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PTJ 12.4 NSCA’S PERFORMANCE TRAINING JOURNAL AUGUST / SEPTEMBER 2013 | CORE TRAINING


ABOUT THIS PUBLICATION The NSCA’s Performance Training Journal (ISSN: 2157-7358) is a publication of the National Strength and Conditioning Association (NSCA). The PTJ publishes basic educational information for Associate and Professional Members of the NSCA. These groups include novice personal trainers, novice strength coaches, and training enthusiasts. The journal’s mission is to publish articles that provide basic, practical information that is research-based. Copyright 2013 by the National Strength and Conditioning Association. All Rights Reserved. Disclaimer: The statements and comments in the NSCA’s Performance Training Journal are those of the individual authors and contributors and not of the National Strength and Conditioning Association. The appearance of advertising in this journal does not constitute an endorsement for the quality or value of the product or service advertised, or of the claims made for it by its manufacturer or provider.

NSCA Mission As the worldwide authority on strength and conditioning, we support and disseminate researchbased knowledge and its practical application, to improve athletic performance and fitness.

TALK TO US… Share your questions and comments. We want to hear from you. Write to the NSCA’s Performance Training Journal, NSCA, 1885 Bob Johnson Drive, Colorado Springs, CO 80906, or send an email to ptj@nsca.com.

PTJ 12.4 NSCA’S PERFORMANCE TRAINING JOURNAL

EDITORIAL OFFICE

EDITORIAL REVIEW PANEL

1885 Bob Johnson Drive Colorado Springs, Colorado 80906 Phone: 719.632.6722

Scott Cheatham, DPT, OCS, ATC, CSCS, NSCA-CPT

EDITOR T. Jeff Chandler, EDD, CSCS,*D, NSCA-CPT,*D, FNSCA email: jchandler@jsu.edu

Ed McNeely, MS

MANAGING EDITOR Britt Chandler, MS, CSCS,*D, NSCA-CPT,*D email: scjmanagingeditor@gmail.com

Nicole Dabbs, MS

PUBLISHER Keith Cinea, MA, CSCS,*D, NSCA-CPT,*D email: keith.cinea@nsca.com SENIOR PUBLICATIONS COORDINATOR Matthew Sandstead email: matthew.sandstead@nsca.com

Meredith Hale-Griffin, MS, CSCS Mike Rickett, MS, CSCS Chad D. Touchberry, PHD, CSCS Joel Bergeron, MS, CSCS,*D Samuel Gardner, MS, CSCS, RSCC, USATF, USA-W Dual Certified: Level 1 Weightlifting Coach and Sports Performance Coach Joshua West, MA, CSCS Andy Khamoui, MS, CSCS Scott Austin, MS, CSCS Adam Feit, MS, CSCS

PUBLICATIONS COORDINATOR Cody Urban email: cody.urban@nsca.com

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TABLE OF CONTENTS FEATURES

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HOW TO TRAIN THE CORE: SPECIFIC TO SPORTS MOVEMENTS

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LOW BACK SPARING TORSO TRAINING

TRAVIS BROWN, MS, CSCS,*D

This article provides insights into the different movements that each sport requires and includes various ways to train these movements. Incorporating multiplanar and multidirectional movements that utilize the three major force lines and vary between unilateral and bilateral stances can help athletes develop a balanced and strong core. This article shows several useful exercises that can be integrated into any athlete’s strength and conditioning program to help them perform at their highest level.

TAI TRAN, MS, CSCS,*D, AND JEREMY SHEPPARD, PHD, CSCS,*D

Low back sparing exercises are an important tool for personal trainers and coaches to be able to incorporate into their programs—not just for those who suffer from low back pain, but also to stabilize the torso of any athlete or client. This article shows how to implement training exercises into a program that will not strain the low back or spine.

LIMITATIONS OF GLOBAL POSITIONING SYSTEMS ON THE TRAINING AND TESTING EFFECTS OF CYCLING

CHRISTOPHER MYERS, MS, TSAC-F, USA CYCLING LEVEL 2 COACH, USA SWIMMING LEVEL 2 COACH

By using both global positioning system (GPS) technology and related analysis software in tandem, a cyclist can greatly improve their training by tracking their relative VO2, respiratory expiration ratio, heart rate, elevation, distance, and speed. This article will provide insight for utilizing this technology to improve training.

COLUMNS

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PERSONAL TRAINING FOR PERFORMANCE CORE TRAINING: INCORPORATING CIRCUITS

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TRAINING TABLE DO ATHLETES NEED BREAKFAST?

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YOUTH ATHLETIC DEVELOPMENT CORE TRAINING FOR YOUTH

CHAT WILLIAMS, MS, CSCS,*D, CSPS, NSCA-CPT,*D, FNSCA

A great way to strengthen the core is to use circuits that incorporate multiple modalities, different intensities, and several planes of motion. This article presents three different circuits: the around the world medicine ball circuit, the ab wheel medicine ball circuit, and the multiple exercise circuit. It also provides volume, repetition, and weight progressions.

DEBRA WEIN, MS, RD, LDN, NSCA-CPT,*D AND ABBY CALCUTT, MS, MPH, RD

This article delves into several studies that closely examine the physical and mental effects that eating breakfast can have on athletes. Research has shown that those who eat breakfast have increased energy levels as well as increased mental alertness—both of which are paramount for athletic competition. This article also provides healthy breakfast ideas and gives nutritional recommendations for endurance and strength-related sports.

RICK HOWARD, MED, CSCS,*D, USAW

When it comes to training the core for youth, many decisions must be made to avoid injury and to select the appropriate exercises that will benefit youth populations the most. Evidence suggests that integrating core training into a complete strength and conditioning program may help youth develop motor skill competence, health fitness, and skills fitness.

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FEATURE ARTICLE

HOW TO TRAIN THE CORE: SPECIFIC TO SPORTS MOVEMENTS TRAVIS BROWN, MS, CSCS,*D

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hen training an athlete’s core, the training should mimic real life sport movements. The core should be trained in multiplanar and multidirectional movements, using unilateral and bilateral stances and various force lines. Training should incorporate the various planes of motion (frontal, sagittal, and transverse) with the athlete in a combination of unilateral and bilateral stances. The sports performance coach should also be able to provide equipment and training methods that utilize the three major force lines: horizontal, vertical, and diagonal. This article will provide several examples of exercises that can be used to train those types of movements, planes, stances, and force lines. When looking at human movement in all sports, movements usually involve pulling (e.g., judo athlete), pushing (e.g., lineman in football), locomotion (e.g., baseball player stealing a base), rotation (e.g., tennis forehand), level change (e.g., MMA fighter tossing his opponent), or complexity, which is any combination of those movements (e.g., linebacker in football shedding a block and making a tackle).

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FEATURE ARTICLE However, when looking at training those movements, are those movements incorporated in training? Integrated movement is the key. Sports performance coaches should provide athletes the ability to train with integrated movements and have the option to train using a combination of these movements. Training athletes in only one plane of motion robs them of their ability to perform at their highest level; as well as puts them at a greater risk for injury, due to the underdevelopment of less utilized muscles in the body. Training the core musculature in the various planes, stances, and force lines to match the demands of a given sport may help improve overall performance when utilized in addition to traditional training methods. Many of the traditional training methods that are seen today do not utilize multiplanar movements. The most popular training methods (i.e., power lifting, Olympic lifting, CrossFit training, bodybuilding, etc.) tend to work primarily in the sagittal plane. Very few, if any, movements work in the transverse or frontal planes. A majority of the exercises in these training methods fail to incorporate multiplanar movement, which is a combination of frontal, sagittal, and transverse planes of motion. It does not mean that it is wrong to utilize these popular training methods to train athletes, though. The question coaches should ask themselves is whether there are better ways to incorporate sport-specific movements that athletes will perform on the field of play. Sport-specific movements are performed from a combination of unilateral and bilateral stances. For simplicity, a unilateral stance can be defined as a stance in which only one foot is in contact with the ground, and a bilateral stance is one that both feet are in contact with the ground. From the basketball player trying to make a layup (unilateral jump) to a football lineman resisting and pushing back against the drive of a defensive tackle (bilateral push), these movements are commonplace across all sports. When training athletes with traditional methods, a majority of the movements will work in a bilateral stance, with little or no unilateral stance. It would benefit the athlete to work in both stances to help improve their core and performance on the field. It would also benefit the athlete to perform an exercise where they move the weight to the ball of the foot versus a square stance, which occurs more in traditional training. Research has shown that unilateral snatch lifts are just as effective as bilateral snatch lifts (1). Olympic lifting (bilateral stances) can provide muscular activation on a large scale, but that form of training may not develop general athletic power optimally. Once again, this does not mean that it is wrong to use this form of training to train athletes, but it raises the question, “are there better ways to incorporate sport-specific movements in training so that the athletes will see improved core development and performance on the field?”

The core can be broken down into several categories (2): •

The Superficial Front Line core muscles and fascia are primarily in the frontal line of the body. They can be challenged by pushing, squatting, and locomotion. Most of these exercises are generally performed in the prone position. An example is the Bilateral Prone Push-Up (Figures 20 and 21).

The Spiral Line core muscles and fascia perform transverse plane movements. They can be worked using rotational types of exercises. A great example is the Bilateral Rotational Push-Up (Figures 22 and 23).

The Superficial Back Line core muscles and fascia are primarily muscles that work in the sagittal plane. They can be challenged using a supine position. An example would be the Single-Arm Alternating Overhead Press (Figures 14 and 15).

The Lateral Line core muscles and fascia are the muscles that are frontal plane dominant. They can be stressed by using side lying and staggered stance exercises. One specific example would be the Bow and Arrow (Figures 24 and 25).

The key component to incorporating these various muscle and fascia lines into a training regimen is to remember that muscles are interconnected with multiple connective tissue sheaths, which act as elastic bands. This amplifies the force that is produced through muscle contractions. A great example of this is to put your hand on your chest. Now, try to raise your middle finger and thump your chest as hard as possible. That did not produce much power, right? Now, take that same finger and pull it back with your other hand and release. It should snap to your chest with power. This is great example of converting potential energy into kinetic energy. Another way to portray this is to imagine stretching a rubber band out, hold it, and then release it. Now, stretch the rubber band out quickly and release it. You will notice that when you stretch the rubber band out and quickly release it, that it covers more distance. Many exercises, pieces of equipment, and movements are available to the sports performance coach to help cover a majority of planes of motions, stances, force lines, and human movements in training. The following are several exercises that can be integrated into any program to help develop the core and overall sports performance. The following list serves as a guide for exercises that require movements through the various planes, stances, and force lines utilizing suspension training straps and anchored, ground-based apparatuses with an assortment of attachments.

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FEATURE ARTICLE The first exercise is the Squat to Press (Figures 1 and 2) using clean and jerk attachments on an anchored, ground-based apparatus. This exercise encompasses a diagonal load, pushing, level change, sagittal plane movement, and a bilateral stance. The next exercise is the Lineman Squat (Figures 3 and 4). This exercise uses a similar attachment as the squat to press but the load should remain at shoulder level. This exercise utilizes a diagonal load, pushing, level change, a sagittal plane movement, and a bilateral stance. The Suitcase Carry (Figures 5 and 6) uses the anchored, groundbased apparatus with a barbell. This exercise encompasses a diagonal vector line, pulling, a frontal plane movement, and a bilateral staggered stance position. The Single-Arm Wheelbarrow (Figures 7 and 8) uses the anchored, ground-based apparatus with a barbell but the athlete faces the base. This exercise involves a diagonal load, pulling, rotation, transverse and frontal plane movements, and a bilateral staggered stance position. The Bear Fight (Figures 9 and 10) uses the anchored, groundbased apparatus with a barbell equipped with an ergonomic handle grip. This exercise involves a diagonal vector line, pulling, rotation, with transverse and frontal plane movements, using a bilateral staggered stance position. The Upper Cut (Figures 11 and 12) uses the anchored, groundbased apparatus with a barbell equipped with an ergonomic handle grip. This exercise involves a diagonal vector line, pulling, pushing, and rotation, with transverse and frontal plane movements, using a bilateral staggered stance position. The Single-Arm Lateral Pull (Figure 13) uses the anchored, groundbased apparatus with a barbell equipped with an ergonomic handle grip. This exercise involves a diagonal vector line, pulling, rotation, with transverse and sagittal plane movements, using a bilateral staggered stance position. The Single-Arm Alternating Overhead Press (Figures 14 and 15) uses the anchored, ground-based apparatus with a barbell equipped with an ergonomic handle grip. This exercise involves a diagonal vector line, pushing, rotation, with transverse and sagittal plane movements, using a bilateral staggered stance position. The Lateral Lunge (Figures 16 and 17) uses the anchored, groundbased apparatus with a barbell rested across the chest (weight plates can be included for added resistance). This exercise involves a diagonal load, pushing, level change, sagittal and frontal plane movements, and a bilateral staggered stance.

line, pulling, rotation, frontal and transverse plane movements, and a unilateral stance. The Bilateral Prone Push-Up (Figures 20 and 21) uses a suspension trainer. This exercise involves a diagonal vector line, pushing, sagittal and transverse plane movements, and a bilateral stance. The Bilateral Rotational Push-Up (Figures 22 and 23) uses a suspension trainer. This exercise involves a diagonal vector line, pushing, rotation, sagittal and transverse plane movements, and a bilateral stance. The Bow and Arrow (Figures 24 and 25) uses a suspension trainer. This exercise involves a diagonal vector line, pulling, rotation, frontal and transverse plane movements, using a bilateral stance. Adding these exercises to a program can help ensure that the athletes work various core muscle groups while performing exercises through various planes. Additionally, these exercises are beneficial because they require the athletes to work in various muscle groups with multiplanar and multidirectional movements, unilateral and bilateral stances, and various force lines, which are all applicable to sport movements. ■

REFERENCES 1. Lauder, MA and Lake, JP. Biomechanical comparisons of unilateral and bilateral power snatch lifts. Journal of Strength and Conditioning Research 22(5): 653-660, 2008. 2. Myers, T. Anatomy trains: Dynamic education for body-minded professionals. Kinesis Myofascial Integration. Retrieved July 1, 2013 from http://www.anatomytrains.com.

ABOUT THE AUTHOR Travis Brown has led a career as a strength and conditioning coach for over 14 years in Atlanta, GA and at the University of Tennessee, Knoxville. He currently works for Pinnacle Athletics, which is a sports performance company that trains professional, college, and high school athletes. He has trained, or played next to, over 120 National Football League (NFL) starters, including dozens of Pro Bowlers and 1st round NFL draft picks. Throughout his career he has trained a number of athletes ranging from youth to elite professionals, which include several Major League Baseball (MLB) and National Basketball Association (NBA) athletes and two Olympic Medal winners. Brown is currently working towards his PurMotion Master Trainer certification and is a Certified Strength and Conditioning Specialist® (CSCS®) with Distinction through the National Strength and Conditioning Association (NSCA).

The Single-Leg RDL Ipsilateral (Figures 18 and 19) uses the anchored, ground-based apparatus with a barbell equipped with an ergonomic handle grip. This exercise involves a diagonal vector NSCA’S PERFORMANCE TRAINING JOURNAL | ISSUE 12.4

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Figure 1. Squat to Press

Figure 2. Squat to Press - Finish

Figure 3. Lineman Squat

Figure 4. Lineman Squat - Finish

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FEATURE ARTICLE

Figure 5. Suitcase Carry

Figure 6. Suitcase Carry - Finish

Figure 7. Single-Arm Wheelbarrow

Figure 8. Single-Arm Wheelbarrow Finish

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Figure 9. Bear Fight

Figure 11. Upper Cut

HOW TO TRAIN THE CORE: SPECIFIC TO SPORTS MOVEMENTS

Figure 10. Bear Fight - Finish

Figure 12. Upper Cut - Finish

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FEATURE ARTICLE

Figure 13. Single-Arm Lateral Pull

Figure 14. Single-Arm Alternating Overhead Press

Figure 15. Single-Arm Alternating Overhead Press - Finish

Figure 16. Lateral Lunge

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FEATURE ARTICLE

Figure 17. Lateral Lunge - Finish

Figure 19. Single-Leg RDL Ipsilateral Finish

Figure 18. Single-Leg RDL Ipsilateral

Figure 20. Bilateral Prone Push-Up

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FEATURE ARTICLE

Figure 21. Bilateral Prone Push-Up Finish

Figure 22. Bilateral Rotational Push-Up

Figure 23. Bilateral Rotational Push-Up - Finish

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Figure 24. Bow and Arrow

HOW TO TRAIN THE CORE: SPECIFIC TO SPORTS MOVEMENTS

Figure 25. Bow and Arrow - Finish

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LOW BACK SPARING TORSO TRAINING TAI TRAN, MS, CSCS,*D, AND JEREMY SHEPPARD, PHD, CSCS,*D

A

considerable focus for strength and conditioning specialists is the training of “core� strength to prevent low back pain, or enhance athletic performance. With this in mind, core exercises targeting the abdominal musculature have been of great interest. For example, performing exercises on unstable devices such as physioballs, balance boards, or air discs have emerged as popular training methods to apparently strengthen the core, improve balance, increase coordination, enhance athletic performance, or prevent injury. While there is an increase in activation of the torso musculature with these unstable training methods in some cases, this is not synonymous with force

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increases, nor does it indicate cause and effect with increasing the effectiveness of training transference to sport. These devices likely serve an effective purpose for the untrained population and in particular for those rehabilitating from an injury (4). However, with elite athletes, these devices may not be of major utility to develop athletic performance as previous research has documented that training using unstable surfaces can reduce the ability to produce force and power output (1,3,6). Most core exercises are synonymous with movements at the torso. However, considering that in athletic settings the torso is often in a stabilizing role (i.e., preventing motion), and that athletes often have minor but regular bouts of non-specific low back discomfort, there exists the need to have exercises that spare the spine. In this context, exercises that spare the spine do not involve repeated flexion, extension, lateral flexion, or rotation, but are still present, difficult, and useful challenges for stabilization of the torso around the limbs. For instance, “stir the pot,� lying resistance band pullovers, variations of upper limb movement such as the Pallof press, or asymmetrical carry challenges, involve stabilization of the torso to a large degree, without any means of flexion, extension, or rotation movement. Therefore, at times, exercise programs may need to aim to minimize spinal shear and compression load and realize that athletes can potentially benefit from stabilization exercises where the torso is preventing flexion, extension, lateral flexion, or rotation torque. This article is not meant to disparage practitioners from using exercises that involve active flexion and extension through the spine, nor is it to suggest that major movements of the lower and upper body (e.g., squat, deadlift, snatch, or clean and jerk) should not be used. In fact, it is recommended to utilize and endorse the major aforementioned lifts, as well as challenging torso movements that involve large ranges of motion. However, when low back pain is a concern and when developing stabilization is a goal, these low back sparing exercises allow athletes to conduct useful training. In other words, this article does not suggest athletes with no limitations should place emphasis on low back sparing exercises all the time. Moreover, when an athlete does attend a training session with low back pain, exercises such as situps, V-ups, straight leg raises, sit-ups on a stability ball, or Russian twists may not be suitable and alternatives should be substituted, as these exercises increase shear and compressive load to the spinal discs (2,7). The purpose of this article is to give exercise options for when people are in need of sparing the low back while strengthening the torso musculature in a stability role.

STIR THE POT It is well documented that traditional sit-ups increase shear and compressive spinal load to the lower back (2,7). In one U.S. Army study comparing a traditional exercise program (targeting the rectus abdominus, oblique, and hip flexor musculature) versus a core stabilization exercise program (no sit-ups) it was discovered

that there were greater musculoskeletal injuries for the traditional exercise program group compared to the core stabilization exercise program group (5). In addition, it was reported that the traditional group had higher work absentee rates compared to the core stabilization group. Ergo, the possibility for greater musculoskeletal injuries in the traditional group might be due to an increased shear and compressive load (5). Therefore, selecting non-repeated spinal flexion exercises such as stir the pot (Figure 1), may be more beneficial for those in need to spare the low back (11). The athlete begins the exercise with the elbows and forearms on a physioball while maintaining an aligned posture with their feet on the ground. Start by bracing the torso and then move the forearms in a clockwise circular motion without letting the torso rotate or the hips rise. Repeat the movement in a counter clockwise motion.

LYING RESISTANCE BAND PULLOVER This exercise is similar to the end phase of a straight leg lift where both legs are raised vertically with the hands over the head. In a straight leg lift, the movement begins with both legs fully extended on the floor then simultaneously raised to a vertical position. The initiation of the leg raise will feel challenging because the leverage is greatest when the legs are fully extended at the bottom. However, this may be a disadvantage for those with weak abdominal musculature because it may cause an anterior tilt of the pelvis during the initial leg raise, which may result in hyperextension of the lumber region and cause greater compression load to the spine (8,12). As such, the strength and conditioning specialist is cautioned to ensure the athlete is conducting the exercise with proper form. An alternate modification may be the lying resistance band pullover (Figures 2a-c) for those with existing low back pain or athletes aiming to strengthen the torso without stressing the low back at all. The benefit of this exercise is that both legs start vertically with the hips flexed at 90 degrees, which reduces the leverage and reduces the likelihood of anterior pelvic tilt and hyperextension of the lumbar region. Furthermore, when each leg is raised separately from the start position, the leverage force is reduced, which potentially avoids hyperextension. In addition, with the opposite leg extended at the bottom, it helps stabilize the pelvis. The athlete begins the exercise by securing a resistance band around a solid pole, or by having a partner stand behind the athlete holding the resistance band. The athlete lies on their back with their legs up, hips flexed at 90 degrees, and places a solid stick or wooden dowel through the resistance band, if a band with handles is not present. While bracing the torso, pull the band with both arms toward the lower region of the abdominals. Hold the band below the navel area while lowering one leg towards the floor with the opposite leg staying vertical. Reverse the movement and repeat with the opposite leg.

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VARIATIONS OF PALLOF PRESS It has been noted that no single abdominal exercise activates all the abdominal musculature (8). Therefore, variations of torso exercises such as anti-rotation (Figure 3), anti-lateral flexion (Figure 4), anti-flexion (Figure 5), and anti-extension (Figure 6) may be exercise variations that could challenge the abdominal musculature with minimal torso movement. In a recent study, McGill revealed significantly greater abdominal muscle activation when performing cable walkouts with the arms fully extended while bracing compared with when the arms were held close to the body (9). This may be explained when the hands are at the furthest point with an increased lever arm, as such, lengthening produces rotational torque that must be countered by anti-rotation torque. Similar results were demonstrated when performing the overhead cable press (9). The difference between these two exercises is that the athlete must counter the flexion induced by the overhead press to avoid hyperextending the back. For the anti-rotation variation (Figure 3), the athlete starts in an upright position with the side of the body to the cable machine while grasping the handle with both hands in front of the body. The athlete should brace the torso and then press the handle away from the body without letting the body rotate. For anti-lateral flexion variation (Figure 4) the athlete starts in an upright position with the side of the body to the cable machine. Adjust the angle of the pulley to the highest height and grasp the handle with both hands in front of the chest. The athlete should brace the torso and press the handle directly upward while avoiding lateral flexion. For the anti-flexion variation (Figure 5) the athlete starts in an upright position facing away from the cable machine. After adjusting the angle of the pulley to the highest height the athlete will grasp the handle with both hands in front of the chest. The athlete should brace the torso and then press the handle directly upward to avoid torso flexion. The same movement is performed for the anti-extension variation (Figure 6) but the athlete faces the cable machine and strives to avoid torso extension once the handle is pressed directly upward.

It is important to note the purpose of this exercise is torso stability while developing muscular endurance. Therefore, carrying a heavy load should not necessarily be the emphasis of this exercise at all times, as moderate loads for extended steps/duration is likely of particular utility. To perform this exercise, the athlete starts in an upright position, and then walks while carrying a load (e.g., kettlebell, dumbbell, or barbell) in one hand without letting the torso laterally flex (Figure 7).

SUMMARY When prescribing exercises for those with existing low back pain, practitioners should evaluate the athlete’s need and then select appropriate exercises that stabilize the torso while minimizing shear and compression load. The main focus of these low back sparing exercises is stabilizing the torso while maintaining the intensity; as they are not only for avoiding exacerbation of low back pain, but also to adequately train stabilization in athletes. It is important to note that increasing the stress of these exercises is not necessarily done by simply increasing the resistance load; changing the leverage and therefore relative force by adding more repetitions may be the first and most suitable option for progression. ■

ASYMMETRICAL CARRY Asymmetrical carry (also known as heavy load carry or “suitcase carry”) may be incorporated in an exercise program to challenge the lateral torso musculature. In a recent study investigating seven strongman events, carrying an average mass of 36.9±8 kg with the left hand demonstrated peak muscle activation for the right and left rectus abdominis, right external oblique, right latissimus dorsi, right biceps femoris, and right rectus femoris (10). In addition, the right gluteus medius and gluteus maximus revealed peak muscle activation during the initial step leading with the left leg. The results may be explained in that holding the load on the left side produces a lateral flexion stress; therefore, the musculature on the right side of the body must counter by an anti-lateral flexion to remain in an upright posture (similar results were demonstrated during the asymmetrical carry with the right hand). NSCA’S PERFORMANCE TRAINING JOURNAL | ISSUE 12.4

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REFERENCES 1. Anderson, K, and Behm, D. Maintenance of EMG activity and loss of force output with instability. Journal of Strength Conditioning Research 18(3): 637-40, 2004. 2. Axler, C, and McGill, S. Low back loads over a variety of abdominal exercises: searching for the safest abdominal challenge. Medicine and Science in Sports and Exercise 29(6): 804-811, 1997. 3. Behm, D, Anderson, K, and Curnew, R. Muscle force and activation under stable and unstable conditions. Journal of Strength Conditioning Research 16(3): 416-22, 2002. 4. Behm, D, Drinkwater, E, Willardson, J, and Cowley, P. Canadian Society for Exercise Physiology position stand: The use of instability to train the core in athletic and nonathletic conditioning. Applied Physiology Nutrition and Metabolism 35: 109-112, 2010. 5. Childs, J, et al. Effects of traditional sit-up training versus core stabilization exercises on short-term musculoskeletal injuries in U.S. Army soldiers: A cluster-randomized trial. Physical Therapy 90(10): 1404-1412, 2010. 6. McBride, J, Cormie, P, and Deane, R. Isometric squat force output and muscle activity in stable and unstable conditions. Journal of Strength Conditioning Research 20(4): 915-918, 2006.

ABOUT THE AUTHOR Tai Tran received his Bachelor’s degree in Exercise Science from California State University, Northridge and his Master’s degree from California State University, Fullerton with an emphasis in Strength and Conditioning. After completing his Master’s degree under the mentorship of Dr. Lee Brown, he received an opportunity to pursue his PhD at Edith Cowan University. In 2012, Tran relocated to Australia to work alongside and under the advisement of Dr. Jeremy Sheppard at the Hurley Surfing Australia High Performance Centre in Casuarina Beach, New South Wales. His role under the mentorship of Sheppard is the Lead Strength and Conditioning Coach for the Development of Junior Pros Scholarship Surfers. Jeremy Sheppard received his Bachelor’s degree in Human Movement from Brandon University, Canada; his Master’s degree in Sport Science from the University of Ballarat, Australia; and his PhD with an emphasis in Strength and Conditioning from Edith Cowan University, Western Australia. Sheppard is currently the Head of Strength and Conditioning/Sport Science Manager for Hurley Surfing Australia High Performance Centre in Casuarina Beach, New South Wales. In addition, he is a Senior Lecturer with Edith Cowan University in Perth, Western Australia.

7. McGill, S. The mechanics of torso flexion: sit-ups and standing dynamic flexion maneuvers. Clinical Biomechanics 10(4): 184-192, 1995. 8. McGill, S. Low back stability: from formal description to issues for performance and rehabilitation. Exercise and Sport Sciences Reviews 29(1): 26-31, 2001. 9. McGill, S, Karpowicz, A, Fenwick, C, and Brown, S. Exercises for the torso performed in a standing posture: Spine and hip motion and motor patterns and spine load. Journal of Strength Conditioning Research 23(2): 455-464, 2009. 10. McGill, S, McDermott, A, and Fenwick, C. Comparison of different strongman events: Trunk muscle activation and lumbar spine motion, load, and stiffness. Journal of Strength Conditioning Research 23(4): 1148-1161, 2009. 11. McGill, S. Core Training: Evidence translating to better performance and injury prevention. Strength Conditioning Journal 32(3): 33-46, 2010. 12. Norris, C. Abdominal muscle training in sport. British Journal of Sports Medicine 27(1): 19-27, 1993.

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Figure 1. Stir the Pot

Figure 2a. Lying Resistance Band Pullover

Figure 2b. Lying Resistance Band Pullover

Figure 2c. Lying Resistance Band Pullover

Figure 3. Anti-Rotation Pallof Press

Figure 4. Anti-Lateral Pallof Press

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Figure 5. Anti-Flexion Pallof Press

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Figure 6. Anti-Extension Pallof Press

Figure 7. Asymmetrical Carry

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LIMITATIONS OF GLOBAL POSITIONING SYSTEMS ON THE TRAINING AND TESTING EFFECTS OF CYCLING CHRISTOPHER MYERS, MS, TSAC-F, USA CYCLING LEVEL 2 COACH, USA SWIMMING LEVEL 2 COACH

T

he introduction of global positioning system (GPS) technology has increased the efficiency and detail of the metrics used for testing in training for the sport of cycling. For elite cyclists, GPS provides data on terrain, speed, and elevation to enhance power and heart rate data. However, GPS data alone is a very weak source to use for testing and training metrics. Combining this technology with other cycling metrics with the right analysis software, the cyclist can predict his relative VO2 and respiratory expiration ratio (RER) to improve training and subsequent performance.

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Over the past twenty years, technology and cycling have merged to make training and testing efficient from elite cyclists down to the “weekend warrior.” This is specifically true for elite cyclists since these types of cyclists rely on data collection and analysis more than a typical person who occasionally rides a bike or participates in the occasional race. Elite cyclists are those who focus their training and testing to prepare for a specific race or competition. This category includes the truly committed club cyclist all the way to the professional. Within this category of cyclists, the biggest emergence within the world of cycling is the combination of power meters and GPS. The two technologies have taken the guesswork out of how a cyclist trains and gives a clear, objective picture. The usage of GPS as a stand-alone technology limits the data a cyclist can use for training and testing; however, when combined with other data it increases the amount of information. GPS units give a position through triangulation between three or more satellites orbiting Earth. With these data points, GPS units can calculate position, speed and elevation, which is pertinent information for cyclists. GPS information allows the cyclist to receive real-time data that will affect training instantaneously. GPS technology can be broken down into two separate avenues of data transmission; ANT+ and Bluetooth. ANT+ is a wireless technology that allows several differing devices to communicate with each other. Until recently, GPS units developed for cycling primarily used ANT+ technology in order to communicate with other devices. These types of GPS units are stand-alone devices. The implementation of Bluetooth technology has given GPS devices a new level of interoperability. For instance, cyclists using smartphones with Bluetooth capabilities have the ability to download applications that can access the phone’s GPS hardware and convert the smartphone into a cycling GPS unit (3). Accessories, such as power meters and heart rate monitors, transmit data via the Bluetooth pathway that can assist in giving the cyclist the same real-time data picture as with ANT+ GPS devices; however, the smartphone displays the data via Bluetooth. No matter the type of GPS device used, the cyclist receives the same information essentially. Since GPS shows the cyclist’s instantaneous speed and distance traveled in real time, the cyclist can use this data for developing and planning training, and for competitions. This information allows the cyclist to calculate how fast he or she completed a certain distance. Seeing improvements in the time required to complete a predetermined distance is an “old school” metric used to see improvement in fitness (7). Speed is dependent on several variables; for instance, rolling resistance of the tires, terrain, wind resistance, and fatigue are some of the factors that affect speed (4). This metric was the only measurement available to determine improvements in fitness

before the developments of heart rate monitors and power meters. Without the power and heart rate accessory devices, GPS devices provide very limited information. The addition of heart rate monitors and power meters to GPS units gives the cyclist a complete picture of performance and bio data. Heart rate during exercise was the staple of biometrics for many years. Measuring this data gave cyclists particular training zones that focused training on developing specific energy systems. The shortfall of heart rate data is two-fold. The main shortcoming is due to cardiac drift, and the second is fatigue (5). Combining these two phenomena by using heart rate as a metric of training, in real time, was unreliable. In trying to find a more dependable metric, researchers developed power meters. The addition of power meters to the world of cycling revolutionized how cyclists trained and tested. Power gives an absolute value based on what the cyclist outputs during their ride. This article is not going to go into detail on the types of power meters, and how they calculate power; several books are currently available such as, “Cutting Edge Cycling” and “The Time Crunched Cyclist” that explain how to use power. Combining GPS with power meters enhances the cyclist’s ability to see the complete picture of their training and/or testing. Most GPS units used today integrate power and heart rate with GPS data. This compilation of data allows the cyclist to “see” their performance during an entire race or during a certain section of a training ride. As mentioned earlier, the GPS provides position, elevation, and speed. Combining this with the individual’s power measurement during a certain position, the cyclist can analyze their performance. The development of this combination of data has allowed for new protocols in cyclist testing and training.

GPS USAGE FOR TESTING Before a cyclist can begin proper training, the cyclist must perform a field test. The coaching method used determines the field test protocol. A submaximal field test will allow the cyclist to create a profile of personal strengths and weaknesses across the different energy systems. Taking the profile, the cyclist can create specific training zones in which to sustain strengths and improve weaknesses. Using a GPS alone would not allow a cyclist to create training zones; the cyclist would need to add heart rate or power (1). The addition of power enhances testing over just using GPS. Under the limited metrics given with a GPS, the cyclist could only measure how fast they could cover a predetermined distance. Speed is very dependent on many variables in which the cyclist cannot control. These variables can distort the speed measurement and give the cyclist the wrong picture of their performance as previously mentioned. For instance, a cyclist performed a 10-km time trial in 20 min on a flat course in weather that was clear and optimal. Then two weeks later, the cyclist

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performed the same test on the same course in which he or she had wind at their back. The cyclist rode the 10-km course in 18 min due to the “push” given by the wind. The increase in speed was not due to increased performance but due to environmental factors. Without this information, the cyclist is not seeing the “true” picture of their performance. The cyclist needs a more honest metric to make the correct analysis because power does not measure speed and time. The limited capabilities of GPS alone would hinder testing for the cyclist in the previous example. However, the introduction of heart rate and power can provide the cyclist all the information necessary to perform optimal testing (7). Since the variables of speed were not affected, this metric will give the cyclist a measure of how much work was actually performed. Additionally, the heart rate gives a good picture of the cyclist’s cardiac response to the workload associated with the ride. With the data gleaned from the GPS, power, and heart rate, and with the correct analysis of this submaximal test, the cyclist can create the proper training zones necessary to create effective training plans and workouts.

GPS USAGE FOR TRAINING As stated previously, GPS technology will only give data for speed, time, and distance. This data is very susceptible to error to the variables that affect speed. An example of this would be if a cyclist rode the same 40-km course every week for three months. The first time riding the course took 3 hr to complete. Over time, the cyclist saw a nearly consistent drop in his overall time to 2 hr and 50 min. Given the amount of data gathered over the 3-month period and using the right statistical analysis, the cyclist would be correct in thinking that he had improved his performance through this training. This is safe to say because the same factors minimize the variables that affect the speed. However, this is a very “old school” way of training. Even though the cyclist is making improvements in his physical condition, these improvements are very limited and very time consuming. As with testing, the introduction of power and heart rate enhances the ability to improve physical condition more efficiently. Assume the same cyclist wants to train for an upcoming time trial. Before training, the cyclist performed a submaximal field test with a power meter and determined that his average functional threshold power (FTP) was 300 W. Since the goal is to train for an event that will require a high steady-state output of power, the cyclist can determine the power zone he needs to train based on his current fitness level. To quantify this in realistic terms, assume this cyclist uses Coggan’s power zones (1). Of the six training zones, the cyclist knows he must be able to ride the entire distance of the race between zones 3 and 4. With his FTP of 300 W from his submaximal field test, he calculates his training zones for zones 3 and 4 to be 228 – 272 W and 273 – 317 W, respectively. By concentrating within the specified power zones, the cyclist in question will be able to train more effectively to increase his

efficiency at his current power level. This is an oversimplification of creating a training plan from submaximal FTP, but it does illustrate how much more objective power analysis can be compared to just time and distance produced by the GPS. Using power alone for training is a wonderful tool, however, combining it with heart rate and GPS provides even more information to improve training. Using the same data, the cyclist can analyze particular portions of the ride in order to see what affects performance the most. Another aspect this technology gives a cyclist is the ability to calculate other physiological factors. The foremost of these factors is maximal oxygen uptake. According to the American College of Sports Medicine (ACSM), the formula to calculate relative VO2 is as follows (2): Relative VO2 = [(10.8 x work rate)/mass] + 7 Where: W = watts M = cyclist’s weight in kg VO2 = mL/kg/min The difference between the equations is how the wattage is measured. The power from the submaximal field test is considered a steady-state peak output. In addition to knowing the cyclist weighs 75.9 kg (167 lb), the power output from the field test concluded a FTP of 300 watts. Armed with this information, the cyclist can calculate his relative VO2 for his submaximal field test. The calculation would look like the following: Relative VO2= [(10.8 x 300 W)/75.9] + 7 = 49.7 mL/kg/min

The cyclist can use this information to compare his physical condition to other cyclists within his racing category. With this comparison, he can determine if he needs to increase his relative VO2 compared to his competition. This calculation tends to overestimate, but it gives the cyclist a close approximation without the expensive laboratory testing. If an elite cyclist can afford to perform the expensive laboratory testing, he or she is then able to leverage this GPS enabled technology even more. Laboratory testing of VO2max and lactate threshold assists in giving the cyclist’s true FTP. Additionally, the cyclist can use this information to monitor nutritional needs. Table 1 shows respiratory exchange ratios (RER) based on lactate threshold (LT) testing with an open spirometer. A RER value of 1.0 indicates LT. Through performing this test in a laboratory, the cyclist will know what wattage to ride at in order to reach LT. Additionally, most LT testing protocols use ramp-testing protocols that will give differing wattages at differing RER values. Once again, let us use the previous cyclist as an example.

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FEATURE ARTICLE

The cyclist conducts a laboratory LT test and his results show he reaches LT at 200 W while his FTP is 300 W. He knows that his RER is equal to 1.0 at 200 W since this was the point he reached his lactate threshold. Using Table 1, he can read that he is burning roughly 5 calories per min and that he is using all carbohydrates (CHO). Additionally, the LT test will tell him what other percentages of the RER he rides. For instance, the cyclist’s LT gave the following RER values: RER

WATTAGE

CALORIES CONSUMED/MIN

.70

170

6.6 = 100% fats

.80

180

6.0 = 33% CHO / 66% fats

.90

190

5.4 = 67% CHO / 33% fats

1.0

200

5 = 100% CHO

1.0+

200+

Moving to anaerobic energy system

With this information, the cyclist can gauge how much he needs to consume during a long time trial. Think of this scenario: the cyclist is going to perform a fairly flat 40-km time trial. Since he has traversed the course before, he knows he can ride the entire course at an average of 190 W at an average speed of 40 km/hr. By gathering this information from his power meter and GPS unit, he can gauge his nutritional needs during the race. Since he knows his RER at 190 W is 0.90, he is burning 5.4 calories/L of O2 (8). This level of work rate requires the cyclist to breathe 2 L of O2/min. This rate means he is burning 10.8 calories/min; of these 10.8 calories, 7.2 calories come from CHO and 3.6 calories come from fats. The cyclist’s average speed of 40 km/hr will take him about 60 min to complete the race; thus, he will burn about 648 calories; and of the 648 calories, 427 calories will come from CHO and 213 calories will come from fats (9). Armed with this information, the cyclist knows how much CHO he needs to drink or eat during the race in order to support peak performance. As stated before, laboratory testing is expensive, yet LT can be estimated without the lab. In untrained people, LT occurs generally at 50 – 60% of VO2max (9). So, let us say our cyclist did not have the money to perform the aforementioned laboratory testing. Instead, he performed a 20-min submaximal FTP field test with his power meter and GPS. From this test, he estimated FTP was 300 W and he calculated his relative VO2 at 49.7 mL/kg/min. With this information, he can estimate his LT. Upon estimating his LT, he can have a general idea on the amount of calories he is burning during a ride at certain wattages.

GPS SOFTWARE TO ANALYZE DATA The measuring of power in combination with GPS measurements is useless without the proper analysis software. Using the right

analysis software leverages the powerful capability of applying the power measurement with GPS. Several different types of software exist; however, they all provide the same type of analysis of the data. The software organizes the data in a descriptive format for easy analysis. For example, Figures 1 and 2 show two different layouts of cycling workouts with measurements of GPS and power. Figure 3 demonstrates the power of using the software to zoom in on a particular portion of the data file to analyze a certain section of the ride. Let’s revisit our previous cyclist. He performed a “sweet-spot” workout (1). Essentially, the cyclist rode a predetermined interval period at 88 – 92% of his FTP (Figure 4 depicts the workout). During the first interval, he can see his power range was significantly lower than his predicted range; he only produced an average power of 226 W over the 18-min interval. Additionally, his average wattage for the second interval was only 218 W and he can see he is significantly below his targeted power range. Using the same data, he can analyze the effects of elevation change on his power output (Figure 4 shows how his power spikes during even the smallest of elevation changes). Additionally, he was unable to keep the wattage level in the targeted power zone during the descents in the terrain. Several conclusions can be made from this basic analysis of this one workout. The best conclusion is that fatigue affected the cyclist as he may not have fully recovered from previous workouts. This explains why he was unable to reach the targeted power zones, and why his power was not as consistent during the changes in elevation. With this analysis and conclusion, the cyclist can better plan his workouts to allow for recovery in order to get the maximum benefit of his training.

APPLICATION FOR COACHES AND ATHLETES With the improvements in GPS technology, a cyclist no longer needs to buy a stand-alone GPS unit. With the proper software, a cyclist can use a smartphone to combine GPS with power analysis to further determine their weaknesses and make improvements to their training. For instance, the cyclist can determine whether or not they are producing the power numbers on certain hill climbs to stay with other riders during a race. If he or she is weak in this area, using the training zones determined in the field test and similar terrain to the race can help improve climbing power and skills. Power data alone will not show this picture. Additionally, the cyclist can use the relative VO2 and RER metabolics to predict overall performance and nutritional requirements without expensive laboratory testing. The prediction for nutritional requirements is as, if not more than, important as being able to see a cyclist’s weakness on certain areas of terrain. Most cyclists do not ingest enough CHO and electrolytes during a competition; with the RER metabolic calculations, cyclists can predict the minimum nutrition requirements needed during a race to avoid such deficiencies. Utilizing this information, the cyclist

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can strategize when and how much to eat and drink. Additionally, the nutritional requirements do not end with competition. Elite athletes train as they race. This means these cyclists know their nutritional requirements during a training session, and use this information to get the most from each training session.

SUMMARY The introduction of the GPS to the world of cycling has greatly affected the way elite cyclists test and train. This technology alone does not add much benefit to training except for giving the cyclist a map to where he or she is going, or where he or she has already went. However, the combination of GPS with power analysis greatly enhances the cyclist’s ability to train more efficiently. These two metrics allow the cyclist to see how well he rides over certain terrain, which adds a new level of data analysis. The cyclist can work on these areas to increase physical fitness and efficiency. Additionally, the right analysis software presents the data in a format that allows the cyclist to make conclusions in order to make the proper adjustments in training. Being able to see how one performs on a portion of terrain speaks volumes. Finally, the cyclist can be better equipped with proper nutrition by calculating nutritional requirements to enhance performance. By using these technologies, elite cyclists can train in ways that are the most effective and efficient for their sport. ■

8. Louis, J, Hausswirth, J, Bieuzen, F, and Brisswalter, J. Muscle strength and metabolism in master athletes. International Journal of Sports Medicine 30(10): 754-759, 2009. 9. Seidell, J, Muller, D, Sorkin, J, and Andres, R. Fasting respiratory exchange ratio and resting metabolic rate as predictors of weight gain: The Baltimore longitudinal study on aging. International Journal of Obesity and Related Metabolic Disorders 16(9): 667-674, 1992.

ABOUT THE AUTHOR Chris Myers is currently a Doctoral student at the Florida State University Department of Nutrition, Food, and Exercise Sciences studying Exercise Physiology. He obtained his Bachelor’s degree from the United States Military Academy in 2004. After serving 10 years of active military service in the U.S. Army, Myers retired from the Military Police Corps in 2011. He graduated from University of Louisiana at Monroe in 2012 with a Master of Science Degree in Clinical Exercise Science. Additionally, he is a USA Cycling Level 2 Coach and USA Swimming Level 2 Coach.

REFERENCES 1. Allen, H, and Cheung, S. Cutting-Edge Cycling. Champaign, IL: Human Kinetics; 2012. 2. American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. Philadelphia, PA: Lippincott, Williams & Wilkins; 2009. 3. Bilton, N. Gadgetwise; Apps to get you moving, or offer motivation. The New York Times, August, 2010. 4. Carmichael, C, and Rutberg, J. The Time Crunched Cyclist: Fit, Fast, and Powerful in 6 Hours a Week. Boulder, CO: Velo Press; 2009. 5. Dawson, EA, Shave, R, George, K, Whyte, Ball, D, Gaze D and Collinson, P. Cardiac drift during prolonged exercise with echocardiographic evidence of reduced diastolic function of the heart. European Journal of Applied Physiology 94: 305-309, 2005. 6. Dieting & Weight Loss – RER, Calories Burned and Fuel Percentage. TheNutritionDr.com. 2011. Retrieved from http://www. thenutritiondr.com/dieting-weight-loss-rer-calories-burned-fuelpercentage. 7. Larsson, P. Global positioning system and sport specific training. Sports Medicine, 33(15): 1093-1101, 2003.

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Figure 1. Sample Cycling Workout

This figure depicts a example of power (yellow line) plotted against the terrain traveled (orange shaded area) during the training ride using a web-based analysis program. Additionally, the program shows the route plotted with the GPS coordinates using Training Peaks analysis. Figure 2. Sample Cycling Workout

This figure shows a cycling workout with power (yellow line) plotted against elevation change (orange line) based off GPS coordinates collected during the ride. The program used for the analysis was a desktop version of the Training Peaks analysis but this version did not have access to the Internet.

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LIMITATIONS OF GLOBAL POSITIONING SYSTEMS ON THE TRAINING AND TESTING EFFECTS OF CYCLING

FEATURE ARTICLE Figure 3. Sample Portion of a Cycling Workout

The analysis software used here can zoom in to certain sections of the data. This sample graph is an enhanced snapshot of a hill climbed during the ride at the 90-min mark. The cyclist can take a closer look at their performance during the ride. The information gathered using Training Peaks analysis can be used to quantify improvement or regression in fitness. Figure 4. Example “Sweet-Spot” Workout

In this sample graph, the cyclist performed 2 x 18 min “sweet-spot” intervals at 88 – 92% of FTP (264 – 276 W). The program highlighted the two intervals in black. The yellow line depicts wattage, and the orange line depicts elevation.

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FEATURE ARTICLE

TABLE 1. THERMAL EQUIVALENT OF O2 AND CO2 FOR RER (6) RER

CALORIC VALUE 1 L O2

CALORIC VALUE 1 L CO2

CHO (%)

FAT (%)

0.707

4.686

6.629

0

100.0

0.71

4.690

6.606

1.1

98.9

0.72

4.702

6.531

4.76

95.2

0.73

4.714

6.458

8.4

91.6

0.74

4.727

6.388

12.0

88.0

0.75

4.739

6.319

15.6

84.4

0.76

4.751

6.253

19.2

80.8

0.77

4.640

6.187

22.8

77.2

0.78

4.776

6.123

26.3

73.7

0.79

4.788

6.062

29.9

70.1

0.80

4.801

6.001

33.4

66.6

0.81

4.813

5.942

36.9

63.1

0.82

4.825

5.884

40.3

59.7

0.83

4.838

5.829

43.8

56.2

0.84

4.850

5.774

47.2

52.8

0.85

4.862

5.721

50.7

49.3

0.86

4.875

5.669

54.1

45.9

0.87

4.887

5.617

57.5

42.5

0.88

4.899

5.568

60.8

39.2

0.89

4.911

5.519

64.2

35.8

0.90

4.924

5.471

67.5

32.5

0.91

4.936

5.424

70.8

29.2

0.92

4.948

5.378

74.1

25.9

0.93

4.961

5.333

77.4

22.6

0.94

4.973

5.290

80.7

19.3

0.95

4.985

5.247

84.0

16.0

0.96

4.998

5.205

87.2

12.8

0.97

5.010

5.165

90.4

9.58

0.98

5.022

5.124

93.6

6.37

0.99

5.035

5.085

96.8

3.18

1.00

5.047

5.047

100

0

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PERSONAL TRAINING FOR PERFORMANCE CHAT WILLIAMS, MS, CSCS,*D, CSPS, NSCA-CPT,*D, FNSCA

CORE TRAINING: INCORPORATING CIRCUITS Training the core or abdominal region of the body is an important component to include in a strength and conditioning program. This can be accomplished through several methods. The core may be challenged when performing traditional exercises like the squat or power clean, or the program routine can challenge the core by including exercises that are specifically designed to train the core region of the body. These will range from bodyweight crunches on the floor, resistance machine exercises, medicine ball exercises, and stability ball exercises. Core training should vary and be challenged with multiple modalities, different intensities, and in multiple planes of motion, which will target major areas of the core (Table 1) (2). Incorporating circuits with different movement patterns or multiple pieces of equipment is an excellent way to keep program ideas fresh, increase intensity, increase tempo, increase volume, and keep the client engaged and motivated with fun and challenging exercises. Improved balance, core stability, and power through the hips and abdominal region are just a few of the benefits that can be achieved by training the core (1). These improvements can lead to a stronger and more stable individual from head to toe, potentially decreasing the risk of injuries while participating in activities that are physically challenging (1,2). Once the individual has acclimated to multiple variations of an exercise and has been instructed properly on several pieces of equipment or modalities, these may be grouped together to develop circuits. This grouping will increase the overall intensity and volume for the exercise; combining multiple exercises using a medicine ball is an excellent example of utilizing a core circuit while increasing volume (Table 3). The following are three examples of core circuits that can be incorporated into a program:

AROUND THE WORLD (ATW): MEDICINE BALL CIRCUIT The ATW core circuit includes four different exercises: toss, rotation left, rotation right, and a reverse toss. The trainer starts out in front with the toss, then moves to either side for the rotation, next behind the client for the reverse toss, and finally to the other side to finish with rotations. The amount of repetitions and medicine ball size will depend on the client’s fitness level. A 4-6 lb medicine ball and 2-5 repetitions per exercise is a good place to start for most beginners. •

client will catch the ball, go back and tap the ball to the ground creating an eccentric load on the core. Then, quickly and explosively return the ball following through with the arms. The concentric toss back is done with one movement with the hands over the head (it is not a sit-up followed by a chest pass). •

Seated Rotation: Left and Right (Figures 3 and 4) The client will start in a seated position with their legs extended and slightly bent with the trainer standing perpendicular to their position. The trainer will toss the ball to the client across their body. The client will extend their arms to receive the ball, and rotate their torso to toss the ball back explosively.

Reverse Medicine Ball Toss (Figures 9 and 10) The client will start in a supine position with their legs out in front slightly bent facing away from the trainer. Simultaneously, the trainer will chest pass the ball towards the middle of the body and the client will catch the ball while sitting up, tap the ball to the ground, and return the ball back to the trainer finishing in the start position.

AB WHEEL: MEDICINE BALL CIRCUIT The Ab Wheel circuit includes seven exercises: toss, rotation left and right, shoulder thrust left and right, chest press, and overhead extension. The trainer will start the circuit with the Ab Toss out in front of the client and move around quickly performing each movement, each time coming back to the top to perform the Ab Toss again (Table 2). •

Medicine Ball Ab Toss (Figures 1 and 2)

Seated Rotation: Left and Right (Figures 3 and 4)

Seated Shoulder Thrust (Figures 5 and 6) The trainer will stand at a 45-degree angle facing the client. The client will be seated with legs out in front and slightly bent. The trainer will toss the ball to the client across their body. When the client receives the ball, they will rotate following the ball with their eyes and explosively thrust the ball back to the trainer. It is important for the client to keep elbows up and thumbs down during the movement; this exercise is intended to be a shoulder thrust not a rotation.

Medicine Ball Ab Toss (Figures 1 and 2) The client will start in a seated position with their legs extended and slightly bent and their hands in front of the face ready to receive the medicine ball. The trainer will perform a chest pass aiming slightly above the head. The NSCA’S PERFORMANCE TRAINING JOURNAL | ISSUE 12.4

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Seated Chest Pass (Figure 7) The trainer will stand directly above the seated client holding their legs together. The client will lean back at a 45-degree angle. The trainer will toss the ball to the chest and the client will then explosively perform a chest pass back to the trainer.

Seated Overhead Toss (Figure 8) The trainer will stand directly above the seated client holding their legs together. The client will lean back at a 45-degree angle. The trainer will toss the ball behind the client’s head and the client will catch and return the ball back to the trainer, performing a triceps extension movement.

MULTIPLE EXERCISE CIRCUIT The following core circuit will include four different pieces of equipment and target multiple planes of motion. The first exercise will use manual resistance and target the frontal plane, the second will use suspension training to target the sagittal plane, the third exercise will be a functional trainer chop in the transverse plane, and the fourth will be a landmine rotation targeting the transverse plane. •

Manual Resistance: Overhead Reach (Figures 11 and 12) The trainer will hold on to one end of the strap while the client, with the handles directly over the head, will lean over maintaining body position in the frontal plane. Resistance should be applied to provide a challenge while maintaining form and technique.

Suspension Training: Fallout (Figures 13 and 14) The client will start in an upright position, chest out and shoulders back, with the handles at waist level. With the arms extended and elbows slightly bent, the client will bring the handles in front of the face while flexing at the shoulders. The client should keep the back flat and neutral, and the hips straight. Do not let the hips cave or rise too much. Finish with the hands above the head in a diagonal line. Range of motion will be determined by the strength of the core and the flexibility in the shoulders.

Functional Trainer Diagonal Chop (Figures 15 and 16) The client will start with the handles slightly below the waist on either side of the body; feet should be shoulderwidth apart and toes straight ahead. Next, the handles should cross the hips and shoulders in a diagonal pattern, and the client should follow the handles with their eyes through the movement to maximize full range of motion.

Landmine Rotation (Figures 17, 18, and 19) The client will start in an upright position holding the bar out in front of the chest with arms extended. The client should let the hips, knees, and ankles move freely and in an arcing movement, and rotate the end of the bar to one side while keeping the arms slightly bent at the elbows. Repeat and rotate the end of the bar to the other side. The client should follow the end of the bar with their eyes to maximize rotation. ■

REFERENCES 1. Handzel, T. Core training for improved performance. NSCA’s Performance Training Journal 2(6): 26-30, 2003. 2. Williams, C. Core training: Partner-based medicine ball training. NSCA’s Performance Training Journal 10(5): 9-16, 2011.

ABOUT THE AUTHOR Chat Williams is the Supervisor for Norman Regional Health Club. He is a past member of the National Strength and Conditioning Association (NSCA) Board of Directors, NSCA State Director Committee Chair, Midwest Regional Coordinator, and State Director of Oklahoma (2004 State Director of the Year). He also served on the NSCA Personal Trainer Special Interest Group (SIG) Executive Council. He is the author of multiple training DVDs. He also runs his own company, Oklahoma Strength and Conditioning Productions, which offers personal training services, sports performance for youth, metabolic testing, and educational conferences and seminars for strength and conditioning professionals.

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CORE TRAINING: INCORPORATING CIRCUITS TABLE 1. PLANES OF MOTION AND BODY REGIONS (1) PLANES OF MOTION PLANE

DESCRIPTION

Sagittal

Decelerates lumbar extension during anterior motion of the pelvis when the foot hits the ground

Frontal

Decelerates the drop of the pelvis when the foot hits the ground then accelerates the trunk helping the leg swing through

Transverse

Decelerates the hips and shoulders BODY REGIONS

REGION

MUSCLE GROUPS

Abdominals

Internal and external obliques, transverse abdominus, rectus abdominus

Back

Paraspinals, trapezius, psoas major, multifidus, erector spinae, quadratus lumborum, iliocostalis loborum and thoracis, latissimus dorsi and serratus anterior

Hips

Obturator internus and externus, quadratus femoris, periformis, psoas, rectus femoris, sartorius, tensor facia latae, pectineus, adductor brevis, magnus, and longus, gemellus superior and inferior, pectenius, gluteus maximus, medius, and minimus, semitendinosus, semimembranosus, and biceps femorus

TABLE 2. SAMPLE AB WHEEL MEDICINE BALL CIRCUIT ORDER

EXERCISE

REPS

ORDER

EXERCISE

REPS

1

Ab Toss

3

8

Shoulder Thrust Left

3

2

Rotation Right

3

9

Ab Toss

3

3

Ab Toss

3

10

Isometric Chest Press

3

4

Rotation Left

3

11

Ab Toss

3

5

Ab Toss

3

12

Isometric Overhead

3

6

Shoulder Thrust Right

3

13

Ab Toss

3

7

Ab Toss

3

Total Repetitions: 39

TABLE 3. SAMPLE CORE CIRCUIT PROGRESSIVE VOLUMES MEDICINE BALL WEIGHT

REPETITIONS PER EXERCISE

TOTAL REPETITIONS

TOTAL VOLUME

3 x 13

39

234 lb

6 lb

4 x 13

52

312 lb

5 x 13

65

390 lb

3 x 13

39

312 lb

4 x 13

52

416 lb

5 x 13

65

520 lb

3 x 13

39

390 lb

4 x 13

52

520 lb

5 x 13

65

650 lb

8 lb

10 lb

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CORE TRAINING: INCORPORATING CIRCUITS

Figure 1. Medicine Ball Ab Toss - Catch

Figure 2. Medicine Ball Ab Toss - Return

Figure 3. Seated Rotation - Right

Figure 4. Seated Rotation - Left

Figure 5. Seated Shoulder Thrust - Right

Figure 6. Seated Shoulder Thrust - Left

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CORE TRAINING: INCORPORATING CIRCUITS

Figure 7. Seated Chest Pass

Figure 8. Seated Overhead Toss

Figure 9. Reverse Medicine Ball Toss - Catch

Figure 10. Reverse Medicine Ball Toss - Return

Figure 11. Manual Resistance Overhead Reach - Start

Figure 12. Manual Resistance Overhead Reach - Finish

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CORE TRAINING: INCORPORATING CIRCUITS

Figure 13. Suspension Training Fallout - Start

Figure 14. Suspension Training Fallout - Finish

Figure 15. Functional Trainer Diagonal Chop - Start

Figure 16. Functional Trainer Diagonal Chop - Finish

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CORE TRAINING: INCORPORATING CIRCUITS

Figure 17. Landmine Rotation - Start

Figure 18. Landmine Rotation - Left

Figure 19. Landmine Rotation - Right

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TRAINING TABLE DEBRA WEIN, MS, RD, LDN, NSCA-CPT,*D AND ABBY CALCUTT, MS, MPH, RD

DO ATHLETES NEED BREAKFAST? TRENDS IN BREAKFAST CONSUMPTION For years, health and nutrition experts have reported the benefits of breakfast. Also, breakfast earned the title as the “most important meal of the day.” A growing body of evidence supports eating breakfast to boost academic performance including improved test scores, cognition, and behavior (1,2,6,7). Limited studies have investigated the benefits of breakfast on the larger U.S. population. However, for athletes and individuals striving to reach optimal physical performance, an adequate breakfast can provide many advantages. Despite the evidence-supported benefits, the trend for the general U.S. population to skip breakfast has increased over the last four decades. According to the National Health and Nutrition Examination Survey (NHANES), since 1971 breakfast consumption has decreased from nearly 90% to 84% for adults, and more drastically for the 20-29 year-old age group (9).

BREAKFAST AND SPORTS PERFORMANCE Many organizations affiliated with elite athletes encourage consistent breakfast consumption. The Sport Performance Division (SPD) of the U.S. Olympic Committee continues to support breakfast consumption to promote improved athletic performance. The dietitians working with Olympic athletes released materials that endorsed breakfast for many reasons. In particular, the SPD noted the positive correlation between breakfast eaters and increased strength and endurance (10).

WHY IS BREAKFAST IMPORTANT FOR SPORTS PERFORMANCE? After an 8-12 hour break from your last meal or snack, the first meal of that day can do just what the name states—“break” the “fast.” A breadth of research indicates that consuming breakfast helps adults and children meet nutritional recommendations. Regular breakfast consumption boosts the likelihood of meeting the daily nutritional recommendations of several vitamins and minerals (3). The three main meals typically provide a majority of the carbohydrates required daily. Many breakfast foods (e.g., ready-to-eat cereals, oatmeal, and whole-grain cereals) provide important nutrients including calcium, folate, and protein—some through fortification. Selecting these foods along with other typical foods including fat-free milk, low-fat milk products, fruit, and 100 percent fruit juice from the Dietary Guidelines for Americans “food groups to encourage” list promote meeting the daily nutrient recommendations.

CONSIDERATIONS WHEN PLANNING BREAKFAST Following a night of sleep, an athlete, just like the average person, needs to refuel with fluids and food. Protein from breakfast consumption can encourage muscle repair, maintenance, and

anabolism. Simple and complex sources of carbohydrates can provide energy in two ways. Foods such as fruit, fruit juice, milk, and ready-to-eat cereal with optimal fiber content to increase the level of glucose—the sugar that circulates in the blood to provide immediate energy to cells and the brain (8). The second metabolic process utilizes carbohydrates to replenish glycogen stores—the packaged carbohydrate synthesized in the liver and stored in the liver and muscles. In addition to providing energy, complex carbohydrates contain fiber that slows digestion to sustain energy for a longer time, which is beneficial for a lengthy training session. The typical rate of digestion to restore muscle and liver glycogen levels varies, but it usually takes 3 – 4 hr for the body to digest and store carbohydrates as liver and muscle glycogen. Ideally, a meal should be ingested with enough time for digestion before exercise (5). However, for athletes who train in the afternoon, breakfast is the most important meal to replenish muscle and liver glycogen stores. For athletes with early training sessions, research indicates that consuming a lighter snack 30 – 60 min before exercise that contains carbohydrates and protein (e.g., 50 g of carbohydrate and 5 – 10 g of protein) increases carbohydrate availability during the final stretch of an intense exercise bout when it may be needed most (5). Needs may also vary based on the conditions in which the exercise is performed (weather) and preferred muscle type (slow vs. fast twitch fibers). For example, the needs of a cross-country skier may be higher than the needs of a downhill ski jumper. Cross-country skiing is a vigorous endurance sport that forces the athlete to maintain the core temperature throughout an exercise session. In ski jumping, a slender physique makes an athlete aerodynamic during the shorter events that require fast twitch muscle fibers. The breaks between events for these athletes usually take place in cold conditions, promoting energy loss from shivering and consequently playing a factor in energy needs. In strength and power sports, elite and highly competitive athletes generally consume a larger percentage of energy from protein sources (8).

TO EAT OR NOT TO EAT BREAKFAST? Research is ongoing with regard to meal timing and composition to improve sports performance. Nutrition experts and current research collectively report benefits in sports performance in a variety of ways for breakfast eaters. In addition to increasing energy levels, eating breakfast is correlated with increased mental acuity and alertness that can add benefits on the field (10). Therefore, breakfast consumption is recommended for athletes; however, meal size may vary based on the time of exercise, an individual’s needs, and the type of exercise performed. Table 1 provides breakfast suggestions for athletes based on weight, exercise type, and timing when personalizing a meal plan.

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DO ATHLETES NEED BREAKFAST? TABLE 1. NUTRITIONAL RECOMMENDATIONS BASED ON CURRENT RESEARCH AND THE NUTRITION REVIEW PUBLISHED BY THE INTERNATIONAL SOCIETY OF SPORTS NUTRITION (4,5,8) NUTRITION RECOMMENDATIONS BASED ON TYPE OF PHYSICAL ACTIVITY SPORT

ENDURANCE

STRENGTH

[e.g., 2-3 hr per day of intense exercise performed 5-6 times/ week]

(Running, biking, cross-country skiing)

(Gymnastics, wrestling, sprinting, bodybuilding)

Macronutrient breakdown (recommended ranges)

CHO: 60-65%

CHO: 55-60%

PRO: 18-25%

PRO: 20-30%

Fat: 25-35%

Fat: 25-35%

Pre-event breakfast (4-6 hr prior to event or training session) 50 kg athlete Kcal: 2500-4000

4 slices whole wheat toast, 3 tbsp natural peanut butter, 1 medium banana 1 cup cereal, 1 cup low-fat milk

4 slices whole wheat toast, 3 tbsp natural peanut butter, 1 medium banana, 1 egg scrambled ½ cup cereal (Cheerios), 1 cup low-fat milk ½ cup orange juice

½ cup orange juice 70 kg athlete Kcal: 3500-5600

4 slices whole wheat toast, 3 tbsp natural peanut butter, 1 medium banana, 1 egg scrambled 1 cup oatmeal, ¼ cup raisins, 1 cup low-fat milk, ½ cup orange juice

4 slices whole wheat toast, 3 tbsp natural peanut butter, 1 medium banana, 2 eggs scrambled 1 cup oatmeal, ¼ cup raisins, 1 cup low-fat milk ½ cup orange juice

If less than 1 hr until exercise, try a light breakfast with 50 g CHO and 5-10 g PRO 1 slice whole wheat toast, 1 spray canola oil, a dash of herbs 1 egg scrambled 1 medium orange, ½ banana

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DO ATHLETES NEED BREAKFAST? OTHER BREAKFAST IDEAS TO CONSIDER: •

Oatmeal made with milk, dried fruits, and nuts

Whole-grain cereal with fruit and 8 oz of milk or yogurt

One egg and two pieces whole grain toast with fruit

Smoothie made with milk/yogurt, fruit, honey, oats, ground flax, peanut butter, etc.

English muffin topped with an egg, melted cheese, and tomatoes

Small omelet made with vegetables and a piece of whole grain toast

TAKE THE BREAK TO SEE THE BOOST For athletes, the body of evidence that supports consuming breakfast to improve sports performance is growing (10). Consider taking the break for the first meal of the day— research indicates it may boost performance and improve strength and endurance (10). ■

REFERENCES 1. Alaimo, K, Olson, CM, and Frongillo, EA Jr. Food insufficiency and American school-aged children’s cognitive, academic and psychosocial development. Pediatrics 108(1): 44-53, 2001. 2. Benton, D, Maconie, A, and Williams, C. The influence of the glycaemic load of breakfast on the behaviour of children in school. Physiology and Behavior. 23; 92(4): 717-724, 2007. 3. Brown, A. Understanding Food: Principles and Preparation (4th ed.) Belmont, CA: Wadworth, Cenage Learning; 348-349, 2011.

9. U.S. Department of Agriculture, Agricultural Research Service. Breakfast: Percentages of selected nutrients contributed by foods eaten at breakfast, by gender and age. What We Eat in America, NHANES. 2009-2010, 2012. Retrieved from: http://www.ars.usda. gov/SP2UserFiles/Place/12355000/pdf/0910/Table_13_BRK_ GEN_09.pdf. 10. U.S. Olympic Committee: Sport Performance Division. Nutrition fact sheet, 2010. Retrieved from: http://www.teamusa.org/Aboutthe-USOC/Athlete-Development/Sport-Performance/Nutrition/ Resources-and-Fact-Sheets.aspx.

ABOUT THE AUTHOR Debra Wein is a recognized expert on health and wellness and designed award-winning programs for both individuals and corporations around the United States. She is the President and Founder of Wellness Workdays, Inc., (www.wellnessworkdays.com) a leading provider of worksite wellness programs. In addition, she is the President and Founder of the partner company, Sensible Nutrition, Inc. (www.sensiblenutrition.com), a consulting firm of registered dietitians and personal trainers, established in 1994, that provides nutrition and wellness services to individuals. She has nearly 20 years of experience working in the health and wellness industry. Her sport nutrition handouts and free weekly email newsletters are available online at www.sensiblenutrition.com. Abby Calcutt is a recent graduate of the Simmons College Dietetic Internship Program. Drawing from her multidisciplinary background, she has worked in various clinical and community settings with a commitment to communicating accurate and understandable health information to inspire sustainable health behavior changes.

4. Jeukendrup, AE. Nutrition for endurance sports: Marathon, triathlon, and road cycling. Journal of Sports Sciences 29: 91-99, 2011. 5. Kreider, RB, et al. ISSN exercise & sport nutrition review: research & recommendations. Journal of the International Society of Sports Nutrition 7:7, 2010. 6. Murphy, JM, Pagano, M, Nachmani, J, Sperling, P, Kane, S, and Kleinman, R. The relationship of school breakfast to psychosocial and academic functioning: Cross-sectional and longitudinal observations in an inner-city sample. Archives of Pediatric and Adolescent Medicine 152: 899-907, 1998. 7. Rampersaud, GC, Pereira, MA, Girard, BL, Adams, J, and Metzl, JD. Breakfast habits, nutritional status, bodyweight, and academic performance in children and adolescents. Journal of the American Dietetic Association 105(5):743-60, 2005. 8. Slater, G and Phillips, SM. Nutrition guidelines for strength sports: Sprinting, weightlifting, throwing events, and bodybuilding. Journal of Sports Sciences 29: 67–77, 2011.

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YOUTH ATHLETIC DEVELOPMENT Rick Howard, MED, CSCS,*D, USAW

CORE TRAINING FOR YOUTH AT THE CORE OF THE DEBATE Core training remains a hot topic in the strength and conditioning industry. Everyone has an opinion as to the relative importance of incorporating core stability and strengthening exercises. Too often, programs that are intended for adults or taken from another discipline are automatically applied to youth with the same enthusiasm, but perhaps without the academic rigor required for implementation. When programming core training for the youth population, it is important to remember that programming decisions should be evidence-based from reliable peer-reviewed resources. When judging topics related to youth training, any research study you review to make your informed decision on the efficacy of any training modality or program design needs to match the youth population and be applicable to either one subpopulation (e.g., youth athletes) or across the youth population as a whole, depending on personal interest and youth population served.

BASIC TENET OF YOUTH STRENGTH AND CONDITIONING Youth strength and conditioning guidelines must include teaching motor skills, health fitness, and skills fitness attributes in a developmentally appropriate progression. These guidelines should be followed in order to safely and systematically integrate all fitness attributes, and to “hard-wire� basic movement patterns so that they become routine for youth. This is why it is essential to focus on technique and not amount of weight lifted or how many repetitions can be completed in a certain period of time. Once the basic movement patterns are mastered, progressively more challenging movements can be taught and then applied in training and in game-like situations. The key difference between program design for youth and for adults is that the elements of motor skill development, health fitness, and skills fitness are integrated, not isolated movements within a program. The focus for strength coaches, personal trainers, etc., therefore, is on designing strength and conditioning programs that include core stability and strengthening exercises as part of developing integrated fitness that leads to athleticism and overall fitness.

WHAT DOES THE RESEARCH TELL US? Since coaches need to design youth strength and conditioning programs based on the best available peer-reviewed evidence, let us examine what the research says. Here are the three main findings: Core intervention on its own may not be the best choice. Researchers have found poor results when implementing standalone core training programs, either due to lack of compliance

or lack of transferability to sport skills (7,8). Both issues deserve attention from all coaches and trainers. Youth coaches typically do not have significant periods of time to spend with aspiring youth athletes. It is important for the program they choose to have maximum benefit for the amount of time spent. If the effort does not transfer to developing the integrated fitness that leads to athleticism and sport skill, alternative methods that meet the program goals need to be implemented. There is not a strong relationship between core stability, functional movement, and performance. Okada, et al. found no significant correlations between core stability and Functional Movement Screening (FMS) scores; FMS was not a strong predictor of performance, and the importance of core stability on functional movement could not be confirmed (6). The authors concluded that core and functional movement should not be the primary emphasis of any training program, despite the emphasis fitness professionals have placed on functional movement and core training for increased performance. Behm, et al. recommends that ground-based free weight exercises with moderate levels of instability should form the foundation of exercises to train the core musculature, and not core training on unstable surfaces (1). Core training on unstable surfaces, while valuable for rehabilitation and reduction of back pain, is not recommended as the primary exercises for hypertrophy, absolute strength, or power for youth. Integrating core training into a complete training program may provide the best opportunity for improving core strength and other fitness attributes in youth. Several research studies support the contention that an integrated approach to training youth yields the best benefits (2,3,4,5). The work of Faigenbaum and Myer regarding integrated neuromuscular training deserves special attention as it lays out a blueprint for safe, developmentallyappropriate youth strength and conditioning (3,4,5). This supports the aforementioned basic tenet of youth strength and conditioning that youth programs need a proper blend of motor skill, health fitness, and skills fitness components. By integrating these components in short bursts with adequate rest periods youth trainers can best engage youth in movement patterns that match their natural movement tendencies (3,4).

TAKE-HOME MESSAGE The take-home message for all trainers and coaches that work with the youth population is that an integrated approach to training that is mindful of core conditioning is the best approach. Coaches should focus on teaching proper hinging, breathing, bracing, and posture as part of an integrated approach that includes motor skill competence, health fitness, and skills fitness

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CORE TRAINING FOR YOUTH

development to yield the greatest benefits for sport readiness and physical activity participation. ■

REFERENCES 1. Behm, DG, Drinkwater, EJ, Willardson, JM, and Cowley, PM. The use of instability to train the core musculature. Applied Physiology, Nutrition, and Metabolism 35(1): 91-108, 2010. 2. Emery, CA, and Meeuwisse, WH. The effectiveness of a neuromuscular prevention strategy to reduce injuries in youth soccer: A cluster-randomised controlled trial. British Journal of Sports Medicine 44(8): 555-562, 2010.

ABOUT THE AUTHOR Rick Howard helped find the National Strength and Conditioning Association (NSCA) Youth Special Interest Group (SIG) and served this year as Immediate Past Chair. In addition, Howard serves on the NSCA Membership Committee and is the NSCA State/Provincial Program Regional Coordinator for the Mid-Atlantic Region. Howard is involved in many pursuits that advance knowledge, skills, and coaching education to help all children enjoy lifelong physical activity and sports participation.

3. Faigenbaum, AD, Farrell, A, Fabiano, M, Radler, T, Naclerio, F, Ratamess, NA, Kang, J, and Myer, GD. Effects of integrative neuromuscular training on fitness performance in children Pediatric Exercise Science 23(4): 573-84, 2011. 4. Myer, GD, Faigenbaum, AD, Ford, KR, Best, TM, Bergeron, MF, and Hewett, TE. When to initiate integrative neuromuscular training to reduce sports-related injuries and enhance health in youth? Current Sports Medicine Reports. 10(3): 155-166, 2011. 5. Myer, GD, Ford, KR, Palumbo, JP, and Hewett, TE. Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. Journal of Strength & Conditioning Research 19(1): 51-60, 2005. 6. Okada, T, Huxel, KC, and Nesser, TW. Relationship between core stability, functional movement, and performance. Journal of Strength & Conditioning Research 25(1): 252-261, 2011. 7. Steffen, K, Myklebust, G, Olsen, O E, Holme, I, and Bahr, R. Preventing injuries in female youth football – A cluster-randomized controlled trial. Scandinavian Journal of Medicine & Science in Sports 18(5): 605–614, 2008. 8. Tse, MA, McManus, AM, and Masters, RSW. Development and validation of a core endurance intervention program: Implications for performance in college-age rowers. Journal of Strength & Conditioning Research 19(3): 547-552, 2005.

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