Douglas Heel in the UK

http://www.physiouk.co.uk/

Physio UK are once again hosting Douglas Heel, who will be in the UK in November.  I highly recommend his two day course, it will blow you away.  I have used the various activation techniques, learnt on the course, on almost every client since attendance, the results can be incredible!

Barefoot running - how and why

After 10 years of treating runners injuries, training runners and researching various aspects of running performance, not to mention my own mixed performance as a runner, I feel qualified enough to make the following statements.  Some of what you are about to read is based on empirical evidence gathered over the years from my own experiences, this is mixed, however, with some hard facts and up-to-date thinking by experts in the field of running biomechanics.

Weakness! - Unfortunately most runners, and especially distance (800 metre +), are weak - end of! Any runner heel striking is weak and compensating for weakness.  Bouncing up and down - weak.  Over rotating the body and arms - weak.  Body bent forward at the hip whilst running - definitely WEAK.  Not the individuals fault of course, other than that most of us neglect to pay any attention to biomechanics until injured, then reluctantly!  We favour spending time manipulating the other variables of training, such as volume, intensity, footwear etc.  This behaviour is a common mistake and a classic example of the cart being placed before the horse.  Biomechanics, and therefore strength, should be the priority of any athlete both prior and during the training program.

Technique - The problem being, what actually is good technique? and what deviation from such technique should be allowed and explained as an individuals "style", left alone, or corrected?  Here is (some of!) my opinion,

- Initial contact or Foot strike - This should be under the bodies centre of gravity, meaning either a whole or forefoot strike.  If the foot, regardless of contact point, extends out in front of the centre of gravity the contact must become soft, this will require and involve excessive pronation to avoid reduction in speed, the pronation will cause the elastic forces to dissipate, effectively decelerating overall movement.  In addition the outreached foot will require excessive rotation through the trunk to counter the pelvic rotation and forward weight distribution, this will exacerbate the collapse into the transverse plane and deceleration.
- Body/Trunk position - should be upright or even slightly leant back!  This is possibly the easiest position to effect consciously whilst running.  I often instruct runners to open through the rib-cage and lift the Sternum, optimum abdominal muscle action and pelvic position may then be facilitated.  The problems with a flexed/forward body position are in that the alteration of the centre of gravity must be compensated for by excessive force production, working to hold the body up against gravity, and excessive forward foot placement.  Both factors will cause a loss of reaction force and elastic energy to be used successfully, thus decelerating the overall movement.
- Knees together at initial contact - this is an excellent measure of a good technique, as one foot hits, the knees should be side by side.
- Swing phase begins rapidly - the faster the pace the quicker the ground contact.  Dynamic stiffness/strength and structural integrity are required through the ankle and foot to ensure the optimum use of elastic forces and prevent excessive dorsi-flexion and a late propulsive phase.  Correct, upright body position must be employed to avoid this and prevent excessive rotation that can be caused by late propulsion and sub-optimal body position.  Contrary to some opinion, propulsion is occurring from the moment of initial contact and this is the case for sprint and distance runners.

How to do it? it's a huge ask to achieve any of the above by consciously altering your running technique or buying a new pair of Newtons or Five Fingers! (seen above).  However, I have successfully brought about significant progress towards optimum technique by first identifying a runners primary weakness, usually hip related, then implementing a reactive activation and strengthening program.  Put simply, the function and strength of the lower limb, trunk and, to a lesser degree, arms, must be integrated.  Hamstrings must be taught to work reactively, Psoas major must be activated to facilitate pelvic control (if you're thinking Psoas major is a hip flexor - wrong!!) and the hip, and especially Gluteus max, must be strong and reactive enough to give propulsion whilst controlling pronation!  Confused? just contact me and I can explain.

Barefoot running? is a great indication of good technique, if you can do it injury free! Don't buy the shoes and hope for miracles - work on your mechanics, strengthen up and if you get it right the transition will happen by itself!

A future post will contain Hip strengthening exercises.

Dave Lewis qualifies for British Powerlifting champs

Dave, seen here training at Ultimate Performance, has qualified for the up-coming British Powerlifting championships.
Presenting with bilateral anterior hip pain and restriction, Dave responded very quickly to treatment and recently pulled off a monumental performance, including a 200+KG dead lift.
More to follow on this young athlete....

London Trainer Network

This is a new organisation founded by Graeme Marsh.  Graeme has spotted a massive gap in the market and is already well underway in his goal to provide accessible and transferable evidence based learning opportunities for fitness and therapy professionals.  Visit the web site, link to the right, for the full run down.

Body weight push press!

This client first presented for treatment with a combination of chronic L hip, R SIJ and R L4-5 problems dating back almost 10 years.  She had experienced mixed results from previous evaluation and treatment with some interesting opinions regarding causal mechanisms, visceral problems and physical abuse being two of these!  

Evaluation of the L hip revealed both flexion and internal rotation to be restricted with general weakness in all planes of motion.  To cut a long story short, my focus was to activate Psoas Major and and release it from local structures (Iliacus, anterior hip capsule, femoral nerve).  The initial results being increased ROM (all planes), reduced Gluteal irritation, reduced Quadriceps tightness and premature fatigue and reduced stress translated to the R SIJ during transverse plane movements.  

Training was on going for 2 months resulting in, together with other significant gains, the ability to push-press body weight, this being 54Kg. The client is now completely free of all previous symptoms.  This process indicates the importance of maintaining hip mobility for optimum muscle activation, when accomplished, huge gains in function can be achieved. 

Daz Parker - nearing podium on the pro circuit!

I have been helping Daz throughout the 2010 season.  She is now reaping the rewards of a hard years training and racing that has taken her around the world, finishing as high as 5th on the pro-xterra triathlon circuit.  A post will follow that may interest all of the therapists reading the blog, where I will outline Daz's condition and treatment, but for now you can follow her race results on her own website, link below.

http://dazparker.com/

Marathon PB smashed at Berlin

Congratulations go to Alex Wilson for a 14 minute PB at the Berlin marathon.  Alex improved from a previous best of 2:53 to 2:39.  This is a significant achievement, largely due to quality training and race preparation.  This type of success demonstrates the benefits of including regular soft tissue therapy as part of the conditioning program, Alex has been coming in weekly for 3 months prior to race day.  For the non-injured/asymptomatic athlete the focus of treatment is to improve tissue condition and function, performance enhancement will always be the result! So don't wait until you are injured!