Fixing the Flaws: A Look at the Ten Most Common Biomechanical Weak Links in Athletes

Written on January 31, 2008, by Eric Cressey

Even the best athletes are limited by their most significant weaknesses. For some athletes, weaknesses may be mental barriers along the lines of fear of playing in front of large crowds, or getting too fired up before a big contest. Others may find that the chink in their armor rests with some sport-specific technique, such as shooting free throws. While these two realms can best be handled by the athletes’ head coaches and are therefore largely outside of the control of a strength and conditioning coach, there are several categories of weak links over which a strength and conditioning specialist can have profound impacts. These impacts can favorably influence athletes’ performance while reducing the risk of injury. With that in mind, what follows is far from an exhaustive list of the weaknesses that strength and conditioning professionals may observe, especially given the wide variety of sports one encounters and the fact that the list does not delve into neural, hormonal, or metabolic factors. Nonetheless, in my experience, these are the ten most common biomechanical weak links in athletes:

1. Poor Frontal Plane Stability at the Hips: Frontal plane stability in the lower body is dependent on the interaction of several muscle groups, most notably the three gluteals, tensor fascia latae (TFL), adductors, and quadratus lumborum (QL). This weakness is particularly evident when an athlete performs a single-leg excursion and the knee falls excessively inward or (less commonly) outward. Generally speaking, weakness of the hip abductors – most notably the gluteus medius and minimus – is the primary culprit when it comes to the knee falling medially, as the adductors, QL, and TFL tend to be overactive. However, lateral deviation of the femur and knee is quite common in skating athletes, as they tend to be very abductor dominant and more susceptible to adductor strains as a result. In both cases, closed-chain exercises to stress the hip abductors or adductors are warranted; in other words, keep your athletes off those sissy obstetrician machines, as they lead to a host of dysfunction that’s far worse that the weakness the athlete already demonstrates! For the abductors, I prefer mini-band sidesteps and body weight box squats with the mini-band wrapped around the knees. For the adductors, you’ll have a hard time topping lunges to different angles, sumo deadlifts, wide-stance pull-throughs, and Bulgarian squats.

2. Weak Posterior Chain: Big, fluffy bodybuilder quads might be all well and good if you’re into getting all oiled up and “competing” in posing trunks, but the fact of the matter is that the quadriceps take a back seat to the posterior chain (hip and lumbar extensors) when it comes to athletic performance. Compared to the quads, the glutes and hamstrings are more powerful muscles with a higher proportion of fast-twitch fibers. Nonetheless, I’m constantly amazed at how many coaches and athletes fail to tap into this strength and power potential; they seem perfectly content with just banging away with quad-dominant squats, all the while reinforcing muscular imbalances at both the knee and hip joints. The muscles of the posterior chain are not only capable of significantly improving an athlete’s performance, but also of decelerating knee and hip flexion. You mustn’t look any further than a coaches’ athletes’ history of hamstring and hip flexor strains, non-contact knee injuries, and chronic lower back pain to recognize that he probably doesn’t appreciate the value of posterior chain training. Or, he may appreciate it, but have no idea how to integrate it optimally. The best remedies for this problem are deadlift variations, Olympic lifts, good mornings, glute-ham raises, reverse hypers, back extensions, and hip-dominant lunges and step-ups. Some quad work is still important, as these muscles aren’t completely “all show and no go,” but considering most athletes are quad-dominant in the first place, you can usually devote at least 75% of your lower body training to the aforementioned exercises (including Olympic lifts and single-leg work, which have appreciable overlap).

Regarding the optimal integration of posterior chain work, I’m referring to the fact that many athletes have altered firing patterns within the posterior chain due to lower crossed syndrome. In this scenario, the hip flexors are overactive and therefore reciprocally inhibit the gluteus maximus. Without contribution of the gluteus maximus to hip extension, the hamstrings and lumbar erector spinae muscles must work overtime (synergistic dominance). There is marked anterior tilt of the pelvis and an accentuated lordotic curve at the lumbar spine. Moreover, the rectus abdominus is inhibited by the overactive erector spinae. With the gluteus maximus and rectus abdominus both at a mechanical disadvantage, one cannot optimally posteriorly tilt the pelvis (important to the completion of hip extension), so there is lumbar extension to compensate for a lack of complete hip extension. You can see this quite commonly in those who hit sticking points in their deadlifts at lockout and simply lean back to lock out the weight instead of pushing the hips forward simultaneously. Rather than firing in the order hams-glutes- contralateral erectors-ipsilateral erectors, athletes will simply jump right over the glutes in cases of lower crossed syndrome. Corrective strategies should focus on glute activation, rectus abdominus strengthening, and flexibility work for the hip flexors, hamstrings, and lumbar erector spinae.

3. Lack of Overall Core Development: If you think I’m referring to how many sit-ups an athlete can do, you should give up on the field of performance enhancement and take up Candyland. The “core” essentially consists of the interaction among all the muscles between your shoulders and your knees; if one muscle isn’t doing its job, force cannot be efficiently transferred from the lower to the upper body (and vice versa). In addition to “indirectly” hammering on the core musculature with the traditional compound, multi-joint lifts, it’s ideal to also include specific weighted movements for trunk rotation (e.g. Russian twists, cable woodchops, sledgehammer work), flexion (e.g. pulldown abs, Janda sit-ups, ab wheel/bar rollouts), lateral flexion (e.g. barbell and dumbbell side bends, overhead dumbbell side bends), stabilization (e.g. weighted prone and side bridges, heavy barbell walkouts), and hip flexion (e.g. hanging leg raises, dragon flags). Most athletes have deficiencies in strength and/or flexibility in one or more of these specific realms of core development; these deficiencies lead to compensation further up or down the kinetic chain, inefficient movement, and potentially injury.

4. Unilateral Discrepancies: These discrepancies are highly prevalent in sports where athletes are repetitively utilizing musculature on one side but not on the contralateral side; obvious examples include throwing and kicking sports, but you might even be surprised to find these issues in seemingly “symmetrical” sports such as swimming (breathing on one side only) and powerlifting (not varying the pronated/supinated positions when using an alternate grip on deadlifts). Obviously, excessive reliance on a single movement without any attention to the counter-movement is a significant predisposition to strength discrepancies and, in turn, injuries. While it’s not a great idea from an efficiency or motor learning standpoint to attempt to exactly oppose the movement in question (e.g. having a pitcher throw with his non-dominant arm), coaches can make specific programming adjustments based on their knowledge of sport-specific biomechanics. For instance, in the aforementioned baseball pitcher example, one would be wise to implement extra work for the non-throwing arm as well as additional volume on single-leg exercises where the regular plant-leg is the limb doing the excursion (i.e. right-handed pitchers who normally land on their left foot would be lunging onto their right foot). Obviously, these modifications are just the tip of the iceberg, but simply watching the motion and “thinking in reverse” with your programming can do wonders for athletes with unilateral discrepancies.

5. Weak Grip: – Grip strength encompasses pinch, crushing, and supportive grip and, to some extent, wrist strength; each sport will have its own unique gripping demands. It’s important to assess these needs before randomly prescribing grip-specific exercises, as there’s very little overlap among the three types of grip. For instance, as a powerlifter, I have significantly developed my crushing and supportive grip not only for deadlifts, but also for some favorable effects on my squat and bench press. Conversely, I rarely train my pinch grip, as it’s not all that important to the demands on my sport. A strong grip is the key to transferring power from the lower body, core, torso, and limbs to implements such as rackets and hockey sticks, as well as grappling maneuvers and holds in mixed martial arts. The beauty of grip training is that it allows you to improve performance while having a lot of fun; training the grip lends itself nicely to non-traditional, improvisational exercises. Score some raw materials from a Home Depot, construction site, junkyard, or quarry, and you’ve got dozens of exercises with hundreds of variations to improve the three realms of grip strength. Three outstanding resources for grip training information are Mastery of Hand Strength by John Brookfield, Grip Training for Strength and Power Sports by accomplished Strongman John Sullivan, and www.DieselCrew.com.

6. Weak Vastus Medialis Oblique (VMO): The VMO is important not only in contributing to knee extension (specifically, terminal knee extension), but also enhancing stability via its role in preventing excessive lateral tracking of the patella. The vast majority of patellar tracking problems are related to tight iliotibial bands and lateral retinaculum and a weak VMO. While considerable research has been devoted to finding a good “isolation” exercise for the VMO (at the expense of the overactive vastus lateralis), there has been little success on this front. However, anecdotally, many performance enhancement coaches have found that performing squats through a full range of motion will enhance knee stability, potentially through contributions from the VMO related to the position of greater knee flexion and increased involvement of the adductor magnus, a hip extensor (you can read a more detailed analysis from me here. Increased activation of the posterior chain may also be a contributing factor to this reduction in knee pain, as stronger hip musculature can take some of the load off of the knee stabilizers. As such, I make a point of including a significant amount of full range of motion squats and single-leg closed chain exercises (e.g. lunges, step-ups) year-round, and prioritize these movements even more in the early off-season for athletes (e.g. runners, hockey players) who do not get a large amount of knee-flexion in the closed-chain position in their regular sport participation.

7 & 8. Weak Rotator Cuff and/or Scapular Stabilizers: I group these two together simply because they are intimately related in terms of shoulder health and performance.

Although each of the four muscles of the rotator cuff contributes to humeral motion, their primary function is stabilization of the humeral head in the glenoid fossa of the scapula during this humeral motion. Ligaments provide the static restraints to excessive movement, while the rotator cuff provides the dynamic restraint. It’s important to note, however, that even if your rotator cuff is completely healthy and functioning optimally, you may experience scapular dyskinesis, shoulder, upper back, and neck problems because of inadequate strength and poor tonus of the muscles that stabilize the scapula. After all, how can the rotator cuff be effective at stabilizing the humeral head when its foundation (the scapula) isn’t stable itself? Therefore, if you’re looking to eliminate weak links at the shoulder girdle, your best bet is to perform both rotator cuff and scapular stabilizer specific work. In my experience, the ideal means of ensuring long-term rotator cuff health is to incorporate two external rotation movements per week to strengthen the infraspinatus and teres minor (and the posterior deltoid, another external rotator that isn’t a part of the rotator cuff). On one movement, the humerus should be abducted (e.g. elbow supported DB external rotations, Cuban presses) and on the other, the humerus should be adducted (e.g. low pulley external rotations, side-lying external rotations). Granted, these movements are quite basic, but they’ll do the job if injury prevention is all you seek. Then again, I like to integrate the movements into more complex schemes (some of which are based on PNF patterns) to keep things interesting and get a little more sport-specific by involving more of the kinetic chain (i.e. leg, hip, and trunk movement). On this front, reverse cable crossovers (single-arm, usually) and dumbbell swings are good choices. Lastly, for some individuals, direct internal rotation training for the subscapularis is warranted, as it’s a commonly injured muscle in bench press fanatics. Over time, the subscapularis will often become dormant – and therefore less effective as a stabilizer of the humeral head – due to all the abuse it takes.

For the scapular stabilizers, most individuals fall into the classic anteriorly tilted, winged scapulae posture (hunchback); this is commonly seen with the rounded shoulders that result from having tight internal rotators and weak external rotators. To correct the hunchback look, you need to do extra work for the scapular retractors and depressors; good choices include horizontal pulling variations (especially seated rows) and prone middle and lower trap raises. The serratus anterior is also a very important muscle in facilitating scapular posterior tilt, a must for healthy overhead humeral activity. Supine and standing single-arm dumbbell protractions are good bets for dynamically training this small yet important muscle; scap pushups, scap dips, and scap pullups in which the athlete is instructed to keep the scapulae tight to the rib cage are effective isometric challenges to the serratus anterior.

Concurrently, athletes with the classic postural problems should focus on loosening up the levator scapulae, upper traps, pecs, lats, and anterior delts. One must also consider if these postural distortions are compensatory for kinetic chain dysfunction at the lumbar spine, pelvis, or lower extremities. My colleague Mike Robertson and I have written extensively on this topic here. Keep in mind that all of this advice won’t make a bit of difference if you have terrible posture throughout the day, so pay as much attention to what you do outside the weight room as you do to what goes on inside it.

9. Weak Dorsiflexors: It’s extremely common for athletes to perform all their movements with externally rotated feet. This positioning is a means of compensating for a lack of dorsiflexion range of motion – usually due to tight plantarflexors – during closed-chain knee flexion movements. In addition to flexibility initiatives for the calves, one should incorporate specific work for the dorsiflexors; this work may include seated dumbbell dorsiflexions, DARD work, and single-leg standing barbell dorsiflexions. These exercises will improve dynamic postural stability at the ankle joint and reduce the risk of overuse conditions such as shin splints and plantar fasciitis.

10. Weak Neck Musculature: The neck is especially important in contact sports such as football and rugby, where neck strength in all planes is highly valuable in preventing injuries that may result from collisions and violent jerking of the neck. Neck harnesses, manual resistance, and even four-way neck machines are all good bets along these lines, as training the neck can be somewhat awkward. From a postural standpoint, specific work for the neck flexors is an effective means of correcting forward head posture when paired with stretches for the levator scapulae and upper traps as well as specific interventions to reduce postural abnormalities at the scapulae, humeri, and thoracic spine. In this regard, unweighted chin tucks for high reps throughout the day are all that one really needs. This is a small training price to pay when you consider that forward head posture has been linked with chronic headaches.

Closing Thoughts

A good coach recognizes that although the goals of improving performance and reducing the risk of injury are always the same, there are always different means to these ends. In my experience, one or more of the aforementioned ten biomechanical weak links is present in almost all athletes you encounter. Identifying biomechanical weak links is an important prerequisite to choosing one’s means to these ends. This information warrants consideration alongside neural, hormonal, and metabolic factors as one designs a comprehensive program that is suited to each athlete’s unique needs.

Pearls of Wisdom

Pearls of Training Wisdom from Ed Coan, Charles R. Poliquin and Matt Wenning

Bench Press

Correct Grip Width

Grip width is a function of your biomechanics and needs to be set according to this. Biomechanics change from athlete to athlete due to shoulder width, length of the humerus and length of the forearms. A simple way to figure this out is to go into your natural push-up position, the body automatically selects the grip width you’re the strongest in and feels the best. That’s your competitive bench press grip. Just because you´re allowed to grip wider doesn´t mean it’s good for you.

Bench More with Structural Balance

Train your rotator cuff muscles and scapular retractors for a big bench and healthy shoulders. How are you supposed to bench big weights if you can´t even stabilize them? That’s like putting a Lamborghini engine into a Civic while still relying on the Civic’s breaking system. You´re just begging for an injury. 

Drive your head into the bench on the concentric phase of the lift

This activates your neck extensors and puts another 2-7 kg on your bench. Strong neck extensors potentiate every upper body lift.

Squat

Always keep your Sternum high

And pick a spot somewhere in front of you that’s slightly above to look at. This ensures that your head is high at all times. Your eyes dictate where the body goes. Look down and you’ll round forward.

Warm up your weak and/or inactive muscles before you train

Pick 3 exercises to address them and try to get those muscles working. Don’t smash yourself on the warm up, just potentiate those muscles. If you sit on your ass the whole day your glutes are most likely inactive and the lower back will take over a large portion of the work. I´m sure you experienced this at some point: your lower back is completely fatigued after squatting. That’s because your glutes are not firing.

60-70% of your total training volume should be traction based exercises for your spine

Heavy squatting and deadlifting always compress your spine so make sure you decompress it when doing your accessory work for more longevity.

Deadlift

The deadlift has a disadvantage to the bench press and the squat

This is because there´s no eccentric movement preceding the concentric phase. In the other two lifts it´s possible to correct your form on the way down but with deadlifts you can’t. That’s why the starting position is most important.

Deadlift cycles are the shortest due to their demand on the nervous system

Stretch your hip flexors statically before deadlifting

This will put another 5-15 kg on your deadlift. Tight hip flexors inhibit the strength of your hip extensors.

Endurance vs. Conditioning

The statement is simple – Endurance is the most overrated of all sports specific qualities. Why Because endurance is neither necessary nor the limiting factor in most sports. Conditioning is. Where is the difference?

Definition of Endurance and Conditioning as follows:

Endurance is the ability to maintain a certain effort with minimal fatigue – A classic example is a marathon. At a marathon it´s crucial to run 2+ h in one go with minimal fatigue.

Conditioning is the ability to repeat a certain effort with minimal fatigue – Classic examples are team sports like Soccer, American Football, Basketball and Ice hockey. In those sports it is crucial to keep fatigue between the first and the last sprint (and all the others in between) as minimal as possible.

Most Olympic, Team- and Combat Sports are cyclical, that means certain efforts must be repeated. A 100m sprinter has to repeat his performance in heats, semi-finals and finals. A thrower has 6 attempts per competition and an olympic weightlifter has 3 per discipline.  If the performance decreases too much from attempt to attempt then his conditioning is the limiting factor.

A more extensive example is soccer. Depending on the position of a player he runs about 8-12km per game. From which he runs 400-1200m above 85% of his top speed. The remaining 8-10km are walking, trotting and hardly relevant for the game.

These 400-1200m are crucial. The average sprinting distance is about 17m. Sprints over 30m, thats the distance between mid- and penalty line, are very rare.

The critical distance is 0-5 m. That´s the famous “one step faster”. Based on player statistics of the English Premier League, players with the highest salary, regardless of their position have one thing in common, they are the fastest over 0-5m.

At an average sprinting distance of about 17m and a game-relevant total distance of 400-1200m those are about 24 to 70 sprints per game. Assuming a uniform load density, it is a load of 2-3 seconds followed by a 1:20-4:00 minute break. I sprints are repeated with minimal rest its more than 3 in a row before the ball is out of sight.

So what is critical for a game in this case in terms of physical qualities?

Endurance or Conditioning?

Critical are those 24 to 70 sprints in under 90 minutes game time and their repetition with minimal fatigue, not endurance. Endurance isn´t relevant in soccer because of the short bursts of sprints they do.

To run 10-60 minutes at once has very poor correlation with the ability to repeat 24 to 70 sprints in 90 minutes with minimal fatigue.

2 FORMS OF ENDURANCE

Endurance at high intensity – that is the ability to maintain a stress of high intensity upright with minimal fatigue. A good example is a 100m sprinter. A sprinter reaches his top speed after 60-70m. From 60-70m the critical factor becomes maintaining the top speed as long as possible without getting tired. In this case we speak of speed endurance. Usain Bolt is a great example for this. His greatest advantage over his opponents, and the reason why he is even more dominant over 200m than over 100m, is his exceptional speed endurance, the ability to maintain his top speed with minimal fatigue and leave all his opponents behind after 60-70m.

Endurance at low intensity – that is the ability to maintain a stress of low intensity upright with minimal fatigue. A good example is the marathon. In a marathon it´s crucial to maintain a performance for 2+ h with minimal fatigue. In one go and without interruptions.

Intensity – definition: Intensity is the load of a performance in relation to the maximal performance. A performance at high intensity for example is a sprint over 50 meters at maximum speed or BB Back Squats for 3 reps with 90 % of 1RM. In contrast to this, a performance of low intensity is a run over 10000m at maximum speed or squats for 25 reps with 50 % of 1RM. That means intensity is not defined on the subjective level of effort but correlates performance with maximum power/effort.

Both forms of endurance, especially the last one, are not relevant in most Olympic-, Team- and Combat Sports because the duration of the load in those sports is far lower.

In most Olympic-, Team- and Combat sports conditioning is critical. The ability to repeat a performance with minimal fatigue.

2 FORMS OF CONDITIONING

Conditioning at high volume – the ability to repeat a certain performance very often with minimal fatigue.  The best example is soccer, where depending on the position of the player the average sprinting distance has to be repeated up to 70 times per game with minimal fatigue.

Conditioning at low volume – the ability to repeat a certain performance a few times with minimal fatigue. Best example is Olympic Weightlifting. There you only have to repeat an attempt 3 times per discipline and competition – so 3 Reps of the Snatch and 3 Reps of the Clean & Jerk, thats it.

The lower the volume, the more critical becomes the performance during the attempt itself. It is not that crucial to repeat that performance often.

The higher the volume, the more critical is the ability to repeat it. Therefore in weightlifting the ability to repeat a performance is less important than the absolute performance, namely to move maximal weight. In comparison with weightlifting soccer players need lower maximal- and explosive strength level than weightlifters – but higher levels of conditioning. As the ability to repeat maximal Sprinting Speed for the 90 minute game is critical.

TRAINING ENDURANCE VS. CONDITIONING

The training for Endurance and Conditioning is obviously very different.

The Training of Endurance basically includes a higher volume of total work, a lower -if any – number and duration of breaks and lower average intensity of effort. While the training of conditioning basically comprises a lower total volume of work and an increased number and duration of breaks at higher average intensity of effort.

51 rounds divided into 3 blocks á (9 rounds, 3 minutes pause, 5 rounds, 3 minutes pause, 3 rounds) with 10 minute pauses between the blocks. The rounds have to be executed with minimal 85% of world record time.

That´s a solution for a 1500m short track speed skater whose limiting factor is endurance over 1500m. That means he fatigues too much in the last 3-5 rounds of the 1500m race which is 14,5 rounds.

This is a program written by the legendary short track speed skating Coach Yves Nadeau, whose athletes won 204 medals at World Championchips and the Olympic Games since 1983.

Sample training program for Conditioning in Soccer

This is a modified strongman medley used to condition a soccer player

A1 Forward Sleddrag, 20m, 5s rest
A2 Prowler Push, High Handle, elbows extended, 20m, 5s rest
A3 Sprint, 20m, 120s rest
Repeat 4-10 times depending on the current Conditioning Level of the Athletes

This is a solution for a player or a team whose physically limiting factor is fatigue in the latter part of the game.

The ability to repeat multiple blocks of three 20m efforts with minimal rest has clearly a higher correlation to soccer-specific performance than 10-60min straight jogging. To train the sprinting power, speed and conditioning at the same time a combination of strength- and condititoning training in the weightroom can also be utilized. To see how it looks in detail, here is an example of a squat training program for conditioning in Ju Jitsu.

Sample training program for Conditioning in Ju Jitsu

 12 sets of 4 reps of BB Back Squats with a 30X0 tempo and 60s rest.

From workout to workout increase the average- and maximal weight used.

That´s a solution for a fighter whose physical limiting factor is fatiguing from effort to effort. The higher intensity and resistance on the squats allow for training conditioning and power of a single action at the same time.

This is the program used for preparation of YPSI Athlete Romy Korn for the Ju Jitsu World Championship 2014 in Paris where she became World Champion in the 70+ kg weightclass at a bodyweight of 71,2kg with all her opponents outweighing her by 15+kg.

Conclusion: For a coach it is crucial to identify whether endurance and/or conditioning are necessary for a certain sports and disciplines. And to assess which the limiting factor of the individual athlete is. So the training program can be specifically tailored to the needs of the individual sport and the limiting factor of the individual athlete. To maximise the efficiency of training and therefore increase pPerformance on the field, court, ice or mat.

Hamstrings Development

The evidence is mounting that a range of exercises are necessary, if athletes want to achieve complete hamstrings development. 

This new study shows that 4 different exercises produced very different responses in each of the 4 hamstrings muscles and 3 main regions (proximal, middle, and distal) when measured using MRI from pre- to post-exercise. 

This suggests that both hip extension exercises (e.g. Russian belt deadlift and hip extension conic pulley, as in this study) as well as knee flexion exercises (e.g. Nordic curl and flywheel leg curl, as in this study) are necessary to achieve increases in muscular strength and size of all hamstrings muscles and regions.

Smart Abdominal Training

 
 

Although you are regularly bombarded with exercises claiming to tone and strengthen the abdominal muscles, many of these exercises are inadequate and ineffective. Some exercises may actually lead to lower back pain, and do little to strengthen the abdominals.

The ‘villains’ of abdominal training are the hip flexors, which bring the legs and trunk toward each other. Muscles that flex the hip include the psoas major, illiacus, rectus femoris, pectineus and sartorius. Full sit-ups involve the hip flexors, which may cause the lower back to arch and unwanted back pain, particularly in individuals with relatively weak abdominals. Leg-raising exercises in a supine position challenge the hip flexors with limited involvement of the abdominals. Frequently, there is a muscle imbalance between the weaker abdominals and the stronger hip flexors in trunk flexing movements. The goal of abdominal training is to maximize the involvement of the abdominals, while minimizing the involvement of the hip flexors.

 

Importance of Structural Balance for Injury Prevention

What is the Science Behind Structural Balance Assessments?

The concept of structural balance is that a muscle’s ability to develop force is a function of the strength of the opposing muscle group and its stabilizers. Many training and sports-related injuries are often the result of muscular imbalances – strength discrepancies between opposing and synergist muscle groups or even between limbs. These structural imbalances are often caused by a combination of the repetitive motions involved in many sports and/or a lack of exercise variety in training.

A Structural Balance Analogy:

Another way to understand structural balance to imagine you are building a house. In construction, the term “footing” describes the concrete support that the foundation is built upon. The footing also spreads the weight of the structure evenly over a wider area. The walls of the house are then built on the foundation. However, if the footing is poorly developed it compromises the stability of the foundation, which in turn, compromises the structural integrity of the entire house.

Each of the body’s joints are similar to the above analogy in that the joint is the house and the muscles and tendons controlling that joint are the foundation and footing. Viewed as a whole, if the stability of one joint is compromised it will affect the structural integrity of the entire body.

This is the proverbial “only as strong as the weakest link” axiom.

A joint is controlled by two primary sets of opposing muscle groups; one set of muscles flexes the joint and the other extends it. Synergistic muscles help the respective primary muscle perform its action. While one primary muscle group and its synergists are moving the joint, the opposing muscle group and it synergists are stabilizing it from the opposite side.

There is an optimal balance of strength between these muscle groups that control a joint, but if the muscles on one side of the joint are disproportionately stronger than the muscles on the opposing side it creates joint instability, which increases the risk of injury to that joint.

The take away point here is balance is important and vital to injury prevention.

Figure 1: Notice the difference between normal and imbalanced strength and its impact on a joint.

Figure 1: Notice the difference between normal and imbalanced strength and its impact on a joint.

When the central nervous system senses joint instability, it reduces the ability to continue strengthening the muscles that are already too strong. This an effective safety mechanism the body utilizes to protect itself from injury.

However, this safety mechanism can be “overridden” by attempting to force the already too strong muscles to get even stronger — many injuries occur under these conditions. If you place more strain on the weakest link than it can tolerate, the chain breaks.

While unpredictable accidents will still occur, a thorough structural balance assessment can:

  • Identify muscle weaknesses that leave a joint vulnerable to injury and compromise performance;
  • Faulty movement patterns that cause misalignment of the body, which results in distorted movement;
  • Muscle tightness that can result in strained or torn muscles, and;
  • Provide the blueprint from which your initial training program is developed.

A structural balance assessment also provides a starting point for your training. Your initial training program is developed based on the results of your assessment and aimed at correcting your weaknesses, faulty movement patterns, and tight muscles through a progression of corrective and remedial exercises. This approach expedites your results and helps ensure continuous progress.

A thorough structural assessment should be the first step of anyone’s training program whether you are a competitive athlete from any level of competition, an avid CrossFitter, or someone who wants to look better and improve your health.

Excerpt from Athletic Strength Institute

Stuart McGill on Abdominal Training

The science of spine stability: Effective spine stabilization approaches must begin with a solid understanding of what stability is. From a spine perspective it has little to do with the ability to balance on a gym ball. This is simply the ability to maintain the body in balance which is important but does not address the unstable spine. In fact, in many instances the unstable spine is also flexion intolerant and with associated intolerance to compression. Sitting on an exercise ball performing movement exercises increases spine compression to a flexed spine. This retards progress – it is generally a poor choice of back exercise until quite late in a therapeutic progression. True spine stability is achieved with a “balanced” stiffening from the entire musculature including the rectus abdominis and the abdominal wall, quadratus lumborum, latissimus dorsi and the back extensors of longissimus, ilioicostalis and multifidus. Focusing on a single muscle generally does not enhance stability but creates patterns that when quantified result in less stability. It is impossible to train muscles such as transverse abdominis or multifidus in isolation – people cannot activate just these muscles. Do not perform abdominal hollowing techniques as it reduces the potential energy of the column causing it to fail at lower applied loads (McGill, 2009). Interestingly a recent clinical trial (Koumantakis et al, 2005) compared the efficacy of many of the exercises that I quantified and published in Physical Therapy (McGill 1998), with the same exercises combined with specific transverse abdominis isolation (hollowing etc.). Adding the specific transverse abdominis training reduced efficacy! Instead, the abdominal brace (contracting all abdominal muscles) enhances stability. Target contraction levels for bracing and training techniques are described in McGill (2006). Finally, some provocative tests, such as a shear test, will help reveal which classification of patient is best suited for a stabilization approach (Hicks et al, 2005).

Linking Anatomy with Function: Consider the usual and popular approach to train the abdominal wall muscles by performing situps or curl-ups over a gym ball for example. But consider the rectus abdominis where the contractile components are interrupted with transverse tendons giving the “six pack” look. The muscle is not designed for optimal length change but rather to function as a spring. Why have these transverse tendons in rectus abdominis? The reason is that when the abdominals contract, “hoop stresses” are formed by the oblique muscles that would split the rectus apart. In addition to the spring-like architecture of the muscle consider how it is used. People rarely flex the rib cage to the pelvis shortening the rectus in sport or everyday activity. Rather they stiffen the wall and load the hips or shoulders – if this is performed rapidly such as in a throw or movement direction change, the rectus functions as an elastic storage and recovery device. When lifting weights it stiffens to efficiently transmit the power generated at the hips through the torso. Those individuals who do actively flex the torso (think of cricket bowlers and gymnasts) are the ones who suffer with high rates of disc damage and pain. Now revisit the common training approach of curling the torso over a gym ball that replicates the injury mechanics while not creating the athleticism that enhances performance. This is a rather poor choice of exercise for most situations. Yet many clients will expect that a gymball be used. Play a trick on these clients and retain the gymball but change the exercise from a spine breaking curlup to a plank where the elbows are placed on the ball. Now “stir the pot” to enhance the spring and spare the spine – this is a much superior exercise for most people.

 

gluteal muscle activation retraining based primarily on the original work of Professor Janda has been honed in our own lab (see figure 4). This cannot be accomplished with traditional squat training (McGill, 2007). Chronic back pain tends to cause hip extension using the hamstrings and subsequent back extension using the spine extensors creating unnecessary crushing loads. Gluteal muscle reintegration helps to unload the back. 

Finally consider exercises such as the squat. Interestingly when we measure world class strongmen carrying weight, NFL footballers running planting the foot and cutting – neither of these are trained by the squat. This is because these exercises do not train the quadratus lumborum and abdominal obliques which are so necessary for these tasks. In contrast, spending less time under a bar squatting and redirecting some of this activity with asymmetric carries such as the farmers walk (or bottoms-up kettlebell carry – see figure 7) builds the athleticism needed for higher performance in these activities in a much more “spine friendly” way. The core is never a power generator as measuring the great athletes always shows that the power is generated in the hips and transmitted through the stiffened core. They use the torso muscles as anti-motion controllers, rarely motion generators (of course there are exceptions for throwers etc but the ones who create force pulses with larger deviations in spine posture are the ones who injure first). Many more progressions to enhance athleticism in a spine sparing way are provided in my text “Ultimate back fitness and performance”

A comment on Flat Feet:

When the arches of the feet collapse, a lot of bad things happen. First, consider that the arch of the foot is supposed to flex and absorb shock. If the arch is flat, the foot lacks shock absorbency, and stress is transferred to the knees, hips, and lower back. This is why many of the advertisements for orthotics claim that they can resolve back pain.

With fallen arches, the bones of the ankle are not optimally aligned with the foot, increasing the risk of ankle injuries. According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, approximately one million people in the US are treated for ankle injuries every year. It’s also estimated that athletes who injure an ankle are five times more likely to injure that ankle again.

Fallen arches also cause the bones of both the upper legs and lower legs to internally rotate. This rotation increases stress on the ACL. The ACL is a ligament that connects the upper and lower leg bones and provides stability to the knee, making the ACL critical for dynamic movements. Approximately 300,000 ACL injuries occur annually in the US, and the risk of injury is greater to athletes and women. Also consider that only 30 percent of ACL injuries are a result of direct contact, which suggests that an important step to preventing ACL injuries is to address the structure and function of the foot.

Another consequence of fallen arches is that the inward rotation of the upper legs increases the arch in the lower back, a condition technically referred to as lumbar hyperlordosis. Lumber hyperlordosis reduces the ability of the spine to absorb shock. The result is an increased risk of back injury and pain.

The most common method of correcting flat feet is orthotics. Orthotics don’t permanently correct fallen arches – they only work while the user is wearing them. Also, the pressure of the orthotic on the arch can also cause the arch to become weaker.

Solutions include corrective exercises to strengthen muscles that support the arch. One such muscle is the extensor hallucis longus, which creates lateral tension on the foot and also strengthens and stretches the two major calf muscles (gastrocnemius and soleus).