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How Movement Improves Brain Function

Movement is essential to the function of our heart, lungs, and lymphatic system. Movement is critical to keeping our muscles, joints, cartilage, and connective tissue healthy. Movement aids in the delivery of oxygen and nutrients throughout our body and assists in removal of metabolic waste products.

These are points that the majority of us have either heard about or have come to understand about the importance of movement as it relates to our overall health.

Yet one major benefit of movement is often overlooked - the stimulation of pathways required for proper brain and body function.

Yep, that’s correct. Movement - especially of the spine - is required for proper brain function and coordination of activities such as concentration and learning, motor control, emotions, and optimizes organ and immune function.
There is a reason why you experience an increase in mental alertness after exercise or even a visit to the chiropractor. According to Roger Sperry, Nobel Prize recipient in Brain Research, movement of the spine generates 90% of the nerve stimulation used to run the brain.
The brain does not simply control the body, the brain requires constant stimulation and that stimulation comes from movement.

Movement charges your brain’s battery and enables you to think, function, and feel better.
Sound a bit too good to be true?

The work of some of the most prominent neurologists and physiologists in the world continually support the role of movement in brain and nervous system health.

The stimulation your brain receives from movement – once again, especially of your spine – is now being considered essential to optimal brain function and development. In fact, research is now showing that people who do not adequately stimulate their brain through movement have learning, memory, emotional, and behavioral deficits.
This is especially true for children because spinal joint receptor stimulation plays an integral role in the development of the child’s brain and nervous system. The effects of decreased stimulation of the brain in childhood have been linked to central motor impairment, developmental impairments, learning disabilities, and concentration problems like ADHD.

Regardless of your age, the message should be clear at this point: Movement does a body – and brain – good.
Get out and get moving.

More related reading:

https://gallagherperformance.com/tips-on-recovery-and-restoration/

https://gallagherperformance.com/does-practice-make-permanent-how-practice-rewires-your-nervous-system/

Solving Pain: The Influence of Czech Rehabilitation Techniques

As physical medicine becomes increasingly specialized, chiropractors and therapists must remain educated and capable of offering the highest quality in their professional services, knowledge, and examination abilities. Regardless of whether you are entrusted with the care of an athlete, chronic pain syndrome patient, or post-surgical rehabilitation, we have the job of reaching successful outcomes for each individual we encounter.

We must find their real source of pain, their true sources of dysfunction. Even if it means identifying sources others do not know exist.

We should be able to perform orthopedic, neurological, and also functional assessment to not only diagnosis problems, but also determine how to prevent any future problems.

One such country that has encouraged this level of thinking among it’s doctors and therapists is the Czech Republic.

The emergence of Czech ideas within the United States has grown over the last 15-20 years. My mentor and residency director, Dave Juehring, DC, DACRB, CSCS and director of the Sports Injury & Rehabilitation Department at Palmer College of Chiropractic in Davenport, IA has one of the most extensive backgrounds in Czech approaches to manual medicine and rehabilitation within the United States. In my opinion, there is no brighter mind in the chiropractic rehabilitation world. He may not be well known by industry standards, but those that know him know his knowledge and skill set is second to none.

The knowledge and expertise he is able to share with his residents, rehabilitation interns, and students has a profound impact on our professional development.

Among many lessons, he really has helped us understand the approach taken within the Czech School of Manual Medicine as well as the Prague Rehabilitation School. The intent of this article is to share some of this knowledge and highlight how these Czech methods can improve rehabilitation outcomes and athletic performance.

Alternative Thinking
The Czech School of Manual Medicine truly has revolutionized the management of musculoskeletal pain. Early in the 1950s, neurologists by the names Vladimir Janda, Karel Lewit, and Vaclav Vojta took a special interest in the rehabilitation of the motor (aka movement) system. As western medicine became progressively more technologically driven, Janda and Lewit focused on the value of manual approaches such as chiropractic, joint mobilizations, and neuromuscular rehab techniques, such as PIR (post isometric relaxation) as critical pieces of the rehabilitation plan. Janda was instrumental in the assessment of muscle imbalances, Lewit’s in joint dysfunctional. Vojta was instrumental in the discovery of global reflex locomotion patterns.

Collectively, their research focused on joint dysfunction, muscle imbalance, and the assessment of faulty movement patterns.

These concepts became components of identifying “Functional Pathology of the Motor System”. In other words, identifying why someone has developed pain or a movement related problem. In contrast to traditional medicine, which had a growing emphasis on medical imaging (X-rays, CT scans, MRIs) to identify structural pathology as the cause of pain.

Developing Ideas and Techniques
The work of Janda, Lewit, and Vojta influenced the work of Pavel Kolar and his work now represents a very innovative and powerful approach to how the central nervous system not only controls but expresses movement. This approach is known as Dynamic Neuromuscular Stabilization (DNS). The application of DNS has value from the neurologically impaired child to adults dealing with musculoskeletal pain to elite athletes. Kolar’s knowledge and skill set has landed him jobs with the Czech national teams in soccer, hockey, and tennis.

DNS has become highly effective in speeding recovery from injury, rehabilitate the body’s function as a unit, and enhance performance. Even the Czech President relies on his unique skill set. Kolar has worked with some of the world's best athletes, such as Jaromir Jagr, Roger Federer, and Novak Djokovic to name a few.

Thanks to the influence of these Czech clinicians, we are now able to look for predictable patterns of dysfunction within the human body and correlate them with pain or injury. It is in the Czech model we are able to piece together the clinical relevance of local, segmental joint treatments (mobilizations, manipulation), muscular imbalances, and central nervous system coordination of movement to optimize how the body functions and performs.

Read more on DNS here:

Dynamic Neuromuscular Stabilization: Advancing Therapy & Performance
The Hidden Causes of Sports Injury
https://gallagherperformance.com/chiropractic-rehab-dns-treatment/

https://gallagherperformance.com/sports-chiropractic-rehabilitation-massage-therapy/

Fascia & Muscular Adhesions: How they relate to pain and overuse injuries

What is Fascia?
The soft connective tissue, located just under the skin, is a white membrane that wraps and connects muscles, bones, nerves, organs, blood vessels of the body.

This soft tissue is known as fascia. Think of fascia like the white fuzz inside an orange peel connecting and wrapping around the orange and the individual sections or slices.

At times, muscles and fascia are can become stuck or tear, resulting in soft tissue injuries or adhesions. Adhesions restrict movement and the quality of muscular contractions resulting in either soreness, pain, and/or reduced flexibility.

For a quirky take on fascia or "the fuzz", watch this video by Gil Hedley, PhD. The video provides great visuals as to what fascia looks like, how our muscles have to slide while we move, and what muscular adhesions look like and how they limit movement.

[embed]https://www.youtube.com/watch?v=_FtSP-tkSug[/embed]

How do you treat Fascial/Muscular Adhesions?
Treatment of fascial/muscular adhesions through manual or instrument assisted techniques have clinically proven to achieve successful outcomes in many acute and chronic conditions. Gallagher Performance offers a number of soft tissue approaches to treat painful or tight muscles, tendons, and ligaments. We have extensive training in identifying and treating muscular adhesions that compromise quality of motion and contribute to pain symptoms or reduced sports performance. Many overuse or repetitive use conditions respond well to treatment of soft-tissue structures through myofascial release, including back pain, shoulder pain, shin splints, runner’s knee (IT band syndrome), and plantar fasciitis.

Myofascial release is a manual or instrument assisted therapy targeting soft-tissue structures to reduce the presence of adhesive/scar tissue. Adhesive muscular tissue is arguably the most common yet most underdiagnosed condition in the entire human body. Muscular adhesions act like glue among muscles, fascia, tendons, ligaments, and even nerves. As a result, this reduces flexibility, strength, and stability to the body by altering movement control patterns. Adhesive tissue along nerves can cause numbness, aching, tension, tingling, and in some cases weakness. This is condition is called nerve entrapment and can happen in an estimated 150+ locations throughout the body.

How does adhesive tissue develop within the body?
Often adhesive tissue develops in result to acute injury or from overuse/repetitive trauma injury. Overuse injuries are caused by repetitive stress on the muscle and skeletal system without enough rest to allow the body to adapt. Studies show these overuse injuries account for more than half of pediatric sports injuries and often happen due to intensive focus on a single sport with an intensive practice and competition schedule. Unrecognized and untreated, they can sideline athletes from play and lead to more serious injuries.

Who is qualified to diagnose and treat fascial/muscular adhesions?
Sports medicine experts are advocating a greater role for therapists who can help athletes or active individuals recover without incurring lasting damage or hampering their activities. Specialists such as chiropractors, physical therapists, and massage therapists who specialize in sports-related injury and rehabilitation are often the first line of defense in managing and treating overuse injuries. These licensed professional are best for identifying muscular or fascial adhesions as they related to overuse injuries and movement disorders. With specialized training, these professionals are able to detect and treat muscular adhesions, expediting the healing process and minimizing downtime due to overuse injuries.

This is exactly why at Gallagher Performance we have a team which includes a massage therapist and a board certified chiropractic rehabilitation specialist. We strive to offer our athletes and patients the latest treatments and evidence-based soft tissue and rehabilitation techniques. Helping our athletes and patients achieve and sustain their best level of health and performance is our goal.

More related reading:

https://gallagherperformance.com/tendinitis-changing-treatment-and-improving-recovery/

https://gallagherperformance.com/why-stretching-wont-solve-your-tight-muscles/

https://gallagherperformance.com/3-benefits-of-integrated-training-and-therapy/

Low Back Pain: Causes and Treatment Recommendations

Low back pain is not an uncommon condition among the American population. Several studies have supported data that demonstrates up to 85% of the population will experience at least one episode of low back pain during their lifetime. Low back pain is responsible for millions of dollars in healthcare costs every year.

In most cases, low back pain is relatively self-limiting condition, meaning it reduces naturally over a period of a few days. That said, it is not uncommon for many to experience severe pain. For this reason, it is important to begin treating low back pain conservatively with interventions such as chiropractic, manual therapy, therapeutic massage, and/or proper exercise prescription. All these conservative interventions have demonstrated their ability to successfully treat low back pain and its causes.

Some common back pain causes that respond well to a combination of chiropractic, manual therapy, massage, and/or exercise include:

Sprain/Strains: Injury to muscle and/or connective tissue, such as tendons or ligaments, suffered during activity, accidents, or lifting with poor form. Sprain/strains are extremely common and most range from mild to moderate (little to no tearing of tissue) and respond well to conservative treatment such as chiropractic, manual therapy, and progressive rehabilitation. Severe sprain/strains are characterized complete tears of ligaments or tendon ruptures. These may require surgical intervention.

Sacroiliac Joint Dysfunction: These pelvic joints usually produce pain as a result of alter joint mechanics from lifting or straightening up from a stooped position. The pain is usually relieved with sitting or lying down. Muscular tightness in the low back and hips is common.

Facet Syndrome: Pain in the low back that is localized, sharp and provoked with either extension (arching of the low back) or a combination of extension and rotation of the spine.

Sciatica: Radiating pain into the lower extremity on the posterior thigh/calf/foot. Sciatica can be caused by central issues (disc herniations) or peripheral issues (piriformis syndrome, nerve entrapment).

Disc Herniations: Low back pain which may also radiate pain into the hips or legs. Typically worse in the morning; worse with bending forward; usually better standing than sitting. Because of the disc injury, muscle spasms are not uncommon. These muscle spasms serve to limit movement in order to protect the disc from further injury.

Piriformis Syndrome/Nerve entrapment: Radiating pain on the posterior thigh and leg caused by tightness in the piriformis muscle. This muscle is deep within the hip lays underneath the glutes. Tightness in the piriformis can create irritation by entrapping the sciatic nerve, thus creating the radiation of pain.  The sciatic nerve can be entrapped within the hamstring and calf musculature as well. Low back pain may also accompany hip pain.

Myofascial Pain Syndrome: This is a chronic form of muscle pain caused by trigger points. These trigger points are often present within muscles of the low back and hips due to any combination of joint dysfunction, postural imbalances, and/or poor stabilization/support function of the core musculature.

Spondylolishthesis: A fracture of the vertebrae resulting in pain with extension. Similar to sprain/strains, spondylolishthesis is graded in severity. Mild forms for spondylos can respond well to chiropractic manipulative therapy (CMT) and rehabilitation programs. This condition is frequent in athletic populations who perform repeated extension movements, such as gymnasts, football players, wrestlers, and weightlifters.

In many cases, several studies support that low back pain responds exceptionally well to the combination of chiropractic care, manual therapy, massage, and proper exercise instruction.  If you are suffering from low back pain, whatever the cause, consider Gallagher Performance for your evaluation and treatment. Our goal is to relieve your pain while teaching you what you can do to keep the pain from returning. Please contact us as we have every expectation that our chiropractic and rehabilitation programs will help you Experience the Difference.
 
This blog post was written by Dr. Sean Gallagher.

Gallagher Performance offers customized treatment plans. Visit our website for complete contact information. 
To schedule your appointment, call (724) 519-2833.
 
More related reading:

https://gallagherperformance.com/why-stretching-wont-solve-your-tight-muscles/

Welcome to Gallagher Performance

[embed]https://www.youtube.com/watch?v=dzaixhJKgnQ[/embed]

Hi. I’m Dr. Sean Gallagher. Welcome to Gallagher Performance. I’d like to tell you about what we have to offer and why it might be a right fit for you to come check us out.

We offer chiropractic, functional rehabilitation, massage therapy, nutritional programs, as well as sports performance and personal training programs.

To begin with, my approach to chiropractic is different from what most have come to expect or have experienced in the past. As a chiropractor, my focus is on returning you to proper function and teaching you what you can do to keep pain from returning. Rather than spending 5 minutes with my patients, I usually spend 30 -60 minutes.

New patient evaluations are an hour long, as this allows me the opportunity to listen and understand their history as well as their desired goals and outcomes from treatment. All new patients receive a neurological and functional-based evaluation as this serves to create a working diagnosis and treatment plan recommendations.

Our functional-based evaluation and treatment plans are focused on looking at how you move so I can figure out strategies to help you move better and ultimately help you understand what could be causing your pain and what you can do to keep it from returning. The process is truly focused on you as the patient and your desired outcomes.

In addition to chiropractic adjustments or manipulations, I perform soft tissue treatments to improve the integrity and function of the muscular system. Massage therapy is offered here as well as it is extremely effective in treating painful or tight muscles and assisting in the healing process. Additional rehabilitation work focuses on improving movement qualities such as endurance, strength, stability, balance, agility, coordination, and body awareness.

When it comes to training, Gallagher Performance is all about individualizing the training process. That’s because we understand each person responds differently to training due to a multitude of factors that must be accounted for. We take time to understand your injury history, training experience, primary sport(s) played, and several other factors. Regardless of whether training occurs in a private or semi-private setting, clients are all closely coached through the entirety of their program to maximize results. This is what separates us and makes us unique from area competitors.

So if you’re looking to improve your performance, whether in sports, the achievement of your health and fitness pursuits, or you just need a tune-up to get your body feeling better, whatever the reason, come see us at Gallagher Performance. We are committed to you achieving your health and fitness goals and would love to be of service to you. Thank you.

Gallagher Performance - Staff Bios

For many of our readers, you may not be aware of the specialized background that Gallagher Performance has in personal training, athletic development, chiropractic rehabilitation, manual therapies, and sports-injury care.

Whether you are pursuing professional services for personal/performance-based training or you’re thinking of seeing a health professional about a sports injury, Gallagher Performance has two board-certified specialists who are capable of addressing your goals and needs.

Meet the Staff

Ryan Gallagher LMT, NASM-CES: Head Performance Coach
Ryan Gallagher is the Head Performance Coach and a Licensed Massage Therapist at Gallagher Performance. Ryan has quickly established himself as a highly sought after coach for athletic development, helping athletes achieve new performance bests while implementing specialized strategies along with manual therapy to keep his athlete’s healthy during their competitive and off-seasons.

Ryan has been involved in the fitness and sports performance industry since 2007. During that time, he has worked extensively with youth, high school, collegiate, and professional athletes. He has also worked with competitive strength athletes in powerlifting and Strongman, as well as physique athletes (bodybuilding, figure, and bikini).

Ryan is certified as a Corrective Exercise Specialist (CES) through the National Academy of Sports Medicine (NASM) and is also a Nationally Certified Licensed Massage Therapist (LMT) through the National Certification Board for Therapeutic Massage and Bodywork. Ryan holds a bachelor’s degree in Sports Management with a concentration in Wellness and Fitness from California University of Pennsylvania.

To compliment his educational background, Ryan is an accomplished athlete in the sports of ice hockey, bodybuilding, powerlifting, and Strongman. HIs diverse athletic and educational background provide Ryan with an highly extensive and unique skill set that allows him to efficiently and effectively help his clients achieve their goals while staying healthy in the process.

Sean Gallagher DC, DACRB, NASM-PES: Director of Sports Therapy, Performance Coach
Dr. Sean Gallagher is the Director of Sports Therapy and also serves as a Performance Coach at Gallagher Performance. In 2009, Sean earned his Doctor of Chiropractic degree from Palmer College of Chiropractic in Davenport, IA. Prior to attending Palmer, he earned a bachelor’s degree in Exercise & Sports Science from Ohio University.

After graduating from Palmer, Sean entered a residency program in Palmer College of Chiropractic’s Sports Injury & Rehabilitation Department. The residency is the only one of its kind within a chiropractic college in the United States. Under the direction of former Olympian, Dave Juehring DC, DACRB, CSCS and Ranier Pavlicek DC, ATC, DACRB, CSCS, the residency provided Sean the opportunity to further the development of clinical skills in the realm of diagnosis, treatment and management of sport-related injuries. During this time, he received extensive training in manual therapies and developmental stabilization methods influenced by the German and Czech rehabilitation schools.

Sean graduated from his residency and completed his board certification in 2012, making him one of a select few chiropractors in the country that have successfully completed a rehabilitation and sports-injury residency. He is a board certified rehabilitation specialist through the American Chiropractic Rehabilitation Board (ACRB) that abides by the standards set out by the National Commission for Certifying Agencies.

To compliment his clinical training and experience, Sean also serves as a Performance Coach with years of experience working with athletes of all abilities and is a certified Performance Enhancement Specialist (PES) through NASM. He is an accomplished athlete in the sports of ice hockey and Strongman. During his time at Ohio University, he was part of the 2004 ACHA D1 National Championship team. In 2001, he was named to the NHL’s Central Scouting Service “Top 10” High School players in the US and was ranked among the top players in North America (US and Canada). As a competitive amateur Strongman, he has won or placed in several NAS sanctioned competitions since 2010 and was a National qualifier in 2010, 2011 and 2012.

Our staff welcomes the opportunity to get you back to 100% and help you reach your fitness or performance-related goals. When you think of sports performance training and chiropractic rehabilitative care in the Pittsburgh area, remember the team of experts at Gallagher Performance.

 

Tips on Recovery and Restoration

Training Hard vs Training SmartThere are many components to consider when looking to promote proper recovery and restoration from training, be it from sport training or simply the goal of personal fitness. Similar to the considerations made in program design, one must be smart about the tools or tricks they use when it comes to nutrition, rest, and restoration techniques. In my personal experience, the overwhelming majority of individuals who train and compete on a regular basis commonly lack an understanding of recovery methods that are only going to help them optimize their training outcomes. They focus so much attention on their actual training, but fail to bring the same level of focus and attention to detail when it comes to nutrition or even proper sleep habits. When this occurs, training results are typically limited. There becomes a greater resistance to progress, leaving many in this situation feeling frustrated and confused. This is exactly why the understanding of rest and restoration must be passed on to the client or athlete. Yes, there is a difference between rest and restoration.

Basically, rest implies sleep or doing something restful, such as a nap or relaxing while watching the game. However, rest does not guarantee restoration, or the recovery and renewal of the body’s systems (i.e. cardiorespiratory, neuromuscular, endocrine, immune, etc.) from training demands. Not all systems recover in the same time frame and their restoration needs will be dictated by training volume and/or intensity. For the purposes of this article, we are going to discuss the application of recovery and restoration methods as they apply to recovery of the nervous system, specifically the autonomic nervous system.

Keep in mind, it is the current state of the autonomic nervous system that should dictate both training load and restoration methods. Meaning, it should be determined whether an individual is in a state of sympathetic or parasympathetic dominance. The ability to recognize this is crucial in decision making and avoiding inappropriate training loads or restoration methods, as these can push you down the wrong path. Ideally, restoration methods should be as individualized as the training process if your goal is optimal results. But, in general, here are some guidelines that will help you identify where you may fall on the sympathetic-parasympathetic spectrum and how to apply restoration methods to bring you back into an optimal state of recovery.

A) Parasympathetic Dominance (most typically experienced by endurance athletes)

  • Signs and Symptoms: chronic tiredness or heavy fatigue, low motivation to train, low resting heart rate, low blood pressure, low libido.
Restoration Methods: use SYMPATHETIC based recovery protocols
  1. Active Recovery Training: The goal is to increase blood flow to the peripheral musculature, speeding up processes of aerobic metabolism inherent in recovery. These activities should ideally be of low muscular and metabolic load, such as an easy bike, swim, or circuits of body-weight exercises.  Avoid high CNS demands, keeping active recovery sessions within 20-30 minutes.
  2. Intensive Deep Tissue Massage: Deep tissue massage will up-regulate the sympathetic nervous system through increased proprioceptive input to CNS, which will influence changes in the state of the autonomic nervous system as well as the myofascial system.
  3. Cold Water Immersion: May reduce perception of fatigue and soreness after training sessions by up regulating the sympathetic nervous system.  Repeat 2-5 minutes in cold water for 3-5 rounds.
  4. Sauna: Increased core temperature results in increased sympathetic response and speed of metabolic processes. It should be noted that the parasympathetic response increases following sauna use. In general, when looking at recommendations for the use of the sauna to promote recovery, the sauna should be between 180-200 degrees for an optimal response. There are a number of various sauna protocols to aid in recovery. In general, repeat 2-4 rounds of 5-10 minutes in the sauna, followed by a cool shower rinse.
B) Sympathetic Dominance (
most typically experience by power-speed athletes)
  • Signs and Symptoms: elevated resting heart rate, elevated blood pressure, poor sleep, mood changes such as being more irritable, suppressed appetite, restlessness, poor or declining performance, low libido.
Restoration Methods: use PARASYMPATHETIC based recovery protocols
  1. Active Recovery Training: Yes, this has similar application and can be used in either parasympathetic or sympathetic dominance. Follow the guidelines as previously mentioned.
  2. Relaxation-based Massage: Soft, gentle touch can generate a powerful parasympathetic response. Massage with the targeted goal of promoting relaxation will down-regulated the sympathetic nervous system. Again, this is achieved through proprioceptive input to CNS.
  3. Hot Tub: Hot water immersion promotes relaxation and increased parasympathetic response. Greatest benefit is achieved when water temperature is around 102 for 10-20 minutes.
  4. Deep Water Floating and/or Swimming: Not as commonly known or utilized as other restoration methods, this method is exactly what it sounds like, floating in deep water. Deep Water Floating’s benefits come from the proprioceptive changes due to the body being unloaded from gravity. A common recommendation is to alternate between 5-10 minutes of swimming and 5-10 minutes of floating while using a floatation device to ensure complete relaxation.
Concluding Thoughts
This is by no means a comprehensive discussion on recovery and restoration methods. Other methods such as naps, meditation, relaxation techniques, EMS (electro-muscular stimulation), and reduction of training volume and/or intensity can be implemented with great success as well. Remember to be strategic in the selection of your recovery methods, keeping in mind how they impact the various systems of the body. These techniques will not overcome poor training, nutritional, and sleep habits. They are intended to be an adjunct to already properly structured training and rest schedule, allowing you to optimize your readiness to train and compete.

More related reading:

https://gallagherperformance.com/why-poor-recovery-will-make-you-sick-sad-and-weak/

https://gallagherperformance.com/the-2-most-common-reasons-why-results-suffer/

https://gallagherperformance.com/resetting-bodys-function-post-injury/

Q&A with Head Performance Coach Ryan Gallagher LMT, CES

GP: Please introduce yourself and give our readers some information on your professional, educational, and athletic background and achievements.
To all the readers out there, my name is Ryan Gallagher and I’m the Head Performance Coach at Gallagher Performance. Along with that I’m a licensed massage therapist, corrective exercise specialist, and nutritional consultant. My undergrad education was in Sports Management with a concentration in Wellness and Fitness and was completed at California University of Pennsylvania. I attended Hocking College in Ohio for massage.

Most of my childhood was spent participating in almost every sport imaginable. Around my mid-teen years, I decided to fully commit to ice-hockey. I was fortunate enough to play at the junior level, but through high school and after, I had a number of different injuries that derailed my playing career. Once I was done with hockey, I committed myself to strength athletics and I have since been competitive in powerlifting, strongman and bodybuilding. While I have competed with success, my eyes are on bigger goals that I have set for myself. My plans are to continue to compete for as long as I can. As far as competing goes, I have some plans but will keep that quiet for now.

GP: When and how did you become interested in sports performance, fitness, and nutrition? What have you found to be the most rewarding?
It all started with the influence of my parents and older brothers. Growing up, hockey was an expensive sport to play. My parents were willing to sacrifice a lot of their time and money in order to let me play a sport I deeply loved (and still do). I can clearly recall hearing both of them say, “If you want to play normal, club hockey you can. You can just have fun and take it easy. But, if you want to play juniors, if you want to travel and get exposure, then you need to meet us half way. You will need to work for it.” Essentially what I was committing myself to was a part-time job of training for hockey. Three-a-day training sessions in the summer were the norm and hitting the gym throughout the season was standard. My parents were willing to support me, so I wanted to push myself to say thank you. Once the training and sports performance aspect began, training became more than just a “thank you”. For me, it became an immediate love. Having brothers that came before me and were highly successful didn’t hurt at all either. They provided a great influence and had years of know-how under their belts to help direct me from the get-go.

The most rewarding part of it all is the process. Everyone wants the outcomes, and they want them immediately. But, the process of working towards your specific goal will tell you more about yourself than anything. Those who can grind and stick with something for an extended period of time will often realize far more significant results than others. Notice I said significant, not necessarily successful. There is a major difference.

GP: As a trainer and performance coach, you have had the opportunity to work with a wide range of clients. You have worked extensively with youth athletes, as well as high school, collegiate, and professional athletes. You have worked with competitive strength athletes in powerlifting and Strongman, and physique athletes (bodybuilding, figure, and bikini). And you have done so with tremendous success. It’s uncommon to meet a trainer who is competent in handling such a diverse client base while providing them with the guidance needed for successful outcomes. What allows you to handle such a diverse client base with success?
This answer could be long winded and boring, so I will try to keep it short and sweet (kind of like me!). The obvious component is the understanding and education on how to properly address each individual and their specific needs. Despite all the accolades, degrees, or certifications one may have, it is my opinion that an incredibly invaluable skill set is the ability to read your client. To know when to push them, when to back off and how various external and internal stressors may be at play. These are lessons that no textbook can teach you. You either have that x-factor or you don’t.

GP: With the extensive amount of information available today, nutrition and nutritional advice can become extremely frustrating and confusing. What is your philosophy when it comes to nutrition? 
Perhaps it’s because I’m only familiar with the fitness industry, but there is a strong correlation with confusion and the fitness industry. I don’t think there’s an industry out there that is more confusing and frustrating. People love to create confusion because confusion creates dependency. So he or she that yells the loudest will more than likely make the most money. Especially if it goes against the grain of what is traditionally applied.

When it comes to nutrition and my “philosophy”, I guess you could say I don’t really have one. My end goal with clients is to establish a plan that is sustainable for them. If any one client can’t stick with a plan that is set forth, the success rate of that plan is drastically reduced. The approach is similar to the quote, “The person who goes 90% for years will go much further than the person who goes 110%, burns out, and quits.” That essentially sums up the approach I take with my clients.

Most clients just need direction. Whether that is a set plan to give them absolute direction or whether it is step-by-step process of educating them on healthy habits for long-term success. At the end of the day it comes back to knowing your client and how you need to tailor their program(s) to their needs at any given moment.

GP: As a massage therapist and corrective exercise specialist, you have integrated recovery and corrective strategies for your clients and athletes. What are your thoughts on the importance of movement quality and recovery strategies in client progress?
Pushing the limits of the human body and sport performance doesn’t necessarily come without paying a price. Our goal is to keep our athletes and general clients healthy through the process, but aches and pains inevitably settle in. Some people may be baffled by that, but take your squat from 500 lbs to 600 lbs or your 40-yard dash time from 4.50 down to 4.40 and, trust me, your body is going to be feeling it. Wanting to minimize the effects of hard training, most of our athletes partake in an in-season care plan that is set forth to include weekly treatments to injured areas or general recovery work to help them stay fresh. These guys and girls are getting the snot kicked out of them sometimes during their athletic events. Once they feel the difference in how taking care of their body helps their performance and overall well-being, they’re hooked. Some of them come in anticipating an hour massage on their low back because their low back is sore, but we may do an hour of extensive hip and abdominal exercises instead. That is a judgement call. That client will end up leaving with no low back pain and in a much better place both physically and mentally. Some will need more focused soft tissue work, others there may be other factors at play. Again, it comes back to knowing what your client needs and what will truly benefit them.

Establishing proper movement is critical and the foundational element in determining long-term development of the client you’re working with. If they don’t move well for them, then really, it’s all for not. I emphasize moving well for them because it’s different for everyone based on individual physical traits and characteristics. There is not a textbook way of performing any movement. Yes, there are obvious technicalities to each movement, but how it’s applied to everyone is different, and often not textbook.

I could go on about how the whole fitness industry can be it’s own worst enemy, but that would be more of a rant than anything. People need to get off their high horses and realize that because a movement isn’t done to their personal specifics, it is not necessarily wrong for that individual and the goals that they have.

So proper movement for the individual has to be established first. Once that is established you would be surprised at how many issues are removed. Especially once that client becomes stronger. Strength never hurt anybody.

GP: You have become sought after by both athletes and coaches for your ability to develop speed. If anyone would doubt it, your results speak for themselves. You have had the ability to further develop athletes who have either plateaued or failed to achieve results in other training programs. What do you attribute this ability to?
You won’t get anywhere without a substantial amount of knowledge and experience backing up your intentions. I was fortunate enough to start training and working with athletes at a very young age. So even at my age, I’ve been able to put in close to 10 years of professional experience working with clients from various demographics with an array of end-goals. The good trainers eventually make it to the top while, unfortunately, some really poor trainers are there too. The education, and arguably experience, only take you so far. It goes back to my earlier answers. Understanding your client, knowing them almost better than they know themselves, and being aware of how to direct them will set the framework for continual development.

More related reading:

https://gallagherperformance.com/3-simple-steps-to-reduce-your-risk-of-sports-injuries/

https://gallagherperformance.com/3-benefits-of-integrated-training-and-therapy/

https://gallagherperformance.com/faqs-frequency-avoided-questions-of-strength-conditioning/

The Essentials of Keeping Athletes Healthy

The number one priority of any coach or trainer should be the health of your athletes. At GP, we look at any and all entities that should be addressed to increase the wellness of each of our athletes. This takes into account biomechanical/movement quality considerations, exposure to inappropriate training, the compatibility of current training loads and parameters, nutritional considerations, and the coordination of therapy and restoration techniques.

The process of developing athletes and ensuring they remain healthy in the process can present a major problem and one that could be remedied with both higher coaching education standards and the utilization of performance-based therapy.

1. Raising Coaching Education and Qualification Standards
To ensure the health of our athletes while realizing their athletic potential, we spend countless hours on improving movement efficiency as well as balancing workload compatibility during each training session and block. Statistics consistently demonstrate the more mechanically efficient you are, the less injuries you have. Movement efficiency also translates into athletes having higher levels of performance while expending less energy in the process. Expending less energy means less fatigue. This is important since athletes are more likely to get injured in a fatigued state.

Workload compatibility refers to the importance of understanding compatible training methods when addressing a dominant physical ability during a phase of training. For example, this demands that the coach/trainer understand if they are trying to develop alactic sprint abilities why glycolytic or anaerobic-lactic training must be restricted or avoided.

In the attempt to improve any number of physical abilities, most coaches/trainers often fall into the trap of pushing their athletes too hard in training. They understand that in order for athletes to perform any number of biomotor abilities (speed, strength, work capacity) at higher levels, they must push them during training to create a specific adaptation. In the process of achieving adaptation, often times they manipulate variables (intensity, frequency, duration, workload, etc.) without any understanding as to why they are making the change. As a result they compromise the athlete’s ability to adapt appropriately and set the stage for injury.

Simply put, more educated coaches understand workload compatibility and the development of specific biomotor abilities as they relate to an athlete’s sport. They have a system of checks and balances that dictate training variables and they are constantly monitoring their athletes to avoid declines in performance standards and injury.

Movement efficiency and the proper management of training loads/parameters is a relatively poorly understood concept by the majority of trainers/coaches when most of them have simply taken weekend certification courses and are under qualified, with no background in sport and exercise science. This is far too common in the US, as trainers with minimal experience and knowledge of these concepts as they relate to sport often find themselves responsible for the coaching and development of athletes.

This approach is in stark contrast to the coaching qualification process in the former Soviet Union, where the development of coaches/trainers was a scientific and well-planned undertaking. Those who wished to become coaches had to be high-level competitive athletes themselves and were required to take entrance exams in subjects such as biochemistry, physics, biology, and physiology. The applicants who made the cut were entered into one of the country’s Physical Culture Institutes to undergo four to five years of a rigorous, scientifically oriented coaching curriculum. Coaching in the former Soviet Union was not something one decided to do a “whim”. Coaching and the development of athletes was viewed as a career that required specialized education, mentorship, and training.

It doesn’t take long to realize why the Soviet Union dominated international athletic competition for as long as they did once you understand the qualification criteria for their coaches was a serious and intellectual process.

Athletes should seek out coaches and therapists who have the competitive sporting background and accomplishments, educational background and accomplishments, as well as clinical competence, methods, and track record to keep athletes healthy and performing at their best. Period. Anything less, and you should be skeptical about what you are getting.

2. Integration of Performance-Based Therapy
In addition to raising coaching education and qualification standards, excellence in therapy is another component that is often missing when it comes to keeping athletes healthy. Unless you have integrated sports medicine and therapy (sports chiropractic, massage, manual therapies, recovery methods), eventually an athlete will need to reduce the overall volume/intensity/frequency of training. What you are able to learn about an athlete in a therapy session is invaluable and can serve to help guide what you do in training.

As Dan Pfaff said best,

“A top athlete is like a formula one car and have you seen how much fine tuning they do with those things? The ability to run your hands over an athlete and know what is restricted gives you immense inside information into their functioning. You cannot expect the athlete to tell you either because they are terrible barometers when it comes to knowing what they are ready for. Just asking “are you ok for today’s workout?” is not enough because their motivation is so high athletes do not necessarily listen to what their own body is telling them.”
Therapy serves to normalize joint and soft tissue (muscle, tendon, ligament) function and promote movement efficiency by removing dysfunctional movement patterns. Similar to training, therapy cannot be randomly applied. Random application always equals random results. Therapy must be strategically implemented during the training plan. It should not be ignored that therapy provides a stimulus/stress to both tissues and the nervous system and, depending upon the athlete’s needs, must be utilized appropriately.

For instance, some forms of therapy can serve to promote recovery and restoration by pushing an athlete into a parasympathetic dominant state. Conversely, other forms of therapy can up-regulate the sympathetic nervous system and will either heighten performance levels or prolong the recovery/regeneration period depending upon when therapy is applied. Another factor that must be consider is how each individual athlete responds to therapy. Some athletes may respond to intensive therapy sessions just as they do to intensive training and therefore proper rest/recovery must be accounted for accordingly during the training week.

Closing Words
Both higher coaching education/qualification standards and performance-based therapy are necessary components in the health and performance of athletes. The more coaches know, the better they are able to serve their athletes and address their needs appropriately. Failure to integrate performance therapy in a complementary manner can be a mistake, as there tends to be an increase in reliance on other forms of therapy that stress rehabilitation and recovery rather than optimizing performance.

Related Articles:

What is Performance Therapy?
Have You Mastered Your Movement?

Finding a Solution to Your Shoulder Pain


 
"He who treats the site of pain is often lost."
- Karel Lewit

The purpose of this article is to provide some basic information about the importance of understanding the role posture and function have in pain and movement dysfunction. The hope is that you will gain an understanding of why your chiropractor or therapist must evaluate and bring into consideration issues that may not seem related to your pain.
When it comes to dealing with chronic musculoskeletal pain, the site of the pain is rarely the actual source of the pain. This concept is often missing or ignored in traditional North American treatment. Let's look at shoulder pain as an example. All too frequently the shoulder pain patient is provided an evaluation and treatment that is solely focused on the shoulder. Depending on the professional you see, the shoulder is typically treated with any combination of adjustments, passive modalities (ultrasound, electrical stimulation, laser), manual therapy, or shoulder exercises. If those fail, you may be referred for shoulder injections or you may become a potential candidate for shoulder surgery.

Notice the pattern? Everything is focused around the shoulder. That's where the pain is, so that's where my problem has to be, right? The same pattern can be seen with low back pain, neck pain, knee pain, etc. This seems like rational thought, but what if you, as the patient, do not respond? Does this mean that conservative treatment failed? Does it mean you need surgery? What if only focusing on the site of pain caused something very critical to a positive outcome to be missed?

Looking Beyond the Shoulder
Czech physician Vladimir Janda likened musculoskeletal pain and dysfunction as a chain reaction, thus stressing the importance of looking beyond the site of pain for the source of pain. Janda observed that due to the interactions of the skeletal system, muscular system, and Central Nervous System (CNS), dysfunction at any one joint or muscle is reflected in the quality and function of joints/muscles throughout the entire body. This opens the door to the possibility that the source of pain may be distant from the site of pain.

Janda also recognized that muscle and connective tissue are common to several joint segments; therefore, movement and pain are never isolated to a single joint. He often spoke of "muscular slings" or groups of functionally interrelated muscles. Muscles must disperse load among joints and provide stabilization for movement, making no movement truly isolated. Meaning shoulder movement does not occur only at the shoulder, but is dependent upon the function of the spine, rib cage, pelvis, and even the ankles. For example, trunk muscle stabilizers are activated before movement of the upper extremities begin; therefore, shoulder pain can be caused by poor core stabilization.

Hopefully you are coming to realize that while you may have pain in a specific area, it's not always the cause of the pain. Going back to the shoulder, a 2006 study that reported 49% of athletes with arthroscopically diagnosed posterior superior labral tears (SLAP lesions) also have a hip range of motion deficit or abduction weakness. This illustrates a key point. How often do you see shoulder pain/dysfunction treated by correcting hip mobility and stabilization patterns?

Outside of glenohumeral joint range of motion and rotator cuff endurance/strength, has your shoulder evaluation included any of the following items:

#1 - Breathing Pattern
The average person will take close to 20,000 breaths per day but until recently the impact breathing has on movement and dysfunction has been largely ignored. Proper breathing certainly provides great benefit to athletes and individuals who display a variety of movement dysfunction.  Neurologist Karel Lewit said, “If breathing is not normalized, no other movement pattern can be.” Understanding the impact proper breathing has on the body and how to restore ideal breathing patterns is critical in both athletic development and rehabilitation.

#2 - Thoracic and Cervical Spine Function
Spinal posture lays the foundation for shoulder function. Improper function of the thoracic (mid-back) and cervical (neck) areas of the spine will compromise the function of your shoulders. Imagine the spine as a series of cog wheels, movement in one area will impact all areas. This is visualized in the picture below:



Regardless of whether they are sitting or standing, the majority of people tend to fall into a posture very similar to what is seen on the left. Increased kyphosis of the thoracic spine (rounded mid-back) is a major reason for forward head posture and rounded shoulders. There are seventeen muscles that attach to the shoulder, many of them influencing the position and movement of not just the shoulders, but spine as well. Shoulder function is dependent on proper spinal posture and without correction of spinal posture, the shoulders don't have a fighting chance to stay healthy.

#3 - Mobility of the Opposite Hip and Ankle
The importance of looking at hip mobility was emphasized previously, but let's also consider the ankle. This ankle becomes of particular importance when dealing with overhead throwing athletes. Dysfunction at the ankle will alter mechanics up the kinetic chain and place undue stress on the shoulder and elbow. Correcting any muscular tightness or poor joint movement of the ankle sets the stage for ideal throwing mechanics and the prevention of shoulder injuries.

Closing Thoughts
Despite focusing on shoulder pain, many of these concepts hold true for any type of chronic musculoskeletal pain. Before abandoning all hope or 'learning to live with the pain', consider that being evaluated by a professional who will look beyond your site of pain could be the solution you have been looking for. That's why these concepts form the foundation of the examination and treatment process at Gallagher Performance.