Got Dorsiflexion?

Standard

The toes, feet and ankles get no respect. I’m not sure a lot of people walk into the gym and say, “Okay, today is foot and ankle day! Gonna work those parts hard and make ’em strong!”  We throw shoes on them and ignore them. Think about this though: It’s only every single step that we need those obscure parts to work correctly.

If we look at the body as a kinetic chain then we start to see that the feet and ankles don’t live in isolation. Movement or lack there of at the feet and ankles may create problems all the way up through the legs, hips, spine and shoulders. If an athlete doesn’t have sufficient motion at the ankles then he or she may not perform at his or her best.

Similarly, limited foot and ankle motion may be a contributor to pain. I’m not just talking about foot pain either. Again, if we consider the interconnectedness of all the joints and limbs of the body then it may not surprise us that faulty foot/ankle movement could contribute to back knee pain, hip pain, back pain — even shoulder or neck pain!

image003

Dorsiflexion: There’s no substitution for it!

In my observing both my clients and myself, I see a lot of us don’t quite have optimal  dorsiflexion. It’s easy to overlook but as I’ve argued, it’s very important. I know in my case, my various plantar fasciitis/Achilles tendon issues have improved as I’ve worked on my dorsiflexion. (Strictly speaking, I don’t know if limited dorsiflexion was a cause or effect of my foot and Achilles pain. That said, working on improving dorsiflexion
has coincided with those problems fading out.)

Dorsiflexion is more than just forward and back motion. There is always a 3D aspect to movement and we want to consider that. Also, We have a couple of different muscles (well… more than a couple but we’re considering mainly just two) that cross at the ankle. The following drills emphasize both the gastrocnemius muscle (the straight-leg drills) and the soleus muscle (the bent knee drills.)

What Does Your New Year’s Resolution Mean to You?

Standard

Here we are again! The early weeks of the year are a time for high aspirations and lofty plans to reinvent ourselves by way of time in the gym. Everywhere we look we see exciting ads on social media, print media and TV for all sorts of diets and workout plans. These products are pitched with soaring rhetoric delivered by beautiful people to those who likely perceive themselves as being less-than-beautiful—but they have hope! (Or maybe they’re desperate.)

What will all this look like by, say, April? A lot of those ambitious plans will be tossed aside, buried and forgotten. Multitudes will give up entirely and blame themselves. It’ll all start again next year…

The M-word

The title of this post asks a question—and it’s a crucial question!—because your Big Resolution depends on the answer. Do you have an emotional connection to your New Year health & fitness goal? If so, is it positive or negative? Does your goal have meaning to you? How do you feel about your resolution?

The big word here is motivation. There are several types and the one that’s driving a new year’s resolution can make it or break it.

I found an excellent three-part series from Psychology Today called Weight Loss Motivation: Secrets to Staying on Track (Part I, Part II, Part III.) The article does an excellent job of discussing several different flavors of motivation. Two types of motivation will get you where you want to be. The other two… aren’t so helpful.

Identified and intrinsic motivation

Part I of the article describes these two types of motivation as follows:

“Identified motivation is when you have a positive view of losing weight or it is a behavior that you value. Maybe you want to be healthy for a loved one and your future together. For identified motivation there is a strong sense of personal importance and meaningfulness in the task.

Intrinsic motivation is the prototype of self-determination because the behavior is engaged for its own sake, for the simple pleasure and interest in the activity. This motivation involves a focus on the task and produces energizing emotions such as interest, enjoyment, and challenge.”

An example of identified motivation might be a grandparent or parent who recognizes the value of being healthy, strong, and able so he or she can keep up with the kids and grandkids. These people value a high quality of life and they see that a vigorous exercise and healthy eating is the way to get there.

I’ve met a lot of people in the gym like this. Exercise may not be their first love but a positive sense of purpose drives their actions.

I’ll use myself as someone who is intrinsically motivated to exercise and eat right. Essentially I love to pick up heavy things and sweat a lot. I love the process of training for a race or a bike tour. I love being in the gym with the weights. Skiing, cycling, and hiking are pure fun. I do these things for the sake of doing them. They are a reward in themselves.

Both types of motivation involve high degrees of autonomy. An individual motivated in such a way makes a conscious choice to engage in exercise, healthy eating and the like. His or her values and identity align closely with their healthy lifestyle and action. His or her efforts toward fitness occupies a significant and positive place in his or her life. Thus a trip to the gym, a run, a bike ride a swim or a healthy meal is motivated from within.

Part II of the article discusses two studies (here and here) that looked at long-lasting weight-loss management to understand why some people are successful while so many others are not. Regarding the findings the article says:

“These groundbreaking findings have shown that what plays a central role in the maintenance of exercise and physical activity behaviors are:

  • Enjoyment
  • Perception of competence
  • And intrinsic reasons for weight loss”

External and introjected motivation

External and introjected motivation are a stark contrast to identified and intrinsic motivation. The article describes these motivations:

“External motivation works on external demands and operates on the contingency of if/then:

‘If I lose 10 pounds, then I will go to my 15 year high school reunion.’

This motivation is purely external to your interest in losing weight. It is done in order to obtain a reward or avoid a negative consequence.

Introjected motivation is also motivated by external reasons to change. But it differs from external motivation in that it is done for somewhat internal reasons as well.

The problem, however, is that these internal reasons are negatively focused. They come from feelings of guilt or shame.”

It’s clear that these types of motivation involve doing something the individual would rather not do. Negativity is at the core. There’s far less autonomy, less control by the individual in their choice and probably no fun at all. External forces are largely in charge here. We are rarely happy when we perceive that something is forced on us.

If someone is extrinsically motivated he or she isn’t necessarily doomed. The article says:

“In one study conducted in England on 425 government employees, researchers found that extrinsic motives such as appearance and weight management dominated in the early stages while reasons related to intrinsic motivation such as for enjoyment or revitalization were stronger in the maintenance stage.

Studies such as this show that external or introjected motivation can produce results but only in the short term, and as we know, weight-loss is a long term problem.

It’s okay to have extrinsic motivation as long as you are not operating only on extrinsic motivation.”

The F-word and the S-word

I’m not talking about those F- and S-words. I’m talking about feeling and should. In reality we pursue all of our fitness endeavors because we want to feel a certain way. We may want to feel strong, healthy, sexy, or confident. Maybe we feel exhilaration or feel a sense of accomplishment at the achievement of a challenging goal. These are positive fuel sources for our efforts.

On the other hand, we may pursue a fitness goal because we feel we should. We feel we should look better because we feel external pressure from popular images, peers and/or family.

My guess is that what drives these negative shoulds are hopes of alleviating lots of negative feelings. We may not feel loved or worthwhile. Maybe we feel guilt, shame, rejection or intense social pressure to look a certain way. Whether we fully know it or not, we may believe that being thin or muscular will give us a feeling of peace, love and acceptance.

The problem here is we are basing our happiness on how others perceive us. Chances are that if these negative motivations are driving us then even if we become muscular and thin—then all we are is muscular and thin… But we’re still miserable. Who wants that?

Finding positive motivation

There are some strategies that may help. I won’t reprint everything on the subject, but Part III of the article discusses something the writer calls the Foundational Why. This goes to the real reason(s) why you’re working out, dieting, etc.:

“Start by sitting down with paper and pencil and write down why you want to lose weight or get in shape. Write down every reason that you can think of.

After you have gotten all of your thoughts down, go over your responses.

What are the reasons? Do they come from outside yourself or from within? If they come from within, how much are they integrated with your sense of self?

For example, let’s say one of your responses is similar to one of the following:

  • Because I should
  • Because I am ashamed of my weight
  • Because I want to look good for summer

If any of these sounds close to your answers, it means that you are working from extrinsic motivation.”

Following this Foundational Why process, the article discusses the You-at-Your-Best Exercise. It goes like this:

“Think of a time where you felt you were at your personal best. What were you doing? Who were you with?

This event is like a snapshot of you in your finest hour and something that you feel most proud of. It could be a really big action or it could be a small action but it exemplifies you and your character.

Write down this event in detail and then go over it. What does this event say about what you value in life, about what individual strengths you already possess, about what you enjoy doing just for the sake of doing it.

Ask yourself:

  • Why did you choose this event?
  • Why is it meaningful to you?
  • What does it symbolize or represent?

The You at Your Best Exercise will help you connect improving your health to things that you really care about, to things that mean something to you, by showing you what your personal drivers are. 

For example, perhaps this exercise reveals that you are someone for whom family is really important. In which case, think of your foundational why in terms of your loved ones or connect them with your health goals. It could be exercising with your partner, or perhaps going on walks with your parents.

It may reveal that you get energy from your sense of ambition. In which case, setting ambitious goals is something that you value and drives you to succeed. Maybe then sign up for an upcoming marathon?

Perhaps it reveals that when you are at your best you are using your humor and sense of play. If so, consider how to tap into that energy when deciding what fitness classes or activities to join. For some people, the addition of wearing silly socks to the gym can change their attitude to working out. 

The idea behind this exercise is to understand what naturally interests you in order to draw upon that to create lifestyle changes that you will enjoy.”

It’s sort of in the touchy-feely realm but I like these ideas a lot. If someone has any negative emotions around fitness, exercise and new year’s resolutions then this type of work should be mandatory for achieving those gleaming goals. (Never mind exercise and fitness, understanding our motives is crucial for achievement in any discipline.) Through it we gain valuable awareness of ourselves, what drives us and what’s most important to us. There is simply nothing more important for success.

Thoughts on 3D MAPS Part II: What is “Functional” Training?

Standard

If you’re a fitness or injury rehab professional then you probably recognize the name Gary Gray. His name is often associated with the concept of “functional” training.

In short, Gray realized early in his career that the body works in a very different way from the way he was taught. He saw that the body was far less a collection of individual pieces and is actually tremendously interconnected. What happens at one joint and one area of the body has an effect throughout the rest of the body.  He recognized that muscles typically move eccentrically (lengthen) before they move concentrically (shorten). He saw that all of our movement is affected by gravity, mass and momentum. He realized that most of the time we need to be strong and mobile while standing up as opposed to sitting on something like a weight-stack machine. He also noticed that we do a lot of work on one foot as we walk, step, and run.

(I learned a traditional model of anatomy and movement and I agree very much with Gray that real-life movement and muscle function happen very differently from what’s taught in lots of text books.)

The concept of functional training has spawned endless discussion. Ask 10 different trainers or coaches what functional training is and you’ll probably get 10 different answers. Some associate functional training with doing everything on a BOSU, stability ball or only on one leg. I think it’s a little more complicated. In the end, isn’t all training supposed to be functional? When would we seek out non-functional or dysfunctional training?

These are the characteristics of functional training as I see them:

These runners are primarily moving forward but rotation and side-to-side movement is clearly visible.

These runners are primarily moving forward but rotation and side-to-side movement is clearly visible.

3D/tri-plane mobility and stability

We move in three planes. We move in the saggital plane or front to back, the frontal plane or side-to-side, and the transverse plane or left/right rotation. Not only do we move in those planes but we must be able to stabilize our bodies as forces act on us in these three planes. Certain movements, sports or activities may demand more from us in one of these planes and less in another. For instance cycling is very saggital plane dominant. There’s very little transverse or frontal plane movement when we ride a bike. In contrast, tennis puts features a lot of work in all three planes. Functional training recognizes these needs and trains them accordingly.

Joints and limbs are integrated during movement. 

If we look at the body during typical real-life movement we see all the joints and limbs move together in an integrated fashion. Walking, stepping out of a car, picking up an object from the ground, throwing a ball, kicking a ball and standing up from a chair utilize all the joints limbs and muscles to accomplish the task. Gray calls these types of movements “authentic.” Functional training recognizes and favors this integrated movement process over isolated or “inauthentic” movement.

Joints and limbs are rarely if ever isolated.

Our bodies are integrated systems. In real life, we rarely move just one joint. We should train accordingly.

Our bodies are integrated systems. In real life, we rarely move just one joint. We should train accordingly.

In contrast to the integrated movement concept, we have exercises that isolate the limbs and joints. Many gym exercises (particularly machine-based exercises) are of an isolated nature. These exercises rarely have any similarity to typical human movement. In a leg extension for example, the user typically sits down with his or her feet off the ground and then flexes and extends the knee in isolation to perform the exercise.  No other muscles or joints are moved during this exercise. Now, I ask you, when was the last time you needed strong quads–but not glutes, hamstrings and other leg and trunk muscles–while seated and your feet not touching the floor? This just doesn’t happen outside of a gym.

Muscles work eccentrically before they work concentrically.

This means muscles lengthen before they shorten. For instance, if we prepare to jump into the air then must perform a partial squat before we leave the ground. When this happens we get a lengthening of the quads, hamstrings, glutes, adductors, calves; and if we swing the arms back then we lengthen the front deltoids, the biceps and various other muscles. These muscles then rapidly shorten in the opposite direction as we jump. Similarly in the overhead throw, the thrower draws back the ball and lengthens the abs, triceps, pecs, lats, hip flexors and others before launching the ball.

Iggy Pop is showing us  both eccentric muscle lengthening (the whole front of his body) AND amazing end-range control.  TOM COPI / MICHAEL OCHS ARCHIVES / GETTY

Iggy Pop is showing us both eccentric muscle lengthening (the whole front of his body) AND amazing end-range control.

This lengthen/contraction cycle (Gray often calls it “load to explode”) happens constantly throughout the day during nearly all activities. Most often it happens as our bodies manage gravitational forces as we interact with the ground. This eccentric-first model is functional in terms of typical human movement. It stands in contrast to a lot of anatomy and physiology teaching which emphasizes the concentric contraction only.

End-range control

The end-range of motion is somewhere near the furthest edge of where we can move. Once we get there we often reverse our movement and go back in the direction where we started. (Gary Gray calls this the “transformation zone.”)

This end-range is where a lot of injuries occur. We’re vulnerable at the end-range but clearly we go there sometimes even if we’re not athletes. If we have the flexibility to get there but we lack control and strength in that range then we may be in trouble. Functional training creates conditions where we go to the end range under control and learn to work there. For a lot more on end-range matters, check out Todd Hargrove’s article.

The lunge stance by the fencer on the right is a good example of an end-range of movement requirement. (Photo by Hannah Johnston/Getty Images) ORG XMIT: 148073293

The lunge stance by the fencer on the right is a good example of an end-range of movement requirement. (Photo by Hannah Johnston/Getty Images) ORG XMIT: 148073293

Most exercises are done standing.

Typically we need to be strong and/or powerful when we’re standing on one or two feet. It’s rare that we need to exert much muscular force when we’re sitting or lying down. For this reason, most functional training is done standing.

We typically need strength when we're standing, not when we're sitting or lying down.

We typically need strength when we’re standing, not when we’re sitting or lying down.

Perhaps more specifically, functional training is often conducted with the body in the position of the required task. Life and athletic competition may require us to get into any number of positions and postures.

Though most functional training is done while standing, I think there’s a lot of use in doing things on the ground in quadriped, on our side, and lying on our back or stomach. For that matter, just going from the ground to standing up may be very functional for a lot of people.

Externally directed vs. internally directed

I’ve discussed external cueing vs internal cueing as it pertains to coaching movement. External cueing directs the athlete to affect his or her environment. Internal cueing directs the focus internally into the body. An external cue might be “Step toward the target,” “Reach to the ceiling,” “Reach right/left,” “Reach down,” “Push,” and “Pull,” are examples of externally directed or task-oriented directions. Internal cues include “Squeeze the muscle,” “Contract the quads,” “Abduct the arm,” “Extend the leg,” “Tighten the abs,” are examples of internal cues. Functional training favors external cues (task-oriented) over internal cues, (Though I’ve found internal cues to be essential at times.) When using external cues we seem to get a full-body reaction and we can see as Gray terms it “authentic” movement. In other words we can observe how the person chooses to move and how their nervous system organizes the movement. With external cues we can see a client/patient react rather than perform for us.

(For more on internal/external cueing, this article from Bret Contreras may interest you.)

Energy-system specific

Thus far the functional training criteria I’ve listed has pertained only to movement. But if we really want to be comprehensive in our functional conditioning then we need to include a focus on the energy system(s) to be used during something like an athletic activity.

Let’s take distance running for example. It’s mainly a single-leg activity so we might want to perform one-leg squats of some sort and/or one-leg hops and jumps. So we have our exercises. With regard to the energy system, it’s the aerobic system that primarily drives distance running. With that in mind we probably want to perform the exercises while that system is up and running full-bore. That might mean doing very high reps (2 minutes or more) of our exercises. We could also run for a while, do one or more of our exercises, run more, do exercises and repeat for some duration. Or we could do several exercises in a row such that it takes several minutes to complete a circuit.

(I give further ideas for energy system conditioning for skiing here.)

Did I miss anything?

There are my thoughts and observations on what constitutes functional training. What do you think? Can you add anything else?

Thoughts on Ski Conditioning

Standard

The big running season is over and now the snow is falling. It’s almost time to put the sticks on the feet and slide down a mountain!  Fun on top of fun! It might be a good idea to prepare myself as best as I can before I get out there. Here are some thoughts on how I might do that. Maybe they’ll help inform your own ski conditioning strategy.

Exercises should look a lot like skiing.

  • Some sort of squat should probably be employed, but a conventional barbell front or back squat may not be adequate. I discuss more of my thinking on this here and here.
  • Tri-plane movement must be considered. For example:
    Look at those joint angles. That is no mere squat.

    Look at those joint angles. That is no mere squat.

    • My hips will go back and forth between flexion + internal rotation + abduction on the downhill leg then more flexion + relative externall rotation + adduction on the uphill leg. The hip, knee and ankle joints must move well and the corresponding muscles must lengthen and contract repeatedly.
    • In addition to that hip movement, my thoracic spine should stay aimed downhill so I’ll be doing a lot of rotation through the trunk. Like the leg muscles, my trunk muscles must be able to manage the repeated loading that will happen.
    • I need adequate range of motion and control of that range as I move downslope.

Energy system conditioning

Good movement is massively important to good skiing. Adequate stamina is also a major consideration. I want to be able to last for a while and be able to have fun all day. If I fatigue too soon then it’s likely my movement skills will be compromised and I could get injured.

I have a good base of general endurance but I need to make it a bit more specific to skiing. A typical ski run involves powerful turning and management of variable terrain, sometimes for several minutes. Then I rest on the chair lift for several minutes and do it again. This cycle may repeat itself for several hours. Also, alpine skiing involves a lot more knee flexion/extension compared to running. My quads typically bear the brunt of all that knee movement so I’ll need to condition them appropriately. How will I do that?

Ski circuits

My plan is to put together several exercises that will target the muscles and movement patterns that are vital to skiing and I intend to them at a pace and for a duration that affects the appropriate energy systems. Here are some examples:

My most recent workout put together some conventional strength exercises and put them together with some ski-specific exercises in a super-set. It went like this:

Super-set 1

  • barbell clean + front squat: 1+5 (did as many reps as possible on the last set); two warm-up sets
  • pull-ups: 7 reps
  • 1-leg pivots aka balance reaches x 10/10 reps to each side; An example:
  • Repeat 3-5 times as fast as possible.

Super-set 2

  • Bench Press: 5 x 3 sets (did as many as possible on the last set); two warm-up sets
  • Various 3D jumps with the ViPR x 20 reps; Here’s an example of one version of the exercise using a sandbag instead of a ViPR:
  • Repeat 3-5 times as fast as possible

Super-set 3

  • cross court sprints on the basketball court x 4
  • odd-angle medicine ball squats; something like this:
  • Repeat 3-5 times as fast as possible.

There are lots of possibilities out there!

 

 

Moab Trail Marathon Part II: Done and done. All’s Well!

Standard

The word “awesome” is thrown around in a casual way. You go to a restaurant and order the onion rings and the server may exclaim, “Awesome!” with genuine earnestness and enthusiasm. Now, I love onion rings but this type of thing does not actually generate anything a reasonable and honest person would call awe.

Puny humans!

Puny humans! (click for the original pic)

In contrast, my experience at the Moab Trail Marathon absolutely filled me with awe. Both the environment and the effort were like nothing else I’ve experienced. The language fails me and I can’t adequately describe my enthusiasm and wonder about the whole event.

Moab is another planet.

The Scorched Earth Wall. A colossal fiend. (Click pic to get the original.)

The Scorched Earth Wall. A fiendish foe. (Photo: Allison Pattillo | Competitor.com)

 

I’ve seen pictures and they fail miserably to portray the truth of the land. I come back to the word awesome… and that word fails too. The size and scale of the rocks, cliffs, canyons, vistas and mountains was titanic. It bordered on terrifying. (This is coming from someone who lives near and ventures frequently into the Rocky Mountains.)

It is a no-joke hostile and potentially dangerous place too. We ran over, jumped down and over and slid down some very unforgiving terrain. A wrong step could have caused major problems and all sorts of injuries. (I’m not saying this to tell you how daring I am but I need to describe the terrain accurately.)

The ground was very dry for the most part but there were some muddy spots and we had to run through a few streams. The vast majority of the terrain was the classic Moab concrete-like slick rock but I was surprised at the amount of sand on the trail. I hadn’t expected that. Nor did I expect to begin the day the way it began…

The Universe has a sense of humor.

Athletes in all sports often have game/race-day rituals and we don’t like to stray from those patterns much at all. It’s rarely a good idea to experiment with things like pre-race breakfast or any part of race-day nutrition on race day. I brought my typical multi-grain hot cereal, nuts, fruit, butter and protein powder that I planned on cooking in the breakfast room. I would have that with two cups of coffee then about 1/2 hr before the race I would down three scoops of UCAN with coconut milk. Too bad the electricity went out in Moab at 4:30 AM.

So I was up extra early. (My wave started at about 8:20 AM.) There was nothing hot to eat or drink at all. I couldn’t go hungry so I downed all the cereal makings except the cereal itself. (Wasn’t sure what uncooked multi-grain cereal would do to the GI tract.) I couldn’t buy an energy drink or coffee in any stores because they were darkened and the cash registers didn’t work.

Looking down from Scorched Earth. The La Sal mountains are in the far background. The picture doesn't come close to doing the scene justice.

Looking down from Scorched Earth. The La Sal mountains are way back there with the snow. This pic doesn’t come close to portraying the drama of the place. (Photo: Allison Pattillo | Competitor.com, click for the original pic.)

No caffeine?! What sort of sick joke was the universe playing on us?! (Perhaps my long-departed, sadistically funny Uncle Roy had been put in charge of events on earth…)

This story doesn’t get a lot more interesting. Panic and anger wasn’t going to help. This episode was a minor hiccup. I was fed and adequately caffeinated by race time and I felt rested. A lesson has been learned: Bring an alternative breakfast and an energy drink next time.

Notable and notorious highlights

Two sections of the race stood out. Well, let’s be clear. Every inch of the whole race was dramatic in an operatic kind of way. It was all soaring and full of perfect, humbling, breathtaking solitude. (Do you get what I’m saying? There was a lot of cool stuff to look at.) My thoughts return to two sections: one beautiful and amazing, the other, nasty and maddening.

The climb up the Scorched Earth Wall was the sort of thing to challenge Godzilla. If you’re a Game of Thrones fan, this bit of geography looked like the Wall if the Wall were built on a desert on Mars. This was about 1000 feet of climbing in about 1.5 miles; all of it on hostile, dry, red, broken rocks. It it started around mile 14.

This leviathan towered to my right, looming like red storm clouds. At first glance it almost brought hysterical laughter. The psychological effects were semi-devistating. I’d encountered this type of thing on long bike rides in the mountains. The idea of running/walking up this incline was a cosmic joke that would cause Sisyphus to weep! The height and distance were massively intimidating. Looking up this eminence I could see tiny moving specks which turned out to be my fellow competitors moving up and up and up. I had work to do.

I walked most of this thing but I ran what sections I could. Mentally I wanted to slow down and plod. I didn’t though. I marched as fast as I could and I passed maybe 5-10 people.

The views from Scorched Earth Wall were splendidly desolate. This was the only place where I regretted not bringing a camera. Looking back from the trail I could see the La Sal Mountains which were powerfully enchanting as their snow-capped peaks contrasted with the red, desert-like rocks of my immediate surroundings. All of this dramatic massive scenery was tremendously humbling to my minuscule human existence.

Another part of the race was far less inspiring and wonderful. It was more of a cruel and brutal joke. Whatever malevolent supernatural force had cut the power this morning had also clearly influenced the race course design.

At just past mile 21 I could see the finish. It was a ways away but I could see and hear the end of the race! I had to run a stretch of trail along the Green River and I would be right in the neighborhood of the finish. Almost done! But “almost done” in a marathon can be an eternity of anguish.

Once to the finish area I still had three miles to go in sort of an out-and-back lollipop loop. This was no victory lap. It was horrendously difficult. I still had a rope ascent and descent as well as tough running up and down very challenging terrain.

(Let me be clear: My mom may read this blog post so I won’t use my foulest language to express my experience over this final stretch. I invite you to insert all the foul words you’d like though. I recommend a liberal sprinkling of the S-word, the F-word, a couple of words that start with C, a multi-syllable word starting with M. You may know others.  Use them!)

Muscle cramps had been threatening for several miles. I felt like I could cramp to death at any moment. I truly thought at any moment I would experience a body-wide muscle seizure from my eyelids to my toenails and I’d be reduced to crawling. I was particularly fearful of cramps while doing the ropes section.

This wasn’t true mountain climbing up some vertical surface but it was using a rope to climb up and down very steep inclines. At this point in the race, this was nothing to take lightly. A cramp and/or a wrong move would likely result in some serious and ugly discomfort at best.

By some amazing miracle, I never was leveled by cramps and I have no idea why. I did manage to lose the trail right near the end so I was rewarded with about an extra 200 m of running, again proving that the universe is a perverse practical joker.

My training worked.

Winner Mario Mendoza navigates the rope ascent.

Winner Mario Mendoza navigates the rope ascent.

 

 

 

 

 

 

 

 

 

 

 

 

 

The modified Hansons Marathon Method plan worked very well for me. I felt strong and able for the vast majority of the race. The plan had me running lots of miles and many of those miles were run on tired legs. As difficult and tiring as the training was, it was exactly the preparation I needed.

I also believe the weight training I did was very effective in preparing me for the run. There was significant climbing in which I had to step up over and over and over…. and over. That meant my glutes, hamstrings and adductors did a lot of work.

I did step-back lunges with a barbell on my back for several weeks prior to the race. This exercise did a nice job of preparing those muscles and that movement pattern for the work to come.

Finally, a significant point of pride for me is that I overcame several injuries and aches and pains prior to this race. My ACL was rock solid and I had no knee pain. My perpetual Achilles/heel issue were no where to be found. I vanquished these foul foes to past it seems.

I will give much thanks to Denver-area chiropractor Nick Studholme and Boulder-area movement coach Mike Terborg. They were absolutely critical to my completing the race. It’s also nice to have a wife that encouraged/tolerated all my training.

Next time

I have some very definite ideas on how to better train for this race next time. As I just said, the step-up/lunge movement pattern is essential for this race. I had to move this way while in a significantly fatigued state. Unfortunately, near the end of the race I felt serious cramping sneaking in, particularly in those stretched-out, stepping-up type of situations.

(Contrary to popular belief, cramping doesn’t seem to be very closely related to either hydration or electrolyte status. Rather, as discussed here and here, cramps are more likely brought on by a very high effort and the associated intense and repeated muscle contractions of that effort.)

The SAID Principle dictates that I train along the lines of both the specific movement requirement (stepping up repeatedly at varying angles while in a fatigued state) and energy system requirement (highly exerted and fatigued.) My idea is to complete a long run and then do a high volume of step-ups (either at the gym on a plyo box or a picnic table near the trail), weighted step-back lunges, and various 3D lunges both up on to and down from various boxes. I’ll also do some jumping down in this fatigued state as the run frequently required me to jump down from rocks of various heights and land in control.

Look at that grin! Can I get an IV of beer?

Ya got a beer?

Finito

The post wouldn’t be complete without a little blatant display of my abilities. Full results are here.

  • Net time: 5:20:31 (I was hoping for an under-5-hour finish but I’m pretty pleased with this.)
  • Overall place: 171 out of 486
  • Place by gender: 141 out of 303
  • Place by age category (40-44): 17/41

I found my wife and a couple of friends right at the finish line. I plopped down and very quickly my thoughts coalesced into along the lines of, “I don’t want to train for another marathon for a while. Maybe never.” I was cooked. Spent. Demolished. Wiped out. Eviscerated. I was real damn tired too. I was looking forward to some serious eating and drinking, a soak in the hot tub and NOT running for a little while.

This was a grueling experience. The race was just the capstone of the process too. Training for this thing took a lot of time and involved frequent strenuous effort. Weekends were dedicated to long runs and resting. I spent a lot of weekdays in a semi-stupor. By the finish I was fairly certain that it would be a while until I ran another such race. Not for nothing, I’m also one of those runners who develops blisters under his toenails. Several. You do the math.

Fast forward to Tuesday, 72 hours after the race. As I reflect on this event I keep saying to myself, “I don’t know how I CAN’T run this again.”

Moab Trail Marathon Part I: Preparation & Running My A%$ Off.

Standard

I’m running the Moab Trail Marathon on Saturday. This will be my first trail marathon and my second ever marathon. I will admit to being a bit nervous. It won’t be easy… or difficult. It’ll be tough as hell. I’ve put in the work though, I’ve had several very good runs lately and I figure I’m as well prepared as I can be. I’m estimating of about 4:48 to 5:14.

I’ve been using the Hansons Marathon Method and I adapted it a little for trail running. There are two Hanson plans and I used the beginner plan as this was my 2nd marathon. The Hansons plan features a whole lotta running. Mucho time on the feet. There are three main workouts as well as easy run days. Wednesday is the only day off though I took a few other days off as needed. Here are some thoughts and observations:

The week

Here’s the day-to-day rundown of a week on the Hansons beginner plan.

Monday: Easy Run, 4-7 miles
Tuesday: Speed/Intervals (@ 5K pace, Week 6-10, 3 miles total), Strength (@ 10K pace, Week 11-17, 6 miles total)
Wednesday: Off
Thursday: Tempo/Race Pace, 5-10 miles
Friday: Easy Run, 3-6 miles
Saturday: Easy Run, 5-10 miles
Sunday: Long Run, 8-16 miles, alternating weekly with Easy Run, mostly 10 miles
Total Miles Per Week: 40s-50s, mostly in the mid 50s for second half of the program

I ran trails twice per week. For the first several weeks my trail runs were Thursdays and Sundays. My thinking in replacing the Thursday tempo run with a trail run was that the highly variable pace of trail runs made the tempo run unnecessary (or maybe less necessary). One Thursday I couldn’t make it to the trail and I did a tempo run. I enjoyed it and I thought I noticed the following week’s runs felt better. So I switched to tempo runs on Thursdays and started back-to-back trail runs on Saturday and Sunday.

I don’t believe I could have run two long trail runs in a row at the start of the program. It seemed like a very daunting proposition! Many ultra-running plans feature this pattern though so I knew it was possible. I believe back-to-back trail runs are ideal in that part of the Hanson’s plan is to create “cumulative fatigue” in preparation for the week’s long run. Since I’m running a trail marathon, it makes sense to create a lot of this fatigue on the trail. I would love to find out from a trail running coach or coaches if this seems like a prudent strategy.

Tough Tuesdays

Tuesdays were often nasty. Tuesdays were track workouts for the first several weeks of the plan. They totaled three miles of work. Track workouts were interesting psychologically speaking. They were intimidating but exciting in their very Spartan way. They weren’t “fun” but I always felt like I accomplished something significant when I completed them.

Tuesday track workouts transitioned into “strength” workouts. These were six miles of work. I did the strength workouts on the road though because that much running on the track would’ve bored me stupid.

These workouts were tough by themselves both physically and mentally. That they came after five days of other runs made them titanic undertakings some days.

I felt rough by Tuesday. Tired, shot, worn-out and trashed. Some days I’d look at the Tuesday workout and think, “What sort of insane fool is going to do this?!  Oh… that would be me I guess…” And I’d give the Hansons book an obscene gesture. Oh well… Had to get that work done. Weekly mileage was 40-50 miles per week. This was by far the most I’ve run in my life.

The long run

The longest run in the Hansons’ plan is 16 miles and there are three of those in the beginner plan. That’s shorter than a lot of typical marathon plans which typically hit 20 miles. These long runs come every other week with shorter long runs (around 10 miles) on other weeks.

That “short” 16-miler comes after three days of running though including a somewhat long Saturday run.. So you go into the long run on some tired legs. The Hansons claim the plan trains you for the last 16 miles of the marathon. Sounds plausible to me.

All those long runs were trail runs and they were never easy. The roughest of the bunch was the Herman’s Gulch to Jones Pass trail. That started at about 10,000 ft. and topped out at over 13,000 ft. Took me 4.5 hrs. It was an overall brutal experience. The terrain was very challenging and it took me about a full week to recover from that excursion.

Did I mention being tired?

The result of all this is that at times I’ve been utterly wiped out. I had about one weight training workout per week. It’s all I could handle! I’ve learned that as I’m apparently a little older than I used to be (not sure how I allowed that to happen) I need rest and recovery more than I need more/harder work. I took a few Mondays completely off but not too many. I recognized that the plan is the plan for a purpose.

Early in the plan I sometimes substituted a mountain bike ride for the easy runs and/or for the Saturday run. Those mountain bike rides were often very challenging and I think they made the following day’s long run very difficult.

Many easy miles

Many of the miles on the Hanson plan are done at an easy pace. Some coaches insist that too many “junk miles” can be detrimental and that easy run days or recovery runs should largely be avoided.

In contrast, the Hanson Method suggests real and important benefits of easy run days. Here is part of their discussion on easy runs:

Easy Running: A lot of bang for your buck
Easy running is the foundation in which all other training can be built from. By itself, easy running will directly contribute to:

  • tendon development
  • specific muscle fiber adaptation
  • bone development
  • mitochondrial growth/distribution
  • glycogen storage/fat utilization
  • general endurance
  • improved running economy
  • improved VO2max
  • Capillary density

I would add to this that easy runs are a good time to work on running technique. It can be a time to think about foot placement, posture, cadence, addressing a possible crossover gait or other issues. The easy runs are low-stress and permit us to focus on needs such as these in a stress-free situation.

Final thoughts

It’s Tuesday and the race is on Saturday. I’m thrilled to report no real injuries. I’ve never run this much in my life so I’m very happy to have overcome the aches and pains that have plagued me for many years. I believe trail running may have some injury preventative qualities centered around movement variability. I also appreciate the psychological effects of running in nature. I’ve written about both those things here.

Bottom line is that I’ve loved the process. From the track workouts to the long runs in the mountains to the ho-hum punch-the-clock runs (of which there were many) I can say I have truly enjoyed the preparation for this race.

I’ll post more about the process later.

Thoughts on 3D MAPS & Functional Training: Part I

Standard

I recently attended a course called 3D MAPS. The course was presented by Dr. David Tiberio and it was offered through Gary Gray’s Gray Institute. I enjoyed the course and learned a lot. I’m now applying the concepts I learned in both my own training and in my clients’ programs. Here’s a rundown.

Overview

What is 3D MAPS all about? The Gray Institute describes it as such:

  • 3D – The human body moves three-dimensionally. All proprioceptors respond, all muscles react, and all joints move three-dimensionally. It only makes sense to analyze and progress the body three-dimensionally. 3DMAPS facilitates functional assessment and much, much more!
  • Movement – 3DMAPS leverages movements – lunges, reaches, squats – that are paramount to common, everyday movements and activities. These movements are authentic to the individual and relevant to what the individual does. While other screens, scans, analyses, claim to be functional, 3DMAPS actually is.
  • Analysis – 3DMAPS analyzes the entire body’s mobility (flexibility, range of motion) and stability (strength, control of motion) and then identifies a Relative Success Code specific to individual – based on symmetries, asymmetries, and disabling pain within the movements.
  • Performance – 3DMAPS enhances the function of the individual and progresses systematically and scientifically for optimal function and improvement.
  • System – Performance Movements parallel Analysis Movements, thus creating a seamless and intuitive process for both the practitioner and the patient / client.

As I see it, 3D MAPS is a movement analysis method that asks the client or patient to move through a wide range of motion in all three planes. As the client moves, the trainer continually asks “Is he/she showing adequate mobility?” and “Is he/she showing adequate stability?”

3D MAPS uses six lunges in three planes of motion to check mobility. In the saggital plane we have anterior/posterior lunges. In the frontal plane we have same-side lateral and opposite-side lateral. In the transverse plane we have same-side rotational and opposite-side rotational.

Six variations on one-legged squats are used to check stability. The same planes of motion are used as the lunges but instead of taking a full lunge step the client balances on one leg while reaching the other leg in the various different directions described above. These single-leg movements can be quite challenging and putting the foot down is allowed if needed.

In addition to the lunges and one-legged squats, clients swing their arms in the same three planes of motion as the lunges and squats.

3D MAPS movement patterns used to evaluate mobility and stability: anterior lunge, posterior lunge, opposite side lateral lunge, same side lateral lunge, opposite side rotational lunge, same side rotational lunge.

3D MAPS movement patterns used to evaluate mobility and stability: anterior lunge, posterior lunge, opposite side lateral lunge, same side lateral lunge, opposite side rotational lunge, same side rotational lunge. The lunge images are in black. The 1-leg squats are red.

Above are the basic movement patterns used in 3D MAPS. Trainers can “tweak” (in Gary Gray speak) in our out a wide variety of movement variables to make the movements more or less challenging. For instance, clients may lunge or one-leg squat without the arm swings or they may swing the arms without the lunges and one-leg squats. Lunges and one-leg squats may move in different planes from the arm swings.

The ground reaction force of the lunge may prove too challenging for some clients. A trainer can then simply ask the client to get in the lunge position and oscillate into and out of the lunge position.

The one-leg squat variations are designed to challenge the client’s balance and stability skills. They may be too challenging especially when the arm swings are used. Therefore a trainer may allow the free foot to tap down, tweak out the arms, keep the head steady (as opposed to moving with the trunk) or allow the client to hold lightly on to something for a little more stability. The idea here is to find the limits of someone’s stability but not to totally push them over the edge of his or her ability.

As we observe the client move we take note of the right/left symmetry of the client’s mobility, stability, and whether or not there’s pain present during the process. We note their successes and deficits as part of something called the Relative Success Code. This is a way of ranking their abilities from most to least successful and it helps determine our training or treatment process.

Strengths

Based on real-life

I feel the 3D MAPS process lives up to its “functional” billing. That is, it allows us to observe movements that are specific to many real-life situations. 3D MAPS speaks to the SAID Principle which says our bodies adapt specifically to the demands imposed on us. Real-life demands us to move in three dimensions, react to gravity and that our joints, limbs and muscles all work together to accomplish various tasks. We tend to stand on one or two legs while doing these tasks. For all these reasons I feel like 3D MAPS is superior to something like the Functional Movement Screen (FMS), sit-and-reach tests, 3-minute step test, crunch test, pushup test, timed plank test, etc.

(The concept of “functional” training has stimulated my thinking. I’m writing a blog post on that concept right now.)

Feels like exercise

Most of my clients find themselves working fairly hard as we’ve gone through 3D MAPS. It feels like exercise. Not all movement analysis systems deliver this feeling to the participants. The reality is that many of our clients come to us because they want to exert and sweat. If we can gain valuable information and give our clients a workout then that’s a very good thing.

Easy to teach

The Gray Institute does a good job of teaching how to teach. Dr. Tiberio and the online videos made it easy to understand the breakdown of the movement patterns and how to progress and regress them.

Opens clients’ eyes

If 3D MAPS reveals a mobility and/or stability deficit then my clients typically perceive it. They often very clearly recognize that they’re lacking in their ability to lunge and they can always tell if they have poor balance. This is valuable in getting a client to buy into the 3D MAPS process.

Further, I’ve found that following the 3D MAPS intervention blueprint often results in noticeably better stability and/or mobility. It’s always exciting to see results!

The search for success

A very interesting aspect of the 3D MAPS methodology (and the Gray Institute process in general) is that we first want to find where and how the client can move successfully. We then want to to gradually move in on their lack of success. This is in contrast to what I think most of us want to do and that’s dive right into the task that gives us the most trouble. I think we typically want to climb the biggest, toughest obstacle before we tackle anything less significant. (Maybe that’s just me…. Nah.)

There are a couple of ideas behind the process of moving from the most successful down to the least successful movement task. One is that we want the client to feel successful and confident. If he or she can do something well and feel competent and confident then they will likely have a generally good workout experience. He or she may feel encouraged to try more difficult work.

The other idea informing the most-to-least-successful process is based on the possibility that the nervous system will best be able to solve the most difficult movement task if we very gradually expose it to increasingly difficult work. This makes sense if we think of learning anything from a language to music to driving a car to skiing. We do best if we start with very simple tasks and then progress toward more difficult territory. This process makes sense to me.

Many options

As I mentioned earlier, there are many ways to “tweak” the lunges, one-leg squats and the arm swings. Trainers can have clients move their head or not. We can ask clients to speed up, slow down, and lunge or squat farther out or closer in. We can go with lower-body or upper-body movements only and we can have clients use either the upper or lower body in ways to increase or decrease stability requirements. Beyond the assessment aspect of 3D MAPS, we can have clients hold weights, medicine balls, cables, bands, etc. if we want to create a greater challenge.

Weaknesses

Not a great upper-body assessment

3D MAPS is a very good lower-body assessment but it seems limited as an upper-body assessment. It’s very difficult to observe scapular movement quality or humeral internal/external rotation quality. Further, while we can observe mobility and stability in the lower-body, 3D MAPS gives us virtually no indication of upper-body stability.

Better for global movement assessment than local assessment

For now, 3D MAPS gives me a big picture of how the person is moving. It doesn’t reveal a lot about individual joints. My criticism here will probably lessen as I become more familiar with and more skilled at using 3D MAPS. Proper use of “tweaks” should help reveal individual joint limitations.

Relative Success Code is difficult

The Relative Success Code is supposed to be simple but it’s not and from what Dr. Tiberio said, the Gray Institute knows that there’s more work to be done. We’re supposed to score the client’s movement from their best success down to their least and then start working from their best to worst movements. But with six lunge variations and six one-leg squat variations for both sides of the body there is a lot to try and see and score. The issue as I see it is that human movement is complex and we can only simplify it so much.

Scoring should be divided into mobility and stability

This is related to the previous criticism. 3D MAPS provides tests for both mobility and stability yet we’re only supposed to give the client a “+” if they show good mobility and stability, a “-” if they show poor mobility/stability or “- P” if they have pain on any test.

If we’re testing two things it seems we should give two separate scores on each test for stability and mobility. I imagine that every trainer and therapist who uses 3D MAPS will create their own two-part score. Dr. Tiberio acknowledged this during the presentation so I’m betting the scoring system will change soon.

Many options

One of its strengths can also be a weakness. There are near infinite ways to change the testing process as well as the training/treatment process derived from 3D MAPS. Initially it’s daunting when considering all the options. Like most any new skill, the more we use it the better we get at using it. This is a minor criticism.

My overall opinion

3D MAPS gets a thumbs-up from me. I use some portion of it daily with practically all my clients. More than anything I appreciate that the driving force behind 3D MAPS is actual real-life movement requirements. I love the emphasis on three-dimensional movement. Gary Gray maybe more than anyone in the industry insists that we always look at movement through a 3D lens.

Some of this gets complicated. It does take a lot of thinking and practice to feel comfortable using the system–but what new skill doesn’t take a lot of work to master?

Dr. Tiberio said something during the 3D MAPS presentation that I found wise and valuable to me. He said, “Don’t give up what got you here.” With that he meant don’t throw out all the training methods and tools that we’ve used to become successful trainers. Don’t rush too headlong into the shiny, brand-new, hottest thing that we’ve just learned (and likely not yet mastered).

His words spoke to me and some of my past experiences as a trainer. To my regret, I’ve thrown several babies out with various tubs of fitness bathwater. There were times I was convinced that I found the absolute best, most incredible absolutely most effective tool, exercise or system and I just had to push all my clients in the direction of said new-cool-thing. While in reality two things were probably true: A) Said new-cool-thing may not have been the miracle answer to all things I thought it was, and B) Some of my previous tools, exercises and systems were still valuable. The result was that sometimes either I, my clients or both of us were frustrated. With both Dr. Tiberio’s words and my own experiences in mind, I am trying to fold 3D MAPS into my training process in a way that’s both amenable to my clients and that doesn’t frustrate me as I get familiar with 3D MAPS.

What that means is that I typically work on some of the mobility/stability issues that I see in my clients but we may not spend the whole session on 3D MAPS-related issues. We still use barbells, kettlebells, the TRX and other training tools to perform non-3D MAPS-type exercises. I have found that a very good way to work on clients’ mobility/stability issues is to put 3D MAPS exercises in between sets of say bench press, deadlift, pull-ups, etc.

Further, if someone is preparing for an athletic tasks (I train several skiers and snowboarders for instance) then their sport dictates that they exhibit athletic skill during times of fatigue. I believe an effective way of training these athletes is to fatigue them in some way (with kettlebell swings for instance) and then require them to exhibit skilled mobility/stability (with some sort of one-legged squat for instance). Thus I’ve found that 3D MAPS work can easily be used alongside whatever other training modalities a trainer and his or her clients enjoy, so hooray for everyone!

That’s about it for now. My next post will speak to the idea of functional training and exactly what that term might mean.

 

 

Health & Fitness News: Pain Science, Breakfast – To Skip or Not to Skip?, Carbs vs fat (Whither protein?), 8 Glasses of Water Mythology

Standard

Several articles have grabbed my attention. One is a concise summary of the current understanding of pain. Another discusses breakfast and the flimsy evidence supporting its importance. Next, science looks at the efficacy of reducing carbs vs fats for weight loss. Finally, drinking eight glasses of water a day is based on nothing.

Pain and lifting

The issue of pain is a continual theme in this blog. I’ve dealt with periodic bouts of lingering pain. The upside to this is that I’ve learned a lot about pain. Whether we’re an athlete or not, most of us will encounter non-acute or chronic pain.

It can be scary and depressing to us especially if it limits our ability to train. Interestingly, learning about how pain works can actually help us feel better (low-back pain in this case). Pain is NOT simply an indication of tissue damage. It’s very much a product of the brain. How we perceive our bodies (damaged or strong), our pain (threatening and scary or just a nuisance) and our expectations (“I’m broken and ruined,” or “I’ll be fine.”) are major influences on the pain process.

In that direction, Elitefts.com has a worthwhile article called 3 Things Lifters and Coaches Need to Know About Pain. It’s concise and fairly easy to understand for non-scientists. I think this information is useful for coaches and trainers who will certainly come across an athlete or client in pain. It may also prove helpful to you if you’re in pain. Here is a summary:

1. You are not your MRI or your X-Ray. Many people have tissue damage or degeneration on imaging but walk around without pain everyday. If you’re dealing with pain or an injury, get a thorough medical history and functional examination done by a qualified health professional, preferably one that works with athletes and lifters (they are out there).

2. Understand that pain (particularly chronic pain) isn’t purely related to biomechanics or injury. Biological and psychosocial factors both contribute to a person’s pain experience.

3. When working with clients, don’t create fear or a nocebo effect by berating your clients on their lifting technique, posture, or movement capabilities. Instead, work through your client’s issues with positive coaching and cueing to build a great training effect.

Read the article to get more detail.

Breakfast and weight loss

“Breakfast is the most important meal of the day.”

You’ve heard it. You believe. I’ve preached it to clients. It seems the earth rotates around this statement. But, is this bit of gospel based on anything of substance? Not really.

In The science of skipping breakfast: How government nutritionists may have gotten it wrong the Washington Post discusses research that shows the following:

“In overweight individuals, skipping breakfast daily for 4 weeks leads to a reduction in body weight,” the researchers from Columbia University concluded in a paper published last year.”

Another golden idol knocked from its pedestal! How can this be? Why would the USDA Dietary Guidelines for Americans tell us something that isn’t supported by good evidence?

The Post article does a good job of discussing the answer.

One of the key pieces of evidence, for example, examined the records for 20,000 male health professionals. Researchers followed the group for 10 years and published results in 2007 in the journal Obesity. They showed that after adjusting for age and other factors, the men who ate breakfast were 13 percent less likely to have had a significant weight gain.

“Our study suggests that the consumption of breakfast may modestly lower the risk of weight gain in middle-aged and older men,” the researchers said.

The advisory committee cited this and similar research, known as “observational studies,” in support of the notion that skipping breakfast might cause weight gain. In “observational studies,” subjects are merely observed, not assigned randomly to “treatment” and “control” groups as in a traditional experiment.

Observational studies in nutrition are generally cheaper and easier to conduct. But they can suffer from weaknesses that can lead scientists astray.

One of the primary troubles in observational studies is what scientists refer to as “confounders” — basically, unaccounted factors that can lead researchers to make mistaken assumptions about causes. For example, suppose breakfast skippers have a personality trait that makes them more likely to gain weight than breakfast eaters. If that’s the case, it may look as if skipping breakfast causes weight gain even though the cause is the personality trait.

It’s a reminder of the very important rule: Correlation doesn’t equal causation. Just because one detail appears alongside another detail, it doesn’t mean the one detail causes the other. (Tall people play basketball. Therefore one might conclude that playing basketball makes people tall. Is that right?)

Similarly we’ve seen a recent revision on dietary fat and cholesterol guidelines. We once thought that fat (particularly saturated fat) and cholesterol were the most evil of edible substances. Based upon flawed science, we were told to replace fat with carbohydrates and we’d all be well. Upon further review, it seems we may have been very wrong.

Low-carb vs. low-fat

Sticking with the diet and science theme, there’s been a lot of discussion on a recent study in Cell Metabolism that looks at low-carb vs. low-fat diets. This was a six-day study in a carefully controlled lab environment. The study had the same group of 19 obese participants spend six days on either a restricted-carb or restricted-fat diet. They then went home for several weeks for a “wash-out” period where they resumed their normal eating habits. The participants then returned and they were switched to the other diet. The same number of calories were cut from both diets, the difference being the calories came specifically from either carbs or fat. The participants were observed in a metabolic chamber and their caloric expenditure was very closely monitored. It was a well-designed study.

The result? The low-fat group lost more fat. Discussion over right? If you saw most of the popular-press headlines you’d think so. But there’s more to the story.

First question in my mind is “What about protein?” Though the jury is still out on some aspects of high-protein diets, several studies (here, here, here and here among others) suggest that high-protein diets can be useful for weight loss. The study doesn’t mention protein at all. Seems odd to me in that carbs, fat and protein are the main macronutrients in food. Why would we want to manipulate and study the effects of just two?

A good discussion of the low-carbs vs. low-fat study can be found at Examine.com. Really-low-fat vs somewhat-lower-carb – a nuanced analysis goes into some of the limitations of the study. This article is quite detailed. Read it all if you’re up for it. I won’t go into all of it but here’s a little bit.

One point to remember that this low-carb diet could be called a “lower-“carb diet in that some low-carb diets go much lower than this one. The Examine.com article says:

“The carb levels ended up being 352 grams for Restricted Fat versus 140 for Restricted Carb, and the fat levels 17 versus 108. In other words, (moderately lower carb than typical diets) versus (oh my goodness I can count my fat gram intake on my fingers and toes!).

This trial wasn’t designed to explore a real-life 100-gram-and-under low carb diet and especially not a ketogenic diet. Rather, it was a mechanistic study designed so that they could reduce energy substantially and equally from fat or carbs, but without changing more than one macronutrient. If they lowered carbs much more in the Restricted Carb group (like under 100 grams), they’d then have to go into negative fat intake for the Restricted Fat group. And negative fat intake is impossible (*except for in quantum parallel universes). One more note: all participants kept dietary protein constant and exercised on a treadmill for an hour a day.”

So it’s possible that if carbs were lowered further, we might see a different outcome of the study. Also, this was a six-day study. We must wonder what might happen over the course of six weeks, six months or six years.

Another very important point to remember is that this was a very tightly controlled experiment. It didn’t reflect the real world in which people trying to lose weight have to make their own food choices. Examine.com says:

And to repeat a very important point: this study was not meant to inform long-run dietary choices. In the long-run, the choice between restricting fat or restricting carbs to achieve a caloric deficit may come down to one thing: diet adherence.

While preference for certain foods may dictate which diet is easier to adhere to, this isn’t always the case. For instance, it seems that insulin-resistant individuals have an easier time adhering to a low-carbohydrate diet. Nowadays, new dieters often pair low-carb with higher protein, the latter of which can boost weight loss. And since there are plenty of high-sugar but low-fat junk foods (see Mike and Ike, et al.) but not so many high-fat but low-carb junk foods, low carb intakes can sometimes mean an easier time staying away from junk food when compared to low fat diets.

So we should remember that the dietary rubber meets the road when someone seeking weight loss can modify their diet in any healthy way and then stick to it for the long haul. If it’s less fat then great. If it’s fewer carbs, also great. If it’s some other improvement to the diet then wonderful!

Eight glasses of water a day is arbitrary

Another sacred cow of health and longevity is the admonition to drink at least eight glasses of water a day. That bunk has been debunked but much like a bell that’s been rung, it’s hard to change people’s minds once they’ve heard this information. The New York Times gets into this topic in No,You Do Not Have to Drink 8 Glasses of Water a Day. This one is simple. If you’re thirsty then drink. If you’re not then don’t. (How else would we have made it to the year 2015 if we didn’t have some sort of very good water gauge built into our physiology? Do my cat or dog think about the measured quantity of the water they drink?)

My Chronic Injury is an Addict

Standard
I'm getting off the wheel.

I’m getting off the wheel.

I’ve had recent discussions with two clients about lingering injuries. The talks brought to mind how my approach to my Achilles tendon pain. I think this new mindset will prove essential to my staying healthy and avoiding future Achilles problems. Maybe it’ll be useful to you.

To be clear, I don’t currently have any Achilles pain. I’m able to run long, sprint, and trail run consistently with no trouble. I want to keep it that way for the rest of eternity and that’s what brought up these thoughts.

Both my clients and I have battled aches and pains in particular regions that have come and gone… and come and gone again over the course of time. Our shared narratives go something like this:

I have pain. I see a physical therapist or chiropractor. He/She prescribes exercises that help. They help. I quit doing said exercises. (Those exercises are BORING as hell. They don’t feel like exercise. They don’t feel like they’re making me stronger, leaner, or more powerful.) Pain comes back at some point. Repeat the process.

Does this chain of events sound familiar?

My aches and pains have caused me to miss training, miss races and forced me out of some of the activities that I enjoy with passion. I’d like to avoid this process, thus I need to do something different from how I’ve done things in the past, otherwise I can expect the same result as before. (We all know about the definition of insanity right?)

I’ve decided that my Achilles tendon is… well… my Achilles heel. It’s my weak spot. For whatever reason, this part of my body is susceptible to problems. Therefore it needs special consideration and care. I’m now motivated to continually do the things that seem to strengthen my Achilles tendon. I want to turn that weak spot into a bulletproof, iron-clad appendage that’s nearly indestructible.

That means almost every day I’m doing standing heel raises. Some days I do high-reps/low-weight. Other days it’s heavy-weight/low-reps. I do bent-knee heel raises and straight-knee heel raises. I do heel raises with a straight foot and with my foot turned in and out. Some days I do lots of heel raises. Some days I do fewer.

My point has less to do with heel raises to cure Achilles problems and more with my behavior and thinking around the problem. The point is that I now constantly tend to this thing that has been a problem for me. I view it as an ongoing project that will never really be complete.

The analogy I’ll make is to that of an addict. Overcoming addiction is an ongoing process. An addict is either getting better or getting worse but he’s never treading water and staying put. An alcoholic/coke addict/sex addict/shopping addict/whatever-addict is an addict forever. Like an addict, it would probably be more enjoyable for me to quit doing my dinky, boring exercises and tell myself that I’m OK. I could easily do whats comfortable and easy.

I could say, “I’m fine. I’m cured. I don’t need to worry about this problem. It’s behind me forever now.”

If I take that tact though I should expect my problem to creep back in, and I hate that thought.

Losing the ability to run and jump is a powerful source of motivation for me. With proper motivation comes the ability to apply willpower to the problem. With this mindset, the boring and tedious exercises become easy. Doing them isn’t an issue at all now.

As with almost everything we do in fitness (and everything else in the world) the real target here is the brain, not the injured/painful area. If I want continued success and progress then I must decide to take the appropriate action. If I want a specific outcome (Achilles pain gone forever, weight loss, muscle mass, etc.) then I must adopt the behaviors that will get me there. I need to make new habits. That requires conscious thought and deliberate action. The work won’t do itself.

So there.

 

Two Big Reasons to Trail Run (or just hike.)

Standard

I’ve been trail running consistently for several weeks now. I see this as a marker of success in both the continuing rehab of my reconstructed ACL (surgery was May of 2014) and in overcoming stubborn Achilles tendon pain. If all this nice

progress continues, I plan on running the Aspen Golden Leaf half-marathon in October (Damnit!  It’s sold out. I need to move on that earlier next year.) and then the Moab Trail Marathon in November. So all this trail running has me thinking…

Nature & depression

Good for me.   Good for you.

Good for me. Good for you.

An article in the Atlantic titled How Walking in Nature Prevents Depression discusses a study that demonstrates the real psychological benefits to tromping around in the outdoors. Specifically, the researchers found this:

“Through a controlled experiment, we investigated whether nature experience would influence rumination (repetitive thought focused on negative aspects of the self), a known risk factor for mental illness. Participants who went on a 90-min walk through a natural environment reported lower levels of rumination and showed reduced neural activity in an area of the brain linked to risk for mental illness compared with those who walked through an urban environment. These results suggest that accessible natural areas may be vital for mental health in our rapidly urbanizing world.”

When I’m on the trail, I’m very much “in the moment” as the saying goes. I am consumed with the ground and where I put my feet. I’m aware of the plants, the rocks, the temperature, and if I’m in the right spot, I might hear the rush of a stream. I Iam deeply engrossed in the experience. Rarely if ever do I think about the hassles and conflicts that await me in good ol’ “civilization.”

Searing physical exertion is often a part of my trail running experience as well. Despite the pain, I keep coming back. It would seem some part of my brain wants to be there.

Trail running & movement variability

I’ve mentioned the idea of movement variability (here and here). It (to me) is an exciting concept and a hot topic in sports skill training and injury pre-/rehab circles. The smart people at Cor-Kinetic discuss movement variability in this impeccable blog post. The writer states:

Viva movement variability!

“Movement variability is inherent within a biological system. Not only is it inherent it is also beneficial for reducing risk of overload and enabling the ability to adapt to events that occur within our ever-changing environment. Elite athletes cannot reproduce exact and invariant movement patterns repetitively even through hours of devoted practice. The best movers are those that can execute the same stable end point skill but in many variable ways dependant on the constraints and context of performance. It could be that part of being resilient and robust lies in variability. The ability to tolerate load may come in part in the way in which it is internally processed through our coordinative variability.”

If we think about trail running, then we see that it takes place in a highly variable, constantly changing environment. As we run (or walk) we can’t consciously think about how we place our foot every time we step. Rather we must react. This is a job for our subconscious and our reflexes. The movement variability researchers suggest that through this process we may protect ourselves from a lot of potential injuries. (Nothing in the world however can protect us from all injuries.)

On the trail, we have to stay upright, balanced and moving while our running parts deal with all sorts of odd angles and shapes. The great part about negotiating this rocky, rooty, up-and-down environment, is that our feet, ankles, knees, hips—and especially our nervous system—builds what I call a movement database. Our brain soaks up the subtle changes in movement that we experience so we increase our runnings kills. We have an opportunity to as the Cor-Kinetic post says, “execute the same stable end point skill but in many variable ways dependent on the constraints and context of performance.” Our tissues are stimulated in a remarkably well-rounded way so that we become more durable than if we run only on flat, monotonous surfaces.

I’m pleased that I’m not the only one thinking this way. (I’d love to come up with an original thought some day.) Similar observations on trail running are discussed in the Running-physio.com article titled Trail running – Natural rehab?

The writer describes his own experience in trail running:

“Despite running long distances over challenging terrain and including more hills than I’ve ever done before I have far less pain running on a trail than I do on the road.”

And he suggests the mechanism by which this process may work:

“I’m not the only one to find this, so how can trail running reduce pain and help injuries?

It’s all to do with repetitive load – running on a fairly uniform surface stresses the same areas of the body over and over again. Those areas become overloaded and you start to develop pain. Trail running involves a variety of different surfaces – I usually run over grass, mud, gravel and forest ground with treacherous tree roots. This variety means the load on the body is constantly changing rather than overloading certain areas. It may also act as its own rehab – your body adapts to the constant challenges to your control and stability. Running a trail becomes like an advanced balance work out.”

Wisely, he goes on to discuss when trail running may NOT be the right thing for you and how to gradually introduce trail running into your routine.

All of this is anecdotal evidence. I don’t know of any strong studies that show trail running will fix any given injury. That said, a trail run fits the bill very well for a variable movement experience and it’s my belief that many runners who aren’t trail running will benefit from adding some time on the trail into their schedule.