The Gallagher Performance approach will improve the way your body moves and functions. 
Simple yet effective changes to improperly functioning muscles and joints will allow the body to make immediate shifts toward working as a functional unit. Thus reducing pain and enabling higher levels of strength, speed, and power with greater resilience.

The results are incredible. Time and time again, our patients and athletes quickly change from a state of pain and tension, to a state of relaxation primed for performance. This all comes back to assessment and knowledge. When we do the right thing, the body responds immediately.

The methods used at Gallagher Performance are utilized internationally by elite athletes, sports teams, and health practitioners. Not only are we able to efficiently and effectively treat injuries and enhance sports performance, our methods are also powerful tools for stress management, quickly breaking common patterns of movement dysfunction related to chronic pain. The methods have international recognition and no provider, therapist, or trainer in the Pittsburgh area has  the training and background in these methods that Gallagher Performance offers, making us truly unique. 
HOW DOES THE GP SYSTEM WORK?
Our body is designed to breathe and move. In order to breathe and move, our body finds ways to accomplish these tasks, and it’s willing to do so in efficient or inefficient ways. Our breathing and movement can develop compensation patterns or “key dysfunctions” that become the target of successful musculoskeletal treatment.

These compensation patterns cannot be ignored, as they put us at risk of poor sport performance, tension, or pain.  Our body’s ability to overcome the stress of life can result in reduced movement quality and energy levels. Measurable reductions in stability, strength, power, mobility, and stamina are often the result. Our body becomes less resilient, increasing the chance for fatigue and breakdown.

If you experience a traumatic event or injury, you know exactly what I’m talking about. Post injury, you’ll notice the slow and gradual decline in energy, function, and performance. Compensations begin to manifest in order for us to avoid pain and accomplish daily tasks. The result may range from noticeable decline in energy, to impaired function of muscles and joints, to chronic pain which long outlasts the initial injury.
It is almost inevitable nowadays for the majority of us to experience the effects that stress, injury, and/or compensation has on the human body.  And it can be simple to reverse those effects when you focus on what your body needs to regain ideal function.
The system at Gallagher Performance starts by testing how your body is currently functioning, so that changes can be clearly measured. This is accomplished through evaluating joint restriction, muscle activation and strength, and functional patterns of movement.

Once compensations are identified, we target “zones” to help activate the body to perform better. These “zones” can be a specific muscle, group of muscles, joints, or a combination.

Once we activate, we have to integrate. In order to do this, we run through the body’s movement patterns, testing and activating along the way to enable muscles and joints to regain their ideal function. Then through cueing and exercise, the brain can integrate improved patterns of movement, allowing you to move effectively and efficiently.

A body that moves better has less stress and less pain, allowing you to work at greater capacity and with greater energy.
That doesn’t mean you’ll suddenly be indestructible for the rest of your days. That would be too good to be true. After all, it you enjoy being active and testing your body’s limits, you are going to feel it. Our movement patterns need reminding and that’s why we use targeted home exercises to help the body reinforce ideal function and keep compensations from returning.

The methods and techniques used at Gallagher Performance are proven to be effective in getting people out of pain and elevating performance. We truly offer unique, powerful tools for control over your own health and performance.
More related reading:

https://gallagherperformance.com/chiropractic-rehab-dns-treatment/

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

https://gallagherperformance.com/improved-approach-chronic-pain-management/

The majority of us will not get through life without sustaining some degree of injury. The joints of the back, shoulder, hips, knees and ankles are all very common injury sites for not just athletes, but the general fitness population as well.

Most injuries that develop over time tend to have one thing in common, a breakdown in the human movement system. Meaning it could be that you are performing specific movements with sub-optimal technique or perhaps muscle imbalances are responsible for your symptom presentation. Regardless of the reason for injury, the goal is the same; to make movement more efficient to ensure that once training or competition resumes, the chance of re-injury is minimal.

Efficiency of movement is rarely a goal achieved in therapy. Incomplete rehabilitation in athletes and the general fitness population has lead to a re-injury epidemic. The problem is rooted in either the push to return athletes to the field as quickly as possible or rushing patients through the rehabilitative process.

With the ever changing landscaped of health insurance, the overwhelming majority of athletes and patients deal with increasing out-of-pocket expenses and limited number of therapy visits. Ultimately, many patients never complete their rehabilitation process.

This may be for a number of reasons, but in most cases athletes or patients are discharged once specific objective and ADL (activities of daily living) measures are satisfied. Sure you may have minimal to no pain, full range of motion and seemingly adequate strength resorted, and basic activities are easy to perform, but this does not ensure you are ready to resume training and competition.

And this is exactly where most get stuck.

They are lead to believe they are ready to resume sport training or their exercise program, but soon after resuming they realize they aren't as ready as they thought they were.

The transitional period between rehabilitation and performance-based training is the most critical period to ensure complete rehabilitation and that the transition back into training and competition carries minimal risk of re-injury.
Sadly, due to points made previously about the state of healthcare, many personal trainers and strength coaches are finishing off the rehab process.

Why do I say sadly?

Frankly, the majority of personal trainers aren’t educated enough to be overseeing such a delicate process, yet many position themselves as psedo-therapists. I’ve lost count of how many personal trainers I’ve seen giving “massage” or performing “joint mobilization” during their training sessions. They have no training or qualifications to perform such work and ultimately the person at most risk is the individual they are working on. Word to the wise: if your personal trainer is performing such work on you and has no license to perform such work, run the other way and seek out a qualified professional.
Within the fitness industry, there has been a large growth in facilities that blend rehabilitation with prevention strategies within strength and performance based training programs. Done well and overseen by qualified professionals, this is a great way to manage what is seen both in a rehab and training setting. This process should not be handled improperly. Implementing “corrective” or therapeutic exercises strategies into a performance-based training program should be lead by qualified professional(s). There used to be a gap between the professionals in the therapy and strength & performance world. Progressively though, that gap is slowly closing as more therapists crossover into the world of strength & conditioning.

Returning from injury isn’t and shouldn’t be a quick process. It’s far better to train smarter through the process. Improving on the function of the body while adding qualities such as endurance, strength, reactivity, power, etc. will help ensure successful outcomes. It’s less about isolation and more about training systematically to re-groove movement patterns. For anyone who has suffered an injury, they all want to get back to their previous level of function while also building the confidence they will not re-injure themselves. It can and will be a detailed process that involves rest, manual therapy directed at specific joints and soft tissues, as well proper exercise progressions. And yes, this means regressing, substituting, and even just slowing down exercises until they are owned.

Once movement and exercises are owned, it opens the door to further progressions in a performance-based setting to help ensure a more complete rehabilitation resulting in reduced risk of re-injury. This has become a huge part of what we do at Gallagher Performance as we successfully help our athletes and patients resume an active, pain-free lifestyle.

More related reading:

https://gallagherperformance.com/technique_and_performance/

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.

What is the purpose of the warm-up? How important is the role stretching and mobility during the warm-up process? Plenty of clinicians and trainers preach mobility, mobility, mobility. Is mobility truly the answer? We answer those questions in this short video.

https://www.youtube.com/watch?v=k-mlmqBmNyg

Muscle has a great importance to the body beyond being stronger and looking better. So what's the best way to build muscle? Learn more in this short video.

https://www.youtube.com/watch?v=O6UkKFDO0uU

 
 

The controversial subject of individuals assuming and accusing other individuals of using PEDs has been brought up once again.

It's comical to me because I always here about these assumptions or accusations from a second hand source. I never hear it directly from the source. But, that's another story.

At this point in my life, I’ve heard it since I was in college. Not just me, my brothers as well.

Let me make something perfectly clear: I am a natural athlete. Ryan is a natural athlete. My brothers are natural athletes. Always have been, always will be.

Why I am writing this post is to ask the question, "Why do people assume someone is using PEDs or anabolics in the first place?"

Is it because they believe something is not possible?

Do they have this belief because they are not capable of the same achievement? Or do they believe that because they can’t do it, then no one can?

Do they somehow believe that they are the strongest natural athlete alive and if someone is stronger than them, that person is a cheat?

Looking deeper in the matter, I consider the attitude of the individual making the assumptions or accusations. They start with the attitude that they believe what others are achieving is not possible, all based on the belief that it is not possible for them. And the impossible will always be their reality, never achieving what they are truly capable of because a driven, motivated person will make it possible. They will always find a way and won’t quit. They will never allow themselves to believe something is not possible.

Want to know the secret of the strong?

It all starts will their mentality.

A stronger person will never question the abilities of a weaker person. It’s always the weak questioning the strong. Weak in mind and character will always equal weak in strength. The strong simply want it more. Strength begins with a change in attitude. Put your mind to it. Change your attitude. Put forth some real focus and thought to achieving your goals and forget what others say is or isn’t possible.

Besides, who sets the limit of natural strength and athletic ability?

Why do people feel the need to define what someone else is capable of or tell them what their limitations are and if they have been reached. The strong of mind and the driven athlete are made to push boundaries and create new limits. Ignore the haters and detractors. It’s up to us to impose the stressors needed for adaptation and elevated performance. Put in the work and the time. Remember, nothing worthwhile ever came from quick and easy. Strength is no different.

Don't fall victim to the poorly educated and allow them to shape your views on the limits of human potential and what is or what is not possible. You’ll be amazed at what can be achieved without the excuses and with plenty commitment, consistency, time, failure and above all hard work.

More related reading:

https://gallagherperformance.com/training-take-it-seriously/

https://gallagherperformance.com/advanced-training-for-elite-athletes/

It’s time to understand what training for an athlete is all about. Parents and athletes are seeking out training services in great numbers and are confronted with more options year after year.

A real problem for people is that they see stuff like P90X, Crossfit, bodybuilding style training, or any kind of general fitness training and they get confused into believing that it is good training for an athlete. What they need to understand is that these training styles do not necessarily give you high performance. Many times adults and their young athletes fall into the trap of pursuing training without truly understanding if it will be beneficial or detrimental to their athletic development. What we have compiled below are some common FAQs or Frequently Avoided Questions that should be answered before you begin an organized training program aimed at developing a young athlete.

1) What are the demands of the sport?
Does your strength coach/personal trainer actually account for the sport you participate in, understanding the biodynamics and bioenergetics of the sport and adjusting your training accordingly? Or do they simply plug you into their system and make you workout based on what they know how to do, not what you need as an athlete? Understanding the anatomy and physiology of sport is highly critical in the design of athletic and sport performance training. If you’re coach or trainer does not understand these concepts as they relate to your young athlete’s sport(s) of participation, they will fail to produce significant results.

Don't buy into "functional training" hype. Simply ask them, how exactly is this functional for my young athlete? You'll be surprised at the sales pitch you may hear.

Read more:

What is Functional Exercise?
Training for Elite Athletes
Identifying Strength Needs for Athletes
Guidelines for Selecting a Strength Coach or Personal Trainer
2) How does training impact a young athlete’s muscle fiber typing?
Muscle fiber typing is specific to slow and fast twitch muscle fibers. Understand that slow twitch muscle fibers are highly resistance to fatigue and do not produce much force, making them more favorable for use during distance/endurance training and lighter resistance training workouts. Fast twitch muscle fibers are more easily fatigued but they produce a great deal of force and are needed to be fast, explosive, and strong.

Coaches and trainers can run the risk of any transitional muscle fibers being pushed to low threshold, high endurance-based muscle fibers when they make power-speed athletes do far too much distance endurance training or high rep weight training. Power-speed athletes make up the bulk of team sports such as football, hockey, baseball, basketball, and track & field events such as sprinters, throwers, and jumpers. This is not a comprehensive list, but none the less provides you with an understanding of just how many sports are highly dependent on power-speed qualities.

Athletes need to utilize training methods that push transitional muscle fibers to a more high-threshold, fast-twitch muscle fibers.  Transitional muscle fibers are highly sensitive in the young athlete, especially in the teenage years.  If improper training methods are utilize, you will lower their ceiling of athletic potential.

Read more:

Common Mistakes in Developing Young Athletes
Success or Failure: What Are You Setting Your Young Athlete Up For?
Two Common Misconceptions in Endurance Training
3) Does quick feet training make sense for an athlete?
The majority of quick feet training involves the use of dot drills and speed ladders. These drills do nothing to reinforce proper mechanics of sprinting or ice skating. Just watch for yourself. When these drills are performed, kids are standing upright with minimal hip and knee bend utilizing short, choppy strides that impart very little force into the ground. This is completely contradictory to what any sprint or skating coach would demand from their athletes. The fastest guys are the strongest guys because they put more force into the ground. Quick feet training makes no sense.

Read more:

Don't Fall for the Speed Trap
Choose Consistency and Intelligence in Training, Forget the Rest
4) Does high rep weight training for time make sense?
The whole point of strength training is to improve the efficiency of how your nervous system works. The heavier the weight, the more motor units and muscle fibers your brain needs to call upon to execute the movement. The more motor units and muscle fibers in use, the more force you produce. But we just don't need force, but athletes need to produce force quickly. The faster they produce high amounts of force, the faster and more explosive they become. Pretty simple.

Your brain will not call upon a lot of muscle fibers to execute a movement against light weights. This process of selection exists on a continuum and you don’t get to high-threshold, fast-twitch muscle fibers until you start hitting close to 80% of your 1RM (rep max) or higher. It doesn’t matter how many reps you can do against light resistance. So while the P90X and Crossfit people are doing tons of reps with light weights and little to no rest intervals, you’ll never tap into those muscle fibers that power-speed athletes thrive on for success in their sport.

It’s the complete opposite training you want to do for athletics like football, baseball, hockey, basketball, and just about every power-speed track & field event. Especially for teenagers because you can influence the muscle fiber make-up and the ratio of slow twitch to fast twitch fibers of young athletes. This will have tremendous impact of the athletic development or destruction.  Again, high rep weight training with little to no rest serves no purpose for a young athlete and contradicts the demands of athletics.

Read more:

Drop the Confusion, Athletes Need Consistency for Efficiency
Have You Mastered Your Movement?
3 Reasons You Should Train for Maximal Strength
Why Athletes Should Avoid HIIT Programs
 

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.

 

As a chiropractor, I often treat people who have already exhausted all of their insurance money from seeing other chiropractors and/or physical therapists. They come to me out-of-pocket and immediately expect me to do significantly more in one or two visits than the previous professional(s) did after the 12-20 visits that drained their insurance benefits.

I’ve routinely accepted the challenge and many times I’ve closed their case in 2-4 visits by having them listen to advice, advice that addresses underlying issues previously missed or ignored by other providers. Yes, I am a chiropractor and I will adjust and perform manual therapy as needed. But the difference maker time and time again has been the time focused on education directed at independence. Promoting independence on the patient’s behalf is a game changer. This is why I feel so strongly that empowering a patient should be the focus behind therapy and prescribed home programs. As patients discover how they are able to better themselves, their compliance becomes a non-issue and outcomes drastically improve.

The opportunity to educate others is a responsibility that should never be taken lightly. As a provider, the methods utilized to accurately assess a patient’s condition and direct treatment must also serve to improve provider-patient education and accountability.

Gray Cook places this perspective into words very well:

“Our current medical and physical cultures are wasting a lot of time and not creating independence in our clients or our patients. Do we want them to be well and go tell others about their experience or do we want them to keep returning as continual consumers? At what point does wasting time conflict with an oath to do no harm?”

I first started working with Sean, at Gallagher Performance, due to an injury to my back/SI Joint in 2014. The injury occurred December of 2013 and I went through almost a year of physical therapy and other doctor appointments before coming to Sean to fix the problem. Sean realized what the problem was and started giving me a combination of chiropractic adjustments and specific exercises to strengthen the area and eliminate the problem.

Over the time when I was injured, I was unable to do anything overly physical. The worst thing that can ever happen to a former athlete is to realize that they can no longer be athletic. I needed to do something more, so I came back to Sean immediately and had him write me up a plan and provide one on one guidance to help me achieve my fitness goals. Sean prescribed a rigorous training program that challenged me day in and day out. I noticed results very quickly and within 12 weeks, I felt better than I had felt in the past 10 years!

I am still going strong with Sean's plans and I look forward to seeing what the future brings using the PROVEN Gallagher Performance methods. Sean single handedly took me from a stale couch potato and he has given me back my manhood! Thanks to Sean I feel like an athlete again. I would recommend Gallagher Performance to ANYBODY looking to get in better shape! They are the best around, hands down!

Had a couple quick thoughts on sports performance training that I wanted to share, so here it goes….

1. Advanced athletes don't always need Special Developmental Exercises (SDE)
One of the more popular trends in the fitness industry is “sport specific training”. While the training of advanced athletes must always consider the specifics of their sport, this does not always mean they need advanced exercises. For the young athlete and athletes with minimal training experience, there is no need for advanced exercises or the “Train like the Pros” mentality. This is generally well understood. However, when it comes to high-level athletes or athletes with several yeasrs of training experience, coaches/trainers may assume that they need highly innovative, cutting edge training. Parents can also fall into this trap as well due to marketing tactics. The truth is that they need the basics too. They need the basics just like everyone else. In some cases, they may need a lot of the basics. It can be surprising how poorly some high-level athletes move when they are removed from sport.

With that said, keep in mind that high-level athletes generally have the ability to adapt very quickly to repeated exposure to a given stimulus.  They have the ability to make dramatic improvements from week to week in terms of quality of movement, strength, and power development. This ability is a huge reason as to why they are such gifted athletes. The value of Special Developmental Exercises (SDE) in the preparation of high-level athletes for sport competition cannot be understated, but nothing can take the place of sound coaching that utilizes effective program variations and additions to meet the ever-changing complexities of the individual. When it comes to high-level athletes, programs may need to be updated at higher frequencies to promote continual development of the desired physical attributes the athlete needs. These updates should never be random, but applied with purpose and intent to promote continual development.

At the end of the day, some high-level athletes may be better served by training that focuses on the basics and laying a foundation for continual development through proper periodization rather than concentrating their training on fancy, innovative training methods.

2. Where you “feel " the exercise is just as important as how the exercise “looks”
We all know therapists, trainers, and gym gurus who preach “technique, technique, technique”. The importance of technique does not need repeated, but the idea of textbook technique may be more of a myth than fact. Technique, like exercise programming, should not be handled "one-size fits all" fashion. How an exercise "looks" is important, but what is too often forgotten in regards to exercise is where that individual "feels" the movement. For example, you observe an athlete performing a movement with what appears to be “perfect technique”, yet they do not “feel” the movement activating muscles in the right places. This example also highlights why feedback from an athlete can be extremely valuable. It is extremely valuable to know where your client/athlete “feels” the exercise. Don't just assume they are feeling proper muscle activation all because the exercise “looked good” from a technique viewpoint. Helping the client/athlete to "feel" the exercise while maintaining proper technique simply comes down to coaching, tweaking technique, and/or finding the right cues to promote the visual imagery necessary for them to connect their brain to the movement.
More related reading:

https://gallagherperformance.com/quotes-and-insights-from-buddy-morris-strength-coach-of-the-arizona-cardinals/

Your nervous system has a nasty of habit of adapting.

Adaptation is the ultimate goal of training. Physical training is intended to create the stimulus needed for adaptation. Adaptation takes on a number looks, be it increased muscle mass, increased strength, improved speed and power outputs, or increased cardiovascular efficiency. The desired adaptations will always depend upon the needs of the athlete and how periodization influences each training phase or block.

Training phase? Training block? Periodization?

If these terms are unfamiliar to you, let us emphasize why they need to be important to you: Your nervous system gets bored of everything.
Our bodies are wired in such a way that unless we change some variable (volume, intensity, frequency, etc.) of the training stimulus, we will ultimately fail to continually adapt.

Periodization and the pursuit of adaptation is the foundation of scientific progression in physical training and athletic development. Great coaches will put you on a program long enough for you to adapting to it, then they introduce change.

Periodization is simply organization of training. One must have an expertise of how organization of training and exercise selection expertise impacts development. This is a prerequisite to training anyone, but unfortunately there are many under-qualified trainers and coaches out there that do not understand these concepts. Entire teams or groups of individuals should not all be performing the same training. This would assume the entire team or everyone in your group training class has the same deficiencies. Approaching training in this fashion is just ridiculous and deserves to be criticized. Periodization and training is an individualized process. The fitness industry and fad-based training has convinced the public that periodization and planning is not needed. Well, at least until training fails to produce meaningful results.

Understand there is no perfect program or system, just phases of training. Training is an ongoing process. Periodization and the planning of training is an ongoing process. This is why your trainer or coach must be putting some thought into your training, otherwise your success is always in jeopardy.

More related reading:

https://gallagherperformance.com/commonmistakesindevelopingyoungathletes/

Health and fitness is a service-based industry and, like all service-based industries, the Internet has dramatically changed how people are reached with marketing and sales strategies. Among many factors, a huge player is the rise in popularity of social media and the entertainment it provides. From Facebook to Twitter to YouTube to Instagram, one has the opportunity to reach people with greater ease than ever before.

Certainly, there are many positives that can result from this; however, there is the other side. The side where the opportunists, the con-artists, and the shameless self-promoters thrive. They have more interest in deception than education. Sure they can entertain and fascinate, but are they providing something of substance? Social media has opened the door to anyone who wants to push health and fitness information before anyone can scrutinize the quality, making sure it holds up to the science of human and exercise physiology.

So how do you identify the frauds? The con-artists? The over-night sensations who compete in one event (show, competition, race) and are now parading themselves online as some go-to fitness expert before anyone has realized they are only serving one giant cup of nonsense, likely peddling other's work and intellectual property as their own?

My brother and I ponder this subject quiet often. We discuss it with close friends and colleagues in the health and fitness industry. So here is a short list of items that should make you question both what you are reading and the person associated with it.

1) Lack of qualifications for what they claim to do.
Honest members of the industry will come straight out and tell you what they’re trained to do and more importantly, what they are not trained to do. In the fitness industry, some jobs don’t require much of a formal education, while other jobs require quite the opposite. A run-of-the-mill personal trainer only requires a basic certification before gaining hands-on experience. Those who work in high-performance settings, with specialized clients, or integrate therapeutic or corrective measures into their programs will require considerably more education as they are held to higher standards of competency. Naturally, the higher you climb, the greater your earning potential. The problem arises when trainers mislead and misrepresent themselves, acting as if they are qualified in areas they are not, all in the name of earning the almighty buck. They are usually the ones who are also trying to convince you that education is not importance and "only experience matters". This is just wrong. Stop it. This is a classic con-man scheme.

2) They Suffer from Selfie-Hashtag-Buzzword Syndrome.
Social media has created a monster known as the selfie. Those trying their best to break into the fitness industry want to make as much noise as possible. What better avenue than selfies, right? They use their endless stream of selfies as if they are pushing a business card in your face. As if somehow we should buy into what they are doing and come along for the ride. Then to top it all off, they bombard us with hashtags, buzzwords, and trendy phrases intended to connect, motivate, and inspire. Ultimately, they want you to buy into them. They want your attention and your business. Most in the fitness industry are guilty of this, and I must admit we play the game as well. But if you sift through all the selfies and hashtags and find only more selfies and hashtags with nothing of real substance, red flags should go up. There is a point at which those that you follow online must stop existing in the virtual world and provide a physical form of interaction. Who have they worked with? What results have they produced? If their body of work is mostly selfies and hashtags, they're a fraud.

3) What they say doesn’t line up with how they look.
This builds off my earlier point. Sure there are plenty of trainers and coaches and fitness experts who look great and seem to have the body of your desires (attention ladies). The are usually the one posting selfies, using their body as their business card. They want you to know how great they look on a constant basis. There are thousands in the health and fitness industry that look great. So what?  Does that necessarily mean they know what they are doing or that they possess the knowledge on how to help you reach your goals. I agree that people in the health and fitness industry should “look the part”. They should exemplify health and fitness because it's their passion, not because they are trying to sell you on themselves or their products. Looking the part is important, but if you are going to base who you decide to work with solely on how they look, you could be in for a rude surprise. Talk to them. Ask them questions. They should be knowledgeable. They should be educated on the subjects of anatomy, physiology, nutrition, human movement, and how these topics relate to your goals.  People get into these industries all the time because it looks easy on paper. It’s not easy.  If they are clueless, they are in the wrong business.

4) They always have something to say, always trying to sell.
If someone is really good – meaning they know what they’re talking about and consistently get quality results – you never hear from them. Rather you hear about them – from their clients, colleagues, and their competition. But, you never hear from them directly.

What about the imitators? They are all about making noise. All about getting as much attention as possible. They will not only hustle to get your attention. No, hustling is not enough. They are going to overwhelm you, wave after wave after wave of their propaganda.

Trust your gut the next time some health or fitness “expert” pops up on your social media and your reaction is, “Not them again.” Your gut instinct is usually an honest one.

Final Words
There are plenty of honest individuals and organizations in the health and fitness industry that operate themselves with integrity. Seek them out. They desire to properly educate and help others achieve their goals, doing so with tremendous success. These are the trainers and coaches you need to find and receive guidance from when you are unsure of how to pursue your goals. But with all the noise and distractions, they can be hard to find because they aren't out there shamelessly promoting themselves. Unfortunately, there are far too many frauds and con-artists who end up getting more business than they should because of the noise they generate. Noise does not equal results. Hopefully this article allows you to best identify who you should be trusting with your health and fitness pursuits. And hopefully it helps you to ignore the noise.

More related reading:

https://gallagherperformance.com/the-truth-about-functional-exercise/

https://gallagherperformance.com/training-tip/

https://gallagherperformance.com/how-to-develop-physical-fitness/

Ryan and I have been fortunate to be influenced and mentored by some great coaches and athletes when it comes to the understanding of athletic development. There is no doubt that they have had a substantial impact on our abilities and coaching methodologies. Even with all the great mentors and book smarts, the lessons learned from being competitive athletes ourselves has had a significant impact on our coaching methodologies as well. From the point of view of an athlete, all that matters is wins and losses. At the end of the day, being an athlete is about developing your body’s potential for higher levels of performance. There are many coaches and many systems that currently exist which will have you believe their system is the only system. And they can be very good at it. With the amount of information that exists today in regards to developing strength, speed, power, etc., it’s not surprising why many trainers and coaches are doing their best to make the most “noise”. Noise may get you attention, but ensuring meaningful results is another story.

I find complete arrogance to exist when trainers or coaches speak in terms of absolute laws when it comes to specific systems or movements and their necessity for enhancing sport performance. For example, when one takes on the stance of broadly advocating movements such as Olympic lifts or powerlifting-based programs with a primary emphasis on the squat, bench press, and deadlift to develop strength-speed attributes of athletes, it must be examined very closely. There are many popular programs that exist today that can promise increased performance on a number of levels. It's all about selling a product. However, what escapes most is the fact that no element of an athletic development program should be carelessly added into the mix. You can't just randomly select a program based on it's popularity or how your buddy responded to it. You should not just add in something because someone told you to do so or you read it online.

What a lot of trainers, coaches, and athletes do not understand well enough is the impact movement has on the CNS. Movements such as the Olympic lifts, squat, bench press, and deadlift can all impose a significant amount of stress upon the central nervous system (CNS). The high CNS demand is generated from the necessity to execute these movements against maximal weights or submaximal weights at maximal velocity. The intent is to develop varying degrees of strength-speed qualities. It should be emphasized at this point that the typical athlete can adapt to only 2-3 CNS stressors at one time. Keep in mind, CNS stressors are not limited to physical training such as weightlifting, sprinting, jumping, etc. CNS stressors will also include practice, games, competitive events, and time devoted to sport-skill acquisition. These all come with a cost to the athlete’s CNS reserves. Understand that the athletes will take a significant beating from practice and competition. So any strength and conditioning work that is integrated into sport work will also draw heavily on the CNS. Trainers and coaches must accept the fact that they end up losing something in the weight room. But whether it is due to ego or fear of losing specific performance markers, there are many cases in which trainers or coaches may overly stress their athletes in the weight room, eventually leading to negative performance outcomes.

The importance is this: introducing movements, such as the Olympic lifts or variations of the powerlifts, while an athlete is focusing on more important tasks, such as developing sport skill, can come with negative consequences.

Now don't get me wrong. The utilization of the Olympic lifts, squat, bench, and deadlift have been used by elite athletes around the world. They more than serve their purpose in developing qualities that power-speed athletes desire. However, they should not be applied without first understanding the context. Sure an athlete may become stronger in the squat, bench, or clean, but are they performing at new levels on the field? Is their new strength level transferring into improved acceleration, speed, or power outputs in competition? Has the process of achieving increased strength interfered with their sport performance all because it was poorly planned?

This is exactly why educating athletes on what they need to focus on at the appropriate times during the competitive calendar is such a huge part of the process at Gallagher Performance. Young athletes want to work hard, but they need direction. The same can be said for any of our training clients, regardless of their training goals. They are all willing to put in the work provided it pushes them towards their goals. We have no “system” to sell our athletes and clients on. We address their needs while providing them the understanding of the sensitivity of the process. This, in turn, creates a more educated, more independent individual who understands how to achieve their goals despite all the noise and nonsense that exists in the fitness industry.

Sure many of our posts and articles may not be the most "popular" or most "liked". We don't give away a lot of information like other popular sites. We don't have a popular ebook. We don't give out sample training programs that are easy to follow or apply because the context will vary for everyone. One person may apply it and see tremendous results, while another may see no significant improvements. Rather, we write with the goal to educate. When it comes to fitness-related writing, it is definitely more popular to give people "fish" rather than "teaching them how to fish". This could be considered a bad business model when you look at what is deemed as successful in the fitness industry. So if teaching people how to be more sustainable on their own is not popular, we can live with that.

More related reading:

https://gallagherperformance.com/thinking-of-taking-your-child-to-a-trainer-read-this-first/

https://gallagherperformance.com/learn-how-to-spot-the-fitness-frauds/

GP: Do all of our readers out there a favor and tell us a little about yourself, your athletic background, and your coaching experience?
AS: Hey guys! My name is Andrew Stimmel & I’m a 2006 graduate of Franklin Regional. I played college lacrosse at Ohio State University where If was a Defensive MVP, captain and Major League Lacrosse draft pick. Currently, I’m an assistant coach and the Director of Player Development at Yale University where I work with our midfielders, defensive personnel and goalies.

GP: What drew you to coaching after your collegiate career came to an end?
AS: I think I always enjoyed coaching; I just don’t know if I realized I wanted to make it my profession until my 5^th year at OSU where I was able to act in a GA role for Ohio State. That year made me realize what I was truly passionate about; mentoring and teaching. Coaching at this level is a fully integrated approach not just limited to on the field strategy but dedicated to the total person development. We see these kids every day for 3-4 hours (sometimes more) so we have a tremendous opportunity to impact their future as leaders of the workplace, community and their families.

GP: Now that you’re in the collegiate setting as a coach, what are some things you see athletes struggling with in regards to physical preparation?
AS: Physical preparation is our number one goal in the offseason and also one of the biggest things we preach to our incoming freshman. If our guys are out of shape and lacking the necessary conditioning/strength to play at full speed, they don’t participate. The risks for injury are too high and it’s simply unproductive for their individual development. The lack of physical preparation with our incoming guys is usually pretty obvious; inflexible athletes who are fundamentally unprepared for the speed and physicality of the college game.

GP: We often need to have the conversation with prospective clients about the whole idea of “not playing sports to get fit, but rather being fit in order to play sports”. How often do you see this play out in your experience? How much attention do you give to general physical preparation prior to the onset of the competitive season?
AS: I can understand at a younger age parents wanting their kids to participate in sports to get fit and stay active; it’s a great way to achieve those things as well as foster the concepts of teamwork and work ethic. However, as kids get bigger, stronger and faster, that type of player is being put at a huge disadvantage that can easily lead to injury. It is imperative to have some type of intentionality to physical preparation prior to your competitive season not only to perform at a high level, but prevent injury.

GP: Taking those questions and thoughts and expanding on them, what training tactics, systems, or methods do you see most coaches and trainers utilizing that are hurting their athletes more than helping them?
AS: With the exponential growth of the sport of Lacrosse over the last 15-20 years, there is a large group of people trying to capitalize in the industry. A few of the tactics, systems and methods I’ve seen that I don’t really believe have any positive impact and may actually hurt athletes are:

1)    Any weighted “lacrosse specific” exercise. Probably one of the most frustrating things I’ve ever seen. Why are we going to strap a 20lb weight vest to a 10 year old who can’t properly execute the skill or physical mechanics as is? The best way to shoot harder as a young player is to learn the proper mechanics and execute it properly during your practice time.

2)    Any banded/weighted/resistance exercise specific to running technique or footwork. I’m not completely against resistance methodology that add bands to weights or certain exercises for top level athletes; college athletes or professional athletes who are physically prepared to execute fundamental movements properly with the added load. However, when you see younger kids working predominately with bands when, again, they can’t execute a proper body weight squat, proper running technique or transfer weight properly during change of direction, it’s hurting them more than helping them.

GP: Several of our readers are parents of young athletes. From your perspective as an accomplished athlete and collegiate coach, if you were a parent of a young athlete what specifically would you be looking for in a trainer/strength coach/physical preparation coach? 
As a parent of a young athlete I would be looking for someone who is going to be honest about what my kid needs to be doing right now. If he’s a young athlete, don’t sell me on training him like a professional athlete; train him like a teenager. Get him basics first; proper movement techniques, foundational strength, correct deficiencies that could lead to injuries and maybe more serious things in the future. As a parent, it’s easy to get attracted to weight room numbers. However, what does it mean if those numbers don’t produce a better athlete on the field? Bodybuilders care how much you bench; college coaches care how you perform on the field. That’s what I’m looking for as a parent!

 
Thank you Andrew for taking the time to share your thoughts and insights from the experience you have gained not only as athlete, but now as a coach and the role you take on in player development. We hope our readers find this as informative as we do!

More related reading:

https://gallagherperformance.com/commonmistakesindevelopingyoungathletes/

We get asked quite often about our training philosophy when it comes to athletes. Many parents want to know if the training their child will receive at GP is going to be sport-specific. While specificity in training matters, many of our athletes and their parents are surprised to learn how general or fundamental their training must be in the early phases. What needs to be clarified is understanding how much training experience the athlete has and the physical traits that must be developed. The vast majority of athletes we work with are involved in the sports of football, hockey, baseball, and basketball. Success in these sports are highly dependent upon power-speed qualities. We must train these athletes to develop the abilities that allow them to jump, sprint, cut, and dominate their opponents with brute strength. It's our job to make them bigger, faster, stronger, and more durable. It's our job to physical prepare them for the demands of their sport.

Aspiring young athletes are in need of building a broad foundation rooted in movements that will develop strength, speed, flexibility, and body awareness. For the evidence-based fans out there, we use movements and exercises that all have been proven through research to work. But more importantly, the exercises used have stood the test of time and have served as the backbone to athletic development programs for decades. Sprints, jumps, throws, compound strength exercises, Olympic weightlifting movements when appropriate, and general calisthenics have all play a role in the training of some of the greatest athletes in the world.

But the exercises are not simply enough. Almost every single one of our athletes must be exposed to a high volume of training without a high degree of variation. It's important to respect the neural adaptations young athletes or novice trainees undergo during the training process. High volumes of training will help ensure motor learning and skill acquisition while developing the connective tissue strength needed for more intensive training down the road.

This template serves to lay the foundation for the neuromuscular qualities required to meet the increasing needs for speed and power development. It's simple math really. If an athlete improves relative strength, that athlete will be faster and more explosive. Keep in mind that that other factors can be at play too. For instance, that same athlete must also maintain or improve movement quality to improve speed and explosiveness.

However, these are only portions of what goes into a quality athletic development program. It's much more than simple "strength and speed". This is why we feel the value of a qualified strength and conditioning coach or athletic development coach is severely under appreciated. Unfortunately, far too many people have been misinformed by either poorly educated trainers or by the internet. They haven't experienced the difference guided athletic development can make in their performance. Having a coach to guide young athletes not only in their development, but also in areas such as nutrition and cultivating the mind set needed to achieve their goals can give them a huge advantage over their competition.

That's why we love what we do at GP. Not only do we get to work with clients and athletes that have big dreams and big goals, but we also help them develop habits that create a healthier lifestyle. When we have them giving us their best, they deserve nothing less than our best!

More related reading:

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

https://gallagherperformance.com/periodization-keep-athletes-track-fo-success/

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

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.

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.

GP recently interviewed Ben Gallagher DPT, FMSC. If you happened to figure out that Dr. Ben is related to us, you are correct. Ben is a physical therapist at Somerset (PA) Hospital Rehabilitation and Wellness Center. As brothers, we share some very similar concepts in the treatment of patients. But, we also share contrasting viewpoints, which makes it fun to learn from each other and gain a better understanding of the professional roles we serve in providing improved quality of patient care.

Now, let's get to the questions.

GP: Please introduce yourself and give our readers some information on your professional, educational, and athletic background (as well as what you have had to overcome since birth in order to participate in athletics).
BG: My name is Ben Gallagher, brother to Sean and Ryan. I live in Somerset, PA with my wife and daughter. I am a physical therapist and have been working at Somerset Hospital Rehabilitation and Wellness Center for over two years. I graduated from Indiana University of Pennsylvania (IUP) with a degree in Exercise Science in 2008. Then went on to Saint Francis (PA) University to get my Doctorate in Physical Therapy, graduating in 2012. Since graduating I have become FMS (Functional Movement Screen) certified, focusing my continuing education on movement analysis and manual therapies thus far.

Athletically, I grew up playing most sports, mainly focusing on basketball until the 8th grade when I got into ice-hockey as a goaltender, then that became my passion. I played through high school and into college at IUP. As for what I had to "overcome," that would be referencing my heart condition. I was born with Tetrology of Fallot, a congenital disorder that required surgery as a young child and again in 2008, and another in about 15-20 years. The condition restricted me from some sports and it is not advised I lift max weights, placing a limitation of how I could physically train for sport. However, prior to my 2008 surgery, in which my heart was over 3x normal size, I had no issues or symptoms. The doctors attributed my training to why I could function so well with such a crappy heart. Training was a mainstay, and still is.

GP: The thought process in your evaluation and management of patients is not widely instructed in physical therapy programs. What were the biggest influences in your professional development in not only the care that you provide, but also why you sought out additional resources beyond what you learned in school?
BG: The purpose of physical therapy school is to: 1) make sure you pass the licensure exam, and 2) make sure you don't seriously hurt anyone. As for producing quality clinicians? No. School just teaches you the basics, and most practicing therapists provide you just that, the basics, which is what you could find on a Google search. So, as for what helped my professional development, honestly the biggest thing was I just thought differently. I saw things differently and I attribute that to my athletic background and training history. For example, as a PT student I would tell my class-mates, "I'm gonna have my grandmas deadlifting." My classmates would gasp, as if that was the most absurd thing they ever heard. But my thinking was, "If someone needs to build strength, why am I gonna have them lie down and lift their leg? When I want to build strength, I train the squat and deadlift, so how couldn't the same application benefit my patients?" Now let me clarify, not all movements are appropriate for all people, at all times. That's why programs need to be individualized, not cookie-cutter.

So for me, I thought, why do I want to further inundate myself with PT knowledge that is elementary and narrow-minded. I sought out other means to fill that thirst for a fuller, better understanding of how the body functions. FMS, which is for any health or fitness professional, is just one of many means to that end that I am pursuing.

Plus, I have to add this: In reference to the grandmas deadlifting story, there was a research article published shortly after in regards to the most effective exercises to strengthen the hips. The study basically ridiculed all traditional PT exercises and found the most effective was a single-leg deadlift. How 'bout them apples?

GP: You are extremely involved with your patient’s care, preferring to perform a lot of manual therapy and oversee the exercise process. This is not common of the majority of physical therapists. Can you speak to why you find this so valuable in the outcomes your patients are able to achieve?
BG: I don't even know where to begin with this issue. I get fired up about the lack of quality care there is in this field.  Most therapists treat with a shot-gun approach, meaning they're not sure what is really going on or how to treat so they will throw a ton of stuff at you hoping something sticks and works. But the best in rehab are like snipers. They isolate what the exact issue is and address it appropriately. And how can you do that if you are not present and in the mix with your patient's rehab process?

GP: As a physical therapist, you see tremendous value in what chiropractic care has to offer. Could you please give your thoughts on what makes chiropractic and physical therapy so complementary?
BG: Following off the above question, when you are involved with your patient's care, you may find that some issue(s) may be out of your scope and there may be better, more skilled hands that are able to provide effective care. How can one means of healthcare be the most effective? What is most effective is what the patient needs. How can chiropractic care be so bad, which is the view of many therapists, when chiropractors help so many? And how can therapists think we are the kings of rehab and exercise when many therapists stick you on a machine and walk away? I have referred patients to chiropractors and massage therapists. But, I do so instructing them on what they need to share with those professionals, because just going blindly to another professional does not always mean you will get quality care. Chiropractor, massage therapist, physical therapist, strength coach….I don't care what your title is; if you're good, you're good.

GP: Posture, stability, and mobility are intensely debated topics at conferences and continuing education seminars. Could you expand on your philosophy when it comes to the dynamic role between posture, stability, and mobility, what athletes and coaches should understand about these topics, and what should be left to physical medicine providers such as physical therapists and chiropractors?
BG: The first thing that athletes and coaches should understand about posture, stability and mobility is that you likely don't fully understand these concepts. Most lay people honestly don't understand how posture impacts how their body feels and the role it has in movement. Someone with good posture likely can't explain why they have good posture or how they achieved it. But, that is why we, as professionals, are here.

The stability-mobility debate is like a left-wing versus right-wing debate. My philosophy is it's a spectrum. No one physical issue is 100% in either direction, but I do believe stability is the issue the majority of the time. And if mobility is an issue, and is addressed, such as stretching or mobilizing, it should complimented by stabilization training to ensure you have control of the new motion you have just obtained.

GP: You have developed a reputation in your area as a “go-to-therapist” for athletes being referred from orthopedic surgeons because of your eye for assessing movement and your ability to successfully return athletes to competition. Besides the FMS, what other assessments do you find valuable in dealing with athletes and their competition needs?
BG: For those who don't know, the FMS is a tool used to assess a person's quality of movement using seven standardized movements. If you move poorly, you are then going to compensate, compensation leads to altered or poor biomechanics, which leads to injury. So the whole purpose of the FMS is to make sure you move well. The job of the clinician is to not only identify poor movement, but to also figure out why you are not moving well. Therefore, what other assessments do I find valuable for athletes? I want to see them go through their athletic movements: swing a golf club or hockey stick, throw a ball, jump, land, cut, sprint, run, etc.

To be able to do this effectively you must first be able to analyze the movement correctly. Is the movement efficient? If it is not, then you must be able to figure out why it is not and be able to address the problem effectively. All this said, what is really needed is knowledge of athletic movement, a good clinical eye, and the knowledge of how to fix whatever issues are present.

That’s a Wrap
Ben, thank you for taking the time to answer our questions. Your knowledge and insight is truly appreciated. We hope this was informative for our readers as well. For those in the Somerset, PA area, be sure to check out Ben at the Somerset Hospital Rehabilitation and Wellness Center for tremendous results when it comes to returning from injury or understanding how to move better for your exercise or sport-related goals.

More related reading:

https://gallagherperformance.com/posture-and-movement-linking-training-and-therapy/

https://gallagherperformance.com/prevent-re-injury-integrated-training-rehabilitation/

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.

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.

• 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.

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.