The value of movement is undeniable. But the industry of movement has become a bit of a circus.

I have seen some doctors, therapists, and trainers using the label of “movement provider” lately and while I’m not quite sure what that means, I can speculate as to what they are trying to communicate. Yes there are many universal truths when it comes to human movement, health and performance, but the true pioneers of movement are few. Social media has created a tool for spreading quality information and education. I understand leveraging social media can become incredibly valuable to a business. However, when it comes to movement, exercise, and fitness, social media has become more entertainment than substance.

It’s become a sea one can easily become lost in, caught up in the wow factor of challenging movement drills and variations while others are less likely to engage with more of a simplistic focus. Movement providers from licensed healthcare professionals to run-of-the-mill trainers pop up all over the worldwide web and social media sending messages that may seem conflicting. There’s more information than ever yet many people searching for solutions are more confused than ever. The industry seems to thrive on confusion more than any other. Confusion creates dependence and the industry loves confusion because someone has to have the answers. They want to build an audience.

But are you building an audience based on your information being entertaining or effective?

Sadly it seems that he who yells the loudest, gets the most followers and gets the most attention must have the answers right? I mean they do have 62,000 followers, they must know their stuff? Not necessarily. Entertaining may score you points on social media, but effective scores you points with patients and clients. Yes there are extremely effective movement experts with massive followings, but I doubt they exist in the real world in the masses like they do on social media. If you’re chasing entertainment yet don’t know how to effectively get someone from point A to point B, it’s all smoke and mirrors.

While overhead lateral rotational lunges with hanging bands may score thousands of views on Instagram, does it have any significant relevance? From a clinical perspective, those who treat patients regularly know the majority of what entertains on social media has little transfer to patient care. The reality is that the majority of patients with musculoskeletal issues have lost the ability to perform basic human movement. There is a reason why the lumbar disc patient is a disc patient. Most of them are deconditioned and lack adequate strength, motor control, mechanics and proprioceptive awareness not only in their low back, but likely in their feet and hips as well. They need the basics. The fundamentals. Problem is the basics aren’t sexy and don’t get you likes or follows on social media. Advanced progressions of basic human movements make up 90% of what’s on social media, yet in the office 90% of our patients only need the basics. The same can be said for the population that works with a personal trainer or strength & conditioning professional. They often need the basics and just building off them.

The majority of patients and clients need to master the basics without the need of external resistance. For most, simply working against the resistance of their own bodyweight is sufficient. Problem is, if you take away the bands, the barbells, the kettlebells, the dumbells, the cables and sliders from some doctors, therapists, and trainers, they will struggle to think of exercise progressions/regressions to yield better movement by simply using one’s own body. The really good movement providers can achieve improvement without the need of equipment. This may be incredibly simplistic and not score big points on Instagram or Facebook, but you’d be surprised at how challenging the basics and their variations will be. So if you are using social media as your reference library on how to rehab your own injury, rehab a patient, or create a workout for your next training client, I would be incredibly cautious.

Sure the squat may be basic, but how many are actually capable of a proper bodyweight squat? The answer may surprise you. Yet how many are capable of a proper squat before heavier and heavier loads are introduced or they try an overhead, band-resisted, anti-rotational squat? I’m gonna bet not many. If you’re capable of performing an overhead, band-resisted, anti-rotational squat with ideal form, great. You’re part of less than 1% of the population that is capable. The other 99% need more of the basics and arguably may never need to do that advanced of an exercise. Most won’t even have the desire as they won’t see the relevance.

The basics may be boring, but they are incredibly effective. We all need them. The basics serve as the foundation. What kind of basics are we talking about? If I was to build a short list of basics to ask yourself, it would look something like this:

• Are you able to breathe without excessive chest or shoulder movement?
• Are you able to balance on one-leg for at least 60 seconds?
• Are you able to balance on one-leg (eyes closed) for at least 30 seconds?
• Are you able to hold a plank for at least 60 seconds?
• Are you able to hold a side plank for at least 30 seconds on each side?
• Are you able to perform a lunge with ideal form and control?
• Are you able to perform a squat with ideal form and control?
• Are you able to raise your arms overhead with ideal form and control?
• Are any of these movements painful?
• Are any of these movements difficult to perform due to tightness or restricted range of motion?

Here at Gallagher Performance we not only strive to provide the best in chiropractic, rehabilitation and manual medicine treatments for our patients, but we also utilize comprehensive diagnostic methods and tools to help determine which treatment is best for you. This allows us to apply to most ideal therapeutic interventions. At GP, this could include any combination of the following: chiropractic manipulative therapy, manual therapy according to Lewit and Janda, Vojta Therapy, myofascial release, trigger point therapy, neuromobilizations, and dynamic neuromuscular stabilization (DNS).

Despite many of our patients having previous experience with chiropractic or physical therapy, they are unfamiliar with DNS. Gallagher Performance specializes in DNS therapy. Dr. Gallagher has been studying and utilizing DNS since 2007. His extensive training and background allows him to provide a level of care that is unique to the Pittsburgh area.

Since DNS has implications in both physical rehabilitation and training, we spend a great deal of time educating our patients and clients on DNS and answering some frequency asked questions. With that in mind, the goal of this article is to help educate our readers about DNS and the significance this intervention has as it relates to pain or sports performance.

What is DNS therapy?
DNS is a revolutionary European approach in the treatment of back pain and several neuromuscular conditions. DNS therapy is based on the neuroplasticity of the Central Nervous System and targets the cause of pain/dysfunction rather than its manifestations. DNS therapy evokes ideal movement patterns by manual stimulation of developmental reflex zones and utilizes specific exercises to improve neuromuscular control. The therapeutic benefits become significantly expanded from previous standards of rehabilitation. Any one from infants to adolescents, chronic pain patients to athletes can all benefit from DNS therapy.

How does DNS compliment chiropractic adjustments? 
DNS therapy favorably compliments traditional chiropractic adjustments in several ways. When patients may be apprehensive about receiving an aggressive or forceful chiropractic adjustment, DNS offers gentle, non-forceful, low velocity manipulation that is well tolerated and safe. For those that receive traditional chiropractic adjustments, DNS works in concert to normalize joint function and restore muscular balance, leading to more sustainable improvements in reduced pain and improved function.

Often times, symptom relief experienced from a chiropractic adjustment can be short-lived with symptoms returning rather quickly. In contrast, when DNS is applied in a chiropractic setting, the approach allows for longer-lasting symptom relief due to therapy’s ability to improve Central Nervous System (CNS) coordination and joint stability which is then maintained by performing prescribed home exercises.

DNS therapy simply enables a chiropractor to effectively treat and manage a broad range of musculoskeletal and neurological disorders. While traditional chiropractic may be limited in what can be done through chiropractic adjustments and passive modalities, DNS represents a powerful alternative to chiropractic care when dealing with pain syndromes and more complex structural pathologies where the effectiveness of traditional chiropractic is highly limited.

How is DNS therapy able to get me out of pain and moving better when other conservative therapies have failed?
The results achieved by DNS therapy are often difficult to achieve with traditional methods used by chiropractors and physical therapists due to the physiological phenomenon that occurs during treatment to minimize muscular imbalances, relieving painful protective muscle spasms, resulting in a more stable musculoskeletal system with improved spinal stability and postural awareness.

During DNS therapy, induced movements are controlled not locally, but by the higher levels of the Central Nervous System. This then results in faster and longer-lasting improvement in function and pain relief.  When combined with exercise, the promotion of joint stability and ideal movement becomes habitual and independent of conscious effort.

How are DNS exercises different from traditional physical therapy or physical training exercises?
In the majority of physical therapy and chiropractic clinics, as well as in personal training settings, exercises are performed that simply train muscles in isolation. The patient who has shoulder pain and is only prescribed shoulder exercises illustrates this concept. The fault in strengthening weakened muscles through isolation training is that isolation training will fail to unify the painful or problematic joint with the entire locomotor system. Sure you can perform all the isolation exercises you wish, but this does not guarantee that the strength or coordination gained will automatically transform into adequate performance.

DNS exercises are applied in accordance with development kinesiology or essentially how we develop motor function during childhood. As we develop, reflexive movements (primitive, postural, locomotor) become more refined and coordinated, ultimately leading to specific movements we produce later in life such as walking, running, jumping, reaching, throwing, etc.

However, developing these skills does not happen magically.  Learning to control the body and developing fundamental skills make up our motor milestones.  These milestones mark critical points in our development and there is a progression that these milestones follow.  This is known as developmental kinesiology. In simplistic terms, we need to be able to lift our head and support it, roll over, crawl, support ourselves upright, walk with assistance, and then walk without support.

The understanding of developmental kinesiology and critical motor milestones allows the provider to make exercise progressions and regressions during the course of therapy in order to appropriately address the underlying locomotor system dysfunction(s).

These exercises are applicable for patients with variety of acute and chronic conditions as well as for athletes who are trying to improve their performance and also prevent or rehabilitate injuries.

Often DNS exercises are conducted with active support from the clinician to insure that the patient maintains proper support and executes ideal movement. DNS exercises could include the use of stability balls or bands to further facilitate the desired response of the exercise.  These exercises are not only used to improve the stability of the spine, muscle coordination, balance and strength, but also to increase the body’s awareness and sensory integration.

Conclusion
All of a sudden, conservative management and treatment of patients and training of athletes looks a lot different than what is traditional accepted.

DNS is not only a magnificent approach for preventing and rehabilitating pain syndromes in the movement system it is also becoming extremely popular in sports performance circles. The same ideal patterns that keep an individual out of pain also maximize the efficiency of the movements, which not only reduces risk of injury but improves performance.

When you consider the principles of DNS, it truly is not about what exercises we prescribe or what exercises we perform, but rather what we are actually getting from those exercises when we perform them that is important. DNS provides a system of evaluation and treatment which follows motor development, thus providing an effective way to help our patients get the most out of therapy and our clients get the most out of training.

Sources:
Dynamic Neuromuscular Stabilization & Sports Rehabilitation, Frank C, Kobesova A, Kolar P. Int J Sports Phys Ther. , 2013 Feb;8(1):62-73.
A case study utilizing Vojta/Dynamic Neuromuscular Stabilization therapy to control symptoms of a chronic migraine sufferer, Juehring DD, Barber MR. J Bodyw Mov Ther, 2011 Oct;15(4):538-41.
Cerebellar function and hypermobility in patients with idiopathic scoliosis, Kobesova A, Drdakova L, Andel R, Kolar P. International Musculoskeletal Medicine. , 2013, 35(3): 99-105.
Effects of shoulder girdle dynamic stabilization exercise on hand muscle strength., Kobesova A, Dzvonik J, Kolar P, Sardina A, Andel R. Isokinetics and exercise Science. , 2015;23:21-32, 
Developmental Kinesiology: Three Levels of Motor Control i the Assessment and Treatment of the Motor System. Kobesova A, Kolar P. Journal of Bodywork and Movement Therapies., 2014;18(1):23-33.
The Prague School of Rehabilitation, Kobesova A, Osborne N. International Musculoskeletal Medicine, 2012;34(2):39-41.
Postural - Locomotion Function in the Diagnosis and Treatment of Movement Disorders, Kolar P, Kobesova A. Clinical Chiropractic, 2010;13(1):58-68.
Analysis of Diaphragm Movement during Tidal Breathing and during its Activation while Breath Holding Using MRI Synchronized with Spirometry. Kolar P, Neuwirth J, Sanda J, Suchanek V, Svata Z, Volejnik J, Pivec M. Physiol Res, 2009;58(3):383-92.
Postural Function of the Diaphragm in Persons With and Without Chronic Low Back Pain. Kolar P, Sulc J, Kyncl M, Sanda J, Cakrt O, Andel R, Kumagai K, Kobesova A. J Orthop Sports Phys Ther, 2012;42:352-362.
Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment, Kolar P, Sulc J, Kyncl M, Sanda J, Neuwirth J, Bokarius AV, Kriz J, Kobesova A. J Appl Physiol. , 2012;42(4):352-62.
Importance of Developmental Kinesiology for Manual Medicine, Kolar P. translated from Czech Journal of Rehabilitation and Physical Therapy, 1996;4:139-143.
Surgical treatment and motor development in patients suffering from cerebral palsy, Kolar P. Translated from Czech Journal of Rehabilitation and Physical Therapy, 2001;8(4):165-168.
Long-Term Efficacy of Dynamic Neuromuscular Stabilization in Treatment of Chronic Musculoskeletal Pain, Bokarius AV, Bokarius V. 12th World Congress on Pain. Glasgow, Scotland. Aug 17-22, 2008. Presentation # PF225.
A case study utilizing spinal manipulation and dynamic neuromuscular stabilization care to enhance function of a post cerebrovascular accident patient, Oppelt M,Juehring D,Sorgenfrey G, Harvey PJ, Larkin-Thier SM. Journal of Bodywork and Movement Therapies., 2014;18:17-22.
More related reading:

https://gallagherperformance.com/solving-pain-influence-czech-rehabilitation-techniques/

In our younger years, many of us likely heard the expression “Practice Makes Perfect.” This usually came from a parent, coach, or teacher. Some took the saying a step further, adding “Perfect Practice Makes Perfect.” Some even say, "Practice Makes Permanent". Regardless, still the message was clear – if you want to improve, you need to put in some time and focused effort. You need to practice.

But is all about simply practicing or do we need to have a different focus?

Research has provided a better understanding of how practice influences skill development, helping us understand how the nervous system is rewired during the process. While there are many components to consider during the process of motor learning and skill acquisition, in this article we will be discussing how a unique tissue to the nervous system called myelin plays a critical role in the acquisition and mastery of skills.

Practice Rewires the Nervous System
When we are exposed to a movement or sport skill that is new or unfamiliar, the result is typically feeling awkward and uncoordinated. To some degree, we may be apprehensive. This is normal and to be expected. But, as we practice, something happens. Things get smoother, we feel more comfortable, and the movement/skill becomes more natural.

What is happening?

What practice is actually doing is rewiring your nervous system to become more efficient during complex movement tasks through a process called myelination.

The Role of Myelin
Understanding all the intricacies of the nervous system is not the point of this article, but a little background will be helpful. Myelin is a tissue that covers our neurons, the cells that make up the nervous system. Myelin is mostly a fatty substance, with cholesterol being an essential component. It serves to insulate nerve cells and has a characteristic “white” appearance. This is why most people refer to myelin as “white matter” when discussing the nervous system. What science has helped us understand is that myelin improves the speed and strength of nerve signals, meaning that myelinated nerves transmit signals faster than non-myelinated nerves. Myelin helps our nervous system function at a higher level.

Ok, so how do we get myelin onto our nerves?

To begin with, the majority of myelination occurs during the early stages of development. These stages of development occur during the 2-3 years after birth and into early childhood. Children are myelin-generating machines. This can be seen not only in respect to movement, but also with language and comprehension skills as well. Where there is development, you will find myelin. This is why there are critical developmental stages that exist in long-term athletic developmental (LTAD) models. LTAD models help us understand that we cannot make up for lost time. Sure, as we get older we can continue to generate myelin, but it happens at a slower rate and requires more effort. This is why most young athletes who miss critical developmental stages tend to get passed up later in their athletic careers.

So what’s the big deal about critical developmental stages?

It provides children with graded exposure to skills through practice and repetition. The process of practice and repeated effort triggers a pattern of signals through our nervous system. With time and repetition, myelin is produced to increase the speed, strength, and coordination of these nerve signals. It’s a streamlining effect that your nervous system undergoes due to exposure to a repeated sensory stimulus and motor (movement) output.

Practice Makes Myelin, So Practice With Purpose
Understanding the role of myelination in skill acquisition has tremendous implications. Yes, volume and frequency of practice matters, but myelination makes a case for understanding why quality of practice matters. Practicing with an extreme focus on quality is equally, if not more important, than simply practicing a lot. Don’t just practice to practice. Corrections should be made as they are needed. You don’t want to spent the majority of your time practicing bad habits, as bad habits are hard to correct. Bad habits arguably are not permanent. However, the longer they exist, the harder they are to unlearn. Myelin is a big reason why.

In the context of training and sport skill development, if you lift/sprint/jump/practice with poor technique and no one corrects your mistakes, you will be myelinating those nerve pathways – which does you no good and only serves to lowering your athletic potential. Sure you may improve, but you will never reach your true potential. And the longer your bad habits remain, the harder it is to correct them.

The takeaway: practice of movement skills over time causes specific neural pathways to work better via myelination. To improve your performance, you not only need to practice FREQUENTLY, you also must practice CORRECTLY and receive plenty of feedback from a qualified coach so you are able to properly develop your movement and sport skills.
More related reading:

https://gallagherperformance.com/unlock_your_potential_with_this_powerful_tip/

https://gallagherperformance.com/movement-improves-brain-function/

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/

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/

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

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

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

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

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

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

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

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

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

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

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

As Dan Pfaff said best,

“A top athlete is like a formula one car and have you seen how much fine tuning they do with those things? The ability to run your hands over an athlete and know what is restricted gives you immense inside information into their functioning. You cannot expect the athlete to tell you either because they are terrible barometers when it comes to knowing what they are ready for. Just asking “are you ok for today’s workout?” is not enough because their motivation is so high athletes do not necessarily listen to what their own body is telling them.”

High-intensity interval training (HIIT) is a system of training characterized by high-intensity resistance or metabolic training with short/incomplete rest periods in between working sets. An example of HIIT is often advocated by Crossfit WODs (workout of the day) and other similar programs.

According to the American College of Sports Medicine, HIIT is now the most popular fitness trend. HIIT has tremendous appeal to those looking to shed unwanted body fat and ‘lean up’ or ‘get in shape’ quickly because of its ability to burn body fat more efficiently. HIIT has been shown to produce greater improvements in both aerobic and anaerobic capacity with less overall training volume when compared to individuals who only perform steady-state aerobic exercise. In the public eye, a huge upside to these workouts is they typically take less than 30 minutes to complete. Sounds too good to be true, right?

However, what is rarely if ever mentioned, is the number of injuries sustained by participants.

In my opinion and experience, which may be similar to what others are also observing, the number of injuries associated with HIIT appears to be on the rise. What is especially significant to note is that these injuries are often debilitating in nature.

Not only is HIIT growing in popularity among the general population, but it also seems to be a growing trend among athletes. The point of this article is to discuss why HIIT is not an appropriate training program for athletes and provide some insight into why athletes should avoid programs that advocate high-frequency application of HIIT methods.

Why Athletes Should Avoid HIIT
First and foremost, when training with heavy weights or performing complex motor skills (i.e. jumps, throws, sprints) it is highly critical that proper technique is learned during the initial stages of training. This is the key to not only continual development in regard to strength and all other physical abilities, but is fundamental to injury prevention.

Proper technique is the key to ensuring that strength developed becomes more useful not just in athletic skills, but also in everyday activities. For athletes, proper technique serves as the foundation for efficient execution of sport-related movement skills.

So why does HIIT fail athletes?

What appears to be most important in HIIT is overcoming a prescribed amount of resistance or finishing a prescribed number of reps in a designated amount of time, regardless of how it is done. From the start, HIIT does not place technique as the number one priority. For your viewing pleasure, Youtube provides numerous examples of this. I can recall watching a Crossfit workout during which a young female participant is doing her best to finish an overhead press. She had to contort her body in every way imaginable in her attempt to get the bar locked out overhead. Needless to say, I did not like what I saw.

What was even more disturbing to me was hearing the other members of the class cheering her on and applauding her when she finally locked out the bar overhead. They were encouraging her effort with absolutely no attention or care about her technique and safety. This is just one example of many that indicates how overcoming the weight was more important than how the lift was performed.
Other daily workouts may prescribe high-intensity metabolic conditioning that often requires participants to train to the point of exhaustion and, sometimes, to the point of throwing up. The mindset and main objective is primarily focused on overcoming a specific quantity of work as opposed to expressing quality in the work.
It is this mentality that can be detrimental to athletes and the general fitness population as well. There is a reason why physical therapists and chiropractors love Crossfit and other HIIT programs. HIIT programs are pretty good at producing patients.

Another unwanted factor associated with HIIT is the high degree of fatigue and lactate training loads. For athletes, how can they master movement and skill execution or build speed and strength in a fatigued state? The answer is they cannot. This is something the majority of coaches and trainers must understand. Lactate-based training is widely over-utilized and misplaced. This ultimately cuts into more productive training methods and increases the need for recovery. When it comes to HIIT programs, recovery is often not sufficient and will potentially push participants into a chronic state of fatigue or create an over-trained individual. Keep in mind, injuries are more likely to occur in a fatigued or over-trained state.

When it comes to HIIT, training principles regarding periodization, progressive overload, mastery of technique, specificity of training, and individualization of training are completely ignored. These principles, among others, are highly important when it comes to the safety and effectiveness of training athletes. They have been proven to be foundational in producing the most effective results from any training program.

Final Words
Training and sport science tells us that HIIT programs or any randomized high-intensity program is not conducive for efficient training and development of athletes in regards to strength, speed, power, and other physical abilities. Sure it may be trendy, but ask yourself does the program or exercise routine provide the development you want? Remember, development is always specific to your training demands. Also, ask yourself if your current training methods are more likely to make you a better athlete or a patient.

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Training for Elite Athletes

Working with athletes to develop their performance brings on a host of unique challenges. Arguably the greatest challenge is associated with the intrinsic motivation level of young athletes. The varying levels of self-driven motivation among the young athletes at GP is interesting to observe, especially as the character of the athlete begins to emerge. Motivation level becomes even more apparent as we progress through the training program, taking notice of what the young athlete is willing to do on their own to improve their performance. Ultimately the question becomes, can they sustain the motivation year after year if they begin a structured training program early in their career? There are several factors which can influence an athlete's dedication, below are just a few that come to mind:

•  “My son/daughter is the best athlete on their team.”
• “ My son/daughter was just voted the best player in their age group at a recent camp.”
•  “My son/daughter is a natural athlete and they always get placed on the highest level teams in the area."

• Enthusiasm and Desire - Top athletes have a hunger, a fire inside which fuels their passion to achieve an important goal, regardless of their level of talent or ability.
• Courage to Succeed -  It takes courage to sacrifice, to work out when you’re tired, to seek out tough competition, to stick to your program, to test your limits, and to overcome obstacles.
•  Internal motivation and self-direction - Direction and drive need to come from within.  The goals must be ones that you have chosen because that’s exactly what you want to be doing.
• Commitment to Excellence - Elite athletes know that to excel at their sport, they must decide to make it a priority in their life.  They make an honest effort each day to be the best at what they do.  At some point you must say, I want to be really good at this; I want this to work.
• Discipline, Consistency, Organization - Elite athletes love what they do and it is easier for them to maintain consistency in training and in competing. Regardless of personal problems, fatigue, or difficult circumstances, they can generate the optimal amount of excitement and energy to do their best.
• Being focused and yet relaxed - Champions have the ability to maintain concentration for long periods of time. They can easily let go of distractions and take control of their attention. They don't let emotions get the best of them and cause poor performance.
• Ability to handle adversity - Top athletes know how to deal with difficult situations. Adversity builds character, but adversity also reveals character. When elite athletes know the odds are against them they embrace the chance to explore the outer limits of their potential.  Rather than avoiding pressure they feel challenged by it. They are calm and relaxed under fire. Setbacks become an opportunity for learning.

The concept of sport-specific training has continually gained popularity over the years. It’s a growing market and business-minded individuals are taking notice. Similar to trends in functional exercise, you have a growing number of trainers stating they offer the “latest in sports training”. Frankly, anybody online can say their method or approach is the best. In a competitive market, people enjoy using words to attract your business. There are plenty of gimmicks that exist, namely in the world of speed training. Often times, athletes acknowledge such methods did little or nothing to improve on-field performance. If these gimmicks worked, it's simply because the athlete was a novice or of low qualification. Novices have the unique ability to respond to almost any form of training. But does this mean what was done is most appropriate? Does it mean training was efficient or effective? Not necessarily. When it comes to the training of higher level athletes, previously used methods and/or exercises will eventually fail to produce continual improvements in sport performance. There is a point of diminishing returns and training must adapt accordingly.

For any athlete, sport-specific training must ensure maximal transfer of the training program to on-field results. If exercise selection or organization has little carry over to making athletes better, you are wasting valuable time and money. Transfer of training can be summed up with the SAID Principle (Specific-Adaptations to Imposed-Demands). The SAID Principle has been proven time and time again in both research and training. This principle implies that training is most effective when resistance exercises prescribed are similar to the target activity or primary sport form/movement. Furthermore, every training method will elicit a specific (and different) adaptation response in the body. There must be compatibility between training and sport. This becomes of increasing importance as an athlete reaches higher and higher levels of athletic competition.

As mentioned before, research has demonstrated how exercises that once worked to improve sport performance for an athlete at a lower qualification level, will eventually lose training effect as the athlete gains mastery. For instance, indicators of maximal strength (squat 1RM) often have a direct correlation in low-level athletes, but lose significant correlation with enhancing sport performance in higher-level athletes. Similarly, movement abilities such as sprinting and change-of-direction (agility) are each separate motor tasks, characterized by specific motor abilities. Improvements in linear sprint speed and change-of-direction ability have limited transfer to each other and the degree of transfer decreases as an athlete progresses.

Thus, in order to enhance the sporting ability of high-level athletes, there comes a time when we must get more detailed than simply chasing increased strength and 'quick feet'. It’s inevitable. There is no way to avoid it. The world’s greatest Sport Scientists understood this and proved the need to go beyond traditional training approaches to see continual improvements in performance as athletes reached higher levels of competition. This is where the concept of Special Strength Training (SST) becomes of importance in the training plan.

Introduction to Special Strength Training
Pioneered by Dr. Anatoli Bondarchuk, SST has been incorporated for decades by coaches in other countries, mostly in the Olympic sports. Dr. Bondarchuk is most noted for his involvement in the throwing sports, particularly the hammer, and his results speak for themselves. It was Bondarchuk’s identification and implementation of special exercises with the highest degree of dynamic correspondence to the sporting movement that became the focus of his athletes' training plan. His organization of training allowed athletes to set world records and win numerous international and Olympic medals despite the fact that they did not possess the greatest strength in movements such as the clean, squat, or bench press.

Exercise Classification System
Bondarchuk classifies exercises into 4 categories:

1. GENERAL PREPARATORY EXERCISES are exercises that do not imitate the competitive event and do not train the specific systems.
2. SPECIAL PREPARATORY EXERCISES are exercises that do not imitate the competitive event, but train the major muscle groups and same physiological energy systems as your sport. However, movement patterns are different.
3. SPECIAL DEVELOPMENTAL EXERCISES are exercise that replicate the competitive event in training but in its separate parts. These exercises are similar to the competitive event, not identical.
4. COMPETITIVE EXERCISES are exercises that are identical or almost identical to the competition event.

“General exercises have little relevance to the sporting action. Specialized preparatory exercises use the same muscles that are involved in a particular sporting action. Specialized developmental exercises include single joint actions that duplicate one portion of the sporting action. They also mirror the velocity and range of motion seen in the competitive movement. Competitive exercises are those that fully mimic the competitive movement in more difficult conditions and easier ones.”

Lack of progress or results in any training or fitness program is a common frustration for many athletes and individuals. Let's take a look at two of the more common reasons why people fail to see results from their training efforts.

#1 – You Aren’t Training Correctly

“I don’t get it. I workout hard. I eat right. I follow advice. I feel like I’m doing everything right, but I just can’t seem to (plug your goal in here)”

• Was an assessment performed to understand if my body is prepared for the training ahead?
• Is my injury history accounted for and understood?
• Is this training program tailored to reach my goals?
• Am I going to learn proper lifting technique to minimize my injury risk?

Matt Fisch (6'5", 190lbs) is a starting power forward for Franklin Regional HS and plays his AAU basketball for the FCA Tar Heels. He will have specialized attention given to adding quality size to his frame while improving overall strength/power in preparation for the upcoming season.

Matt has terrific abilities and difficult to contain when he is on his game. He has already demonstrated the motivation and determination it takes to succeed. We are excited to have him part of GP. Time to go to work!

Welcome to GP, Matt!

Paul Emanuele (RB/DB, Franklin Regional HS) is currently in training with specific attention provided to strength/explosive power and speed in preparation for a number of combines this summer, with the most recent being this weekend at the University of Pittsburgh.

Like all athletes who see consistent improvements, Paul has been a hard worker since day one. Tremendous athletic ability and hard work are always a dangerous combo. Paul has the speed, quickness, and power to break open a game at any moment.

Welcome to GP, Paul!

Todd Summers (Murrsyville, PA) will be a sophomore at Franklin Regional this fall. At 6'3" and 181 lbs, Todd is a power forward for the FRHS varsity basketball team and also plays AAU ball for the Pittsburgh Pressure and BSA.

GP is aiding Todd in his preparation for the upcoming basketball season. His program has focused on improving lower body strength/power development while adding size to his frame. Todd has a tremendous work ethic and with his vastly improved physical abilities, he is on the path for long-term success.

Welcome to GP, Todd!

The best performance coaches and trainers will always perform thorough and complete assessments before working with a new client. Assessments establish the foundation for success.

On the training side, this means your trainer takes you through movement screening, baseline performance tests, and takes time to understand your injury history. On the nutrition side, this means taking time to evaluate and understand a client’s current dietary habits and other variables such as their work/school schedule, primary objectives, food sensitivities, level of social support, willingness to change, and many more.

With that in mind, is this how the majority of trainers and even nutritionists go about their job? No.

Most coaches/trainers seriously lack detail in their assessments. We hear this all the time at GP during our initial assessments, even from clients who have used a number of trainers in the past. The level of detail and depth of evaluation raises curiosity and they ask, "Why has no one spent the time to do this before?"

This is a huge mistake. Quality assessments are the key to gaining real insight into what a client needs and form the ability to make critical coaching decisions. This is the point at which training ceases to be a science and becomes an art.

If you’re not put through comprehensive training or nutrition assessments before your first session, know that you deserve better than that.