Thursday, 30 April 2015
Functional nonsense. The new "F" word.
Friday, 27 February 2015
New article published on strength training for the elderly
In 2013 I was kindly invited by my colleague Dr. Urs Granacher in Potsdam to give a talk to his institution about science in sport. During my stay we discussed about many aspects of sports science and spent a lot of time talking about bilateral deficit and the fact that there was not much research on assessing it in various populations and also on the effectiveness of various training interventions on this interesting neuromuscular phenomenon. In particular, I was concerned with the amount of training prescriptions characterised by exercises involving two limbs, while most movements are performed with one limb. Also, we discussed how this was relevant for the elderly, as the risk of falls is large for older people and falls occur normally when most of the weight is supported by one leg.
Discussions moved to actions, and the project has been now published on Plos One. The abstract is below and if you want to read the article you can click on the image.
Abstract
Thursday, 21 April 2011
Nintendo wii fit can be used as a force plate?


The Wii Fit offers for a low cost price a simple platform with four measuring sensors and can be used with very little effort as a simple and inexpensive force plate, even without the corresponding game console. Clark et al. (2010) suggested that the Wii Fit balance board could represent a valid cheap solution to measure standing balance. Furthermore they have recently suggested the use of the infrared cameras in the hand controllers as a possible alternative to expensive timing light systems (http://www.jsams.org/article/S1440-2440(10)00913-8/abstract). Recent work from Young et al. (http://www.ncbi.nlm.nih.gov/pubmed/21087865) also suggests the possibility of using this technology for developing bespoke diagnostic or training programmes that exploit real-time visual feedback of current Centre of pressure position.
The Wii Balance Board is certified for 300 pounds (136 kg) in Japan and 330 pounds (150 kg) in the U.S. The Wii Balance Board has four sensors, so each sensor is certified for up to 136 kg / 4 = 34 kg per sensor in Japan or 150 kg / 4 = 37.5kg per sensor in the United States.The following Wii Balance Board calibration information from WiiBrew will make more sense.
If you are interested in Linux, you can see here how to extract the force data. I am sure this is not something useful to measure high performance athletes. However it could represent a fun and simple tool for diagnostic measurements in some populations.
If you have one and are able to use it for this purpose let me know!
Wednesday, 20 April 2011
More freeware biomechanical software
The two solutions are quite interesting and very good quality. The first software is called Skill Capture

SkillCapture is designed to capture video clips which can be directly associated with the athlete also by means of a radio frequency ID system (skillchip).
Video capture can be started by:
- Motion detection
- SkillChip registration
- SkillChip registration and Motion detection.
- Pressing keyboard shortcut
- Using wireless presenter
- Adjust playback speed (0.5 - 2.0 of normal speed)
- Rate performace
- Mark for upload
- Draw angle to show body positions
- Freehand drawing
The other solution is SkillSpector.

SkillSpector is a video based motion and skill analysis tool for Windows. SkillSpector is freeware and can be downloaded and installed on any computer.
SkillSpector features:
- Video overlay for direct video on video comparison
- 2D and 3D analysis
- Standard model definitions for fast analysis
- Semi-automatic digitizing using image processing techniques
- Easy advanced analysis of linear and angular kinematic data
- Calculation on inertia
- 3D representation of movement
- Simple video calibration
I have just installed the software and I will write something more about them after I get the chance to experiment with them a bit more.
Saturday, 29 January 2011
New article published
Finally, our review on the role of Testosterone and Cortisol in modulating training responses in athletes has been published on Sports Medicine.
Here are the details:
Sports Med. 2011 Feb 1;41(2):103-23. doi: 10.2165/11539170-000000000-00000.
Two Emerging Concepts for Elite Athletes: The Short-Term Effects of Testosterone and Cortisol on the Neuromuscular System and the Dose-Response Training Role of these Endogenous Hormones.
Crewther BT, Cook C, Cardinale M, Weatherby RP, Lowe T.
The New Zealand Institute for Plant Food Research Limited, Hamilton, New Zealand.
Abstract
The aim of this review is to highlight two emerging concepts for the elite athlete using the resistance-training model: (i) the short-term effects of testosterone (T) and cortisol (C) on the neuromuscular system; and (ii) the dose-response training role of these endogenous hormones. Exogenous evidence confirms that T and C can regulate long-term changes in muscle growth and performance, especially with resistance training. This evidence also confirms that changes in T or C concentrations can moderate or support neuromuscular performance through various short-term mechanisms (e.g. second messengers, lipid/protein pathways, neuronal activity, behaviour, cognition, motor-system function, muscle properties and energy metabolism). The possibility of dual T and C effects on the neuromuscular system offers a new paradigm for understanding resistance-training performance and adaptations. Endogenous evidence supports the short-term T and C effects on human performance. Several factors (e.g. workout design, nutrition, genetics, training status and type) can acutely modify T and/or C concentrations and thereby potentially influence resistance-training performance and the adaptive outcomes. This novel short-term pathway appears to be more prominent in athletes (vs non-athletes), possibly due to the training of the neuromuscular and endocrine systems. However, the exact contribution of these endogenous hormones to the training process is still unclear. Research also confirms a dose-response training role for basal changes in endogenous T and C, again, especially for elite athletes. Although full proof within the physiological range is lacking, this athlete model reconciles a proposed permissive role for endogenous hormones in untrained individuals. It is also clear that the steroid receptors (cell bound) mediate target tissue effects by adapting to exercise and training, but the response patterns of the membrane-bound receptors remain highly speculative. This information provides a new perspective for examining, interpreting and utilizing T and C within the elite sporting environment. For example, individual hormonal data may be used to better prescribe resistance exercise and training programmes or to assess the trainability of elite athletes. Possible strategies for acutely modifying the hormonal milieu and, thereafter, the performance/training outcomes were also identified (see above). The limitations and challenges associated with the analysis and interpretation of hormonal research in sport (e.g. procedural issues, analytical methods, research design) were another discussion point. Finally, this review highlights the need for more experimental research on humans, in particular athletes, to specifically address the concept of dual steroid effects on the neuromuscular system.
Wednesday, 22 December 2010
Monitoring training load: the sum of all parts
Finally a little bit of spare time to do some blog writing. I have discussed the issues of monitoring training loads in my previous posts #1,#2,#3.
Also, I have written a previous post on strength and power assessment and vertical jumping tests.
So, I am not going to discuss testing techniques here, but rather discuss what monitoring is all about and how to use it and offer some solutions/ideas.
Monitoring is definitively a sexy topic as everyone seems to be “monitoring” something in training. To the extent that some athletes are also now flooded with questionnaires, spreadsheets, forms to fill in. Most of such information I have to say it is totally useless as it does not get used and/or is totally irrelevant for designing better training programmes.
Why testing and monitoring training then? First principles first:
Testing and monitoring are useful tools only if they allow you to analyse the athlete’s level and be able to define and adapt a training programme.
If you are measuring something that does not help you in modifying the training plan you are wasting your time!
Also, you should make sure you measure things using methods that are valid and reliable! For more information about validity and reliability I suggest you read Will Hopkins’ excellent blog here. If you use measurement tools and modalities that are not valid and reliable you are wasting your time!
Testing and monitoring are tools to help you in making better decisions with your training planning. They are not standalone activities and you should question everyone of them in terms of cost effectiveness not only in financial terms but also in terms of athletes’ time. I have seen in too many sports athletes filling too many questionnaires and forms that are neither valid nor reliable nor provide any meaningful info to the coaching staff.
Planning training is just like business. Testing and monitoring will tell you where you are now. Strategic planning, analysis of specific performance trends (or world trends) and goal setting will help you in defining where you need/want to be. The how you get there is your training plan. If testing does not help you in getting a better HOW, it is just a useless data collection exercise.
Most of all, a proper approach to testing and monitoring can make sure you avoid insanity and learn what works and what does not work with you athletes.
So, what should be the approach?
In my view it is relatively simple. You need to be able to collate all the information you decided to collect, analyse it, make some sense of it and build a “dashboard” to visualise what is going on in order to be able to intervene where necessary. One of the approaches I suggested previously involves the use of radar charts to profile each individual athlete in comparisons to team scores. Similar approaches can be used even with individual athletes just comparing the magnitude of changes in their own scores:
However, a more comprehensive view could be obtained using what I call a “performance equaliser”. The example below shows how some specific scores ca be plotted with an equaliser dashboard and visually show how specific parameters can change during a training season.
Performance Equaliser #1: Beginning of training phase
Performance Equaliser #2: After few weeks
This approach can be used to evaluate each athlete’s situation and take appropriate action as well as providing an easy to understand reporting structure. I have used green and red to express good change and not so good change.
Good, continuous data can also help in having a more complex data analysis approach involving the possibility of data modelling and simulation to be able to predict some outcomes. The example below from Busso et al. (2007, JAP) is just an example of the scientific literature on modelling.
This is one of the areas I am working on as I have a keen interest in computational statistical models applied to training and performance data and I have to say that there is very limited information on this topic and the few experiments also have very limited samples sizes (I found a couple of paper with n=1!). A review of the literature is now planned and I hope it will be ready for 2011 thanks to the hard work of an excellent PhD student working on this topic in my lab.
Many companies are now offering all sorts of software to analyse data using typical modelling approaches such us decision trees, Monte Carlo methods, etc. However it is important to state that the quality of the analysis is as good as the data you collect. So, again, you get what you put in it. Also, if your data are wrong, you will definitively make the wrong calls!
Despite the fact that simulations and data modelling have a certain degree of error (from very very large to relatively small), I still believe that this is something to pursue as I believe that nowadays some good continuous basic data can be collected and they can provide some useful information. As Richard Dawkins stated in his book “The Selfish Gene” “[…] of course there are good models of the World an bad ones, and even the good ones are only approximations. No amount of simulation can predict exactly what will happen in reality, but a good simulation is enormously preferable to blind trial and error!” R. Dawkins (2006).
Another useful approach can be the use of simple mathematical/financial laws as the Law of Diminishing Returns. The law of diminishing returns states that as the quantities of an input increase, the resulting rate of output increase eventually decreases.
This is exactly what we see in training. We increase and decrease training volume and intensity and we see changes in performance (output) which increase or decrease if we do too much work.
Recent work from my colleague Dr. Brent Alvar’s lab have shown how such approach can be used to analyse for example the effectiveness of strength training following a meta-analytical approach (for more info, click on the graph below).
Despite the fact that others criticised this approach for analysing the effectiveness of multiple vs. single sets using literature data, I believe that such approach can and should be used to understand the effectiveness of a training programme (or the return for your investment in time and effort). This should help in understanding the dose-response relationship to training loads in your athletes.
I am sure I have not covered a lot of aspects, and I am sure I will change my mind about a few of the things I wrote in the future (this is what learning is all about!). But at the moment I feel that monitoring training is a very useful thing to do and some statistical approaches can be applied to extract useful information to translate analysis into actions.
So, to summarise, here is some advice:
- Are your tests valid and reliable?
- What is the error of measurement? (What is the noise of your data?)
- What are you measuring?
- Are you able to use the data you gather to action changes to the programme?
- What is the investment in time/costs/effort to collect the data? Is it worthwhile?
_ How long does it take to receive the data in order to analyse them? (e.g. blood tests tend to be analysed few days after you collected them)
- Can you collect some valid, reliable, non subjective data with high frequency?
- Are the data good enough and frequent enough to allow you to make some predictions?
Sunday, 5 December 2010
Strength and Conditioning Book
It all started with a chat at a conference few years ago with my colleagues and friends Rob Newton and Ken Nosaka discussing the need of a comprehensive textbook on strength and conditioning providing information on the biological bases as well as practical applications.
This book is finally a reality thanks to the help and support of many colleagues who agreed to contribute to this project providing excellent chapters and creating a unique resource which we hope will be well received by anyone interested in Strength and Conditioning.

This book provides the latest scientific and practical information in the field of strength and conditioning. The text is presented in four sections, the first of which covers the biological aspects of the subject, laying the foundation for a better understanding of the second on the biological responses to strength and conditioning programs. Section three deals with the most effective monitoring strategies for evaluating a training program and establishing guidelines for writing a successful strength and conditioning program. The final section examines the role of strength and conditioning as a rehabilitation tool and as applied to those with disabilities.
The book is already available on Amazon and other online booksellers in hardcover and paperback editions.
A big thanks to our production team at Wiley-Blackwell and all the colleagues contributing to the chapters.
Details of the chapters are available here:
Foreword (Sir Clive Woodward).
Preface.
1.1 Skeletal Muscle Physiology (Valmor Tricoli).
1.2 Neuromuscular Physiology (Alberto Rainoldi and Marco Gazzoni).
1.3 Bone Physiology (Jörn Rittweger).
1.4 Tendon Physiology (Nicola Maffulli, Umile Giuseppe Longo, Filippo Spiezia and Vincenzo Denaro).
1.5 Bioenergetics of Exercise (R.J. Maughan).
1.6 Respiratory and Cardiovascular Physiology (Jeremiah J. Peiffer and Chris R. Abbiss).
1.7 Genetic and Signal Transduction Aspects of Strength Training (Henning Wackerhage, Arimantas Lionikas, Stuart Gray and Aivaras Ratkevicius).
1.8 Strength and Conditioning Biomechanics (Robert U. Newton).
2.1 Neural Adaptations to Resistance Exercise (Per Aagaard).
2.2 Structural and Molecular Adaptations to Training (Jesper L. Andersen).
2.3 Adaptive Processes in Human Bone and Tendon (Constantinos N. Maganaris, Jörn Rittweger and Marco V. Narici).
2.4 Biomechanical Markers and Resistance Training (Christian Cook and Blair Crewther).
2.5 Cardiovascular Adaptations to Strength and Conditioning (Andy Jones and Fred DiMenna).
2.6 Exercise-induced Muscle Damage and Delayed-onset Muscle Soreness (DOMS) (Kazunori Nosaka).
2.7 Alternative Modalities of Strength and Conditioning: Electrical Stimulation and Vibration (Nicola A. Maffiuletti and Marco Cardinale).
2.8 The Stretch–Shortening Cycle (SSC) (Anthony Blazevich).
2.9 Repeated-sprint Ability (RSA) (David Bishop and Olivier Girard).
2.10 The Overtraining Syndrome (OTS) (Romain Meeusen and Kevin De Pauw).
3.1 Principles of Athlete Testing (Robert U. Newton and Marco Cardinale).
3.2 Speed and Agility Assessment (Warren Young and Jeremy Sheppard).
3.3 Testing Anaerobic Capacity and Repeated-sprint Ability (David Bishop and Matt Spencer).
3.4 Cardiovascular Assessment and Aerobic Training Prescription (Andy Jones and Fred DiMenna).
3.5 Biochemical Monitoring in Strength and Conditioning (Michael R. McGuigan and Stuart J. Cormack).
3.6 Body Composition: Laboratory and Field Methods of Assessment (Arthur Stewart and Tim Ackland).
3.7 Total Athlete Management (TAM) and Performance Diagnosis (Robert U. Newton and Marco Cardinale).
4.1 Resistance Training Modes: A Practical Perspective (Michael H. Stone and Margaret E. Stone).
4.2 Training Agility and Change-of-direction Speed (CODS) (Jeremy Sheppard and Warren Young).
4.3 Nutrition for Strength Training (Christopher S. Shaw and Kevin D. Tipton).
4.4 Flexibility (William A. Sands).
4.5 Sensorimotor Training (Urs Granacher, Thomas Muehlbauer, Wolfgang Taube, Albert Gollhofer and Markus Gruber).
5.1 Strength and Conditioning as a Rehabilitation Tool (Andreas Schlumberger).
5.2 Strength Training for Children and Adolescents (Avery D. Faigenbaum).
5.3 Strength and Conditioning Considerations for the Paralympic Athlete (Mark Jarvis, Matthew Cook and Paul Davies).
Tuesday, 29 December 2009
Linear encoder systems: A new kid on the block
In the last few years I have seen many companies develop linear encoder and accelerometry-based systems to measure power output during weightlifting exercises. This is mostly due to the fact that linear encoders and accelerometers are becoming relatively cheap and it is getting easier to write appropriate software routines to perform all measurements.
I have been using for one year the SmartCoach and I am very pleased with what i have seen so far. I have used it mainly for testing purposes and to analyse training sessions and testing sessions performed by strength and conditioning coaches around the country with the remote coaching modality.

The software is simple, easy to use and starts with a very good diary/scheduling system which allows the production of nice training schedules which can be sent to athletes and coaches.

Remote coaching is a great function as it allows a remote coach to write a session or check the content and execution not only in terms of sets/reps/external load but also in terms of power output per repetition.

It really works very well!
The software engineers have recently developed new routines to allow the users to perform strength testing and graphically present the Force/Velocity and Power/Velocity relationships to allow the determination of various parameters useful for strength training prescription.

I am pleased with this product and I recommend anyone interested in visiting the website to download the software for free!
Sunday, 21 June 2009
Training team sports athletes: Periodization and planning strategies. Part 2
Time goes fast and I just realised how long ago I wrote the first part of this article. So, let’s try to start from where I left.
Monitoring training and avoiding mistakes was the topic I left the readers with. Generally speaking, technology in this field is moving very fast and in the very near future I envisage the ability to be able to monitor physiological and behavioural responses to training in team sport in real time, with the ability to make some sensible decisions to optimise training gains in team players.
Heart rate monitoring for example has become nowadays accepted standard practice in the team sports World and also in the Football/Soccer environment nowadays many training sessions are monitored to quantify the effort of the players and the characteristics of the drills employed by the coaches.
In order to quantify training intensity, due to the intermittent nature of team sports, time spent in various intensity zones is quantified. A simple classification is presented and it is based on defining zones with heart rate presented as a % of Heart Rate Max or Heart Rate Reserve.
Of course, in order to have a precise determination of such training zones it is important to measure Heart Rate Max rather then using the 220-age estimation.
Because of the linear relationship between the intensity of exercise and the perception of effort, a simple scale is proposed here:
Heart Rate measurements can be used to define not only the overall intensity of the training session, but also the intensity and demands of individual sessions. This approach allows the coach/S&C coach to develop a database of drills which can impose on the players similar demands in order to be able to change sessions and reduce the boredom factor.
By using Heart Rate based measures in combination with blood lactate it is in fact possible to compare game-specific drills with more generic drills such as intermittent sprinting and/or repeated sprints and verify the demands on the same player of such activities.
In the following example we can see how intermittent sprint drills (10s activity-20s rest) provided a similar physiological response to 3 vs.3 in Handball players.
This suggests that when training time is limited, the use of well planned technical and tactical drills can represent a significant training stimulus. Of course, what is important to remember is the fact that game-like drills can be effective only if we know how demanding they are. The physiological responses to such drills depend in fact on the rules used in the drills, the space, the number of players and the quality of the players involved. Generalising data findings from other sources is not the way to plan training. In order to successfully implement game-like activities in your training programme requires accurate measurement of the physiological demands in your particular group of players.
In elite team sports athletes it is also effective to plan specific sessions in which game-like drills are combined with more generic repeated sprint drills. A practical example could be to alternate 10 minutes of a game-like drill with repeated sprint drills (such as shuttle runs etc.).
This approach can be very effective and can lead to improvements in aerobic capacity without the need to dedicate too much time to training activities which not involve technical and tactical elements. The following data are the yo-yo test distance scores of an elite handball team performing for one month training sessions characterised by game-like activities mixed with intermittent work.
This is of course only part of the picture. In team sports we want athletes to be able to perform high-intensity movements for the duration of the game, but we also want them to be fast, strong and powerful. Strength training and monitoring activities aimed at maximising gains in this area of the players’ fitness are very important and will be now discussed.
Strength and speed
First of all, we have to take into account what kind of variables we are interested in. Acute variable can help us in understanding how a session is going and how it is affecting the player.
Chronic variables can give us more information on how effective a period of training has been and where is our training programme leading to.
The use of measurement tools to analyse single sessions can be a very useful way to understand how the athlete is coping with the load we have imposed on him/her and also to understand how fatiguing is the session. If heart rate monitoring is important to understand the physiological demands of game-like drills, we need to use some form of monitoring to understand the responses to strength training sessions. Iso-inertial dynamometers are becoming more and more affordable and can provide a good solution. Monitoring strength training sessions offers the following benefits:
However the last point is the most important one: if your monitoring activity does not provide data which are useful to improve your training prescription you are just collecting data which will not impact on the quality of training!
The following is a typical example of monitoring a training session using a linear encoder during a Bench Press exercise. Two athletes are lifting the same weight, they both have similar 1RMs, however by measuring their power output during the set we can see how different fatigue patterns occur:
If the aim of the session/programme is to maximise power output, we need the athletes to be able to produce power within 90-100% of their maximum power for the given load. By monitoring how they respond (provided that they are encouraged to perform the concentric phase of the lift as fast as possible), we can improve our training prescription by dividing sets and reps to make sure the target power output is attained for the total volume of reps we want the athlete to perform in our programme.
Why such focus on power and speed of movement? Simple, it seems that during rapid movements an increased activation of fast motor units or decreased activation of the slow ones may occur. So, if we aim to improve power and speed in our athlete we should always ask them to perform the concentric phase as fast as possible. The work of Linnamo et al. (2002) can explain in justifying such approach. In their study, Linnamo and coworkers had 6 subjects with different fiber type composition characteristics:
This is what you would typically encounter in a team sports scenario. They asked the subjects to perform two types of sessions (explosive and heavy resistance):
[EE] 5 x 10 reps @40+ 6% of MVC
[HE] 5 x 10 reps @67 + 7% of MVC
MVC is the maximal voluntary contraction (measured isometrically).
The difference in the median frequency of the surface EMG (after rectification and fast fourier transformation of the EMG raw signal) between the two modalities of exercise clearly suggest a difference in motor unit recruitment patterns when performing the two types of loading. Note that the sets and reps where the same, with a difference in external load and velocity of movement.
By measuring in real time such parameters it is possible to change the session while it is being performed (again, if the aim of such session is to improve power and speed). The following example from Lore Chiu and coworkers (2004) shows that if you are monitoring the speed of the barbell/weight stack and you observed a decrease in speed, of course by changing the external load you can make sure the speed of execution is increase and is matching what you planned for.
The key message here is that we should still plan sessions with sets x reps x load, but we should be able to measure the output in order to make sure the athlete is performing what we require in order to maximise the adaptations and make sure he/she is not wasting time in the gym!
Monitoring strategies to identify recovery and readiness to train
While everyone tends to accept the general adaptation syndrome paradigm, whereby a training stimulus challenges homeostasis and takes a certain amount of time to be recovered. Very few people actually measure what it means and if it is possible to track the various phases of responses to a single training session.

The following approach is an example conducted with an Handball team using vertical jumping tests (in this case the Counter Movement Jump [CMJ]) before, during and after a session of plyometrics (approximately 200 jumps in total). You can see that while the team average score seems to be recovered within 24 hours of such session, some individuals have recovered (BP) and some haven’t (SO). Individualisation should be a fundamental approach to team sports! But if you don’t measure anything…how can you individualise? While everyone talks about it, I still see scarce evidence of this actually occurring, where are the data?
Biochemical monitoring of training, long term monitoring of adaptations
I have already presented examples of monitoring training load and adaptations in some team sports showing that different approaches of periodisation can be used depending on the level and the performance goals of the team and both approaches can produce improvements in the players when it counts (http://marcocardinale.blogspot.com/2007/12/strength-training-in-volleyball.html) if you know what you are doing.
Testing modalities and ways of tracking individual and team progress have also been discussed here before. I will spend few words with regard to hormonal monitoring which is now becoming something everyone claims to be an expert in. I recently came across a lot of manufacturers which claim can sell devices able to measure quickly (almost realtime) salivary concentration of hormones (in particular Testosterone and Cortisol) and/or measure hormones in capillary blood.
I regret to inform all readers that to my knowledge there isn’t a single device which provides good reliability and validity of the measures taken, furthermore while measuring such things can be useful, it is still an expensive exercise which requires time and most of all real expertise not only in conducting the necessary assays to measure hormone concentration but also in understanding the validity and the meaning (and most of all the limitations) of the data collected.
To real make and impact, hormonal monitoring should be performed routinely, with many data points during the day, and following strict guidelines in terms of sample collection, storage, preparation and analysis. Collecting only baseline morning fasting hormonal measures might not help in explaining the bigger picture. In the example below, Cortisol levels are presented during the course of the day showing a clear circadian pattern. The Blue line represents “normal” patterns of cortisol secretion. The red and the black line represents alterations I have observed in some athletes following specific training periods. The red and black dots represent the single point, morning fasting sample. As you can see, having only 1 data point might mislead you….as clearly while the subject represented by the black line would appear to have lower cortisol values in the baseline sample, his cortisol pattern is different from normal and his cortisol values are actually overall higher during day and night suggesting some indications of overreaching/overtraining.
There is a clear message here. Beware of the so called experts…hormonal monitoring is an interesting field, but still no conclusive evidence on how it actually work, most of all, very few people understand it but many are out there selling all sorts of services and “expertise”. The use of testosterone and cortisol as biomarkers to understand training adaptations is an interesting field but requires the appropriate knowledge of physiology, techniques and limitations in order to be used to make the “right calls” when it comes to training prescription. In the last few weeks I have been working with my colleagues Blair Crewther, Christian Cook, Robert Weatherby and Paul Lowe on an extensive literature review addressing the evidence and implications of the short term effects of testosterone and cortisol on training adaptations and performance. I will keep the readers up to date when such paper is published (hopefully soon).
Conclusions
Writing training programmes is a mix of art and science. The scientific model should drive any inquisitive strength and conditioning coach in designing appropriate and effective programmes. Team sports are challenging in terms of trying to maximise performance with strength and conditioning programmes. They are challenging because of the different types of athletes involved in them, the complexity of the performance requirements and the difficulties of seasons with cups, playoffs etc. The only way to succeed is to approach training with an “evidence-based” attitude. Trying to put in place measurements and monitoring tools able to inform and guide the training process. The devil is always in the details. Group analysis should be followed by individual analysis in order to develop individualised programmes aimed at maximising performance in each single athlete of your team. Statistical procedures should be used to understand and treat the data better, but the attitude towards such approach should be to gain a better understanding of training adaptations rather then trying to find what is significant at P<0.05. As my friend Will Hopkins wrote some time ago:
If a treatment shows an improvement with P<.01 it means that there is a probability of 99% of the treatment being effective.
HOWEVER
If you are terminally ill, would you take a pill that gives you 80% chances of surviving (P<.20)?
In athletics terms…if a training programme can give you 80% chances of a 2% improvement which could win you a gold medal…would you use it…or would you wait for P<0.05?
Wednesday, 7 January 2009
Training team sports athletes: Periodization and planning strategies. Part 1
I decided to write this article after reviewing an old set of slides of a presentation I gave to the English FA few years ago entitled: “Preparing for performance: League vs. tournament”. I have been reading/listening to few individuals talking and writing books about training in team sports and I would like to add my views on this issue. There are many strength and conditioning coaches and/or fitness specialists working with team sports in Europe (in particular Football [or soccer as our American colleagues like to define this sport]) who claim some miraculous training paradigms and/or describe amazing effects of their training regimes. It is absolutely a great sales pitch, however the reality most of the times is not as depicted. Just looking very simply at the competition schedule of an elite European Football Club we can understand that these athletes have very little time to train, hence, very little possibilities to get faster and stronger.
So, what I will write about in this brief article is:
•Planning issues
•How to establish realistic goals
•Establish Training Priorities
•Individualise training
•Acute vs. Chronic effects of Strength & Conditioning sessions
•Monitoring training effects is the only way to reduce mistakes
Let’s address the first one: Planning training in an elite football team [playing the European season]
Many people still like to read Eastern European literature on periodization and/or American books on this topic. All of the above publications describe a pedagogical process build on observations conducted on athletes competing in individual sports and mostly in endurance-type of sports where understanding training loading and tapering is of absolute importance. We could argue on the scientific merit of such observations and on the fact that maybe most of the athletes under observations were using all sorts of illegal “help”, but this is not the aim of this article so, will not discuss it here.
What we can argue is that all of the above publications tend to divide the planning of training in relatively long phases (Anatomical adaptation phase [few weeks], Pre competition/hypertrophy phase [few more weeks} and the list goes on). In reality, if we look at the official schedules of elite football teams in Europe, we realise that such process cannot be really applied to footballers. Professional teams in fact tend to start training few weeks after ending the previous season, and start competing very early with limited amounts of time to actually train the players hard enough to produce meaningful adaptations. I am not saying that footballers don’t work hard and/or don’t improve. What I am trying to say is that the workload is not big enough to produce massive changes in performance be it endurance capacity and/or strength and power abilities.
But, let’s look at some real information and add some material for discussion.
Here is the training and activities schedule of FC Barcelona as reported by their website in 2006:
1st Training session: 17th of July
July 2006
Denmark –> 28 Jul Pre-season friendly AGF – FC Barcelona (11 days after 1st training session-)
August 2006
Mexico 04 Aug Pre-season friendly Tigres – FC Barcelona
Mexico 07 Aug Pre-season friendly Chivas-FC Barcelona
USA 10 Aug Pre-season friendly Club America – FC Barcelona
USA 13 Aug Pre-season friendly New York Red Bulls – FC Barcelona
Spain 17 Aug Spanish Supercup Espanol – FC Barcelona
Spain 21 Aug Spanish Supercup FC Barcelona- Espanol
Spain 23 Aug Gamper Tropy FC Barcelona- Bayern Munich
Spain 25 Aug European Supercup FC Barcelona - Seville
So, if we look at this schedule, take into consideration travelling times and recover from travel and competitions, from the 17th of July to the 25th of August 2006, possibly the footballers of FC Barcelona performed approximately 20 training sessions.
If they were to lift weights to get stronger/more powerful/faster, and had a frequency of 3 sessions per week with some recovery in between (at least 1 day) as it normally occurs, they would have performed somewhere around 6 strength training sessions. Now, if the first session is used for testing and establishing 1RM and some progression of load occurs, probably…they are lucky if they could perform 4 serious strength sessions. So, where does periodization fits here?
There is no time for Anatomical Adaptations (as defined by some periodization gurus) and no time for hypertrophy…How much can athletes gain from such an hectic schedule of training, competing and travelling before the season actually start? (even if arguably Spanish Supercup is the first trophy to win).
This is not an isolated example, the readers just need to browse websites of big clubs to see their schedule and do the math. Let’s look at national teams now…again from the website (official information).
Italy won the World Cup with the following preparation schedule:
22 May 1st Training session (players are just at the end of a long season)
31st May Switzerland vs Italy (friendly in Switzerland)
2nd June Italy vs Ukraine (friendly game in Italy)
12th June Italy Vs Ghana (1st game of World CUP)
Assuming they trained twice a day each day:
20 days: ~38 sessions: 9 strength sessions?
Preparing the World Cup with players coming from a long season in 20 days…how much training can you actually do and how much improvements can you see? Should the focus be on maintaining performance and be able to repeat it over the competition (World Cup in this case)?
What I am trying to demonstrate here is that there are far too many individuals lecturing around the World and working with football teams that talk a lot about periodization, but actually they have no data and/or meaningful information to share to support what they are saying. Most of all, due to the duration of the preparation phase and the intensity and characteristics of training regimes they impose, it is virtually impossible (in my view) for them to make massive improvements in any area of performance. Unless of course footballers are so de-conditioned that they can improve easily (which is also something I am lead to believe sometimes). I would also like to point out that I am generalising here, of course there are some great sports scientists out there working with professional teams that do a great job, but there are far too many selling hot air.
Training planning is about establishing realistic goals
Before starting planning a training programme for team sports it is important to answer the following questions:
- How much time do I have?
- How many training sessions can I perform with the players?
- What should be the focus?
•Improve aerobic capacity?
•Improve strength?
•Improve speed/acceleration?
•Improve flexibility?
•Prevent Injuries?
In few words, what can I achieve with the amount of time and sessions I have available?
Here are two typical examples from a club and a national team:
Let’s look at the typical weekly distribution of workloads of two professional team sport teams I worked with in the past. I indicate as S&C sessions only sessions in which the workload is purely aimed at improving performance capacity with limited technical and tactical aspects. Everything indicated with “practice” has a strong technical and tactical requirement. Each training session lasted 2hours.
The above example is typical of weeks in the competitive season. As you can see, 16% and 22% of total training time was devoted to improving physiological aspects of performance, with most of the time spent performing technical and tactical drills. What does this mean?
If a team looks “not in shape”,as some journalists like to point out sometimes, it is either because they are tired (density of competitions and travels) or because the intensity of the technical and tactical practice is not high enough to represent a training stimulus. So, while most of the time the Strength and Conditioning Coach is seen as the culprit, the coaching staff is most probably to blame as they handle and plan more than 80% of the training process. So, the role of a sport scientist working with such teams should be to guide and advice the coaching staff on how to make sure the training load is always appropriate in each technical and tactical session.
What can we conclude by looking at typical weekly practices and plans of elite football teams?
- Let’s not kid ourselves…it is impossible to improve aerobic capacity with 1h of “fitness specific” training per week!
- The QUALITY of football specific practice needs to be improved in order to improve players’ fitness
- Most of the S&C time needs to be dedicated to improve strength/speed/acceleration
- Extra “training” time needs to be directed to injury prevention activities (pre-hab, proprioception, recovery activities etc.)
- Individualised training programmes are necessary
- Monitor training sessions is very important
- Monitor how individuals adapt is crucial
Monitoring training and avoiding mistakes
It is at this point clear that monitoring training sessions is a necessary step to understand how effective the training process is and how the players are adapting/responding to the various stimuli.
What do we need to look for then when we want to implement some assessment strategies ?
- - Determine the effectiveness of football specific training drills
- - Gain information to be able to individualise the training program
- - Gain information to monitor an athlete’s progress
- - Gain information in case of injuries
Why do we need to monitor training in particular?
To make sure the loading is appropriate for what we are trying to accomplish.
What sort of testing and/or markers could be of use?
Physiological and Behavioural markers
Biochemical Markers
Hormonal and Immunological markers
What’s the cost/effectiveness?
… Part 2 coming soon…
Tuesday, 24 June 2008
Strength and Conditioning Symposium
Prof. Mike Stone has organised an interesting symposium on Strength and Conditioning at East Tennessee State University the 1st and 2nd of August 2008.
The Keynote speakers' list is:
Greg Haff, Ph.D.: Assistant Professor, West Virginia University, Research Emphasis in Supplementation effects and weight training
Mike Stone, Ph.D.: Director of the Exercise and Sport Sciences Laboratory, ETSU. Previous Head of Physiology for the USOC
Jay Hoffman, Ph.D.: Chair, Department of Health and Exercise Science at The College of New Jersey
Brian Johnston, ATC: Head Athletic Trainer, ETSU
Ralph Mills, M.D.: ETSU Buccaneers Physician
Chuck Kimmel, ATC: President of NATA 2004-June 2008. Director of the Injury Clinic at Appalachian State University.
Leslie Schilling, RD: Owner of Schilling Nutrition Therapy which customizes nutrition plans and physical activity recommendations.
Brian Schilling Ph.D.: Assistant Professor, University of Memphis and Director of the Exercise Neuromechanics Laboratory
Meg Ritchie-Stone, M.A.: Two-Time Olympian and Distinguished Strength and Conditioning Coach, Founder of SPEC
Mike Ramsey, Ph.D.: Assistant Professor, ETSU, Emphasis in Cardiovascular Physiology
For more information you can contact the organisers at:
ETSU SPEC Phone: (423)-439-8479
Attn. Meg Stone Fax: (423)-439-5799
Email: stoneme@etsu.edu
Wednesday, 28 May 2008
Help me...my "gluts" are not firing...
How many times have your heard the following: "your gluts are not firing"? I bet many times. In the World of Strength and Conditioning and Physiotherapy everyone suffers from some form of seasonality/popularity of terminologies, myths and fallacies. We are currently living the era of "the gluts not firing" myth.
Whatever the problem (low back pain, ankle instability, knee pain etc etc.) I bet you that if a physiotherapist or an S&C coach sees you...they will find out your "gluts are not firing".
Few years ago it was all about something to do with your temporomandibular joint, now it is something to do with your gluts, next it will be something about your feet and so on.
I am strongly convinced that the inclination to accept such terminologies and fallacies depends on some courses in which lecturers with dubious qualifications try to "re-invent" the wheel "branding" something esoteric and appealing presenting and packaging it very well. It is a bit like the fad diets. I have to say that this approach clearly works, because the Gluts fallacy (as I will refer to from now on) has clearly gone places as lots of patients/athletes have been "diagnosed" at least once with this problem.
Let's try to discuss this issue using some science.
First of all Anatomy:
The gluteal muscles are the three muscles that make up the buttocks: the gluteus maximus, gluteus medius and gluteus minimus.
The gluteus maximus is the largest of the gluteal muscles and one of the strongest muscles in the human body. It inserts at the iliotibial band and the gluteal tuberosity of the femur. Its action is to extend and outwardly rotate hip, and extend the trunk.
The gluteus medius is located directly under the gluteus maximus. It originates at the back of the ilium below its crest and stretches downward to the greater trochanter of the femur. The gluteus minimus is situated under the gluteus medius; it also originates at the ilium and attaches to the femur. Both these muscles abduct the thigh
For a great interactive online tool, go to the following web address:
http://www.innerbody.com/image/musc08.html
Function
The primary function of the Gluteus Maximus is hip extension (moving the thigh to the rear).
The Gluteus Medius and Minimus serve to abduct (move away from the centerline of the body) the leg
Gluteal muscles EMG activity during running
A very interesting article from Liebermann et al. (2006; J of Exp. Biol.) compared the form and function of the gluteus maximus in Humans, apes and non-human primates. In particular, the researchers were testing the hypothesis that the human gluteus maximus plays a more important role in running than walking. The results of the study showed that "[...] the gluteus maximus is mostly quiescent with low levels of activity during level and uphill walking, but increases substantially in activity and alters its timing with respect to speed during running. The major functions of the gluteus maximus during running are to control flexion of the trunk on the stance-side and to decelerate the swing leg; contractions of the stance-side gluteus maximus may also help to control flexion of the hip and to extend the thigh. Evidence for when the gluteus maximus became enlarged in human evolution is equivocal, but the muscle's minimal functional role during walking supports the hypothesis that enlargement of the gluteus maximus was likely important in the evolution of hominid running capabilities."
When comparing running on treadmill vs running on the ground, Bankoff and Boer (2007; Electrom. Clin. Neurophysiol.) concluded that running on treadmill showed the highest electromyographic (EMG) activity with the gluteus maximus always showing higher activity (root mean square -RMS) than the iliocostalis lumborum muscle.
Rand and Ohtsuki (2000; Gait and Posture) studied lower limbs muscles with EMG during quick change in running directions.
Fig. 4 from Rand and Ohtsuki (2000). Movements and EMG records of all conditions. CON, control straight running condition; STO, visual stimulus condition-open maneuver; STC, visual stimulus condition-cross maneuver; SFO, self-initiated condition-open maneuver; SFC, self-initiated condition-cross maneuver; STF, control stop condition. The subjects changed running direction in response to a stimulus for STO and STC, and changed direction in a self-initiated manner for SFO and SFC. The subjects stopped running in response to a stimulus for STF. The upper part of each plot shows front views from TO of step 3 to the FS of step 5. The lower part shows the examples of raw EMG records of VM, G, GM [Gluteus Medius], and SAR of the right lower extremity (see the text for abbreviations). The arrowhead in the figures (STO, STC, and STF) refers to a presentation of the stimulus. 2FS and 4FS present foot strike of step 2 and foot strike of step 4, respectively.
They concluded that the gluteus medius was mainly involved in modifying foot trajectory of the leading leg during the open maneuver.
EMG analysis of sprinting revealed that gluteus maximus showed similar activities to lateral and medial hamstrings reaching with peak levels of EMG during foot-strike (Jonhagen et al., 1996; Scand J Med Sci Sport). The EMG activity during running is so high that many times reaches average values higher than the ones measured during a maximal voluntary contraction (Kyrolainen et al., 2005; J Sports Sci). In particular when running speed is high.
From this brief analysis of the current literature, it seems clear that the gluteal muscles have an important role in stabilising the hip during running. They are in fact always active during foot strike, and they all contract at once. Most of all, the levels of EMG activity recorded are so high that they can exceed maximal voluntary contraction measured in isometric modality on a dynamometer.
During normal stance and walking the EMG activity of gluteal muscles is relatively small, but it is enough to maintain a stable posture. Just like all the muscles responsible for maintaining the spine stable and the muscles of the lower limbs able to keep you standing.
Without some levels of activation of gluteal muscles nobody is capable of standing still.
So, how about gluts not firing....
Unless the patient/athlete under observation had a spinal cord injury and/or is affected by any neurodegenerative disease, it is physiologically impossible for the gluteal muscles not to be active (or not to "fire"...if you allow me the use of current jargon).
This can be easily tested. in fact a lack of muscle activation in the gluteal muscles during running could be easily identified. If in fact the gluteal muscles are not active during the foot strike, your patient/athlete is going to collapse on the floor.
"Gluts not firing" is therefore an absolute non-sense.
How about abnormal muscle recruitment timing patterns? For example, are the gluteal muscles being recruited at the right time and for an appropriate duration and intensity?
This is a slightly different question. It may be in fact possible that some activity patterns in the affected/injured side might be slightly different in the timing and onset of muscle activation and in the amplitude of the EMG signal. But what defines pathology?
EMG analyses can be conducted to compare for example the "normal" side to the side affected by the injury. However many times the observation "your gluts are not firing" is not matched by electromyographic measurements.
Biomechanical analyses can also be performed to study hip motion, but even here, the "normal" running gait of the patient/athlete should be determined before coming to conclusions just because the hips are moving up and down. Hip motion is in fact affected also by foot placement and knee control. So, an abnormal hip pattern might have nothing to do with activation patterns of gluteal muscles.
In the last two paragraphs I mentioned "abnormal" few times. It is in fact absolutely necessary for everyone (physiotherapists and strength and conditioning coaches) to understand what a normal movement pattern looks like before making a diagnosis.
Conclusions
EMG analysis and biomechanical analyses of running gait should be part of a normal screening pattern for elite athletes in order to have some baseline information of their normal movement patterns. When injuries occur, it is then possible to compare such recordings with injury-free data to be able to identify any anomalies in movement patterns.
Just like every discipline I strongly believe physiotherapy and strength and conditioning should move towards a more "evidence-based" approach.
Before declaring gluteal muscles dead, we should first make sure we know how they "behave" when they are alive!
Popular Posts
-
How many times have your heard the following: "your gluts are not firing"? I bet many times. In the World of Strength and Conditio...
-
I decided to write this post after having seen numerous tests reports in which the results of squat jumps appear equal and sometimes higher...
-
The new buzzword in the sporting domain seems to be "Functional". Everything these days is has this F word attached to it. I ha...
orcid.org/0000-0002-2777-8707


