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Pain-Free Training Is A Myth



There seems to be a growing number of programs and trainers touting how they offer ‘pain-free training’ and that anything less than what they offer is simply inferior by design.

Any intelligent trainer, coach, or therapist will acknowledge the value of proper training to ensure no serious orthopedic issues develop. No one wants their clients becoming pain patients. Proper training is multi-faceted from proper form to proper exercise selection to proper volume and loading parameters. These are a given. These are essential to ensuring we minimize injury risk and improve tissue resilience.

However the reality is if you are going to push your body to new levels of performance, you are going to feel it. It’s going to be uncomfortable. It’s going to hurt at times. If you aren’t looking to better yourself, why are you even training in the first place? Essentially at the heart of training is pushing your body to a place it’s never been before. There aren’t many people out there who have pushed their bodies in training who haven’t ended up ‘feeling it’ in the form of soreness, physical discomfort, and yes - at times - pain.

By all means, yes, we shouldn’t train recklessly. We should be practical and intelligent in our execution of a training plan. But we also shouldn’t be alarmed and fear we are doing something terribly wrong when we deal with discomfort, aches and pains. It comes with the territory of pushing our bodies to new levels of fitness or performance. This is why recovery methods and seeking out qualified professional care from sports/rehab chiropractors, massage therapists, and physical therapists can do wonders for helping our bodies better manage the stress of training. ——

No one wants to be in pain, but push yourself hard enough for long enough, you’ll feel it. We need to understand better pain education, how to be more realistic with training expectations, and how to manage the stress of our bodies to avoid serious pain or orthopedic problems.

 
For more related reading:

https://gallagherperformance.com/the-site-of-pain-is-rarely-the-source-of-pain/

https://gallagherperformance.com/15-minutes-of-exercise-or-8-hours-of-pain/

https://gallagherperformance.com/groin-pain-rehabilitation/

https://gallagherperformance.com/pain-indicates-a-health-problem-not-a-fitness-problem/

Clinically Pressed Ep. 59 - Hockey Training



https://www.youtube.com/watch?v=ti_igKUCEvM&feature=youtu.be&utm_source=Clinically+Pressed+Episode+Mailing+List&utm_campaign=347aa58189-EMAIL_CAMPAIGN_2018_05_07_COPY_01&utm_medium=email&utm_term=0_e91bc99944-347aa58189-445544773



Dr. Sean Gallagher is a former high level hockey player that has turned into a hockey training and treatment guru.  His experience of playing at the highest levels along with a full academic career in chiropractic school have brought him a unique perspective on how to approach training hockey players.




This episode we get further into hockey training and what all goes into it. The planning for the year of training is difficult when it the playing season never ends.  We also dive into the specific demands that the sport places on the body and the unique ways that you have to approach exercises without forgetting to focus on injury prevention and resilience.  If you play hockey at any level you want to listen to this episode.




This episode we get further into hockey training and what all goes into it. The planning for the year of training is difficult when it the playing season never ends.  We also dive into the specific demands that the sport places on the body and the unique ways that you have to approach exercises without forgetting to focus on injury prevention and resilience.  If you play hockey at any level you want to listen to this episode.




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Podcast Notes:

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Understanding the Benefits and Concerns of Youth Strength Training Programs

Benefits of Strength Training for Youth
Numerous studies have been published on the benefits of strength training in regards to overall fitness and health markers, muscular strength, injury reduction, sports performance enhancement, and confidence. Scientifically proven adaptations from strength training include increased neural drive, increased synchronization of motor units, and hypertrophy of skeletal muscle. These adaptations not only create a bigger, leaner, and stronger individual, but one who is able to express improved control and execution of complex sport skills while performing them at greater force and velocity outputs. So as a young athlete, if you have a desire to run faster, jump higher, or throw harder, you must first become stronger. Strength is the foundation on which all other physical abilities are built.

Experts also agree that there are many health benefits associated with strength training with research suggesting that strength training in youth can result in increased bone density, healthier body composition, and improved blood lipid profiles. Other benefits from participating in a strength training program also include reduced chance of injury during sport participation and increased self-esteem and confidence.

Now while to what degree strength and improvement in the weight room transfers into an athlete performing better on the field may be left in question, one thing that will always transfer to a competitive environment is confidence. I'm not talking having a massive ego or being cocky. Confident and cocky are completely different. Confidence is extremely important and strength has a unique way of improving confidence in children.

Concerns of Strength Training for Youth
Roundtable discussions including strength coaches, medical professionals, and researchers have focused on questions of concern pertaining to the strength and conditioning programs for young children. These concerns include injury rates, efficacy, and safety.

Among these experts, they have agreed on one common theme:

When a program is well supervised, form and technique are properly instructed, and the program is administered by someone who holds an appropriate certification, there should not be a concern for the child’s safety.

When it comes to weightlifting injuries, a large number of the reported injuries took place in a home gym or involved children who were unsupervised while they were lifting. In regards to minimizing risks in the weight room, many of the experts agreed that there should be an appropriate coach-to-athlete ratio (smaller ratios are ideal), proper education on strength training technique, and proper progressions for their training age.

Appropriate Age to Begin Strength Training
It is generally accepted that there is no specific age at which it is best to start a strength training program. However, it is recommended that children must be mature enough to accept and follow directions while also possessing an understanding of the risks and benefits associated with strength training. It is commonly accepted that if a child is participating in an organized sport, then this is an appropriate time period for them to begin a strength training program. Typically, for the majority of children this would approximately between the ages of 6-8.

Final Words
There are numerous benefits for youth to begin a strength and conditioning program. The program should be led by a qualified strength and conditioning professional and tailored to meet the needs in regards to age appropriate training, gender, and primary sport(s) of participation. Children should be willing and ready to follow instruction to ensure safety, quality training, and to meet their performance goals.

For more information on the topic of youth strength training and athletic development, please click on the links below:

Guidelines for Selecting a Strength Coach or Personal Trainer
Gallagher Performance - Staff Bios
Common Mistakes in Developing Young Athletes 
Success or Failure: What Are You Setting Your Young Athlete Up For?
References
Faigenbaum, A, Kraemer, W, Cameron, J, Blimkie, R, Jeffreys, I, Micheli, L, et al. Youth Resistance Training: Updated Position Statement Paper from the National Strength and Conditioning Association. The Journal of Strength and Conditioning Research 23(suppl 5): S60-S79, 2009.
Haff, G. Roundtable discussion: Youth resistance training. Strength and Conditioning Journal 25(1): 49-64, 2003.

Why Therapists Should Understand Strength

As a chiropractor that specializes in manual therapy and rehab protocols, I see patients dealing with a variety of problems. Now while the conditions can vary greatly, the common denominator that all my patients share is that they are either in pain or unable to perform a specific activity at a level they desire. Being able to provide a service to help people was exactly why I got into chiropractic and it is why I work to continually develop my craft and treatment philosophy. My treatment philosophy has helped to develop my system for how I go about evaluating and treating each patient that comes to me for help. As valuable as my education and residency has been to developing my treatment philosophy, the insight and knowledge I have gained on strength and conditioning as an athlete and coach has been equally valuable.

A great mentor of mine told me that with his background as a strength coach, he uses that background and mindset everyday with his patients. Some years later, I continually have a renewed appreciation for what he communicated in that statement because looking at my patients through the "lens of strength" can provide me with a refreshing perspective.

Why?

Simply put, strength matters. Strength has the ability to cover up dysfunction. Strength will directly impact movement quality. Strength will improve mobility or flexibility issues. Strength has tremendous ability to minimize or reduce overuse injuries. Strength becomes a focus in my treatment plans and the advice I provide my patients.

In my opinion, a major player in the outcomes of patient care is the quality of advice they receive. Much of the advice I provide is directed at my patient's current exercise routine. And, at times, the advice is very blunt. The type of advice that is often tough to swallow on their part because it means big changes

What does that advice look like?

Say you are dealing with low back pain that is worsened from repetitive flexion. You can’t tolerate bending forward to tie your shoes or get nervous just thinking about picking up something from the floor, yet you love your group exercise class that has you running through dozens of crunches, sit-ups, air squats, and wall-balls. Your back is not going to respond to any form of therapy until you remove the irritating factor (your group exercise class) and follow the advice of substituting in more appropriate exercises that promote a healthy back.

Say you can’t properly lift your arms overhead with ideal form and posture through the shoulders, spine, and hips. Now you want to participate in an exercise routine that includes Olympic lifts such as the snatch and overhead pressing. What you must understand is that you lack the prerequisites to perform loaded overhead exercises. This is why your shoulders or low back hurt after overhead pressing or performing a full snatch and you need to be advised accordingly.

Advice should be constructive, providing a solution. However, there is some advice that is simply unacceptable. The classic example of this is the runner who develops knee pain, decides to see a doctor and is told, "Stop running."

Unacceptable.

The solution is rarely that simple. Maybe that runner lacks movement control in joints in such as the ankles, hips, pelvis, and spine because they lack adequate strength in surrounding musculature. Maybe that should be addressed while their current running program is restructured according to their tolerances.

There are solutions and often those solutions involve strength development.

As a therapist, odds are in your favor that you are going to find a strength deficit that is playing into that runner's knee pain. Odds are in your favor that you are going to find that lack of strength is correlated with any number of common conditions.

Lack of strength is never solved by inactivity and prescribing rest. Strength requires the opposite. Strength requires focus, guided effort. Strength is a difficult pursuit and it requires that one knows what they are doing if you are going to coach the process.

On my end as a therapist, what becomes even more difficult to navigate is managing a patient who has his or her own personal trainer or strength coach. I always ask them what they are doing for "training," and most times my response is inwardly shaking my head. I don’t say anything, unless I’m asked. If I’m asked, then it is time to be brutally honest.

It is important to note that you shouldn’t just take exercises away, but substitute better ones. My job is to find the best exercise for the job. This is why developing a large exercise pool to draw from is invaluable as a strength coach and as a rehab specialist. Having a huge exercise pool will allow you to make progressions, regressions, and substitutions based on movement patterns, training goals, mechanical sensitivities, or movement limitations.

At GP, we have taken time to develop our exercise pools for lower body pushes/pulls, upper body pushes/pulls, hybrids, developmental stabilization, etc. This allows seamless transition between phases of rehabilitative care for my patients and continual development from a strength and performance perspective for my athletes because we have developed our plan for progressive development. This understanding of strength also allows me to provide the most appropriate advice when it comes to exercise selection.

As William Penn said, “Right is right even if everyone is against it, and wrong is wrong even if everyone is for it.” People are there for your expertise and knowledge as much as your skills. Remember to provide the care and treatment you would want to receive and provide them with the advice and direction you would want to understand.

More related reading:

https://gallagherperformance.com/interview-with-mike-odonnell-dc-ccsp-cscs/

https://gallagherperformance.com/the-best-exercise/

https://gallagherperformance.com/before-you-go-to-a-chiropractor-read-this-first/

On The Use of Deep Squats and Intense Conditioning with Athletes

Lately, we have faced a number of questions regarding two subjects:

1)   Why don’t we make our athletes perform full, deep squats?
To be very clear on the subject, it all comes back to the understanding of how different movements and work outputs affect your training goal.

Technique manipulation can have a tremendous impact on training outcomes. When it comes to the training of athletes, training outcomes must ensure high level of competitive performance in their primary sport(s). The considerations one makes when training for pure strength and power will be completely different from the individual training for maximal muscular hypertrophy. When training for strength and power, you want to set yourself in a position for the greatest mechanical advantage. An individual’s greatest mechanical advantage will also be influenced by their anthropometry. This becomes the context of making coaching decisions that will dictate technique and variations used in movements such as squats, deadlifts, presses, and Olympic lifts.

In sport, one can argue that there is some level of sport-specificity in utilizing ½ and ¾ squats as they may provide a greater transfer of training into the dynamics of certain sporting movements. Keep in mind that auxiliary or supplemental work in the training program must ensure muscular/connective tissue health and balance.

This is not to say we don’t utilize a full, deep squats. Some of our athletes are more than capable of performing them. For others, there is a greater risk to reward ratio and greater sporting outcomes can be realized with squat variations that impose less structural risk.

It really comes down to selecting the best tools for the job and removing the variables that don’t have a place in an athlete’s long-term goals.

2)   Why don’t we use intense conditioning work with our athletes?
Understand that the adaptations an athlete undergoes from both a neuromuscular and energy system (aerobic and anaerobic) viewpoint will always be influenced by the structure of training load and volume in a given program.

“Explosive, not tired.”
At GP, that is a concept we communicate to all our athletes, but still this is a concept many of them have a hard time understanding. Many come to us with the goals of being bigger, stronger, and faster. They want it all and convincing how the process really works, through intelligent conversation, is a challenge.

Flash forward several weeks into the program and these same athletes are bigger, stronger, and faster through intelligent program design and execution. All aspects of the training program align with their goals and their bioenergetic (energy system) demands relative to their sport. There is conditioning work, but it is structured best to according to their needs. Conditioning work doesn’t have to push you face first into a pile of your own sweat and vomit.

Nowadays, young athletes assume conditioning and speed are the same and that by improving their conditioning, they will get faster. For many athletes, suicides and gassers come to mind. Intense practices run by coaches for no other reason that to make their players work hard also comes to mind. Players are instructed to sprint with minimal rest, pushed to exhaustion. Many trainers and "programs" utilize high-intensity conditioning methods. Sure you want your athletes to last an entire game and not get out worked, but this will not get them faster. Actually, it is counter-productive if speed is the objective since it is physiologically impossible to perform at your maximal effort without adequate rest.  And it doesn’t ensure that they will be in the best condition either.

There is such thing as training parameters and workload capability. These concepts demand consideration when training athletes. Sadly, if you asked the majority of trainers and coaches what those two terms mean, you learn pretty quickly that you are talking to yourself. True speed is only developed at near maximal effort. Maximal effort depletes energy systems and strains the nervous system. All these need adequate time to recover between sprints. This must be monitored closely to ensure that a speed training session does not become a conditioning workout. Conversely, conditioning work must follow guidelines designed to help athlete’s maximize their conditioning without disrupting other aspects of performance.  If conditioning training is performed at too high of an intensity, the training not only inefficiently conditions the athlete but can also interfere with speed performance and development. It will also interfere with strength and power development as well.

Are you getting the picture?

The very same athletes who want speed, strength, and size must understand that intense, non-directed conditioning only serves to inefficiently condition you and interfere with the goals and needs required for sport success. This is not our opinion; this is fundamental sport and exercise science.

Conditioning is a primary component in our training programs, for any athlete. However, conditioning takes on different looks due to the various energy system demands for the individual athlete. Conditioning is tailored to their needs. Just because a coach crushes them in practice with endless gassers, it doesn’t mean they are suddenly out of shape.

More related reading:

https://gallagherperformance.com/guidelines-for-selecting-a-strength-coach-or-personal-trainer/

https://gallagherperformance.com/the-essentials-of-speed-training/

Guidelines for Selecting a Strength Coach or Personal Trainer

Today, athletes are without a doubt becoming stronger, faster, bigger, and displaying more proficient levels of sport-specific fitness than in years past. Not only do you still have young athletes participating in multiple sports during the calendar year, but many of them are also participating in ‘strength and conditioning’ programs as early as 13-14. Athletics have always promoted competition and developing a competitive advantage. Both parents and young athletes are investing in private/semi-private training services with greater frequency. I can remember back to my days as a young athlete in the 1990s and the concept of strength and conditioning coaches for youth athletes was almost non-existent.

Flash forward 15-20 years and the sports performance business has expanded greatly, arguably to the point of saturation in some areas around the country. Most cities offer several facilities to chose from when it comes to selecting a location for your son or daughter to train. With that in mind, it’s important to keep in mind some guidelines to help parents and athletes in the decision making process.

When looking for the best, it also helps to get advice from the best. So today, I want to feature some guidelines from Sean Skahan, Head Strength and Conditioning Coach of the Anaheim Ducks  of the NHL. Sean’s guidelines certainly apply to not only youth hockey players, but all youth athletes. Sean has a tremendous reputation in the NHL for being one of the top strength and conditioning coaches and his advice is valuable.

Here are his guidelines for finding quality strength and conditioning services:

  1. Make sure that the trainer(s) has a degree from a four-year college or university. A master’s degree would be a plus. Preferably, their degree is in Exercise Science, Kinesiology, Biomechanics, or another major related to Exercise and or Sports Medicine.
  2. Make sure that the trainer is certified by a reputable certification agency. For Strength and Conditioning Coaches or Personal Trainers who work with hockey players, the Certified Strength and Conditioning Coach (C.S.C.S) certification from the National Strength and Conditioning Association (NSCA) is probably the most reputable certification. Another good certification is any certification provided by the National Academy of Sports Medicine (N.A.S.M.).
  3. Ask for testimonials and/or references from athletes that they have coached. They should be able to provide current or past testimonials from people who have trained with them. If they can’t provide you with any testimonials, ask for references. If they can’t give you any references, find another trainer. Also, make sure that the trainer actually trained and worked with an athlete whom they say they have.
  4. Don’t get caught up in the “bells and whistles” about the facility. Most of the good strength and conditioning coaches and personal trainers out there can get results without the high-tech equipment that might be considered “hockey-specific”. Also, they might not need a large facility the size of a Wal-Mart.
Sean goes on to add this as well:
In today’s world, it is easy for anyone to get a personal training certification from a non-reputable source and then partner up with someone with a lot of money and start up a sports training business. I always prefer an individual or company that started out with close to nothing and then grew their business by getting positive results from their athletes and clients. As a parent who is paying for the child to participate in a strength and conditioning program, you must do your homework when trying to choose one.
Hopefully these guidelines and recommendations will help you make the right decision when pursuing where your son or daughter should train. Investing in training services for your child is not a decision that should be taken lightly and it will only be a benefit to gather as much information as possible. Otherwise, your lack of results and progress may start to tell you something. Should you have any questions or wish to learn more about the training services available at Gallagher Performance, contact us This email address is being protected from spambots. You need JavaScript enabled to view it..

More related reading:

https://gallagherperformance.com/6-tips-for-hockey-training/

https://gallagherperformance.com/is-weight-training-inappropriate-for-young-athletes/

https://gallagherperformance.com/understanding-the-benefits-and-concerns-of-youth-strength-training-programs/