Will Creatine Help You?

Creatine is, without a doubt, one of the most popular supplements touted by bros on the market today (at least that one can legally use). Bodybuilders and other athletes use it to improve work capacity and increase size. In fact, Froiland et. al. found that about 37% of NCAA athletes take creatine. Before you start scooping heaps of creatine into your protein shakes, however, it's important to know how it works, and also what it does and doesn't do.

There are seven different types of creatine supplements: creatine monohydrate (the most popular form), tri-creatine malate, micronized creatine, liquid creatine, conjugated creatine, buffered creatine, and ethyl ester. For the purposes of brevity of this article, though, I will only discuss creatine monohydrate supplementation.

Naturally produced in your liver, pancreas, and kidneys, creatine is transported to your muscles through the bloodstream. Creatine is also sourced from meat and fish, or, obviously, supplementation. Along with a compound known as adenosine triphosphate (ATP), phosphocreatine is the primary energy source for all anaerobic activity (shorter activities that don't require much oxygen).

With creatine supplementation, you have more ATP-PC stores, and, thus, you're able to improve your work capacity! Creatine is effectively giving you that extra "boost" in your workout, so if you were only able to perform 4 repetitions on your bench press at a given weight, using creatine supplements, you'll ideally be able to do 6 or more repetitions. In summary, creatine isn't a miracle supplement that you take and wake up looking like Arnold and lifting like Mark Henry, but, rather, it's aiding you in getting more work done than you would've been able to do otherwise. An increased work capacity allows you to increase volume (repetitions) at a designated intensity (weight), which can result in an increase in muscle mass and strength as a byproduct.

What does the research show?

For one, Rawson et. al. noted that weightlifting performance and muscle hypertrophy increased considerably in subjects using creatine:

Although there is considerable variability in the increase in muscle strength and weightlifting performance in subjects ingesting creatine during resistance training, subjects ingesting creatine experience on average an 8% greater increase in muscle strength (20 vs. 12%) and a 14% greater increase in weightlifting performance (26 vs. 12%). Additionally, untrained subjects experienced a larger increase in muscle strength following creatine supplementation plus resistance training than trained subjects (31 vs. 14%).

They both reviewed 22 different studies on the supplement, and those were there collective conclusions. The review also considered possible gender disparities, and didn't find a substantial difference in response between men and women:

One group has reported that men and women experience similar improvements in exercise performance following creatine supplementation (51), but that women show a lesser increase in lean body mass (32) and no reduction in protein breakdown (34) following creatine supplementation compared with men.

In another study, Becque and his colleagues tested 23 male subjects with one or more years of training experience. The experimental group ingested 5 g of creatine, while the control group ingested a placebo drink with sucrose. One of the most interesting findings of the study was that "body mass was significantly greater for [the creatine group] than [the] placebo [group] at pretest and post-test." The experimental group also noted a larger increase in arm flexor (biceps brachii) strength than did the control group.

Similarly, Volek tested 19 resistance-trained men over the course of 12 weeks. Towards the end of the study (weeks 5-8), the experimental (creatine) group performed more volume in the bench press than their control counterparts did. There were no noticeable differences in squat volume. The 1 repetition maximums for all subjects, but more significantly in the creatine supplemented subjects on both the squat and the bench press. The creatine subjects saw a larger increase in lean muscle mass, as well (5.8 kg versus 1.3 kg in the placebo group).



With those things in mind, here are a few final points:

• For optimal digestion of a creatine monohydrate powder, mix it with fruit juice, as it has been shown to increase absorption. 
• The use of loading phases are often disputed. It is unlikely that it is necessary. So long as you're getting around 3-5 grams per day, you should still reap the massive benefits of creatine monohydrate.
• Timing doesn't seem to matter much, either. Studies have found benefits to both pre and post-workout consumption. Unfortunately, no study to date has compared the efficacy of pre and post-workout creatine intake.
• Studies have indicated that creatine may cause gastrointestinal distress in some, so that's an important side effect to consider.
• Despite myths indicating the contrary, creatine has not been linked to liver or kidney problems in the short term or the long term.

If you want to do some more reading into these studies, I've listed them in the works cited below. Overall, the majority of the literature seems to lean in favor of creatine for both hypertrophy and for strength gains. In fact, it's tough to find studies that contradict those findings.

With supplements, it's always a good idea to experiment and see what works best for you. I've tried a number of different products on the market, and I'm constantly making adjustments accordingly. Creatine monohydrate just may be the missing link in your training plateau!

Is there Such a Thing as "Too Much" Mobility?

If you Google "mobility," you can find pages upon pages of articles about how to improve your mobility at any given joint. Thoracic mobility, shoulder mobility, ankle mobility, and the like are central themes on fitness blogs all over the internet (mine included). As a trainer, it satisfies me to see so many lifters and colleagues prioritizing the improvement in range of motion. Too much of a good thing can become detrimental, though. Having excessive mobility can be just as injurious as being tight and immobile.

These arrows above represent the stability-mobility continuum. Those who have tissue restrictions have a ton of stability, which those with a plethora of mobility lack. Some individuals, like gymnasts and dancers, fall into the class of "hypermobility." Essentially, they have ligament and tendon laxity, which means that their range of motion exceeds what is common or necessary for most people. This is more common in females than in males, but can be present in both genders.

Genetics and anatomy are going to be the two biggest indicators of where one falls on this continuum. There are, however, ways to improve this. Obviously, despite being born with tight shoulders, it's still possible to loosen up your tissues and become more supple. Conversely, those with joint laxity can do more in the way of strengthening stabilizing muscles in order to become more stable.

In some ways, stretching for someone who is hypermobile could be akin to an athlete with a stress fracture going for a 15 mile run. We want our muscles to flex and extend seamlessly, but hyperextension can be dangerous. Strength coach Eric Cressey notes, "Instead [of stretching them], these individuals need to work on building stability within the ROM they already have with quality strength training."

As an example, let's use the shoulder joint. The shoulders are already the most mobile joint, as they can move through a full 360°. With these great movement demands come tremendous risk, though. While the shoulders are very mobile, they're also one of the most frequently injured areas. A hypermobile client might have an overhead position that resembles that of the woman in the photo on the right. Not only is her lumbar spine in hyperextension, but her shoulder flexion goes well behind her center of mass. Certainly, this position is not ideal for supporting load, as it puts the shoulder girdle under tremendous stress. Now, if this client were to stretch her shoulders before a session, she's just going to further force herself into a precarious position, and she increases her risk of injury. 

We never want to enforce excess movement in a joint. Each sport and activity places different demands on the joints and tissues, so the goal is to establish enough range of motion for your given sport. No more, no less. A baseball pitcher requires more external rotation at the elbow than the average person needs. Swimmers need flexible shoulders to move freely through the water. Ultimately, you have to find the optimal amount of mobility that will allow you to achieve the necessary positions of what you do. In my case, I was blessed with natural flexibility, so I spend very little time doing accessory mobility work. 

There's no need to spend time forcing an end range that you don't need, and it may even be counterproductive. Choose your mobility work wisely, picking exercises that apply to the areas with which you need the most help. The movement requirements of an athlete of one sport aren't going to be the same for another. Some sports benefit from decreased mobility, while others require extreme bendiness: find the optimal area for you on the stability-mobility continuum!

Why Does Your XYZ Hurt? (Your Pain Explained)

Often times, pain in the body is associated with injury or illness of the patient. Pain is not, however, as straight forward as it may seem. There are quite a few misconceptions about what pain means, or what causes pain itself. Here are a couple facts about pain:

I want to start off by saying, just because you’re in pain, does not necessarily mean you’re injured or ill. Pain can be your body’s way of telling you that a dysfunctional pattern needs to stop. When you overuse a muscle, it’s gonna say, "hey, give me a break." As Lorimer Moseley puts it, "100% of the time, pain is a construct of the brain." Basically, this means that it is the brain sending messages of pain, not the muscles. A lot of people seek out temporary cures like cortisone shots, NSAIDs, ice baths, etc., when what they really need is some corrective exercise. This will stop the pain response in the long term by treating muscular imbalances, rather than temporarily treating the symptoms.

Mirror therapy tricks your brain to believe that the
missing limb is still attached to your body.

• Similarly, you can feel pain on a limb that's not even yours. Yes, you read that correctly. Take, for example, the case of phantom limb pain. Patients often report feeling shooting pains in an appendage that was removed years ago. A technique called "mirror therapy" has been very effective in treating this phenomenon: "a procedure utilizing the visual recreation of movement of a lost limb by moving the intact limb in front of a mirror, has been shown to be effective in reducing [phantom limb pain]. However, the neural correlates of this effect are not known." While the exact science of phantom limb pain and its treatment is still widely a mystery, this just goes to show that pain is multifactorial and complex.

Conversely, if you’re injured, you might not necessarily experience pain. Not every torn ligament, disc herniation, etc. is symptomatic. There are people with disk herniations who experience 0 pain, and they're able to continue on with their daily activities: "On MRI examination of the lumbar spine, many people without back pain have disk bulges or protrusions... Given the high prevalence of these findings and of back pain, the discovery by MRI of bulges or protrusions in people with low back pain may frequently be coincidental," noted a study executed by Jensen et. al.

Your body remembers previous traumas, and “pain” pathways form in your brain. So, if you suffered from an injury a few years ago, you may experience pain in that same area without having re-injured it. Let's say, for example, you fell while you were ice skating and sprained your wrist two years ago. Now, your brain forms a negative association with ice skating. You may notice your symptoms reappearing every time you go back to the rink, even though you've long since healed.

Emotions can influence your symptoms. We can physically manifest stress in certain areas of the body. If something in your body is bothering you more than usual, consider other environmental stressors that could be contributing to the pain. Did you lose your job? Are you fighting with a friend? Neuroscientist Dr. V.S. Ramachandran puts it succinctly: "Pain is an opinion on the organism’s state of heath rather than a mere reflexive response to injury … Pain is an illusion.” This can mean that if you're upset about something, or you've convinced yourself into thinking there's something wrong, then your brain will respond accordingly by sending a pain response to the area.

Treating the pain symptoms (i.e. taking NSAIDs, icing, etc.) does not necessarily treat the cause of the problem. These will work as short-term solutions. See a doctor, physical therapist, or a chiropractor to figure out the source of the pain before you try to treat it on your own.
There are a million different factors that contribute to pain. Here are a few listed by Dr. Kathy Dooley:

1. Environment
2. Memory programming of pain (i.e., cerebral programming)
3. Systemic inflammation
4. Pain receptor irritation
5. Heightened awareness, due to neurotransmitter activity/inactivity (i.e., drug exposure, depression)
6. Circulatory issues (i.e., blood stasis)
7. Fatigue and energy deficiency
8. Improper hydration/dehydration
9. Psycho-social components (i.e., your back hurts because you hate your job)

The moral of this article is thus: don’t just lump “pain” into one category. Pain does not necessarily mean something is horribly wrong, but you do need to look at why the pain is occurring in the first place, if you want to eliminate it in the long term. Be your own detective.

Practical Uses of Variety in Training

A lot of my readers have been asking me about programming. This week, I was luck enough to have my friend Steve write a guest post for me. Steve Bare is a professional strength coach (CSCS, USAW) and competitive weightlifter. His experience includes work in the private industry and an internship at the Olympic Training Center in Chula Vista, California. He now coaches at a high school, where he is thankful to work with a huge number of adolescent athletes, and give them all a great start in strength training. You can occasionally catch him writing on his coaching blog, BareStrength.

Channel Your Inner Athlete with Agility Training

Whether you're an athlete, or just someone who wants to get in shape, fitness is, to me, about adaptability. Our workouts should help us become more resilient to the world around us. A potentially injurious situation can be avoided when you have the adequate strength and stability. Agility is one such trait that prepares us better for multiplanar movement.

This little guy is quite the athlete...

By definition, the word "agility" connotes changing directions with ease. An athlete who is particularly agile can more easily bob and weave around his opponents on the field. For others, someone who is more agile can avoid injuries like knee and ankle sprains, or broken bones. Adding more agility work into your training can improve overall athletic skills and minimize traumatic injuries.

Sports require that an athlete can cut corners, accelerate and decelerate quickly. Football, soccer, and tennis are just a few sports where agility is exceptionally helpful. Successful athletes need to move well in all three planes of motion (as depicted in the photo on the left). Developing movement in the transverse plane is especially important in sport.

One study on male college students found that agility training increased muscular power. "To enhance explosive muscle power and dynamic athletic performance, complex agility training can be used. Therefore, in addition to the well known training methods such as resistance training and plyometric training, strength and conditioning professionals may efficiently incorporate agility training into an overall conditioning programme of athletes striving to achieve a high level of explosive leg power and dynamic athletic performance." In order to excel in any sport, developing your agility is a must!

Injury prevention routines ensure that athletes don't miss out on weeks or months of training. Agility protocols are effective in avoiding contact injuries like ACL or MCL tears, which could potentially keep you benched for an entire season. "Multifaceted intervention studies that have included balance training along with jumping, landing and agility exercises have resulted in a significant decrease in ankle or knee injuries in team handball, volleyball and recreational athletes."

The benefits of agility training are not limited to the athletic population. For example, Liu-Ambrose et. al. performed a study on "98 women aged 75–85 years with low bone mass." The goal of the study was to improve balance, and hopefully reduce the incidence of falling, in geriatric women who suffer from osteopenia (which precedes osteoporosis). The ladies were either assigned to do resistance training, stretching, or agility training. "Both resistance training and agility training significantly improved balance confidence by 6% from baseline after 13 weeks ... This change in balance confidence was significantly correlated with change in general physical function." Once these women developed the requisite strength and agility, they were able to improve proprioception (limb awareness), and, thus, find a new sense of confidence in balancing-related tasks.

If you're looking for some exercise ideas to help you become more agile, here are a few of my favorites:

1. Diagonal sprints
2. High knee carioca (ideal for warm-ups)
3. SAQ ladder drills
4. T-drill or 4 cone drill
5. Speed skaters
6. Hurdle drills
7. Rebound jumps
8. Pro agility drill

Overall, shuffling, back pedaling, twisting, and cutting movements are great tools to improve your agility level.

Becoming more agile can minimize your risk of falling, while simultaneously maximizing your athletic performance.

3 Reasons Why Your Poor Mobility is Holding You Back

So many lifters are willing to complain ad nauseam about their lack of mobility, but very few of those people are willing to get up and fix it. Most individuals would prefer to deadlift heavy and get their heart rates up than spend about 10-15 minutes addressing their muscular imbalances and chronically tight areas.

What those people might not realize, is that their lack of mobility is actually sabotaging their progress. Instead, they'd rather just cut to the chase and dive face first into their workouts. They see the value in heavy lifting and pushing hard, but they neglect the accessory mobility work. It's easy to ignore, because the immediate pay-off might be minimal. They release a tight muscle once or twice, and don't make any lasting changes. Like strength training, though, consistency is the key. Doing a handful of stretches, some self-massage, and corrective exercises every few days will go a long way. Not only will you feel more loosey-goosey, but you may even PR your lifts just from adding some more range of motion to your joints!

If your overhead squat looks like that of the guy on the right, this article is about you.

Hopefully, this post will help knock some common sense into you and remind you to pay more attention to the corrective exercises. Here are three major reasons why your limited range of motion is holding you back from getting stronger:

1. You can't get into the right positions. Movements like the front squat require a considerable range of motion. If your latissimus dorsi and pectoralis minors are tight, you won't be able to achieve an ideal position in the lift. No matter how many times a coach may say "elbows up," you just can't get them any higher. Your mobility is going to hinder your progress, because if you cannot keep your torso upright, then you won't be able to support a significant amount of weight in that position. I have met plenty of people who have ample strength, but stagnate on the clean, because their chest drops every time they catch the barbell. Their legs can support the weight without a problem, but their shoulders aren't having it. If these people did some work on the areas in question (pecs and lats), they would, undoubtedly, get an immediate PR on their cleans.
2. Your potential for force production is limited. A muscle has to lengthen before a contraction. A length-tension of a relationship of a muscle explains that a muscle can produce an optimal amount of force at a certain length. For example, if you were to pick up a heavy book, you wouldn't do so with a fully extended elbow. Instead, you would probably bend your elbows a bit. Now, this continuum of ideal length is a balance. If someone is too flexible, force production will be limited, and the opposite is also true. If you are inflexible, the muscles are constantly partially contracted. Take a look at the diagram below of a muscle cross-section. The top model (a) cannot produce enough force because there is too much of an overlap, whereas option (c) can't produce optimal force because there's no overlap at all. Option (b) is just right: a little bit of overlap so that the muscles are at their ideal length for force production. So, if your hamstrings are "tight" you won't be able to produce true power on a sprint or a vertical jump, for example.
   
3. Muscles are not firing in the proper sequence. If you're tight, you're more than likely compensating in ways you don't even realize. For example, if your ankle mobility needs some help, chances are, you're using the muscles on the medial portion of your leg (hip adductors) way too much, while the lateral muscles (abductors, gluteus medius, tensor fascia latae) aren't working enough. Every time you squat, lunge, or sprint, your mechanics are altered. Because your muscles are not in symbioses, this could mean a slower 400 meter time or a weaker back squat. Once the kinetic chain works as it is supposed to, your mechanics are more efficient and you might find that previously challenging movements are a bit easier!

Bodyworker Thomas Myers notes, "organismic movement and stretching – yoga‬, pilates, training‬, manual therapy – can help cells to their proper tension environment by relieving pressure or strain, and this results in better functioning all over." It's great to work hard and get stronger, but it's also important to give your muscles some love and alleviate tension in the body.

Ultimately, if you find that your performance has plateaued, perhaps it is time to finally work on improving your tin man status of mobility and join the supple side.

Sleep: The Missing Part of A Workout Routine

Training and adequate nutrition are two integral ingredients in the recipe for health and wellness. In our culture that thrives around going at all hours of the day, we can easily forget the most important element of the list: sleep!

It's quite typical, now, to brag about how little sleep we get. "Oh man, I got home from work at 10:00, and then I had to wake up at 5:30 AM to get back to the office!" That is just one of many such comments I've heard from friends of mine. Somehow, sleep, or the lack thereof, is supposed to be a trophy of our busy lives. Sleep is this ever-elusive wonderland that we rarely get to enjoy.

If you're living an active lifestyle, your poor sleep schedule could be depriving you of your hard-earned efforts! Evidence repeatedly suggests that minimal sleep can negatively impact performance, while, on the other hand, ample sleep can act as a natural performance enhancing drug!

If only we could all snooze like this little guy...

Skein et. al. performed a study on young men. The control group was instructed to sleep adequately, while the experimental group did not sleep for 30 hours leading to the sprinting test. They found that "sleep loss and associated reductions in muscle glycogen and perceptual stress reduced sprint performance and slowed pacing strategies during intermittent-sprint exercise for male team-sport athletes."

While that study measured sprinting performance, another study with Reilly et. al. tested the biceps curl, deadlift, leg press, and bench press. No noticeable change occurred in the biceps curl, but the participants saw a huge drop in the bigger compound movements. "...A significant effect was noted on maximal bench press, leg press, and deadlift. Trend analysis indicated decreased performance in submaximal lifts for all the 4 tasks: the deterioration was significant after the second night of sleep loss."

The last three movements have a bigger effect on the central nervous system, because they require bigger muscle groups. Therefore, it makes sense that there was no significant change in the biceps curl, but the other three exercises changed dramatically.

The lack of glycogen is going to have a detrimental impact on performance in multiple different activities. The muscles will not be able to produce the same amount of power as they would with adequate sleep. Similarly, low glycogen can effect cognition and focus, which are essential for all sports. If an athlete cannot focus, then he will not be able to optimally execute what is asked of him. For a sport like pole vaulting, which requires absolute precision, insufficient focus could be dangerous.

Satisfactory sleep, on the other hand, can have some pretty ridiculous benefits. During sleep, the pituitary gland produces Human Growth Hormone (HGH). HGH allows for improvements in body composition and aids in the repair of damaged muscle tissue. If we lose out on a full sleep cycle, then our recovery, and therefore, subsequent performance, will be subpar.

Cheri Mah, M.S., performed a series of studies on athletes at Stanford University.  "Over three seasons, from 2005 to 2008, the scientists looked at 11 Stanford basketball players. For two to four weeks, the Cardinal kept to their normal schedules. Then for five to seven weeks, they watched what they drank, took daytime naps and tried to sleep for 10 hours every night. After increasing their daily rest, the players sprinted faster and said they felt better in practices and games. Their aim got better too: Their three-point shooting jumped 9.2 percentage points, and their free throw percentage increased by nine points." These high level athletes all reaped the benefits of extra z's every night.

It can be hard to find the time to get extra sleep every night, but the benefits of doing so are tremendous. Even if you have a busy schedule, try to set a time to go to sleep each night that will allow for a minimum of 8 hours. You'll notice improvements in your mood, focus, and your performance in the gym!

How Bigger Hamstrings Will Improve Your Athleticism and Prevent Injury

Let's talk about everyone's favorite chain: the posterior chain. So many songs have been written about it, but yet, some people oddly neglect to sufficiently train the glutes and hamstrings.

With this overwhelming abuse of the quadriceps complex, it is important that lifters prioritize isolation of the hamstring muscles to balance out the discrepancy in strength. Hamstring strength can play a role in improved power output, running economy, and may even reduce the risk of injuries like ACL tears.

As much as I love squats (and believe them to be one of the most beneficial exercises), the squat does not actually activate the posterior chain as much as many people think. In fact, many people squatting are quad-dominant, and under-utilize the gluteus maximus.

Before I elaborate, we need to review a little bit of anatomy. The muscles we refer to as the "hamstrings" are actually three separate muscles: the biceps femoris (which has a long head and a short head), the semimembranosus, and the semitendinosus. These two joint muscles work together to flex the knees and extend the hips.

Now that that's out of the way, we can talk about how these muscles affect performance. Since they act as hip extensors, strong hamstrings are going to be crucial for a high jump and a fast sprint. A 2007 study on sprinters concluded that "[...]the muscles mainly responsible for forward propulsion in full speed sprinting are the hamstrings, the glutaeus maximus and the adductor longus. The hamstrings are singled out as the most important contributors to produce highest speed levels." Essentially, an athlete with well-developed hamstrings will be able to horizontally accelerate much faster than an opponent with weaker hamstrings. Each stride will allow him to generate greater hip extension, getting more power as he straightens his legs. While quadriceps strength is necessary, it is the posterior chain that allows him to push harder off of the ground.

Similarly, another study found that runners with a smaller hamstring-to-quad ratio, meaning that there was not as big of a strength/size disparity between the two muscles, had a better running economy. This balance between the quadriceps and the hamstrings allowed the runners to be more efficient in their cadence. It was deduced that "runners should consider implementing hamstring exercises to improve their f-H:Q (hamstring to quad) ratios."

Usain Bolt has some serious hamstring pump.

The muscles activated in jumping are very similar to those we recruit in sprinting. While sprinting is unilateral, jumping is a bilateral movement. The extension of the hips, knees, and ankles, however, is much the same.

A four week study on males (with no strength training experience) found that the Nordic hamstring exercise (which I will show you later in this article) "[produced] favourable neuromuscular adaptations for the possible prevention of hamstring injuries while enhancing performance in athletic, untrained males." Using this exercise, on average, their vertical jump heights increased by about 6.3 cm in a month! That's pretty substantial. Granted, these are untrained individuals, but athletes could still reap some benefits from building the hamstrings.

I am a firm believer that a stronger, all-around, individual will be more resilient to injury. There is a decent amount of evidence to support the idea that hamstring strengthening can prevent the incidence of hamstring pulls, ACL tears, and other such injuries.

Askling et. al. tested hamstring injury in high-level soccer players. He put the players on an eccentric hamstring strengthening protocol 1-2 times a week for 10 weeks. "The results showed that the occurrence of hamstring strain injuries was clearly lower in the training group (3/15) than in the control group (10/15). In addition, there were significant increases in strength and speed in the training group." So the players got stronger, faster, and stayed injury free. What more could an athlete or a coach want!?

Here's the part you've been waiting for--the exercise section:

1. Russian leg curls
2. Good-mornings
3. Hip extensions (add weight if necessary)
4. Single leg RDL
5. Barbell hip thrusters
6. Stability ball leg curls 
7. Single leg sliding leg curl (advanced)
8. Slow eccentric RDLs
9. Reverse hypers
10. Stiff legged deadlifts

Not only will you have a better-looking rear-end, you'll be stronger, faster, and more injury resistant. Sounds like a win, win, win to me. Build those posterior chains!

A Guide to Better Oblique Training: The Transverse Plane

Humans have the capacity to move freely and seamlessly through three different planes of motion: the sagittal plane, the frontal plane, and the transverse plane. Many strength programs utilize several different exercises in the first two (sagittal and frontal) planes, but neglect the transverse plane altogether. In order to perform well across a broad range of tasks, we must prepare our bodies for movements in all three planes. The transverse plane employs the smaller, stabilizer muscles, rather than the big prime movers. It is is equally important (if not more important) to focus on the development of these stabilizer muscles as that of the bigger muscle groups.

Chill with the side raises and try some new exercises.

CrossFitters, bodybuilders, Strongmen weightlifters and powerlifters become tremendously strong in the sagittal and frontal planes as the result of their training, but movements like burpees or barbell curls will do virtually nothing to strengthen rotational movements. The obliques, and their synergists, work to laterally flex the spine. The prime action of the internal and external obliques, however, is spinal rotation. A thrower of any sort will have extremely powerful obliques (on one side, at least). An athlete who predominantly participates in one of the aforementioned sports should incorporate more exercises in the transverse plane into his routine.

Enter the transverse plane. Rotational movements are very common in everyday life and in sport. Anytime we stop short and turn around, or any time we have to stabilize ourselves on one side (e.g. single leg Romanian deadlift) we are moving in the transverse plane. For athletes who participate in sports like tennis, soccer, baseball or tennis, adequate training in the transverse plane is crucial in order to perform well and prevent injury.

A study in 2008 published in the Journal of Orthopaedic Sports Physical Therapy found that individuals who had decreased function in the muscles responsible for movement in the transverse plane experienced a greater strain on their achilles tendons while running.

Training in the transverse plane may also be beneficial in preventing ACL (anterior cruciate ligament) injuries. According to orthopedist Dr. Boden, "young women are two to eight times more likely than their male counterparts to injure [the ACL]." A study in 2003 attempted to find out why this is the case. Researchers carefully analyzed the gaits and knee angles 20 female recreational runners. They found that the female group's hip and knee mechanics in the transverse plane were vastly different from those of the male group. The necessary protocol, researchers concluded, was a training program to develop strength of the lower extremities, with particular focus on strengthening external rotation.

Image of the Functional Line from Thomas Myers's "Anatomy Trains"

While squats, deadlifts, and shoulder presses are all fabulous exercises for increasing strength, those will only get you so far. If you're serious about improving your athletic performance and you want to avoid injury (which I would imagine you do), then add some exercises in the transverse plane into your routine. So what type of exercise can you do in the transverse plane? Any single limb exercise will work wonders: single arm shoulder presses, single leg Romanian deadlifts, single leg squats, single arm push-ups, and so on. In all of these exercises, your stabilizer muscles are working hard to prevent you from rotating or falling over. Jumps in which the athlete much change direction in the air are also beneficial, as this directly mirrors the demands of many sports. Last, but not least, are the "chopping" movements. Get creative here! You can use cables to resemble chopping wood, or you can actually chop some wood! Use a sledgehammer and hit a tire or stand sideways and throw a medicine ball at a wall. All of these exercises will make your stabilizer muscles (your obliques, your gluteus medius, your piriformis, and so on) fire like crazy.

Now, you might be wondering what type of movements you can do in this plane. Here are some of my favorites:

1. Single leg Romanian deadlifts (preferably barefoot)
2. Turkish get-ups
3. Cable chop (upper to lower)
4. Cable chop (lower to upper)
5. Sledge hammer chops
6. Lateral medicine ball throws
7. Single arm overhead squats
8. Punches or kicks on a punching bag
9. Zig zag sprints
10. Single leg 180 degree jumps

A good training program is one that is all inclusive, and machines can only get you so far. If you utilize exercises in the transverse plane at least 1-2 times you week will you take your training to the next level and simultaneously prevent injury. Remember: just because you can't see a muscle in the mirror doesn't mean you don't need to activate it and strengthen it!

You Are What You Repeatedly Do

As a child, you probably heard your mother say something to the effect of, "don't make that face! You'll get stuck like that!" Well, as ludicrous as it sounds, she might've been on to something.

Let's take, for example, someone who is a truck driver. His job requires him to be seated for 8+ hours at a time, hunched over a steering wheel. Over the years, his tissues will adapt to that sedentary job. His hip flexors are used to a shortened position, his shoulders are adapting to the constant internal rotation that driving demands, and his foot on the gas pedal might be locked in plantarflexion (in the pointed position). Day in and day out his body is learning these patterns, and, reflexively, it will forget about the muscles he doesn't use and automatically recruit the ones that he abuses.

Here is Rachel Yurkovich demonstrating some incredible power. Notice how her right arm reaches behind her while the left leg comes forward for counterbalance.

Now, let's say you're a javelin thrower. This person is repeatedly throwing with her dominant side,
which will be significantly stronger than her non-dominant side. The arms, obliques and rectus abdominis will surely have some asymmetries. Perhaps her hips are stuck in a slight rotation in the direction of which she throws. Maybe one of her shoulders is even hiked a little bit higher than the other. On one side of her body, she is able to produce a tremendous amount of power, while the other side might lack coordination.

You get the idea. Our brains (and, subsequently, our bodies) remember patterns. If you're doing the same thing day in and day out (like sitting or throwing), your brain will adapt accordingly. The areas where you carry tension are a direct result of the activities you do on a regular basis; those muscles are tight from overuse.

Fear not--there is a way to overcome the demands of your daily lifestyle.

The key is to assess the demands of your lifestyle and understand where you carry tension in your body and why. Once you've come up with a clear idea, the next step is to try to correct those imbalances or dysfunctional patterns.

One way to do this is to find the most ergonomic way to perform your given task. If you're spending a large portion of your day sitting, at least make sure you're seated in a good position. Get up every 30-40 minutes to get some blood flow to your legs and open up the hips a bit.

Now, the next step is to minimize those imbalances. Everyone has some type of asymmetry, but doing some work to correct that will prove to be beneficial. To go back to my earlier example, a javelin thrower is repeatedly throwing with a dominant arm (for the sake of this article, we'll say it's the right. When she throws the javelin with her right arm, she rotates her body towards the left side. The left obliques and hip flexors are overworked, so it would be helpful for her to isolate the right obliques (working the cross pattern of the left arm to the right leg) to give her left obliques a bit of a rest. She can make use of this on her off days in the gym with bands or bodyweight exercises, or maybe even practice throwing with the opposite hand.

Every once in a while, I do my split jerks with the opposite leg coming forward. Normally, my left leg reaches out in front of me, so my torso has become very comfortable and stable in that position. I've made an effort to try to give the right obliques some love.

Regardless of your profession or sport, we all have some type of repetitive motion or pattern we maintain for extended periods of time. Consider those patterns and try to lessen the impact by creating balance.