highly recommend it for you coffee-lovers in the crowd.
3. Here's an important classification I like to use for differentiating between main lifts in and accessory lifts in program design: Any main movement can also used as an accessory movement, but not all accessory movements can necessarily be a main movement.
It may sound simple and borderline obvious, but it bears repeating for those that are unsure of how to set up their programs.
4. The wrong and right way to hip hinge during a squat. Be careful of overemphasizing the familiar "hips back" cue too much when either squatting yourself or teaching someone else how to squat, especially if an anterior-loaded squat pattern like a goblet squat or barbell front squat is being performed.
If you push your butt back too much at the start, then your body has nowhere to go but forward on the way down in order to find its center of gravity with respect to the bar position. I think it goes without saying that this is unfavorable, with regards to both safety and that whole getting stronger thing.
See the video above for a brief demonstration of what I'm referring to. The first two reps show what happens when you overdo the hip hinge at the start, and the third and fourth rep show how to properly push your hips back as you descend to the bottom.
5. I read through the Harry Potter series this year (yes, admittedly it was fantastic), and jotted down some memorable lines as I went along. Here are a few of them:
- "Indifference and neglect often do much more damage than outright dislike." ~ Dumbledore
- "If you want to know what a man's like, take a good look at how he treats his inferiors, not his equals" ~Sirius Black
- "It does not do to dwell on dreams, and forget to live." ~ Dumbledore
6. Speaking of literature, I'm currently reading A Game of Thrones, and it is spectacular, to say the least. The author, George R.R. Martin, does a phenomenal job of reeling you into the story relatively quickly, and the world he creates is a different than most fantasy stories in that he veers away from the typical character archetypes (few are totally good or wholly evil, you don't have the classic hero who overcomes impossible odds and is immune to corruption, etc.) and he breaks many of the "rules" of stereotypical fantasy.
Hint: Don't read it if you're afraid of your favorite and/or likeable characters to die.
Not to mention, Martin is an absolute master of metaphors, description, and overall wordplay. Read it, and thank me later.
And, while I've heard good things about the HBO series, it still doesn't count. Sorry. However, that still doesn't mean this picture is not awesome:
7. One of the most rewarding parts of my job, by far, is helping people to train around injuries. It's extremely humbling to have the opportunity to help countless individuals - be they just coming out of surgery or simply dealing with a "tweaked" ankle or knee - continue to get stronger despite an injury they recently received.
Below is a video of Conrad, a 64-year-old who recently underwent not his first, but SECOND, total knee replacement surgery within the past year. Instead of wallowing in misery over the fact he couldn't do lower body training for a while, he barged through the doors of SAPT, with a battering ram, asking us to prepare him for a powerlifting meet. Keep in mind this was just weeks after his total knee replacement.
We put him on a bench-specialization program, and the end result was him hitting a bench PR in an official meet.
He serves as such a great example to those - way younger than 64 years of age, mind you - who make excuses as to why they seemingly can't take time to care for their bodies.
8. The Hobbit was an excellent film. I honestly don't see how Peter Jackson, or anyone for that matter, could have possibly done a better job with it. Yeah, people are upset he's splitting it up into three parts, but to me that just shows how Jackson pays attention to detail, and wants to ensure they leave no stone unturned during the film. It also means we still have two more excellent experiences in the theater to look forward to around Christmastime.
I didn't want to read any of the reviews before I saw it, so I looked at them a couple days after seeing the movie. Upon reading just a few of them, it confirmed my notion that the opinions of movie critics are worthless and overrated.
9. When you set up for the basic plank (and its variations), choosing to go from the "bottom up" vs. the "top down" actually has significant impact on how much iliopsoas is recruited. Considering that heavy recruitment of the iliopsoas is generally unfavorable in core stability exercises, try setting up from the bottom up rather than the top down.
10. An admittedly strange and ungrounded pet peeve of mine is when people use the words "jealous" and "envy" interchangeably in conversation. They don't mean the same thing!
To clear the air: Envy generally implies a sense of covetousness or a desire for something that someone else has. Jealousy, on the other hand, relates to a sense of resentment due to rivalry or the fear of being replaced.
I readily admit I don't have grounds from which to stand upon this sense of annoyance, as I am far from a grammar expert myself, and I make grammatical errors all.the.time. but for whatever reason I can't get this one out of my head.
Note: If you enjoyed this list format, feel free to check out this post or this post that I wrote in 2011.
An Overuse of the "Arch Your Back" Cue, and How to Create Better Positioning During Your Lifts
"Pull your chest through.""Stick your chest out." "Put your shoulder blades in your back pocket." "Arch your back....I said, ARCH!"
If you've ever set foot in the weight room, I bet you've heard at least one of the above verbal cues spat out hundreds of times by a coach or trainer in the middle of teaching someone to lift weights.
And for good reason, considering that this is what I usually see when I watch the average gym-goer set up to perform a deadlift or row:
Not pretty, right? And something that should make you want to throw your face into an axe.
We know that lifting with a round back (flexion), at least in the lumbar region, is exceedingly dangerous, large thanks due to Dr. Stuart McGill and his research showing that repeated lumbar flexion, especially under load, is the exact mechanism for disc herniation.
So, what did we do as an industry? We took the stance that if lumbar flexion is bad, then we should keep people as far away from that as possible. If extending (arching) your back is good, then the more the better, right? This thought process lead to us ensuring that everyone "arched their back," or "pulled their chest through" as much as humanly possible anytime they set up to perform a deadlift, row, squat, you name it.
Guess what? Excessive extension is bad, just as excessive flexion is bad.
Overextension in the lumbar region can be just as evil as flexion. What shows up on your doorstep when you do it for too long? Hellooo to low back pathology, to spondy and her cousins. Hello to facet irritation. Hello to an even greater anterior pelvic tilt. Hello to crazy stiff lats and a weak anterior core. Hello to literally cranking on the passive restraints of your back (not a good thing). Goodbye to stronger lifts.
Below is a bevy of comparisons I've put together, showcasing what is commonly seen as good form (sticking your chest out, or overarching your back), alongside a picture of what your back should look like. The pictures on the left show broken, ugly positioning while the pictures on the right display stable and sound positioning.
Instead of performing our lifts with a hyperextended spine, we want a neutral spine. A neutral spine is a happy spine.
TRX Row
Seated Row
Chest-Supported Row
Bent-Over Row
Anti-Rotation Press
Bent-Over Barbell Row
Goblet Squat (Top)
Banded W
Deadlift (Middle)
It may surprise some of you to see what you may have initially thought of as good form, to actually be broken. And knowing how to cue neutral spine is of even greater importance when you're working with someone with extension-based back pain, or even an athlete who lives and breathes in an extended posture.
And it's no wonder why you see so many ugly internet videos of people performing high rep snatches, with the top of each one looking something like this:
When we have crazy stiff lats and a weak anterior core from performing everything in extension, it's no wonder why so many of us look like utter poo poo when we go overhead.
Closing Thoughts
- Telling someone to arch their back or stick their chest out isn't always a bad thing, you just have to use discernment as to when to use it. Some people - i.e. desk jockeys or those with very kyphotic postures - may actually need to extend their back as much as they possibly can, just to get to neutral! These are the folks you may find yourself cueing "chest out," "arch your back" over and over again to help them get out of flexed (rounded) posture into neutral, and, depending on the population you work with, you may in fact find this scenario way more common than the reverse (those who shoot way past neutral into hyperextension).
- For those with flexion-intolerant back pain, it can be O.K. to cue a minor bit of extension during core stability exercises, lunge variations etc. just to drive a bit of intended extension and help them get out of the flexed posture they sit/stand in.
- It's kind of ironic that fitness professionals always freak out about anterior pelvic tilt, and yet the way we we've been cueing exercises have only exacerbated the issue! We bang ourselves against the wall when we stretch our hip flexors into oblivion and then go right into a deadlift or glute bridge with a hyperextended spine.
- The captions "broken" and "fully operational" in the pictures above are references, of course, to the different statuses of the death star ray gun in The Return of the Jedi.
