We’re big fans of farmer carries and suitcase carries at Champion.
Carries do a great job of developing functional core stability by adding an offset weight to the center of rotation of the body. But carries also offer so many other benefits – from grip strength, to upper body development, to overall athleticism.
Often times, clients with poor core strength or control will compensate during the carry.
If the core can not stabilize the trunk with the added load of the carry, it will compensate by relying on the static stabilizers of the body and rocking back into hyperextension of the back or leaning to the side.
In the below video, Kiefer Lammi, our Director of Fitness at Champion, shows how we have started to modify the carry in these individuals by adding a march. Not only does this promote better core control, it also facilitates training the trunk to remain stable while the distal extremities move functionally. This is one of the fundamental principles to enhance how well people move and perform.
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Recently, I have seen dozens of social media posts with “advanced” hip mobility drills that made me stop and think…
Should we actually be seeking to perform these advanced variations?
I would argue most people still need the basics, and should incorporate just a handful of more simple drills as the foundation of their mobility drills.
The internet is famous for sensationalizing the drills that look “fancy” rather than the ones that are likely the most effective. It’s probably another case of the Pareto Principle, where 80% of the drills seen online should only be performed 20% of the time, and conversely, 20% of the drills seen online should be performed 80% of the time! Heck it may be even less than that when it comes to hip mobility.
To make matters worse, the more advanced hip mobility drills are probably inappropriate for most people. In my experience, limitations in hip mobility seem to be more related to the individuals unique anatomy, boney adaptations, and alignment rather than simple soft tissue limitations. So, forcing hip mobility drills through anatomical limitations is just going to cause more impingement and issues with the hips, rather than helping.
Sometimes less is more.
My Favorite Hip Mobility Drills
I wanted to share my favorite hip mobility that I use with most of my clients. I think you should really focus on these hip mobility drills before proceeding to more advanced variations. If these don’t do the trick, it’s probably best that you seek out a qualified movement specialist to assess the reason behind you hip mobility limitations, rather than forcing more drills.
Quadruped Rockbacks
The first drill is a quadruped rockback. This is one of my favorite drills for the hips, and feels great to loosen up the adductors and hip joint into flexion. Plus, I do these barefoot to get more dorsiflexion and great toe extension.
Adductor Quadruped Rockbacks
The adductor quadruped rockback is a variation of the rockback that involves straightening out one hip. This takes away a little bit of the hip flexion benefit, but enhances the effect on the adductors. Performing this on both sides is the best of both worlds.
True Hip Flexor Stretch
The true hip flexor stretch is probably the most fundamental hip mobility drill we should all be performing. I started calling it the “true” hip flexor stretch because the more common versions of this do not lock in the posterior pelvic tilt and just end up torquing the anterior capsule.
Posterior Hip Stretch
The posterior hip stretch feels great on the glutes and hits the posterior hip area, which is often tight. Many people feel like the can get into a hip hinge much better after this drill.
Figure 4 Stretch
The posterior hip is a complicated area of muscles, I often pair the figure 4 stretch with the posterior hip stretch above to get different areas. For me, I simple go by the feedback from my client on what feels more effective for them.
Spiderman
The Spiderman hip mobility drill is likely the most advanced of this list, which is why I have it last. This is something I don’t always perform right away, but is a goal of mine to integrate with everyone eventually. This requires more hip mobility that the others, so acts as a nice progression to put these all together.
How to Get Started with Hip Mobility Drills?
So wondering how to get started? Start with the quadruped rockbacks and hip flexor stretch. Those two are very foundational and will be the most impactful for most people. Once you get those down, progress to the posterior hip stretch and figure 4 to hit more of the posterior aspect of the hip. Lastly, progress to the Spiderman drill.
I honestly don’t think you need much more than that, and if you seek to get too aggressive with hip mobility drills, you often make things worse.
https://mikereinold.com/wp-content/uploads/1-15.jpg6281200Mike Reinoldhttps://mikereinold.com/wp-content/uploads/MikeReinold-Small-Signature-Logo-2017-red.pngMike Reinold2017-06-12 06:00:112017-06-02 15:48:436 Hip Mobility Drills Everyone Should Perform
Over the last several years, the health concerns surrounding sitting have really been highlighted by the health and fitness crowds, as well as the mainstream media. In fact, there have been entire books published on this topic. I’ve seen articles with titles such as “Sitting is Evil,” “Sitting is the New Smoking,” and even “Sitting will kill you.”
Wow, those seem pretty aggressive. We’ve been sitting since the beginning of time! I’m going to really shock the world with this comment…
Sorry, sitting isn’t really bad for you.
Yup. There is nothing wrong with sitting. I’m actually doing it right now as I write this article. You probably are too. Don’t get me wrong, sedentary lifestyles are not healthy, but let’s get one thing straight:
It’s not sitting that is evil, it’s NEVER moving that is evil. [Click to Tweet]
By putting all the blame on sitting, we lose focus on the real issue, which is lack of exercise. So we see a shift in people switching to standing desks at work, still not exercising, but thinking that they are now making healthy choices.
This is so backwards it boggles my mind.
The body adapts amazingly well to the forces and stress that we apply to it throughout the day. If you sit all day, your body will adapt. Your body will lose mobility to areas like your hips, hamstrings, and thoracic spine. Your core is essentially not needed while sitting so thinks it’s not needed anymore during other activities. And several muscles groups get used less frequently while sitting and weaken over time, like your glutes, scapular retractors, and posterior rotator cuff.
Unfortunately, when all you do is sit all day, and you never reverse this posture or exercise, your body adapts to this stress to make you the most efficient sitter. That’s right, you get really good at sitting.
For example, think about what happens to the core when you sit all day. One of the functions of your core is to maintain good posture and essentially to keep the bones of your skeleton from crashing to the floor. The core is engaged at a low level of EMG activity throughout the day for postural needs.
The problem with sitting is that the chair also serves this function, so your core isn’t needed to keep you upright, the chair serves this function. If sitting is all you do, then when you stand up, your core essentially isn’t used to providing this postural support so you rock back onto your static stabilizers by doing things like standing with a large anterior pelvic tilt and lumbar extension.
Unfortunately, this becomes the path of least resistance, and most energy efficient, for your body. Your core gets used to relying on the chair to function, then when you need it, gets lazy.
It’s OK to sit all day, as long as you are reversing this posture at some point. This can be as specific as exercises designed to combat sitting and as general as simply taking a walk in the evening.
3 Strategies to Combat Sitting All Day
I want to share the 3 things that I often discuss with my patients and clients. You can apply these yourself or use them to discuss with your clients as well. But if you sit all day, you really should:
Move, Often
Reverse your posture
Exercise
But the real first step is to stop blaming sitting and calling a spade a spade. It’s lack of movement and exercise that is the real concern, not sitting.
Move, Often
The first step to combatting sitting all day is to move around often. The body needs movement variability or it will simply adapt to what it does all day.
I get it, we all work long days, and sitting is often required in many of our jobs. But the easiest way to minimize the effects of sitting all day is to figure out ways to get up and move throughout the day.
This doesn’t need to be 10 minutes of exercise, it could simply be things like getting up to fill up a water bottle or taking quick 2 minute walk around the office. When I am not in the clinic or gym, I personally tend to work in hour long chunks, so I will get up and walk around in between chunks to get a glass of water, snack, or use the bathroom.
This works well for me, but you need to find what works for you. I know of others that use things like Pomodoro timers, or even some of the fitness tracking devices, which can remind you to stand up and move around at set times.
Reverse Your Posture
I’ve been talking about the concept of Reverse Posturing for years. The concept is essentially that we need to reverse the posture that we do the most throughout the day to keep our body balanced and prevent overuse.
Sitting involves a predominantly flexed posture, so doing exercises that promote the posterior chain would be helpful. These will depend on each person but a basic set of exercises may look like:
Perform each of these for 10 reps. These should take 5 minutes to perform and will make a big impact on how you feel throughout the day.
I also often tell people to perform the prone press up exercise, cobra yoga poses, or to simply lay on their stomach in the evening while reading or watching TV.
Exercise
Remember going back to some of the past concepts above, the body adapts to the stress applied. To combat this perfectly, a detailed exercise program that is designed specifically for you and comprehensively includes a focus on total body and core control is ideal.
This will assure that the muscle groups that are not being used while sitting all day get the strength and mobility they need, while the core gets trained to stabilize the trunk during functional movements.
If you want to get the most out of your body and stay optimized, you need to do things like work on your hip and thoracic spine mobility, strengthen your rotator cuff, groove your hinge pattern, and learn how to deadlift and work your glutes.
Sitting Isn’t Bad For You, Not Moving Is
As a profession, we need to get away from blaming sitting as the enemy and labeling it evil. Our society is sitting more and more each generation. We need to be honest with ourselves and realize that sitting isn’t the problem, it’s not moving enough that is the concern. We need to stop pointing fingers and get to the root of the problem.
Go ahead and sit, just move more often and use these 3 strategies to combat sitting all day.
https://mikereinold.com/wp-content/uploads/sitting_isnt_bad_for_you_-_featured_image.jpg500829Mike Reinoldhttps://mikereinold.com/wp-content/uploads/MikeReinold-Small-Signature-Logo-2017-red.pngMike Reinold2016-12-05 06:00:532017-04-21 17:55:45Sorry, Sitting Isn’t Really Bad for You
The notion of core training has been around for years and years. As far back as I can remember, people have been doing crunches, sit-ups, weighted side bends, and more. You could walk into any gym in the world and probably see someone doing some sort of “core” exercise.
Even today, there are still people performing sit-ups or some other variation in their training program. But as we continue to learn more about the spine, these traditional core exercises may actually be disadvantageous. According to Dr. Stuart McGill, a noted spine biomechanist from the University of Waterloo:
“The spine may be more prone to injury when they are in a fully flexed posture.”
Last time I checked, when someone is performing a sit-up, they are in a great deal of flexion.
Many other studies by McGill and other researchers have been published on the increased risk of high repetition and/or loaded lumbar spine motion. Since this research has been published, there has been a pendulum swing towards performing more neutral spine movements such as planks.
In another study by Cholewicki and McGill in Clinical Biomechanics:
“One important mechanical function of the lumbar spine is to support the upper body by transmitting compressive and shearing forces to the lower body during the performance of everyday activities. To enable the successful transmission of these forces, mechanical stability of the spinal system must be assured.”
By performing some type of plank or neutral spine exercise, this can potentially train the core to transmit force from the upper body to the lower body or vice versa without compromising the spine.
Performing plank variations is great, but as humans, we move in multiple planes of motion. Therefore, we need to train the core to function in all planes of motion.
Core Musculature
There are many muscles that contribute to the functioning of a stable core position. These muscles include:
Rectus Abdominis
Internal Obliques
External Obliques
Transverse Abdominis
Multifidi
Quadratus Lumborum
Diaphragm
Pelvic Floor
Latissimus Dorsi
There have been studies performed over the years saying that transverse abdominis or multifidi are the main stabilizers of the lumbar spine. Study after study, many by McGill, have refuted that 1 or 2 muscles are the primary stabilizers of the spine. McGill et al. in the Journal of Electromyography and Kinesiology found that:
“The collection of works synthesized here point to the notion that stability results from highly coordinated muscle activation patterns involving many muscles, and that the recruitment patterns must continually change, depending on the task.”
Therefore, when we are training or treating our clients, we should not be attempting to isolate one muscle we performing lifting tasks. Some muscles may be more active than others in one task as compared to another. Instead, we should be working to maintain a neutral spine position and to resist motion through the lumbar spine.
The McGill Big 3
McGill came up with a series of 3 exercises, entitled “The Big 3” to help teach and re-educate patients or clients returning from a low back injury on how to properly stabilize their spine.
They include:
McGill Curl-Up
Key Points:
Place finger tips under low back.
Maintain a neutral spine position at low back and neck.
Slightly lift shoulders off ground while maintaining spine position.
Bird Dog
Key Points:
Maintain a neutral spine.
Imagine you have a drink on your low back. Don’t let it spill
Side Plank
Key Points:
Start on your side in a hip hinged position (hips slightly flexed).
Bring hips forward, not up.
These exercises are great implements to add into the beginning of a strength and conditioning program or during a rehab program for someone returning from a low back injury. But, these exercises are a foundation for movement. If we are going to build core stability throughout, thence need to have a solid foundation as well as solid “walls and a roof.”
Core Training Progression
There are typically two functions of the core:
Transmit force from the lower body to the upper body or vice versa.
Resist motion.
For example, if you are a baseball player and are throwing or swinging a bat, you want to have some motion through your lumbar spine, but predominantly through the hips and thoracic spine. If we try to stop motion at the lumbar spine, your effectiveness as an athlete will be subpar.
Regarding the other aspect of resisting motion, if you are going to pick something heavy up off the ground, you want to maintain a neutral spine posture so that your core can transmit force from your legs and into your arms as you lift to the implement.
We need to appreciate these two different situations as we program for our clients.
The three planes of movement that the core musculature works in is the:
Sagittal Plane
Frontal Plane
Transverse Plane
The sagittal plane is lumbar spine flexion and extension. The frontal plane is lateral flexion or sidebending. The transverse plane is rotation to the right or left.
Anti-extension core training consists of the body’s ability to resist movement into lumbar spine extension or to slow down motion from a flexed position to neutral, or from neutral to extension.
Exercises that focus on anti-extension stability are:
RKC Plank
Key Points:
Pull your elbows toward your toes.
Squeeze your glutes as hard as you can.
Maintain a neutral spine.
TRX Fallouts
Key Points:
Maintain a neutral spine.
Tuck tailbone/bring belt towards chin.
Slide arms out while keeping neutral spine.
Farmer’s Carries
Key Points:
Hold relatively heavy weight in each hand.
Ribs down/neutral spine.
Walk. Don’t lose neutral spine posture as you walk.
Dead Bugs
Key Points:
Flatten low back to ground so that spine is neutral.
Bring right arm overhead and left leg out away from body.
Do not lose neutral spine position. Return to starting position.
Repeat on other arm/leg.
Tall Kneeling Anti-Extension Press
Key Points:
Setup cable at head height when in tall kneeling.
Maintain a neutral spine and press cable overhead.
Cable will try to pull you into extension. Don’t let it.
The only thing moving should be your arms.
Anti-Lateral Flexion Core Training
Anti-lateral flexion core training consists of the body’s ability to resist movement into lumbar spine lateral flexion to the right or left or to slow down motion from a flexed position to neutral, or from neutral to the opposite laterally flexed position.
Exercises that focus on anti-lateral flexion core stability are:
Suitcase Carries
Key Points:
Hold weight in one hand.
Do not let weight pull you out of a tall, neutral posture.
Don’t overcompensate to and flex to the opposite side.
Walk.
Side Planks
Key Points:
Start on your side in a neutral spine, slightly hips flexed position.
Maintain neutral spine and bring hips forward.
Maintain a straight line from your head, shoulders, spine, hips, knees, and ankles.
Racked Carries
Key Points:
Maintain a tall posture similar to the suitcase carries.
Walk.
Anti-Rotation Core Training
Anti-rotation core training consists of the body’s ability to resist movement into lumbar spine rotation to the right or left or to slow down motion from a rotated position to neutral, or from neutral to a rotated position.
Exercises that focus on anti-rotation core stability are:
Anti-Rotation Press
Key Points:
Start behind cable arm.
When you press your hands away, don’t let the machine rotate you. Maintain a neutral spine.
Perform facing both directions.
1/2 Kneeling Chops
Key Points:
Leg closest to the machine should be up.
Bring arms down and across your body to you far side hip.
Only move head and arms.
Perform on both sides.
1/2 Kneeling Lifts
Key Points:
Leg closest to machine should be down.
Same cues as chops, but bring cable to far side shoulder.
TRX Anti-Rotation Press
Key Points:
Feet should be in tandem.
Maintain a neutral spine position.
Don’t let your body rotate or sidebend during press.
Perform on both sides.
Multi-Planar Movements and Rotational Sport Athletes
Once the body has mastered the basic core progressions and anti-movement-based drills, it is important to incorporate multi-planar and rotational movements. These movements work on incorporating movement through the hips and thoracic spine versus some of the movements before where basically no movement was occurring.
As mentioned before, these exercises will help the athlete and client to control themselves going from one position to another. As a rotational sport athlete, we don’t want to completely limit any spine motion. We want the body to be able to control and decelerate the body using the musculature versus passive restraints (ie. bone, ligament, etc.) at end range. These can also be used by non-rotational sport athletes as well.
Sledgehammer Hits
Key Points:
Bring the sledgehammer up over one shoulder. Don’t let it bring you into lumbar extension.
Hit the tire while maintaining a neutral spine.
Alternate per side.
Medicine Ball Overhead Slams
Key Points:
Raise the medicine ball overhead.
Avoid going into lumbar extension.
Slam the ball to the ground while maintaining a neutral spine.
Medicine Ball Overhead Rotational Slams
Key Points:
Bring the ball up overhead. Don’t let it bring you into lumbar extension.
Throw while maintaining a neutral spine.
Medicine Ball Scoop Toss
Key Points:
Load your back leg with your weight.
Transfer weight quickly from back to front leg.
Majority of the motion should be coming from the thoracic spine and hips.
Perform on both sides.
Medicine Ball Shotput Toss
Key Points:
Load medicine ball at shoulder height.
Load back hip/leg.
Quickly drive off back leg and twist through hips/thoracic spine.
Perform on both sides.
Breathing and Core Training
Implementing breathing with core training is very important. If we are constantly holding our breath while performing core exercises, then we are compensating using the valsalva maneuver versus training the musculature to have to stabilize throughout the exercise.
*Disclaimer*: if you have heavy weight in your hands or on your back in the cases of a deadlift or squat, then I am a proponent of using the breath to brace the core and spine. When it comes to core exercises as mentioned above, remember to breath.
With the said, here are a couple of exercises where implementing the breath adds another component to the movement.
Anti-Rotation Press with Full Exhale
Key Points:
Same as before with Anti-rotation Press.
Complete full exhale when hands are out in front of your body.
Maintain proper form during exhale and inhale.
Prone Plank with Full Exhale
Key Points:
Same as before with Plank.
Complete full inhale and exhale without losing form.
Strength Training and Core Stability
Lastly, we can’t go through an entire article and not discuss the use of core stability and strength training. I am a firm believer that just performing squats and deadlifts are not enough to improve core and trunk stability. Adding some of the movements mentioned above can add another component to create a well-rounded training program.
When it comes to performing squats, deadlifts, etc., maintaining a neutral spine during the lifts is extremely important. Yes, there are some elite level lifters out there who can sway away from a neutral position in one direction or the other. For the vast majority of people performing strength movements such as these, a neutral spine should be maintained.
There you have it. By incorporating core stability exercises throughout all planes of motion, it will allow your clients and/or athletes to reduce their risk for injuries as well as improve their performance.
Learn More About Core Training
If you want to learn even more about functional core training, check out Mike Reinold and Eric Cressey’s Functional Stability Training for the Core. The program goes over many of these progressions and a whole lot more to help you completely understand the true role of the core and how to incorporate functional core training into your rehab and strength training programs:
Andrew Millett is a Boston-based physical therapist in the field of orthopedic and sports medicine physical therapy. He helps to bridge the gap between physical therapy and strength and conditioning. Visit his website at AndrewMillettPT.com.
https://mikereinold.com/wp-content/uploads/fig_3_-_featured_image_-_360_degree_core_training.png650519Mike Reinoldhttps://mikereinold.com/wp-content/uploads/MikeReinold-Small-Signature-Logo-2017-red.pngMike Reinold2016-09-19 06:00:332017-04-21 17:57:12Working Core Training in 360 Degrees
Low back pain continues to be one of the most common health complaints that limit people, especially as we age. Rehabilitation of low back pain has transition from simply focusing on reducing the local pain to emphasizing a biomechanical approach of how other areas of the body, such as the hips, impact low back pain.
Essentially we have done a great job moving away from simply treating the symptoms and working towards finding the movement impairment leading to the low back pain. Sure, using something like a TENS device may have a role to neuromodulate pain, but it is now common knowledge that the improvements seen are transient at best and not addressing the real dysfunction.
One area that has received a lot of attention, and rightfully so, is looking at limitations in hip mobility as a cause of low back pain. Much of the research to date has focused on looking at the loss of hip external rotation and internal rotation mobility. In fact, I have an older article on the correlation between hip mobility and low back pain.
I can say that my own ability to help people with low back pain has greatly improved as I’ve learned to focus on hip mobility over the years.
Hip Mobility and Low Back Pain
A new study was recently published in the International Journal of Sports Physical Therapy that adds to our understanding of the influence of hip mobility on low back pain. In the current study, the authors evaluated hip external rotation, internal rotation, and extension mobility in two groups of individuals, those with and without nonspecific low back pain.
While using a Thomas test to assess hip extension, the authors found the follow:
Hip extension in those with low back pain = -4.16 degrees
Hip extension in those without low back pain = 6.78 degrees
That’s a total loss of 10 degrees of hip extension in those with low back pain.
A Loss of Hip Extension Correlates to Low Back Pain
So now in addition to rotational loss of hip rotational mobility, it has been shown that a loss of hip extension correlates to low back pain. To me, this has always been something I have focused on and makes perfect sense, especially as we age.
The vast majority of our society sits for the majority of the day and becomes less and less active as they age. Among many things, this results in tight hip flexors and an anterior pelvic tilt posture.
Putting recreational activities like sports and running aside, this anterior pelvic tilt posture with tight hip flexors causes a loss of hip extension mobility and the low back tends to take the load but hyperextending. This happens while simply walking and in a standing posture.
Think about the results above, people with low back pain have negative hip extension, meaning they can’t even extend to neutral!
As we all know, the human body is amazing and will compensate. Hips don’t extend? No problem, we’ll extend our spine more.
So a pretty easy step to take to reduce back pain is to work on hip extension mobility.
One drill that almost everyone that trains at Champion PT and Performance gets is what I named the “True Hip Flexor Stretch.” I’ve talked about it at length in past articles, but I am a believer that most of our hip flexor stretches commonly performed in the fitness world are disadvantageous and not actually stretching what we want to stretch.
The True Hip Flexor Stretch is a great place to start to work on hip extension mobility:
As you can see (and feel), this gets a great stretch on your hip flexors without causing any compensatory low back extension. And by focusing on posterior pelvic tilt, we gear this towards those with a lot of anterior pelvic tilt.
I really believe that the “True Hip Flexor Stretch” is one of the most important stretches you should be performing. [Click to Tweet]
Next, Focus on Reducing Anterior Pelvic Tilt in People with Low Back Pain
I’m not a big believer that static posture is the most important thing we should all be focusing on when outline our treatment and fitness programs, but it’s a start. Someone in an anterior pelvic tilt static posture isn’t always evil, and can be the result of many things such as poor core control, poor mobility, and even excessive weight. I tend to care more about how well people move.
But based on the current evidence, it’s a great place to start.
Once you’ve started to gain some hip mobility, there is a ton more work to do. We also have to work on glute and core control, among other things. If you’re interested in learning more, I have a hugely popular Inner Circle webinar on my treatment strategies for anterior pelvic tilt that goes into detail on what I recommend:
In summary, we now have a nice study that shows people with low back pain have 10 degrees less hip extension that those without. This makes sense, and focusing on hip extension should be one of the key components of any low back pain program.
https://mikereinold.com/wp-content/uploads/hip-extension-mobility-low-back-pain.jpg664800Mike Reinoldhttps://mikereinold.com/wp-content/uploads/MikeReinold-Small-Signature-Logo-2017-red.pngMike Reinold2015-09-14 06:00:152015-09-13 10:18:08A Simple and Easy Hip Mobility Drill for Low Back Pain
One of the most common areas we attempt to improve in clients at Champion PT and Performance is overhead shoulder mobility. If you really think about it, we don’t need full overhead shoulder mobility much during our daily lives. So our bodies adapt and this seems to be an movement that is lost in many people over time if not nourished.
I’m often amazed at how many people have a significant loss of overhead mobility and really had no idea!
That’s not really the issue. The problem occurs when we start to use overhead mobility again, especially when doing it during our workouts and training. Exercises like a press, thruster, snatch, overhead squat, kipping pull up, toes to bar, handstand push up, wall ball, and many more all use the shoulder at end range of movement. But here are the real issues:
Add using the shoulder to max end range of overhead mobility and we can run into trouble
Add loading during a resisted exercise and we can run into trouble
Add repetitions of this at end range and we can run into trouble
Add speed (and thus force) to the exercise and we can run into trouble
4 Ways to Improve Overhead Shoulder Mobility
In this video I explain the 4 most common reasons why you lose overhead shoulder mobility and can work on to improve this movement:
The shoulder
The scapula
The thoracic spine
The lumbopelvic area
The first three are commonly address, but not so for the lumbopelvic area, which is often neglected. I’m going to expand on this even more in this month’s Inner Circle webinar. More info is below the video:
Assessing and Improving Overhead Shoulder Mobility
For those interested in learning more, I have a few Inner Circle webinars on how to assess and improve overhead shoulder mobility:
The latest Inner Circle webinar recording on the Strategies for Anterior Pelvic Tilt is now available.
Updated Strategies for Anterior Pelvic Tilt
This month’s Inner Circle webinar was on Strategies for Anterior Pelvic Tilt. This is actually an update on one of my most popular webinars in the past. I am doing a couple new things and wanted to assure everyone has my newest thoughts. In this webinar I go through my system of how I integrate manual therapy, self-myofascial release, stretching, and correcting exercises. To me, it’s all how you put the program together. My system builds off each step to maximize the effectiveness of your programs.
A lot of attention has been placed on core training over the last several years, both in the rehab and fitness industry. I recently watched my friend Nick Tumminello’s latest product Core Training: Facts, Fallacies, and Top Techniques and it made me think.
We’ve made exceptional progress in our understanding of the core and have shifted away from isolated ab training to integrated core training. My DVD with Eric Cressey on Functional Stability Training for the Core discussed this at length and showed a nice system to effectively train every aspect of the core.
However, the more I read on the internet the more I wonder if we are still missing the boat a little bit. I’ll chalk this up as a another pendulum swing, but while we have progressed away from isolated abdominal exercises like sit ups, I wonder if we have swung too far to an extreme and started to focus only on isometric anti-movement exercises for the core.
Anti-Movement Core Exercises
Realistically the core helps stabilize the body and allow a transfer of energy.
Anti-movement exercises, such as planks for anti-extension, should be the foundation of the basic levels of core training.
Once your baseline ability to maintain an isometric posture with the core is obtained, the next progression is to control limb movement with a stable core. This involves combining upper body and lower body movements while maintain a stable core. An example of this would be an anti-extension drill with TRX Rip Trainer.
However, the core does need to “move” during normal function. It rotates, bends, flexes, extends, and all of these at once! Should we train this?
Don’t Forget the Trunk is Designed to Move
I would say we should. I think the difference here is to train these movements within a stable range of motion. We should be training the body to work within it’s normal mobility, but to stabilize at end range of motion.
We get into problems with core movements, like rotation, when we depend on our static stabilizers, like the joints and ligaments, to control end range instead of our muscular dynamic stabilizers.
Perhaps the goals should be to train to control the core at end range of motion.
End Range Core Stability
These types of drills would include chops, lifts, push-pull movements on a cable or Keiser system, and medicine ball drills. You are probably doing these already, right?
They all involve a transfer of energy from the limbs through the core. The core needs to move during these exercises, but you are working in the mid ranges of motion and controlling end range. These should also progress to include functional movements patterns like swings, throws, and kicks.
In the video above, I combine the act of throwing and decelerating in the half kneel position. This takes the lower half out of it and requires the core to stabilize.
I guess the point is that we shouldn’t be afraid to move the core. That is not beneficial to teach our patients, clients, and athletes. Rather, train the core to move and stabilize at end range of motion to take stress off the structures of the spine.
https://mikereinold.com/wp-content/uploads/Plank-core-training.jpg5121000Mike Reinoldhttps://mikereinold.com/wp-content/uploads/MikeReinold-Small-Signature-Logo-2017-red.pngMike Reinold2015-01-26 06:00:162016-09-11 09:26:24Are We Missing the Boat on Core Training?
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There are many muscles that contribute to the functioning of a stable core position. These muscles include:
Andrew Millett is a Boston-based physical therapist in the field of orthopedic and sports medicine physical therapy. He helps to bridge the gap between physical therapy and strength and conditioning. Visit his website at 
Hip Mobility and Low Back Pain
I’m not a big believer that static posture is the most important thing we should all be focusing on when outline our treatment and fitness programs, but it’s a start. Someone in an anterior pelvic tilt static posture isn’t always evil, and can be the result of many things such as poor core control, poor mobility, and even excessive weight. I tend to care more about how well people move.
One of the most common areas we attempt to improve in clients at Champion PT and Performance is overhead shoulder mobility. If you really think about it, we don’t need full overhead shoulder mobility much during our daily lives. So our bodies adapt and this seems to be an movement that is lost in many people over time if not nourished.
This month’s Inner Circle webinar was on Strategies for Anterior Pelvic Tilt. This is actually an update on one of my most popular webinars in the past. I am doing a couple new things and wanted to assure everyone has my newest thoughts. In this webinar I go through my system of how I integrate manual therapy, self-myofascial release, stretching, and correcting exercises. To me, it’s all how you put the program together. My system builds off each step to maximize the effectiveness of your programs.
