GIBSON STRENGTH
Showing posts with label pain. Show all posts
Showing posts with label pain. Show all posts

Tuesday, March 12, 2013

A Plea for Depth


"Go through a full range of motion" is the exercise equivalent of "eat your vegetables"; we've been told by our trainers/mothers that it's important, but we don't like to do it and will find every excuse we can not to. There are many different reasons to only go through a partial range of motion on any exercise -you can put more weight on the bar, you can get more reps, it seems safer- and they all have one thing in common:


With very, very rare exceptions, a full range of motion (ROM) is a requirement for optimal progress and safety. And in no exercise is the more important -or more widely ignored- than the squat. 



The squat is a scary but misunderstood beast. When broken down in to all of it's separate components, it's one of the most technically complex movements of the human body. I have textbooks with literally entire chapters  devoted to this one lift, and for good reason. However, when done correctly, the squat is perhaps the most effective, efficient, and safest exercises you can do in the gym.

Unfortunately, "correctly" means "to full depth", and this is where most people fall short (pun absolutely intended). "Full depth" means that your femur is parallel to the ground, and the crease of the hips is just slightly below the top of the knee.

Correct depth


Way too shallow. 
The head may be lower, but the hips sure aren't. 

When someone doesn't want to squat to full depth, the most common reason they give is that it hurts their knees.

This makes absolutely no sense.

You don't do partial push ups to save the elbows, and you don't do partial squats to save the knees.A review of squatting kinematics by the Journal of Strength and Conditioning Research (man, what would I do without them?) reveals that full squats are actually superior to knee extensions and partial squats during rehabilitation for a knee injury.  In fact, a partial squat is actually worse for your knees. In a partial squat, most of the stress on your knee is generated by the quadriceps pulling your tibia forward. Repetitive, one-directional pulling on any joint, knee or elsewhere, is a recipe for injury.

However, at the bottom of a full squat, the hamstrings kick in and balance the anterior stress on the knee with an opposing force. At full depth, with correct knee and foot position, the anterior and posterior forces acting on the knee are balanced. Balanced forces = safe knees.

Figure 2-11 from Mark Rippetoe's book Starting Strength, showing the forces acting on the knee at the bottom of a full squat


And no, lunges are not safer for your knees. Knee range of motion is knee range of motion.

The key here is technique. Some of the things I see people do when trying to squat (see above) are absolutely bad for the knees, and that's why proper form is so important. If you can't squat correctly, you're better off avoiding the exercise. But you'll really be missing out, and I suggest putting real effort into learning the technique and gaining the mobility necessary for a proper squat. Remember, as a personal trainer, I'm here to help you with both.

Here's a simple exercise to practice getting to full depth, which also doubles as a fantastic mobility routine for the hips.

Stand up straight with your feet shoulder-width apart and your toes pointed about 30 degrees outward. Sit down between your legs, and drop your butt as low as it will go without coming up on your toes. Put your elbows between your knees, and push them out so they track over your feet. Try to sit a bit lower. Hold the stretch for 3-5 seconds, stand up by driving your hips up and forward, and repeat for 10 reps.




A strong, full-depth squat is one of the best indicators of total-body strength and mobility we can measure. At Lift, we include it in our warm-ups, our strength and conditioning circuits, our athletic development programs, our weight-loss programs, our...well, you get the picture. We want you to get the most out of your workout, and that means doing each movement to its fullest. 

As always, go forth, get low, and lift heavy things. 

Thursday, February 7, 2013

Strength Training Reduces "Office" Injuries

Despite living in a society that is increasingly sedentary (I have already typed that sentence too many times for my liking) we are plagued with chronic back and neck pain. Which is weird, because most of us associate any musculoskeletal pain with some sort of strenuous physical activity. Or we say we "slept on it wrong", because apparently that's a thing that you can do. So how can someone hurt themselves when they never pick up anything heavier than their purse?

"It's a satchel!" -  Men with purses.

The answer: You're not lifting enough heavy things. Granted, I use that advice to solve problems ranging from back pain to vegetarian lifestyle modifications, but in this case I have SCIENCE to back me up.

According to a study conducted at the University of Copenhagen and published in the Journal of Strength and Conditioning Research, women who participated in strength training on a regular basis for 16 weeks significantly decreased their self-reported pain index from the baseline of the study, compared with a control group who presumably ate tacos and watched Netflix for  four months. 

That is pretty impressive by itself, but some of the specifics of the study were surprising even to me. For example, the study not only looked at the effects of strength training, but also the effects of general physical activities like biking to work and parking farther from the store. The second group still significantly decreased their pain over the course of the study, but the group who went to the gym and lifted weights -which puts significantly more stress on the muscles and joints than taking the stairs every once in a while- still reported a greater decrease in pain. Even better, within the strength training group, those who had the greatest training volume (measured by load x total reps over the course of the study) reported a greater decrease in pain than the participants who had the lowest. 

So why does a frequently agonizing trip to the weight room actually help chronic sufferers of back and neck pain? The theory (not my theory, but the theory of those smart enough to have theories) is that strength training may help break down and subsequently reconstruct painful and abnormal muscle tissue, as well as decrease the relative workload of everyday activities by making the muscles stronger. Being hunched over in a chair all day often means that your back and neck muscles are turned off and neglected, and this leads to them withering away and failing to keep the structures they support in line. Strength training not only builds sexy lumps we can show off at the beach, but also teaches us to activate muscles that may not see much action the rest of the day. 

Many, many bad things can still happen in the gym. I myself have been hurt...we'll say three times. However, all three times were the result of me doing something stupid. Strength training, even with heavy weights, is completely safe as long someone follows proper form and has a decent program, perhaps one designed by an extremely handsome and knowledgeable trainer at one of finest facilities in Lexington. I promise the pain you think you feel under a heavy barbell is worth the pain you won't feel in the long run.

Go forth and lift heavy things!

Reference: Pederson, Mogens, Lars Anderson, Marie Jorgensen, Karen Sogaard, and Gisela Sjogaard. "Effect of Specific Resistance Training on Musculoskeletal Pain Symptoms: Dose Response Relationships."Journal of Strength and Conditioning Research. 27.1 (2013): 229-235. Print.

Justin currently only experiences emotional pain and also writes the blog for LIFT Fitness and Wellness