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Strength: Overcoming Tradition & Assumptions

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The term "strength" comes with many images and stereotypes. The most common stereotype usually includes intimidating men who look like action figures, in spaces that look like iron jungles. Strength is associated with mass gain, limb girth increases, muscle hypertrophy and maximal force production against an external load. With regard to lower body strength, we speak in terms of multiples of bodyweight (BW), with the ratio of 2x BW historically viewed as necessary and desirable. We have historically trained in terms of 1 RM. There has been a trend recently to adopt a VBT (velocity based training) approach, as we know 1 RM changes on a daily basis and technology now allows us to more finely tune things with velocity as the target within each set. These things can be helpful as we initially learn to measure and document progress. But I think it is important to step back from this narrow outlook, because this view of strength does not serve all of us well, in either the rehab or...
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The Waiter's Bow

The sit and reach test stinks. Why? Well, it does not allow one to discriminate between hip and lumbar spine flexion. It tells you NOTHING. The initial testing position puts the hip/torso in 90 degrees of flexion to start; that is an end-range hip flexion position for many. For most, this is only a tortuous test of lumbar flexion. Ever had the pleasure of making a wrestling room full of 9th grade boys try to sit up against the wall while keeping their knees extended? I prefer to use the Waiter's Bow as a assessment tool, and as a warm up or cool down exercise. My goal is to create hip extensor mobility in the context of the neutral spine. The Waiter's Bow is a weight-bearing, AROM test of flexibility that allows you to discriminate hip flexion from lumbar spine flexion. The Waiter's Bow is, in my book, a basic movement comprehension skill everyone should learn. It lays a foundation for advanced training skills and the neutral-spine body awareness that is critica...
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It's About Preparing People, not Preventing Injuries

ACL injuries do not happen in a void. People sustain injuries when their infrastructure is unable to manage a specific set of physical circumstances. To describe the mechanism of the injury without the context of the person and their level/type of sport, is to miss valuable insight. In sport, we prepare the person, to the best of our understanding, to meet the physical demands of that sport. We do not just work to prevent one particular injury; we prepare athletes to navigate the total sport physical environment. By "we" I mean the coaching and support staff -- specifically the athletic development staff.  Athletic development (AD) coaches prepare athletes through the development of physical literacy and movement competencies via movement progressions. It is more than strength, power, agility; it is the acquisition of knowledge, skills, abilities and behaviors to manage themselves within the entire sporting environment. At the higher levels of sport, AD coaches coordinate wit...
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