speed and agility

STOP YOUTH SPORTS INJURIES: What Every Parent Needs To Know

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‘The gravitational field of the earth is easily the most potent physical influence in any human life. When human energy field and gravity are at war, needless to say gravity wins every time. It may be a man’s friend and reinforce his activity; it may be his bitter enemy and drag him to physical destruction.”

Ida P. Rolf, Ph.D.
You just bought a new Lexus. You decide to teach your kid how to drive. You both get into the car, with him or her behind the wheel. You pull out of the driveway, and then you instruct your child to “smash into the nearest wall!” Imagine how dumbfounded your teenager would be. But you explain, “Hey, since crashes could be a part of your driving experience, I think we better go out and teach you how to crash more effectively.” Obviously, this seems like a ludicrous idea and somewhat over-the-top. Why not just improve the driver’s skill behind the wheel and lessen the chance for collision, or even avoid the situation completely?
It has been well-documented that a surprising number of injuries that befall athletes are of the non-contact variety. Without the impetus of a strike or blow to the body, athletes are continually suffering a host of repetitive and overuse trauma. These injuries can be as subtle as musculoskeletal aches and pains, and as debilitating as ACL tears. With so many young athletes affected by this epidemic, the predicament of how to keep your child injury-free remains elusive to most people.
The problem is simple: athletes don’t move properly. They don’t sprint correctly, jog correctly, throw correctly, jump correctly, lift correctly, condition correctly nor change directions correctly. If they did, they wouldn’t get hurt. A lot of well-intentioned coaches, therapists, physicians and researchers have attempted to combat this problem with a seemingly logical approach to prehabilitation and general preparedness. However, by reducing this issue into either isolated factors (“get stronger”, “stretch more”), specific culprits (the core, non-firing muscles), or research-supported protocol (foam rolling, dynamic warm-up), the actual reason why-kids-get-hurt has been misconstrued. Lost in the reductionist dogma so prevalent today, is that all movement is a consequence of interrrelated actions. These actions, done poorly, and deeply rooted in athletes’ understanding of how to move themselves or an object from Point A to Point B, is the genesis of non-contacts sports injuries.
There has been conjecture, based on scientific data, that most significant injuries happen to athletes while they are decelerating; specifically, absorbing forces when landing from a jump or while changing directions rapidly i.e. cutting. A belief in this premise leads to the conclusion that learning to decelerate perfectly is the answer. Which is why the prevailing formula pushes towards the idea that the more we get accustomed to forceful impact, the more resilient our bodies will be. Unfortunately, consistent exposure to high velocity force, has a deleterious, not adaptive effect. This is akin to our “drivers learning how to crash better” example. Thinking that the body can be trained to overcome forceful tension and pressure is a mistake often conveyed from examination room to gym floor to playing field. Cars don’t survive crashes. Neither do we.
I see this far too frequently. We make athletes lift more, run harder and compete incessantly weekend after weekend believing that this is way to athletic prowess. And when they get nicked up, the advice is simple and straightforward: just rest up for a bit then repeat – with even more vigor. Because if that much didn’t stop the injury from happening, then that much more surely will. We are not designed to generate or consume heavy doses of external force. We are designed to attenuate and channel these forces to boost our speed, strength and performance. What matters most is our finesse and efficiency when interacting with our environment, not our muscular efforts. The objective is to redirect the accelerated, rotational forces of movement – not to try to stop or overcome them. Moving energy is a flow, not resistance and loading.
Most of my athletes never sustain these commonplace injuries. I don’t have clients waiting for surgery. If I do, it’s because they haven’t been compliant or followed protocol, or left the program too early. Athletes aren’t injured because of gender, genetics, bad luck, strength imbalances, inflexibility, fatigue or overuse. These are symptoms, not determinants. The keys are in your hands. Make better choices and drive well.
PEAL
America’s #1 Sports Performance Coach & Gait Analyst

LSD or Speed?

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Last weekend I had the opportunity to be a part of the 2011 edition of the Wineglass Marathon. Thanks to Sheila Sutton (assistant race director), I was invited to present a couple of lectures during my stay in Corning, NY, and otherwise mingle with the few thousand runners in attendance. There was a two-day (Friday and Saturday) expo held inside the Corning Community YMCA where the runners, vendors and race staff congregated for the usual pre-race/last-minute frenzy.

In between lectures I did some gait analyses (notably with new client Jennifer Brower-McNutt, former 2004 Olympic Trials marathon participant) and answered running-related questions. Jen, and another of my athletes (John Weiner, 49, who ended up finishing 4th overall) were running the 1/2M, so I bundled-up early Sunday morning and headed towards the starting line at Campbell-Savona School. Just prior to the race start, many of the runners lined the school’s hallways (it had started to rain outside), going through the usual stretching and idle chatter routine. Typical of runners, in between calf and quad stretches plus keeping-myself-warm bouncing, was the predictable query posed to anyone within earshot: Am I prepared?

The question was always answered with positive reinforcement (“you’ll be fine!”) – and even more so when the questioner assured the listener that “I got my miles in.” It’s as if those five magical words were the key elixir to surviving any test of human stamina. Having those miles under one’s belt, although seemingly effective, has yet to guarantee any type of success regardless of the distance run. In fact, despite the folklore that “you gotta get that 20-miler in” pre-marathon, how many of you, or people you know, have suffered in that final 10k regardless of their “long run” preparation.

So, if endurance doesn’t give you endurance, what the hell does??? In a leap of faith few are willing to accept, it may sound illogical at first but is truly at the heart of maximizing your running potential: Speed is the foundation of endurance. I first learned this concept from my friend and mentor Dr. Nicholas Romanov (Pose Method) and have witnessed it’s veracity with my own athletes and clients. The adage of “building your endurance through long, slow distance (LSD)” to give you the physiological base to tackle endurance challenges is misleading. Coaches from Arthur Lydiard to Bill Bowerman have stressed, in one form or another, the necessity of optimizing one’s aerobic capacity. Perhaps because of the prevalence of the “jogging” culture, which has led to a boon of recreational runners, or the narrowly-scoped obsession of the scientific community with the physiological effects of prolonged exercise, the concept of running better is all about heart and lung capacity. Unfortunately, all LSD gives you – with a modicum of aerobic benefit – is the ability to move slowly over periods of time while exposing yourself to fatigue, bonking and injury. If our aerobic reservoirs were the linchpin, then why doesn’t someone like Lance Armstrong, whose aerobic engine is legendary, run the fastest marathon times? You may argue that cycling requires different muscles or skills than running, which would point to something else at issue here: technique.

With good technique comes speed, and with speed the potential to endure. Remember, the fundamental requirement is how precisely a runner can interact with the forces available (gravity, ground reaction, muscular stretch-reflex), visible in how effectively he or she can remove their foot from the ground. The kinesthetic awareness that allows the body to move forward hinges on the understanding that there is an exact time-frame for economy – one that is beyond the amount of oxygen consumed per kilogram of bodyweight per minute. The less time you can spend on the ground, the less taxing it is to the muscular system and the less oxygen needed to fuel stressed-out muscles. Humans are built to survive (i.e. slog through marathons), but at great cost. Speed, in the true sense, is that proper combination of skill/effort/awareness/precision you’ll never find while running slowly for slow’s sake (although I want to point out that jogging can be treated as more skill development for improving one’s running technique).

Great distance runners can perform at a sub-5:00 pace, mile after mile. Yet, even Ryan Hall (after Sunday’s 2:08/5th place performance in the Chicago Marathon), commented that he needed to improve his “turnover” and drop his 1/2 marathon time to solidify his Trials and Olympic chances. The idea of strengthening one’s ability to accelerate in shorter intervals succeeds on many levels, physically and emotionally.

The belief that speed cannot be trained year-round is a falsehood. Much research has proven the positive cardiovascular results from repeated interval training. The blueprint is the knowledge of what intervals will bring out your best? How many? How often? With proper interval work and ample recovery, the lessons learned during speed training pay dividends for elite and recreational runners alike. Which leads us to the ultimate question: how fast can you be?

Hard or Soft?

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What struck me so paradoxically, in Gina Kolata’s column”For Runners, The Soft Ground Can Be Hard On The Body” (http://www.nytimes.com/2011/07/19/health/nutrition/19best.html?_r=1&ref=personalbest), was not the inconclusive responses to the question at hand – Is it better to run on hard or soft ground? – but rather Ms. Kolata’s comment about her own running dilemma: “every time I push off of on a soft surface, I twist my ankle.”

Although Ms. Kolata was clearly just adding a personal anecdote to bolster the story, it undoubtedly echoed the views of University of Texas at Austin exercise physiologist Hirofumi Tanaka who “aggravated” his knee injury and “sprained his ankle” when using a dirt path during his rehab. To him, the “soft and irregular surface” was the culprit. Kolata did her editorial diligence, interviewing several experts, including her coach Tom Fleming. Still, it seems odd to me that modern man is so ill-prepared to run on anything outside the most tempered surfaces, while our less civilized ancestors mucked around for years in nothing more than a leather sandal or bare foot. And even stranger are the controversies and misinformation buzzing around the subject.

When did we lose the ability to just go outside and run? At a time when our technology and problem-solving seem so far-reaching, why are we still in a quandary over how to perform the most fundamental of human tasks? The answer is simple, yet lurking outside the radar: gravity.

What befuddles scientists, coaches, athletes and runners, like Kolata, is the understanding that the propulsive impetus in running is gravity-driven. Gravity (plus friction) holds the landing foot in place while the body has the opportunity to rotate over this axis (imagine holding a pencil upright then letting it fall towards the table). If the fulcrum created by the foot remained, the body would topple rapidly towards the ground. However, it’s this resultant pull of gravity forward and downward, coupled with the removal of the foot from ground support, that allows our bodies to move horizontally. This process (repeated over and over, from foot to foot), is the true definition of running. A timely spring-release of the foot from any stretch of grass/dirt/asphalt/track, therefore, becomes the primary responsibility of the runner and, most importantly, the clue to assessing our injury-proness.

Kolata may feel it interesting to examine the effect of surface type on impact forces and injury potential, but I think this drastically misses the point. With regards to a soft, undulating surface, the angle of our footstrike and the time it takes for us to remove that foot is essential (I often train my form by running on ice). The conventional wisdom offered by Dr. Stuart J. Warden, director of the Indiana Center for Translational Musculoskeletal Research at Indiana University, to “get a pair of comfortable shoes and run on whatever surface they prefer” seems illogical considering the scope of the questions posed in the article.

It took many years for a forefoot strike to become common knowledge (although the photo accompanying the article suggests otherwise). I guess it’ll take more time for that push-off, regardless of the terrain, to be deemed unnecessary as well.

Running Economy

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In his recent post “Running Economy: Overrated and Misunderstood” (Running_Economy.pdf), Steve Magness, exercise scientist and newest addition to the Nike Oregon Project team, bemoans the “sad state of a lot of physiology research out there”  which has streamlined exceptional running performance into a neatly tied package of  running economy (RE), maximal ventilatory intake (VO2max) and lactate metabolism threshold (LT). To him, these physiological markers are informative yet underwhelming. “There are no easy variables that can tell us how good of a runner you are or can be.” Really? So, what methods can we use to predict and evaluate running performance? How then, do we address the most cogent underlying question of What makes a great distance runner?

Magness attempts to answer this question by explaining that although “it would make sense that the ‘better’ ones running form, the more efficient” that person is, someone like Alberto Salazar (who had poor mechanics) was efficient based on the current scientific nomenclature. The problem, he states, is that RE is a complex variable, and that there are “three types of efficiencies that govern how [economical] a runner is in a whole body sense” – mechanical, physiological and neural. According to Magness, “some parts of you will be very efficient while others won’t.” In this way, RE “reflects the sum of all those parts.”

There is some truth to what Magness says. In “Web of Life”, Fritjof Capra reveals that in the systems thinking view, “the essential properties of an organism, or living system, are the properties of the whole, which none of the parts have. [These properties] arise from the interactions and relationships among the parts.” By defining RE as the relationship between several types of efficiencies, Magness owns some understanding of the the parts contributing to the whole. However, states Capra, “the belief that in every complex system the behavior of the whole can be understood entirely from the properties of its part” is the central idea of the reductionist approach of modern movement science. So Magness is just as guilty as the scientists he criticizes – by reducing RE to smaller parts and missing the point that the properties (of efficiency in this case) are destroyed “when the system is dissociated, either physically or theoretically, into isolated elements.”

It was biologist Joseph Woodger in Biological Principles, 1936 (cited by Capra), among others, who emphasized that “the key characteristics of the organization of living organisms was its hierarchical nature.” In other words, there are multileveled systems within systems. In humans, every step we take displays the connectedness between balance and falling, support and motion, thought and action. Economical running form relates to our ability to interact with our gravitational environment.  Our bodies are already attuned to the slightest fluctuations. All we need to improve is a better sense of our “loss” of bodyweight when falling forward during the gait cycle.

It’s not about the body becoming more efficient “at sending the neural signals from the brain to the muscles,” as Magness argues. The brain does not determine “what muscle fiber to fire to do a certain movement.” Muscles have pre-determined functions as agonists/antagonists. It’s not our job to tell them what to do. This is handled by the precise, dense network of interactions that criss-crosses anatomical, physiological, psychological, emotional and biomechanics barriers. We are still discovering how to predict and define the potential of human performance. Capra summarizes that “all scientific concepts and theories are limited and approximate.” Science can never provide any complete and definitive understanding.”

Ask The Trainer

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For the past year or so, I’ve been working closely with my friend and colleague Dr. Lee Cohen (www.drleecohen.com). Dr. Cohen is the podiatric consultant for the Philadelphia Eagles, 76ers, Wings and a host of collegiate and high school teams. I met him through the usual “know somebody” network, and he was gracious enough to let me sit-in on his patient consultations. By hanging around once a week, I was able to increase my knowledge of postural structure, foot mechanics and gait analysis – and improve my diagnosis and corrections of running-related injuries. Collaborating with Dr. Cohen, however, took some time to cultivate. Solving structural issues by alignment alone had been a successful approach for him, though there seemed to remain 15-20% of his patients (mostly involved with athletic activity) that continued to suffer problems. I was stubborn in my insistence that there needed to be another side to the treatment protocol for his patients and athletes: help them move better. Ironically, it wasn’t until Dr. Cohen and I taped a video together that he was “sold” on my ability to provide an alternative method to refining stride mechanics. He heard me run! Or actually, he didn’t hear me run. Surprised by the quiet lightness of my stride, Dr. Cohen then understood how my knowledge could augment his practice. Ever since, we’ve been tackling many issues in tandem. Now, I’m a permanent fixture at his various offices and on his website.

Each week, I answer one of the many questions proposed by his patients. Below are the first three installments. For future updates, please click on the “Patient Education” link and find the Ask The Trainer section.

 

I am a runner with flat feet and I suffer regularly from overuse injuries to my foot, ankle, and knee, what is my problem and how can I run without pain?

A common cause of chronic pain and overuse injury of this type is a mechanical problem called over pronation of the foot. Normal pronation occurs when the foot rolls inward and the arch of the foot flattens. In a runner with flat feet or other issues the foot will often hyper-pronate, or roll too far inwards. This will throw off the balance of the foot and leg and can cause shin splints, runner’s knee, bunions, tarsal tunnel syndrome and more. Often the pain can be avoided with motion control running shoes and custom insoles, but many experts maintain that while this method gets rid of the pain, poor mechanics still inhibit the runner’s full potential. To fix this problem many athletes turn to elite running coaches and movement specialists. At Tracy Peal Speed, we advocate a cutting edge running technique called the Pose method. The Pose method is proven to reduce shock on the knee as well as preventing injury. These results are achieved by keeping the body well positioned over its general center of mass so as to work with gravity rather than against it. To learn more please contact us.

What are some pros and cons of barefoot running and how can I learnmore about the technique?
It seems reasonable that shoes, especially running shoes, would represent the most technologically advanced approach to enhancing human locomotion mechanics – but this is not the case. Barefoot running enthusiasts point out that shoes alter natural foot placement, moving impact from the forefoot and balls of the feet to the heel by adding cushioning and mechanical support. In their opinion, this causes the small muscles of the foot and leg to become underdeveloped through disuse. Advocates of barefoot running also suggest that this method can help strengthen these muscles to increase performance and prevent injury.
While barefoot running may improve health, combining performance, efficiency and injury prevention involves more complexity than simply removing ones shoes and running. For this reason a competent running coach or movement specialist should assist and advise any athlete who is interested in barefoot running. For an introduction to barefoot running and a sample drill check out this video.

How should a long distance runner approach rehabilitation of a knee injury so as to return to training as quickly as possible?
It is important to remember that with any injury, especially a knee injury, the injured part of the body is far from the only area affected. Muscles that have been unused during the rehabilitative process may have weakened, so it’s imperative to minimize effort and stress on the knee when returning to running. Jumping back into training without the proper attention can lead to an overuse issue or a recurrence of the previous injury. For this reason we emphasize Gait Retraining, in addition to normal strengthening and flexibility routines. This approach is essential to providing the proprioceptive feedback an athlete needs to stride efficiently, regain strength and return balance to the leg.

 

I CAN’T TAKE IT ANYMORE!: 8 Myths About Running Injuries

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These are the moments when I’m glad to have an internet voice (read: blog). Without this outlet, I would be sitting at home, contemplating some grisly response to all of the tweets regarding “Running Injuries.” My frustration has reached new heights, seeing more and more articles/posts advocating the surefire way to lessen the pain of running. With each new piece of peer-reviewed university research and advice pouring out of the mouths of esteemed doctors, scientists and therapists, one would assume that the war against running-related injuries would have already been won. The problems (despite better shoes, better training and better rehabilitation) continue to plague us. Like most things in life, the answers are right in front of our faces, but our eyes are closed. Listed are my 8 pet peeves regarding running and injury prevention. Hopefully, I can dispel some of these myths, once and for all, and help  you become more aware of the truth.

1. Stretching prevents injuries – Late last week, a NYT article suggested that stretching had no more effect on reducing injuries than not stretching. In essence, a true statement. Proper running form doesn’t require flexibility (look how many people run and can’t touch their toes!), however, being more flexible will always augment your freedom of movement. Any restricted part of your body will inevitably become a problem area, due to a lack of mobility and the consequence of compensation. Your subconscious will always “favor” this area, affecting the fluidity of your running. That being said, I do believe in a warm-up (like jumping rope) that prepares the body for running. It’s always a good idea to “check” your flexibility as well: making sure that your joints are free from restriction and safe to proceed with activity. Arguing over static vs. dynamic flexibility greatly misses the point.

2. Running on softer surfaces – Although this sounds very logical, the surface only matters with respect to your running inefficiency. Pound the ground and the ground will pound you back. Very simple. Studies have shown that you can decrease impact with an improved stride that focuses on a forefoot strike landing underneath your body’s center of mass. Remember, movement occurs predominately from gravitational propulsion which allows our bodies to fall with less muscle effort. We need to learn how to use gravity as our ally.

3. Find the right shoe – Once again, the “correct” shoe relates to your “style” of running. All of the common causes for correction (most notably over-pronation) are coming from errors in form. When your foot lands ahead of your body, reaching for the ground, there exists an opportunity for the foot to excessively move and adjust (think of the trouble kids get into afterschool before their parents get home). It’s too much time wasted, especially for the heel-striker who must land, flatten, roll then release. In any movement, time on support is precious. A shoe can only mask these mistakes, conceding running economy for “what feels right.”

4. Running is natural – Running is no more “natural” than skating, golfing or swimming. Actually, I do believe that it is natural for man (as a bipedal animal) to run and run very long distances. Our early history would suggest man running on grassy plains and dirt trails, chasing and running from prey in barefeet. The overcivilization of our species – the development of roads and the wearing of shoes – probably had much to do with our current circumstances. I’m constantly reminding people of how babies first begin to walk: hold on, release, lose balance, staccato short steps then hold on to something else. At our earliest age, movement is realized as falling.

5. Mid-foot striking – With a reborn interest in running mechanics (see Pose Method of Running), I’ve been hearing a lot about mid-foot striking. What is the mid-foot? The mid-foot is the arch, and I dare anyone to actually land there. I realize that much of this has to do with ego (“Oh, you run on your heels? Well, I land on my mid-foot!”). It’s been explained as a simultaneous landing of the whole foot – which would be a flat-foot landing. Any frame-by-frame analysis would reveal a forefoot or heel-first landing.

6. Muscle imbalances – Having strong muscles is never a detriment, but never a guarantee either. Most speed coaches are proponents of athletes having really strong muscles. Therapists want runners to have stronger cores. In my experience, most runners and athletes lack the necessary hip and hamstring strength to run effectively (longer and faster). But, this is found out AFTER I’ve made corrections in their technique. Running better means falling farther. The hips represent the integrity of your kinetic chain, and your hamstrings the muscles most responsible for lifting your foot from the ground. The human body is a perfect design, properly balanced for the myriad of tasks it can perform. Who says every muscle needs to be on par with every other? Perhaps these imbalances are actually necessary for proper functioning?

7. Reduce mileage – I think by now, you can guess my answer. I will say, that there is way too much emphasis on mileage, endurance and conditioning. The results speak for themselves – up to 85% of runners suffer injuries. Too many bad miles, will leave the body overtrained and hurt. Yet, run with great efficiency and the sky’s your limit. I will agree that even in the best circumstances, there should be variation in anyone’s routine, changing tempos and distances to challenge your perception and skill.

8. Cross-Training – Another one of the “band-aids” used to fix injuries and keep the athlete in-shape. Instead of being a solution, cross-training (cardiovascular-wise) opens up another can of worms. Many athletes suffer additional problems associated with the ill-conceived mechanics of most cardio machines, while other activities, like cycling and swimming, are mistaken as just non-impact options for the laid-up runner. Trying to take away gravity isn’t the answer. Without gravity, we wouldn’t exist. In a very real sense, we need gravity (its support, its security) for our survival.

The Power of Pose, part 2

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About three hours after my clinic in Downingtown on Saturday (31 kids, ages 7-16), I got a call from the owner of the dojo where the clinic was held. Sensei Ben was ecstatic on the phone. He was explaining how his 7 year-old daughter, Liza, who had just run a surprisingly beautiful sprint in her final videotaping, was now elucidating to his wife (her mother) how you’re “supposed” to run. “Now, mommy, no it’s about gravity and you’ve got to fall, then run and make your fours. The figure fours, mommy!” Sensei was in disbelief, having just witnessed his daughter, proverbially playing-with-inchworms, while, outside, I was trying to instruct the students on proper running mechanics. This is what made it so amazing – not only had she ended with the best run of her day, but she had (literally) absorbed the underlying principles of movement and now was trying to show them to someone else.

Humans are designed to move, specifically run long distances. We could go into all of the anthropological and evolutionary reasons behind movement and bipedalism, but suffice it to say, we have a primordial urge to go somewhere on our own two feet. Learning how to do that is a very uplifting feeling. Movement is freedom. And I guess at the end of the day, Liza felt empowered by that freedom, that deep, deep thing that connects us to our earth, our universe.