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Scoliosis Treatment for Children & Teenagers

Scoliosis.

The diagnosis can make anyone uneasy and it can become even more unnerving for parents when they hear that diagnosis for a child. Scoliosis in children between the ages of 10-18 years of age is termed adolescent scoliosis and can be due to many causes. But the most common type of scoliosis in the adolescent period is one in which the cause is unknown and is called adolescent idiopathic scoliosis (AIS). The reason why it is called idiopathic scoliosis is because there are currently no identifiable reasons as to why scoliosis develops in these children.

When we consider the current limited understanding of scoliosis in a traditional medical sense and the limitations in medically accepted treatment of AIS, it makes one wonder if there is a model of evaluation, treatment and management of scoliosis that may provide the potential for deeper understanding of the condition and reasons why it develops. Possibly bringing to light conservative treatment measures that have the ability to stop it's progression - or even reverse it.

Before we get to more detail on these discussion points, lets review what is currently known about AIS, from symptoms to treatment.

Symptoms
AIS generally does not result in pain or neurologic symptoms in children and teenagers. I can't stress this enough as often times this is the reason why the diagnosis of scoliosis can blindside many. Again, your child or teenager often times has no pain and no complaints. They seem to be perfectly healthy, active kids. This is a big reason why often times, scoliosis is either identified by primary care physicians during routine annual exams or during school exams.

While there may be no pain present and the child seems to be otherwise healthy despite curvature changes in the spine, how serious can the condition really be if it isn't that limiting?

While pain and neurologic symptoms may not be present, there can be disturbances within the nervous system on the cerebellar and sensory-motor integration level (1). Often there can be altered reflexes as identified by Janda, hypermobility, and muscular imbalances which create functional changes within the body (1). These functional changes have a direct effect on movement, thus having a direct effect on structure. In this case, the curvature of our spine (structure) is directly related to the function of our musculature and movement system.

Disturbances within our muscular/movement system can be identified by functional evaluation, however these evaluations are not typically part of the traditional medical evaluation process.

Does this lack of functional evaluation potentially leave pieces of the scoliosis puzzle unsolved? Pieces that would aid in determining the most appropriate course of treatment and management - and potentially a patient-specific reason for the development of the condition?

Evaluation & Physical Exam Findings
Classically, the physical evaluation and physical exam of a child diagnosed with AIS has a few key findings:

  • Visible signs of lateral spine curvature along with asymmetries seen in the shoulders or hips, in which one side appears higher than the other.
  • Adam's Forward Bending Test revealing either structural or nonstructural (aka functional) scoliosis. Adam's Test is consider the most sensitive test for scoliosis and the most common test used in the diagnosis of scoliosis.
  • Radiographs or x-ray indicating positive findings for scoliosis. The curves are often measured for angles of the curves to determine severity.
While the physical findings from these objective exams are valuable and necessary to consider, there remains a lack of evaluation into how one's body is functioning. Functional evaluations are extremely valuable in determining possible underlying reasons for the structural changes seen in AIS.

Some functional evaluation considerations that are made from the world of Dynamic Neuromuscular Stabilization (DNS) include:
  • Functional tests to assess movement control and coordination of the musculature surrounding the shoulders, spine, and hips.
  • The central role proper neuromuscular function plays in spinal stabilization and optimal spinal posture.
  • Sensory-motor integration and cerebellar function in the patient's ability to sense their body awareness, posture, and joint position in space.
  • Hypermobility and other present musculoskeletal compensations in response to poor function of the integrated stability stabilization system (ISSS).
The more accurate the evaluation, the more accurately treatment can be applied. Functional evaluation only compliments orthopedic and neurological evaluation. Ideally, functional evaluation such as that provided by DNS would be consider as a necessary component for it's ability to bring to light issues that more traditional orthopedic and neurologic testing are unable to identify.

Treatment
Traditional medical treatment of AIS falls into three main categories:
  1. Observation
  2. Bracing
  3. Surgery
These traditional treatment and management strategies are used in accordance with guidelines based on severity and/or progression of AIS.

But are there other treatment options? Ones that may be considered more "alternative" yet may possess the potential to yield positive results in the treatment and management of children and teens with AIS?

Often interventions such as chiropractic, physical therapy, rehabilitation, and exercise therapy can be  considered by some as alternative treatments to prevent progression of AIS. However, when applied appropriately in the treatment of AIS, these "alternative" treatments can offer something that observation, bracing, or surgery cannot - truly addressing the underlying functional causes in the development of structural asymmetries.

Improving the way one moves and functions - through targeted therapeutic exercise, joint mobilizations, and/or spinal manipulation - can have huge impact on preventing the progression of AIS. Coming from the Prague School of Rehabilitation, the pioneers of DNS therapy, they not only have success in treating AIS, they even have cases of reversal. Clearly there is something we can learn from the model utilized by DNS practicioners in improving our model of scoliosis evaluation, treatment, and management.

The hope is that this article has brought to light some reasons why we should reconsider how scoliosis is evaluated and treated as well as treatment options that exist, but can be rather difficult to find.

References:
  1. 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.
 
For further reading on DNS and the importance of functional evaluation, please check out the links below:

 
https://gallagherperformance.com/dynamic-neuromuscular-stabilization-advancing-therapy-performance/

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

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

https://gallagherperformance.com/the-importance-of-functional-evaluation/

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

Understanding the Benefits and Concerns of Youth Strength Training Programs

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

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

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

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

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

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

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

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

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

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

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

Does Practice Make Permanent? How Practice Rewires Your Nervous System

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/

Learn How to Spot the Fitness Frauds

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/

A Few Words on Athletic Development

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/

The Greatest Lesson of Competition

 

"I have failed over and over and over again in my life. And that is why I succeed."
- Michael Jordan

Sport and competition have a way of teaching lessons that are not only valuable in athletics, but often times crossover into life as well. Those that compete do so with simple objectives: to improve and to succeed. Who doesn’t love trophies, awards, and acknowledgements? The pursuit and achievement of a goal is a tremendous feeling. However, while success has its perks, there is something truly special that can come from failure.

But there is an interesting dynamic that is occurring nowadays when it comes to failure. Somewhere along the way, failure developed negative connotations. Many seem to want to shelter themselves or their children from failure, as if failure should be avoid. Failure cannot be associated with one’s name, right?

One can only speculate as to where this mindset has grown from, but it is pervasive in our culture. I came across an interesting discussion on this very topic while listening to the Dan Patrick Radio Show last week. The discussion centered on Kobe Bryant setting the NBA record for most missed field goals and the notion that somehow this record is a blemish on his career. You could see the point, I mean who wants a record like that? However, as Dan Patrick pointed out, you have to be a pretty great player to miss that many shots. To make his point, he went on to list the names of quarterbacks who have thrown the most interceptions in NFL history. The list included some of the greatest quarterbacks of all-time, including names like Farve, Tarkenton, Elway, Manning, Unitas, Namath, and Bradshaw. Despite the amount of interceptions, these are championship caliber players, many of them current or future Hall of Famers.

The message was clear, even the great athletes endure their fair share of failure.

But what makes them so great despite how often they seemed to ‘fail’? What allows them to rebound from failure, daring to take the same risks?

There are some that respond to failure by going into a shell. They can’t cope with failure and allow it to get the best of them, while others embrace failure. They understand why they failed; they accept responsibility, take action and work toward improving. They don’t cower in the face of failure; rather they use it as a driving force to fuel improvement. They learn from their mistakes and work on their weaknesses. They continually take risks, not afraid of failure.

Arnold Schwarzenegger has a terrific speech on the “6 Rules of Success”. In this speech, he identifies his third rule as “Don’t be Afraid to Fail”. Here are his words:
“Anything I’ve attempted in life, I was always willing to fail. You can’t always win, but don’t be afraid of making decisions. You can’t be paralyzed by fear of failure or you will never push yourself. You keep pushing because you believe in yourself and in your vision and you know it is the right thing to do and success will come. So don’t be afraid to fail.”
This is well stated and everybody could benefit from reading these words. Like many who have participated in competition, I learned this lesson over and over again. However, nothing more clearly demonstrated the concept of pushing yourself and not being afraid of failure than when I was playing college hockey. My sophomore year at Ohio University, we were the hosts of the ACHA DI National Championship Tournament. Playing in front of our home crowd, our fans, we lost the National Championship game to Penn State 5-0. Penn State dominated us in every aspect of the game. It was the most disappointing sporting failure I had every experienced.

However, something came from the failure that was unlike anything else we had experienced before as a team and as individuals. By the time my junior year rolled around, the group of guys who returned had a drive and a determination to get back what we failed to accomplish the previous year. There was a hunger and a desire born that could only come from that type of failure. We acknowledged our weaknesses and short comings, determined to make them strengths. This mindset fueled our work ethic all the way from training camp through the regular season and into tournament play as we went unbeaten in our final 24 games, setting the stage for a rematch against Penn State in the National Championship game. Again, we fell behind early in that game. We could have cowered, fearful we would experience another lose to arguably a more talented Penn State team. But, that was not the case. Despite the early deficit, we battled back to win 5-4. That moment was the greatest sporting memory I have. Nothing felt better than realizing you were National Champions, thanks in large part to the taste of failure and the lessons learned from defeat.

That became a powerful illustration of what one can accomplish from failure. To me, this is why the greatest lesson one can earn from competing is experiencing failure and defeat. Failure not only builds character, it reveals character. Failure develops a quality of mental toughness and resilience that success will not. I forces you to be honest with yourself about your efforts and about the many areas in need of improvement. I feel these traits are tremendously valuable in sport and life. As a coach of young athletes, you realize that developing these qualities is a valuable part of the coaching process. We want our athletes and clients to embrace failure when it occurs. We want to educate them on why they may have fallen short of their goal, involve them in the corrective process, and allow this to bring about the drive needed to pursue and accomplish their goals.

There is nothing better than seeing one who takes ownership of their outcomes, who isn’t afraid to take risks or fail, and endures despite previous defeat.

More related reading:

https://gallagherperformance.com/sports-training-and-life-after/

https://gallagherperformance.com/why-we-arent-popular/

Why Specificity in Your Training Plan Matters

If we had to sum up the training philosophy at Gallagher Performance, it would be,

“Our training revolves around the utilization of ground-based, multi-joint, proprioceptively rich movement patterns that are developmentally specific to each athlete during the weight training portion of the program, while concurrently addressing the specific metabolic demands of each athlete with our energy system training. All aspects of our programs adhere strictly to scientifically supported methodologies.”
This philosophy on training has evolved continuously over the years, allowing us to gaining a better understanding how the science of adaptation influences physical, motor, and athletic development.

As a coach, you must understand the principles of adaptation while also adapting the training program to meet the needs of each individual athlete. This is why performing a “needs analysis” is invaluable. Needs analysis accounts for the needs of the athlete, such as the sport of participation, position, etc. Our needs analysis is accomplished through a systematic process that accounts for various sports medicine, coaching, and individual athlete considerations. Coupling this with our knowledge of adaptation, we are able to design a plan (i.e. program) with the focus on long-term development. This is what specificity of training is all about and why athletes require specificity for them to realize their potential.

The plan is everything to athlete. Most trainers and coaches don’t seem to put planning/periodization into practice and wonder why their athletes are not progressing. Effectively improving the various needs of any athlete requires a focused, long-term approach to planning. Strength, speed, power, and work capacity are not simply developed in one session, but through consistent and progressive work done over several blocks of training. This process requires time. A lot of time. Yet, it is becoming increasingly popular for programs to be thought up at the moment and written on a dry-erase board. The majority of this incompetency can be attributed to the lack of coaching standards in the credentialing or certification process within the industry. Periodization is not a new or tremendously complex concept, but it does take time and effort to understand proper application.

As they say, “Plan the work, work the plan.”

The training plan must be specific. The athlete's potential depends on it.

More related reading:

https://gallagherperformance.com/gallagher-performance-training-how-we-are-different/

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

https://gallagherperformance.com/commonmistakesindevelopingyoungathletes/

Gallagher Performance Training – How We Are Different

At Gallagher Performance, every client and athlete begins with a comprehensive physical assessment. The process includes looking at how you move through your entire body and is tailored based upon what the individual is capable of performing. Our physical assessment is not simply a standard movement screening process. Similar to our training process, our assessments are customized to the individual, thus providing us the greatest insight into the current abilities of our clients and athletes. Beyond the physical assessment, we take time to understand  your injury history, training experience, primary sport(s) played, and several other factors. You will also have the chance to meet our staff to ensure that you are comfortable when you return for future training sessions.

The information gathered during your initial assessment is used to design an individualized training program. We take time to ensure that specialized attention is given to each program design. As a result, your individualized training and nutrition materials will be provided upon return for your second visit. Clients are closely coached through the entirety of their program to maximize results.

Gallagher Performance is all about individualizing the training process. You won't find "whiteboard workouts" or "cookie-cutter programs" here! That's because we understand each person responds differently to training due to a multitude of factors that must be accounted for. The goal of any training program at Gallagher Performance is to account for individual differences and use that knowledge to maximize training results. This routinely allows our athletes to experience the best results from their physical training and become a dominant force in their sport.

 WHY Gallagher Performance?

Initial 1-on-1 Assessments

Custom and Individualized Program Design

Supervised Training Sessions

Positive and Supportive Atmosphere

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Stress Overload and Injury

In the world of athletics and pursuit of elite level performance, injuries are a given. However, the prevention of sports injuries is never as simple as identifying movements or exercises that should be avoided. It would be nice if it was that simple and if we could solve all the injury problems for athletes across the globe by eliminating one particular movement. Unfortunately, the human body is too complex to be solved by one solution that can be applied to everyone.

Rather than debate the role of specific exercises in a training or rehabilitation program, loading parameters and progressions, or whether certain exercises pose greater risk than reward, the purpose of this article is to discuss a much deeper concept that is at the heart of injury prevention and management, the balance between stress and adaptation.

Hello, My Name is Stress
Stress is something each and every one of us is all too familiar with. Whether it’s related to financial struggles, work-related problems, academic pressures, athletic expectations, family or relationship issues, stress is a common theme of the human existence. Now while these forms of mental stress are responsible for many reactions within the human body, for the purposes of this article this is not the kind of stress I am talking about. Rather, we will be discussing what is known as biological stress and how it relates to injury.

What is Biological Stress?

Biological stress accounts for all the physical demands (stress) placed on our bodies, both mechanical stress and metabolic stress.

Mechanical stress is a measure of the force produced and absorbed by the entire neuromusculoskeletal (NMS) system, including components such as nerves, muscle fibers, tendons, ligaments, fascia, and bone.

Metabolic stress is a measure of the demand placed on all the systems responsible for energy production/recovery and involves every major organ system in the body, such as the cardiovascular, nervous, muscular, endocrine, and immune systems.

As you can tell, both mechanical and metabolic stress are highly interrelated. The greater the degree of mechanical stress, the greater the degree of metabolic stress.

Balancing Stress & Adaptation
Training is best defined as, the targeted application of stress designed to disrupt homeostasis and put the body’s defense mechanisms at work; remodeling, strengthening and improving the efficiency of many different systems throughout the body.”
Factors that Influence Biological Stress:

  • Training Volume
  • Training Intensity
  • Training Frequency
  • Exercise Selection
These simple variables are what define individual training sessions and the training block/phase. They will dictate the amount of biological (mechanical and metabolic) stress, its application to the human body, and how much stress is applied. The training goal becomes to apply the correct type of stress in the appropriate dose/amount while targeted to the appropriate areas necessary to improve performance.

Training and biological stress is one side of the coin. The other side takes into consideration factors that influence adaptation. What makes the training process enormously more complex than it appears is what happens in between sessions as our body responds to the stress of the training session or adapts. The complexity stems from how many variables are involved in how we adapt to the stress imposed by training.

Factors that Influence Adaptation:
  • Genetics
  • Training History
  • Nutritional Habits
  • Sleep Quality
  • Mental Stress
Our genetics, nutritional habits, level of mental stress, training history, and sleep play a critical role in how quickly our body’s systems and tissues are able to rebuild and adapt from the stress of the training process. Get enough sleep, eat well, have better genetics and a long history of training, you will adapt much faster and respond quicker to the same level of training/stress than someone who is experiencing higher levels of mental stress, has poor sleeping habits, a poor diet, and lesser genetics. Even minor differences in any one of these factors can have a major impact on the ability to adapt to your current training.

Out of Balance, Out with Injury
By now, it should be clear that looking at sports injuries solely from the standpoint of the use or misuse of particular exercises or protocols doesn’t paint a very complete picture of why they happen. Even when discussions of injuries extend into the realm of assessing various movement patterns and joint function while trying to predict or minimize risk of injuries purely through improving quality of movement, often times these discussions fail to consider the fundamental concepts of the stress-adaptation balance.

The truth that is rarely discussed is that every athlete and individual is truly different and no two people will ever respond to a given training program or level of stress in the same manner. Recently, the days of individualized training have been replaced with current fitness trends of bootcamps, CrossFit, P90x and other such programs that irrationally encourage anyone and everyone to do the same thing.

Not only do such approaches always fail to consider a person’s individual ability to adapt to stress, they often preach that results are a direct result of nothing more than lots of effort with lots of intensity. The classic American attitude of “more is always better” approach has spilled over into training, training with high intensities at increasingly higher volumes. Now combine that with no individualized considerations and what you have is a recipe for injury. Current fitness trends seem to place a greater importance on the business model rather than having an appreciation and understanding of the complex function of the human body as it relates to developing a quality training program for the individual.

When you consider the stress-adaptation balance, it's not surprising why the injury rates are continually rising in youth sports. Young athletes today are under incredible pressures to specialize in one sport, be it from coaches or parents, and this is why it’s become sadly common to see athletes as young as 12-14 suffering from chronic stress injuries like tendinitis, or the more correct diagnosis of tendinosis. The ‘multi-sport’ athlete has been replaced with the ‘single-sport, all year long’ athlete. A year round competitive schedule, lack of properly constructed sport practice, and lack of time dedicated to physical preparation and athletic development is largely to blame for the huge increase in youth sports injuries in recent years.

I just happened to catch a recent interview with Tommy John on Dan Patrick’s radio show. For those of you who may be familiar with his name, Tommy John is a former MLB pitcher and the “Tommy John” surgery is named after him since he was the first individual to have the medical procedure of ulnar collateral ligament reconstruction. When asked about his thoughts as to why the surgery is so common now, Tommy John has this to say,
“I really believe….that sports, high school sports, little league sports, have become year round. And they force these kids at a very young age to pick a sport and that’s the only sport that they play, they train at. And you have these….pitching academies and your kid comes in and pays $2000-$3000 and you go in every Saturday and work on pitching. And I tell parents this, “If the best pitchers in the world don’t pitch year round, then why should your kid pitch year round?”….You have to get all these great surgeons that do Tommy John surgery, or did Tommy John surgery, they cringe when you say ‘year round pitching’ because you must let the arm rest.”
Without knowing exactly why, Tommy John nailed the central issue when it comes to several sports injuries, the lack of appropriate rest to allow the body the chance to recover and adapt to the stress placed upon it. Despite his example of baseball and pitching, the truth is each sport has it own unique injury rates. It truly all comes back to stress and the inability of most coaches and trainers to respect the stress and adaptation process. While some athletes are capable of adapting to stress far more efficiently than others, no one is immune from the effects of a poorly designed training or sport preparation program. Such programs are run by coaches or trainers that chronically stress athletes with little understanding of how to facilitate recovery and adaption, ultimately leading to injury.

Final Words
Regardless of whether you are a doctor, therapist, coach, athlete or simply just train to be healthy and stay in shape, this article was to present you with a more complete view of the role stress and adaptation play in the injury process. There is certainly value in assessing the degree of stress specific exercises may place on particular joints/tissues and whether or not they are appropriate for an individual given their needs or limitations. Failure to consider the role of stress tends to lead to an approach to injury prevention based purely on exercise selection/avoidance rather than one than also places consideration on biological stress and adaptation management.

More related reading:

https://gallagherperformance.com/ultimate-runners-guide-to-injury-prevention/

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

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

https://gallagherperformance.com/magnesium-for-better-health-athletic-performance/

Athletes Must Understand This to Be Successful

The emphasis of many athletic development programs is typically rooted in developing the physical qualities needed in the sport of competition. Physical qualities usually emphasized are endurance/work capacity, strength, body awareness, agility, quickness, speed, and explosive power. Improvements made in any of the previously mentioned physical qualities can certainly improve an athlete’s fitness and physical preparedness for competition. But great athletes are rarely defined by their level of fitness and how ‘in-shape’ they are. They are defined by their ability to play the game and perform the skills of the sport. Great coaches and trainers understand this, being able to take an athlete’s newly developed physical qualities and transfer them to into improved skill execution or technical mastery of sport related movements.

This is accomplished by specificity of training.

In order to ensure specificity of training, it is first necessary to determine the exact physical qualities an athlete is in greatest need of. Many coaches and trainers refer to this as ‘identifying the deficiency’. Once the deficiency is identified and an understanding is developed as to how the deficiency is limiting on-field performance, the deficiency can be trained appropriately.

To identify deficiencies, the majority of coaches and trainers utilize tests to determine an athlete’s level of strength, endurance, explosiveness, and even flexibility. While these tests are often necessary and provide quantitative information that will help assess how an athlete stacks up in comparison to others, what these tests fail to indicate is how efficiently an athlete can perform sport-specific skills or maneuvers.

Physical performance tests fail to indicate an athlete’s needs in relation to game performance. To ensure transfer of training into improved sport performance, identifying an athlete’s developmental needs must take into account an analysis of all components involved in successful competition. Often, this involves a complete biomechanical analysis of movements related to sport-skill execution.

For example, the deep squat is often a staple of many strength and conditioning programs. It can be a tremendous exercise for building hip strength and power and for a variety of other reasons. But when you examine the sport-related movements of many athletes, one can come to the determination that the need to deep squat is not a priority for many athletes. Consider hockey and basketball players. These sports require hip external rotation strength and power to execute sport-specific movements (skating, lateral cuts, change of direction, etc.). Rather than placing greater and greater emphasis on improving strength in the deep squat, these athletes will be better served in developing hip external rotation through other exercises which more closely mimic the external rotation demands of the hips in competition.

Again, great athletes are rarely the strongest or the fittest. There are studies that demonstrate Olympic-level athletes and World Record holders are not the strongest athletes (with the exception being in strength sports such as powerlifting and Olympic weightlifting). Athletes on the highest levels of performance do not lift the greatest amount of weight in commonly used exercises, such as the clean, squat, bench, or deadlift.

More commonly, athletes will fall in the midrange of strength numbers. What this is demonstrating is a ‘point of diminishing returns’. Many athletes reach a point at which increases in strength or other physical qualities do not always equate to improved sport performance.

Successful athletes must be able to execute sport skills with technical mastery and precision. Regardless if you are a hockey, football, soccer, lacrosse, baseball, tennis or track athlete, you need great acceleration, speed, agility (ability to change direction quickly), and the ability to jump high (which also requires explosive power). But arguably most important is the ability to perform all sport skills with mastery and precision of movement.

An athlete will never be successful if they do not have the ability to execute sport skills successfully. This is why technique must be closely analyzed and why the training of physical qualities must directly enhance the performance of sport-specific skill execution.

Analyzing an athlete’s sport skill technique and the demands of game play becomes a necessary first step to determine exactly what their training program should consist of. Often to correct and/or enhance technique, special strength exercises are implemented to develop the specific strength an athlete needs to execute movements more efficiently.

We addressed special strength exercises in this article. Special strength exercises are intended to replicate the exact neuromuscular pathways utilized in the execution of specific sport skills.

With proper analysis and identifying the ‘deficiency’ of the athlete, it enables the training program to have greater transfer into sport performance. The training program is continually adjusted as improvements in strength, speed, agility, and explosive power are integrated into technical mastery of skill execution.

Related Articles:

Training for Elite Athletes
Common Mistakes in Developing Young Athletes

6 Factors That Influence an Athlete's Dedication

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:

1) Unrealistic pressure at an early age. Too often when parents bring their young son or daughter in to begin training at GP, some of the expectations placed upon these athletes is pretty surprising. This certainly is not unique to our business. Likely anyone involved in the sport performance industry is very familiar with this situation. During the initial consultation, parents will often state:
  •  “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."
While we aren’t here to dispute these claims, if you are 12-15 years old and have been hearing this type of ‘hype’, what is the motivation to want to continue working hard or even begin to work hard? The reality is, little priority can be placed on improving physical skills when you believe you are better than your competition or continually hear that you are better. To further complicate the matter, several of these athletes participate in multiple sports and over-compete year around, giving no substantial amount of time for physical development to occur because of the intense competition schedule. Parents can further reinforce this, believing that more competition is what their young athlete needs. We addressed the mistake of this thinking in this article.

2) Short-term focus, lack of quality coaches. Far too many programs at the youth level carry a “win at all costs” mentality. This has tremendously negative impacts on limiting physical and motor skill development as they become a secondary (at best) focus for young athletes. Coaches with little to no experience, no education of physiological adaptations or skill development are often times responsible for these young athletes. The short-term focus of winning becomes the ‘norm’ and developing young athletes becomes an after thought in the name of winning. This system favors the ‘early developers’ or simply the young athletes who develop faster at a young age. These kids become more likely to make high-level club teams at younger ages, but how does this affect their motivation to continually work hard as they mature and other athletes, or ‘late developers’, begin to catch up with them?  Does it generate a weak-minded athlete who lacks grit and determination to want to do the extra work needed to fulfill their potential?

3) Poor management of Late Developers. What happens to the kids who are ‘late developers’ as coaches who lack education in talent selection bypass them to win games? These coaches are likely not willing to spend the extra time needed to help young athletes develop because, for many of them, they don’t have a clue what to do for them. They select the ‘early developers’ and this helps to mask coaching incompetency. Some athletes will use this as motivation to work harder and smarter, as they enjoy the long-term process of improvement. Other late-developing athletes will quickly lose motivation, as frustration mounts and they quit sports because they find no enjoyment in the process. Coaches need to look at many factors when developing athletes, wins and losses should not be the primary concern.

4) Injury and burnout. How can young athletes make a difference in their careers when so many require medical intervention at increasing rates? According to statistics, of the 38 million athletes (ages 6-18) who participate in sports in the United States, 1 in 10 have significant injuries, which will have impacts on their future development. Also consider that many of these athletes at young ages (13-14), will have a competition schedule that includes 70-90 games per year. Honestly, this is not appropriate. Common sense is lacking in the process of athletic development and athletes that do succeed in these models are often “survivors” of the system in spite of it.

5) Long-Term Development. Education needs to be the focus in order for change to the current model to positively impact all involved. Coaches, trainers, parents, and athletes must understand what is required of them and begin taking a long-term approach to athletic development. Parents and coaches both want athletes to succeed in the long-term, however many are short-term in their approach. This becomes detrimental to the athlete’s success when it really matters.

6) Willingness to SacrificeThe current myth of overnight success has blinded us to the fact that the elite athletes we see on television have all sacrificed. They were not just simply "born with talent". This is where understanding the 10,000 hour rule comes into play. Elite athletes have practiced and sacrificed long hours, day after day. Even when they wanted to quit, they did one more repetition, ran one more sprint, or practiced their skills a few minutes longer. In order to do this, they sacrificed and conducted themselves with a high degree of discipline to pursue their goals. They made it hard on themselves and this is a huge reason why they make it look so easy when it comes to athletics. But the sacrifice and discipline needed is no easy task and it can place one outside of their comfort zone.

Most of the athletes we work with may never achieve their true potential because the thought of sacrificing X,Y,or Z in order to achieve athletic success is something they are not willing to commit to on a consistent basis (or even at all). You can have the greatest coaches and training in the world, yet if the athlete is not willing to commit themselves to the process, their potential will suffer the consequences.

Developing a Champion's Mindset
So what are the key characteristics of well-motivated athletes? Here are some thoughts from JoAnn Dahlkoetter, Ph.D., author of Your Performing Edge, and an internationally recognized sports psychologist. She has identified characteristics that make a champion athlete that are able to be developed by anyone who wants to excel in sport.
  • 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.
Final Words
To develop your motivation and maximize your true athletic potential, make the most of the talents you have by stretching the limits of your abilities, both physically and psychologically. Athletics has a unique ability to become a means to both personal growth and enjoyment of the pursuit of your goals, lessons that go beyond sport alone. Try incorporating the profile above into your mental preparation to help you develop the mindset needed to bring success to any venture you choose in life.

Don't Fall for the Speed Training Trap

 

Driven by Business
Speed, Agility, Quickness (SAQ) training has a unique ability to draw larger amounts of young athletes with promises of becoming a faster, more agile version of themselves. These facilities or individual coaches commonly use methods such as high speed treadmills and ladder drills. The SAQ system is terrific for business because they appear to provide athletes with what they need. However, these systems often fail to produce sustainable, long-term adaptations to improve speed.

When you consider what true speed development is all about, you begin to see why these methods do not work. And even why they may carry a high injury risk with them. Sure these methods will work for some athletes, but they are typically athletes that are already slow. Does this justify using less efficient means? Let's take a look.

# 1 -  High Speed Treadmills
The mechanics needed for ground based speed are entirely different from the mechanics utilized on a treadmill. On a treadmill, the surface moves underneath you whereas on land, you must move over the surface. Training on a treadmill does nothing to develop an athlete's acceleration or drive phase, arguably the most important element of speed in sports. High speed treadmill training becomes about who can pick up their feet and put them down the fastest instead of how much force is being applied to the ground. Furthermore, at high speeds it becomes easy for form to breakdown and ingrain poor mechanics.

#2 - Ladder Drills for Foot Quickness
Ladder drills simply make you good at ladder drills. There is no correlation to actual speed development and developing one's ability to have 'quick feet'. Any benefit to speed can be negated by teaching athletes to chop or shorten their strides. These drills are best suited for a dynamic warmup, but if you think you are going to develop Robert Griffin III agility you are only fooling yourself. Agility is developed from improving relative strength and the practice of sport skills.

How True Speed is Developed
The science behind the world's fastest man, Usian Bolt, gives insight into what true speed development is all about. More important than how fast an athlete moves their legs is the power in their stride. An average runner's stride applies about 250kg (550 lbs) of force to the ground in roughly 0.12 seconds of contact. Bolt's stride applies over 1000 lbs of force to the ground in roughly 0.08 seconds of contact. That's a significant difference. High speed treadmills and ladder drills will not develop high level speed because they ultimately fail to train the physical abilities that enable an athlete to realize their true speed potential.

Speed and acceleration should be train through proper technique instruction and developing power-speed qualities such as limit/maximal strength, explosive strength, ground reactive forces, and rate of force production. These abilities train athletes to develop high amounts of force in a brief amount of time, developing the power that enables them to accelerate quickly and achieve top end speed faster.

The process of speed development must also take into consideration the concepts of Long-Term Athlete Development (LTAD).  Young athletes, both male and female, have unique time periods during which their speed development is very sensitive. These "windows of optimal trainability" must be capitalized on or else the athlete's true speed potential will never be realized. For the vast majority of youth athletes, they miss these windows of opportunity because of over-competition and under-training that is often seen during the ages of 8-13.

Final Thoughts
As with any physical quality, the critical periods for speed development will vary between each child due to his or her genetic makeup. Each critical period respects the stages of human growth and maturation as scientific evidence demonstrates that children vary considerably in their rate of response to different training stimuli. Some children may show potential for speed at age 10, while others may not display the same potential until years later. Consequently, a long-term approach to speed development is needed to ensure that athletes who respond slowly to training stimuli are not ‘shortchanged’ in their development.

This is why a knowledgable coach who understands LTAD models and is skilled in recognizing "windows of optimal trainability" for speed, strength, stamina, suppleness (flexibility), and skill development should be sought out. If the the trainer or coach who is responsible for training your child does not understand LTAD models, I would think critically about the services you are paying for.