NSCA Endurance Clinic Summary: Day 2 (I forgot to summarize the final presentation.)

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Maybe I was in a rush to post the Day 2 summary, I’m not sure.  I forgot to summarize the final presentation of the day.

Dr. Jeff Matthews: Running Injuries – The Big Picture

  •  DC, CCSP, CCEP, 1996 USAT National Team, high school track coach
  • Primary shock absorber of the body: FOOT PRONATION
    • Pronation isn’t a bad thing–it’s supposed to happen.
    • Posterior tibialis controls pronation via eccentric contraction
  • Secondary shock absorber: knee flexion
  • Aches & pains of the leg, foot and toes
    • Metatarsalgia
      • Pain at the metatarsal phalangeal joint as the heel leaves the ground too early.
        • Causes
        • limited ankle dorsiflexion
        • tight gastrocnemius
        • weak digital plantar flexors
      • Treatment
        • stretch gastroc with straight leg
        • increase distal plantar flexor strength
        • rigid forefoot in shoes
        • decrease stride length & employ heel strike
      • I have off and on metatarsalgia.  I’m going to work the toe flexors, particularly the flexor hallucis brevis.  I’ll use a band.
    • Hallux limitus and rigidus (aka Turf Toe)
      • Dancers and defensive backs get this as a result of doing a lot of stuff on their toes.
      • Loaded dorsiflexion of the big toe should be 42 degrees at toe off.
      • To check: Sit with knees bent at 90 degrees.  Lift toe with finger while foot is flat on the ground.  If it’s less than 30 degrees then you’ve got a problem.
      • Stretch toe flexors: Pull toe back 20-30x/day.
      • Restore joint motion to big toe.  I’ve been playing with this stuff quite a bit lately.  I’ve got a constantly tight left calf.  I’m wondering if restricted toe dorsiflexion is part of the problem.
      • I’m not only working to stretch the FHB, but also to strengthen it so my big toe can grip the ground.
      • Here’s a good big-toe mobility video:

    • Insertional Achilles tendonitis
      • occurs near the base of the AI
      • common in high-arched, stiff feet
      • common with Haglund’s Deformity.
      • Seems I have a bit of this; more along the lines of a bursitis from what I cant tell.
      • Strengthen with eccentrics.
      • He says “Work on the front of the tendon,” as that’s where the blood flow comes from.
    • Achilles Paratendonitis
      • He describes this as occurring with an audible squeak or creak–I’ve had that!
      • An inflammation of the sheath around the tendon
      • Work on the front of the tendon to increase blood flow.
    • Achilles non-insertional tendonosis
      • degenerative non-inflammatory condition from repeated trauma
      • treatment
        • rest
        • muscle work to stimulate fibrolasts to remodel
        • when appropriate, strengthen posterior tibialis and flexor digitorum longus
        • How do we strengthen the FDL?  Here’s one way:

    • Patellofemoral Pain Syndrome aka runner’s knee
      • comes from abnormal femoral movement
      • hip muscle weakness is the cause; increases with fatigue
      • Testing for PFS: 1-leg squat & check for 3 things:
        • leaning toward stance leg to maintain balance
        • knee caving in
        • falling
      • Treatment
        • retro patellar pain: recruit/strengthen the vastus medialis oblique (VMO)
        • stretch hips, foam roll quads, increase hip flexor strength
    • IT Band Syndrome (ITBS)
      • strengthen hip abductors
      • decrease tension on the tendon with soft tissue therapies
      • stretch glute max and TFL
      • may take 6 weeks (Didn’t take me that long to overcome mine.)
      • Check out my post on IT Band issues for more help.
    • Popliteus tendonitis
      • The popliteous unlocks the knee from the extended position.
      • inserts under the IT band and can cause lateral knee pain
      • if weak then knee may stay locked and send shock to the back
    • Treatment
      • Strengthen the popliteous
      • soft tissue therapy
      • control pronation (probably with foot strengthening drills and more importantly, HIP ABDUCTOR exercises)
      • Here’s a video on recruiting and strengthening the popliteous

  • Hamstrings
    • Hamstring strains have the highest recurrence rate and can take 4 months to resolve
    • Semimembranosus protects the medial meniscus during knee flexion
    • long head of biceps femoris helps stabilize SI joint and is most frequently injured in runners because of the long lever arm decelerates knee extension
    • more proximal the injury the harder to treat
    • Treatment
      • increase length, strength and flexibility
      • evaluate pelvis
      • strengthening abs/stabilizing pelvis can position pelvis correctly thus putting hamstrings at proper length
  • Low back pain
    • Pain causes weakness/looseness
    • Internal or external femoral rotation may become problematic.
    • Treat hips
    • A TFL problem = a glute medius problem.  This is huuuuge to me!
    • Seems to me that sitting too much is maybe the main problem here.

 

 

Summary of the NSCA Endurance Clinic: Day 2

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Day 2:

  • Dr. Carwyn Sharp – Role of Strength Training & the Endurance Athlete
    • Factors determining successful endurance performance
      • VO2Max – Not nearly as important as we’ve thought for years
      • Lactate/Anaerobic Threshold
      • Economy of Movement
      • Velocity at onset of blood lactate accumulation (vOBLA) – This may be the most important.
      • We need to think of ways to increase performance, not just measurements like VO2Max.
    • Improving Running Economy (RE)/Economy of Movement (EM):
      • strength
      • speed
      • power
      • More force into the ground/pedals/water = speed
      • More force comes from more strength
      • Heavy strength training and plyometrics are best
      • Both are shown to improve vOBLA
      • Plyometrics need to look like running: 1-leg hops, bounds, skipping.  This is SPORT SPECIFIC TRAINING.
    • Good idea to cut strength training during a taper.
    • Strength training guidelines
      • heavy weight training:
      • 3-5 sets of 3-6 RM
      • with 3-5 minutes rest between sets
    • Plyometrics: most convincing performance results.
      • varies depending on training status, mode and intensity
      • work: rest of 1:5 to 1:10
      • 80-140 foot contacts per session; fewer for beginners
        • 2-foot landing counts as 2 contacts
        • 1-foot landing is 1 contact
      • FIRST THERE MUST BE A SOLID STRENGTH BASE!
      • Donald Chu, Jumping Into Plyometrics
  • Coach Jay Johnson, MS – The Strength & Conditioning Coach Meets the Running Coach
    • former collegiate runner and running coach at CU Boulder
    • coached 3 U.S. Track & Field champions
    • 6 main points
      • Athleticism
      • Runners (and everyone else) need to first have a base of athleticism
      • good movement in 3 planes of movement
      • full ROM at the joints
      • strength
      • He builds aerobic metabolism on top of this foundation of athleticism.
      • The idea of athleticism is massively important!
    • Why did your athlete/client get better?
      • Did they simply go from being sedentary to being active?
      • Or did they get better because of the program you designed?
    • Understand the role of glycogen
      • The body must be trained to use lipids as fuel
      • This syncs with Seebohar’s discussion on glycogen.
    • Development of the aerobic metabolism is the most important factor for peak running performance.
    • Runners must  do non-running work to stay healthy.
      • GSM (General Strength & Mobility Work)
      • Gary Gray’s 3D lunge matrix.  I’ve played with this in the past.  I’ve returned to it.  Here’s a video

  • Keep the easy days easy and the hard days hard.
    • Do the intense strength/plyometric work on the hard running days.
    • Take it easy on the off days.
    • This is a key part of the periodized plan
    • His discussion on periodization was very helpful to me
    • Macrocycle
      • When it’s time to progress the runs, do so on the hard days.
      • Run easy or rest on the easy days.  Never up the intensity of easy days.
      • A complete day off every 14 days is a good idea
      • Take an active rest week after every 5k, 10k, and half-marathon
      • He takes three weeks after a marathon.
    • Microcycle
      • 4 days/week running
      • Monday – recovery day: Do strides on Monday; 4-5 x 20-30 seconds at 5k pace with 1 minute easy jogging between reps.
      • Tuesday – workout: High level aerobic workout or race pace workout.  Can include:
        • Threshold/tempo run or
        • Fartlek run or
        • Progression run or
        • Long repetitions or
        • Alternate the above with race pace workouts week to week
      • Wednesday – aerobic cross-training
      • Thursday – off or cross-training
      • Friday – easy run day w/strides
      • Saturday – long run
      • Sunday – brisk walk
    • The lunge matrix is done before every run
    • Runs follow with general strength and mobility work and Active Isolated Stretching
    • Here’s a link to Johnson’s 8-week strength progression.
    • This may have been my favorite lecture.  Johnson did a fantastic job of taking academic information (physiology, periodization, race pace training) and telling us in simple terms how he implements these things.  His point on athleticism was HUGE to me. I plan to contact him for coaching this coming season.
  • Nick Clayton, MS, MBA, CSCS,*D, RSCC – Functional Training for the Endurance Athlete
    • This was an active demonstration in the performance center, not a lecture.
    • Sport specific movement that mimics body position, speed of contraction contraction type of said sport
    • trains the body as an integrated unit
    • Primal movement patterns
      • squat
      • lunge
      • lift
      • push
      • pull
      • twist
      • Squat progression
        • 1-leg balance
        • 1-leg squat
        • 1-leg squat in multiple planes and with other body movement
        • 1-leg squat jump to deceleration
      • Lunge progression
        • stationary with narrow base
        • multi-planar
        • multi-planar with reaching
        • split squat jumps with focus on quiet deceleration
      • Lift (deadlift related movements)
        • hip hinge and balance progression
        • 1-leg Romanian deadlift/deadlift
        • kettlebell swings
      • Push/Press: Discussed mainly addressing the postural and scapular considerations of safe and effective pushing in sport training
      • Pull:
        • Shoulder stability patterns:
        • Y, T, I, W, stability ball roll-out
        • I liked these patterns.  I’m using them now as part of the warm-up or as correctives as needed.
      • split stance dumbbell row
      • cable “lawnmower”
        • It’s a single-leg cable row with a hip hinge.
        • This is a running pattern. Here’s a demo

Prior to the strength and plyo demos, we went through a really cool walking/lunging mobility process. Nick said he was going to email out videos of the warm-up and when/if he does, I’ll post them here.  I may video it myself.

Getting out on the floor to play with these exercises was a lot of fun.  I really liked the 1-leg plyo work.  I definitely got some valuable ideas that I’ll implement in my own training and with my clients. I also liked the shoulder patterns a lot.  I’ve seen the Y, T, I, W patterns before but I understand them better now.  I think it’s key to KEEP THE SHOULDERS AWAY FROM THE EARS WHILE YOU DO THESE.

  • Randall Wilber – Training and Competing in a Hot and Humid Environment
    • Dr. Wilber discussed in great detail how he helped Deena Castor (bronze) and Meb Keflezighi (silver)  prepare for the Athens Olympic marathons in 2004.
    • While not terribly important to my goals, some of this information was new and very interesting.
    • 2 ways to prepare for heat/humidity:
      • Natural acclimatization
      • Arrive 10 days to two weeks out
      • Gradually adjust timing of high-intensity and low-intensity workouts (two-a-days)
      • Gradually creep the workouts towards the heat of the day such that the final day has a HI workout near noon and a LI intensity workout in the evening.
      • Pre-acclimatization (Deena and Meb both did this prior to Athens.)
        • Very simple: Train in more clothing to make the body hot and thus approximate the hot conditions in which you’re to compete.
        • Arrive a few days ahead of the event and do your final workouts.
      • Cooling strategies
      • clothing
        • no cotton
        • lightweight and light color
      • sunscreen: avoid it as much as possible as it clogs pores and inhibits sweating
      • ice packs/towels
      • ice vest
      • Apply cold/ice to hands and feet: I’ve noticed on my own how  in cold weather, I can put on gloves or take off gloves and experience a significant change in my overall temperature.
      • whole body immersion: showers, tubs
      • ice drinks (like Slurpees)
      • Stay as cool as possible right up to the event.
      • Consume more sodium while training in the heat.
  • David Bertrand – Managing the Endurance Athlete
    • MS, USA Triathlon Level II Coach, lectures at SMU in the Applied Physiology Dept, head of DFI Tri Club, Dallas
    • Athlete selection:
      • Very important to coach people with whom you mesh
      • You may not be the best coach for everyone
      • Curiosity: He needs to feel curious about his clients and their goals.
      • “Training with David” document: This was very insightful
        • What does training with David bring…
        • coaching philosophy
        • requirements
        • rates
        • weekly training availability
        • how training is delivered
        • training jargon and abbreviations
        • I need to develop a document like this w/my name in place of David’s
    • Coaching styles and methodologies
      • autocratic: best for groups with both high and low cohesion
      • democratic: best for groups with moderate cohesion
      • Display a vision.  Express belief in the athlete
      • Buy-in: “Here’s how were going to do it.”
    • Communication
      • How am I most effective?  1-on-1?  Small groups?  Big groups?  Ask my clients.
      • LISTENING IS VITAL!
    • Training intensities
      • Most people go too hard.
      • This is in sync with Wilber’s advice that a little undertrained is far better than a little overtrained.
      • HR monitor can help keep athletes in check.
    • Writing and adjusting the plan
      • Adjusting the plan: This is your greatest value to them.  This separates you from the cookie cutter programs.
      • Most people need MORE RECOVERY, not more work.
    • Best practices
      • Don’t over-coach: Take 1 or 2 things and ask, “What did we focus on today?”  Less is more
      • Strive to learn.  Stay curious.  He told a great story about Jon Wooden.
      • Select days of the week for specific tasks.  Get organized.
      • Help athletes with something beyond just training.  Can you inspire them?
    • David gave a really superb lecture on what I call “filling in the cracks.”  That is, he spoke to issues beyond just physiology, heart rate, strength programs and other science. He talked about his time in the trade and how to actually work with human beings. I got a lot out of the lecture even though I’m not a tri coach nor do I plan on becoming one.

 

Summary of the NSCA Endurance Clinic: Day 1

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Part of what I love about the Denver area is that it’s home to numerous very good athletes and coaches–particularly of the endurance variety. We’re also not far from Colorado Springs which is home to both the Olympic Training Center and the headquarters for the National Strength & Conditioning Association (NSCA), one of the top certification bodies in the world of health, fitness and sports conditioning.

I was at the NSCA from last Friday to Sunday attending an endurance clinic. It was SUPERB! It far exceeded my already high expectations. All the speakers had volumes of valuable information. Not only did they present valuable academic information, they also told us how they applied this information in the trenches with their athletes. These guys weren’t just born as successful coaches. They’ve gone through a lot of trial, error and very hard work to get where they are. It’s very helpful to hear that type of information.

We didn’t just sit and listen though. Saturday and Sunday had us getting out on the field and into the performance center to learn about strength exercises, mobility drills, and plyometric drills. I got to meet a lot of my very capable peers and I got to work out in what is likely one of the top lifting facilities on earth. It was a fantastic weekend.

I’m going to give a rundown of some of the pearls of wisdom I collected on Day 1. I can’t do each presentation thorough justice, but I’ll try to highlight some of the most important things that I heard.  I’ll follow up with days 2 and 3 as soon as I can.

Day 1:
Dr. Carwyn Sharp – Intro to Endurance Training

  • Exercise scientist, triathlete and ultra-runner who’s worked with NASA and has 14 years coaching experience.
  • Endurance athletes are often averse to resistance training thinking it will bulk them up.
  • He presented several studies which demonstrate that strength training enhances speed and endurance performance.
  • Sand, snow, wind, and hills can all contribute to the athlete’s resistance training.
  • On recovery from intervals: if you feel the effects of previous interval → you didn’t recover sufficiently.
  • The basis of speed is strength. Several studies demonstrate that heavy resistance training and explosive training improves performance.
  • 1-leg training is very important.
  • Progression
    • Move well on 2 legs (squat, deadlift) and get strong.
    • transition to split squat
    • then to 1 leg stability
    • 1 leg squat and deadlift
    • 2 leg plyos
    • 1 leg plyos

Bob Seebohar: – Nutrition for the Endurance Athlete

  • Registered Dietitian and USAT coach who has coached and advised Olympic triathletes
  • Metabolic efficiency – use more lipids/less carb/preserve glycogen
  • Nutrition periodization – “Eat to train. Don’t train to eat.”
  • Food First – Don’t use supplements to make up for poor eating.
  • moderate supplement use; only part of the season
  • prevent weight gain in off-season – no sport supplements during
  • He supports the lower-carb/higher-fat approach. I was very happy to see that.
  • Food log
    • Doesn’t as about amount of food eaten but rather…
    • What?
    • When?
    • Why? I love that he asks “why” someone ate something.

Dr. Randall Wilber – Overtraining: Causes, Recognition, Prevention & Illness

  • Physiologist to the US Olympic team.
  • Overtraining–or “underperformance” as he calls it–often isn’t due to too much training.
  • nutrition
  • blood work
    • Iron is often low in women.
    • Vitamin D deficiency is common
  • endocrine panel
  • urinalysis
  • Physiological and psychological metrics for tracking fatigue/recovery
    • overnight heart rate
    • blood chemistry
    • sleep quality
    • Salimetrics – He said look for the price to come down on this.
  • Take the athlete back to active recovery. Progress very gradually back to regular workouts.
  • If they perform well and feel good at their first LT workout then they’re on the right road back.
  • Coach Bobby McGee: “More performances are spoiled by slight overtraining than by slight lack of fitness. An athlete who is 90% conditioned for an event will do better than an athlete who is 0.5% overtrained.”

Mirror Neurons: Improve Your Skills By Watching Others

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If you don’t know what mirror neurons are then here’s your chance to learn. In short, they’re a major part of why you or I ever decided to stand up and walk–and do all sorts of other things. These neurons in our brain fire up whenever we watch someone else engage in action. Our brain and nervous system actually behaves as if we are doing what we’re observing. Our brain is mirroring the action we’re watching. That may be a big part of why so many of us enjoy watching sports, ballet, Cirque du Soleil, etc. Here’s a video from PBS’s Nova on mirror neurons:

In the case of an infant, no one gives the child a book or a lecture on the benefits of walking or how to do it. The child simply observes the world and sees his or her fellow humans moving about on two feet. He or she then gives it a shot and promptly fails. (Walking probably starts simply with moving the limbs, rolling around, crawling, and attempting to stand.) Another try and another fail follows. Along the way, we discard the ineffective movement patterns and we keep the ones that work. Eventually we are walking. This whole process is based on imitation of others. It’s pretty effective, no?

Guess what. There’s no age limit on using mirror neurons to obtain and improve skills. We can use our eyes to learn movement in a couple of ways. Coaches commonly use video technology to record the movement of their athletes. The athlete can then watch themselves and make correction to their form. I frequently use this process with my clients. It often works far better than a verbal explanation of how to correct a technique.

The other way we can use our mirror neurons to get better at something is to simply watch excellent technique. Youtube is chock full of videos that can help with this. The following are a few videos that have helped me with weightlifting, running, mountain biking and skiing. I watch this stuff and visualize doing what the athletes are doing. I think it helps and the research supports the idea.