Shoulder Injury Mystery Solved, Maybe

Many of you may not know that my original background is in Mechanical Engineering with a Masters Degree in Business Analytics. I really just go back to school online for enjoyment which has turned out to be quite the worthwhile experience.

In one of my assignments this week we were asked to provide input to a discussion board on personal experience we’ve had related to the bench press exercise. I chose to share about a shoulder injury of mine and what impact it had:

“I’ve personally dealt with some shoulder issues that had a significant impact on my ability to perform the bench press. Almost ten years ago I worked up to a relatively high one rep max with consequently high working sets. During one workout involving an isolateral shoulder exercise utilizing cables, I experienced a peculiar failure in my shoulder joint with accompanying pain. I rested from weight lifting for a short period focusing on dynamic stretching and light loads amongst bouts of cardio. I worked my way back to a semi-regular load without any pain residing. I was, however, left with an odd sort of “popping” or “jolting” in the shoulder that caused no pain. This anomaly prevented me from performing certain movements safely such as dumbbell shoulder press or even bench press without consciously monitoring the trajectory throughout the range of motion. As of about two years ago, this had entirely resolved itself during working sets, but if I tried to force the joint to exhibit the previous behavior I could make it do so still without pain. I visited a specialist who performed a series of exams including ultrasound who could not identify any noticeable injury or physiological concern. I did opt for a particular form of treatment which has since nearly erased the concern in its entirety. Even though it has minimal to no impact on my current performance and ability, I still wonder to this day what may have actually happened. I just thought to share this as it seems directly relevant to the topic of current studies.” – Me

The following day I was prompted by the professor to explore potential explanations for the injury related to our present topic which was non-skeletal, or soft structures of the joint. The rest of this post is that finding. I hope you enjoy.

Upon initial review of the material for the week, I contemplated some concern with the glenohumeral joint, a “synovial ball and socket joint” (AnatomyZone, 2012). The interaction of the large humeral head with the shallow glenoid cavity appears to be the suspect area. I started to believe that the fibrocartilaginous collar referenced as the glenoid labrum, which finds itself between the mating surfaces mentioned previously, may be what weakened or failed in the form of a tear due to its role in “expand[ing] the depth of the glenoid fossa … to allow for increase motion” (University of Wisconsin Hospitals and Clinics Authority, n.d.) as well as centering, stabilizing, and optimizing shoulder mechanics. I started looking at other options, perhaps more so directed at a muscle-related injury which included the teres minor or supraspinatus. However, I then found an excerpt from a book talking specifically about the symptoms of a tear in or detachment of the glenoid labrum. “Large labral tears may produce “clicking” or “catching” sensations” (Md & Cscs, 2017, p. 101). This book was incredibly informative at first glance and might be one I study in the future. The research does not appear to be definite due to non-unique symptoms being present, but this very well may be a possible interpretation of the incident.

References

AnatomyZone. (2012, July 20). Shoulder Joint – Glenohumeral Joint – 3D Anatomy Tutorial. YouTube.https://www.youtube.com/watch?v=vG1XQkj3Yx0&ab_channel=AnatomyZone (Links to an external site.)

Md, C. G. E., & Cscs, A. M. S. D. P. R. M. C. (2017). Clinical Orthopaedic Rehabilitation: A Team Approach (4th ed.). Elsevier. https://doi.org/10.1016/B978-0-323-39370-6.00021-4

University of Wisconsin Hospitals and Clinics Authority. (n.d.). Labral (SLAP) Tears of the Shoulder. UW Health. Retrieved October 27, 2020, from https://www.uwhealth.org/sports-medicine/clinic/labral-slap-tears-of-the-shoulder/45666#:%7E:text=The%20labrum%20has%20several%20functions,moves%20on%20the%20scapula%20(glenoid)

Muscular Adaptation

The principle of Darwinism may be a broad description of how natural selection has influenced the evolution of species, but a specific set of definitions on muscular adaptation can shed further light on why this “survival of the fittest” theory has a strong foundation.

General Adaptation Syndrome

General Adaptation Syndrome is the umbrella of adaptation. It is how the body adapts to circumstances in which it is placed. These circumstances can involve stress in the form of weight or load, and can even be environmental such as atmosphere or climate. At first, the body will experience a shock to the change presented. Physiologically this will take shape in the form of cardiovascular and neurological responses to increase blood flow and neuromuscular signals to react to the event. This is followed by a resistance development where the body becomes more efficient at responding to the stressors placed on it. Lastly, the body reaches exhaustion which results in pain, fatigue, and potentially injury.

Principle of Specificity

The Principle of Specificity, or the “SAID (specific adaptation to imposed demands)” (Clark, 2018, p. 307), dictates that the body will adapt to very specific demands in very specific ways. A rudimentary example of this is the formation of a callous when playing guitar as the fingers repeatedly experience the same stressor and adapt. In terms of muscular fitness, this is directly related to the format of training in which a client participates. Exercising with higher weight and lower reps will elicit a much different response than lower weight with higher reps. The body responds by focusing on the growth of Type II or Type I muscle fibers respectively.

Progressive Adaptation

Progressive Adaptation allows the individual to improve targeted mechanisms of growth through selective resistance training. Stabilization, muscular endurance, muscular hypertrophy, strength, and power are such mechanisms of growth. Stabilization training will engage the appropriate muscles during chosen exercises so that the primary mover is providing the main force production while the stabilizing muscles are focused on their role instead of overcoming the primary. Muscular endurance goes hand in hand with stability as it refers to the muscular ability to maintain stabilization throughout longer periods of time. Muscular hypertrophy is directly indicated by the growth in the physical size of the muscles, in particular, the fibers themselves, as they respond to increased load. Strength could then be seen as the capacity for each fiber to create tension in comparison to the physical growth of hypertrophy. Lastly, power is a combination of several aforementioned components with a time dimension added. More force over a smaller amount of time is the adaptation of power.

The general adaptation syndrome is beneficial when a change in occupation may illicit the need for physiological changes. This could be someone transitioning from a desk job to a warehouse position that may involve lifting that was not done before. The body will adapt as required by the circumstance. Specificity is crucial for those looking to improve in specific areas such as an Olympic sprinter who needs to focus on training for speed rather than endurance. Lastly, progressive adaptation is valuable for someone who has the goal of obtaining a similar physical appearance to the Grecian ideal as they prioritize muscular hypertrophy for those muscle groups that need to adjust to match size and appearance.

References

Clark, M. A., Lucett, S. C., McGill, E., Montel, I., & Sutton, B. (2018). NASM essentials of personal fitness training. Burlington, MA: Jones & Bartlett Learning.

Plyometric Training

Plyometric training involves reactive movements that highlight the motion of the body which generates force immediately after deceleration of a previous movement. A client must be ready for this type of training before proceeding. Once NASM assessment that can be performed to identify client-readiness is the Overhead Squat Assessment (OHSA). One such reason for this selection is due to the necessity of sufficient achievement in body and core strength as well as balance. During the Overhead Squat Assessment, the trainer can observe key points both from a lateral perspective as well as the anterior. Each point in the kinetic chain is visible from foot and ankle position, Lumbopelvic-Hip Complex alignment and rotation, and head and shoulder alignment and position. Together these allow for analysis of the client’s core and body strength, and their balance. However, a balance may be more clearly seen in the single-leg squat assessment.

The first level in the OPT model for plyometric training is stabilization. This specifically involves the client’s ability to stabilize, or sustain, their position upon landing. This is typically a duration of three to five seconds after landing, which more than ensures a strong stabilized body. One struggle that can be seen during this level is the ability to hold correct posture at the time of landing. When seen as a complete movement the body utilizes the stabilization phase to transition into the next, therefore stopping to stabilize may be difficult yet is crucial to a strong foundation. An upper-body exercise for plyometric stabilization is the “Two-Arm Medicine Ball Chest Pass” (Clark, 2018, p. 328). For the lower body, the client can jump down from a box and stabilize upon landing.

The second level of the OPT model for plyometric training is strength. This level layers onto stabilization by adding additional strength to the movement. This focuses on the force production of the exercise. In other words, this is the concentric part of the cycle. One exercise for the lower body is the squat jump, which consequently may also invoke the upper body as well. The reason being that the subject can utilize the potential energy stored in arms which are place rearward of the body during the initial squat movement, which then explodes in the upward direction allowing for an increase in force production. For this article, the focused exercise for the lower body is noted as the butt kick. This reduces the involvement of the upper body by maintaining the arms next to the obliques performing a jump similar to the squat jump but with the feet raising posterior to the body rather than upward following the knees.

The third level of OPT for plyometric training is power. This level ties the eccentric, amortization, and concentric phases together in a complete cycle. An exercise for this level for the upper body is Ice Skaters. The reason this is classified as upper body, in addition to lower by default, is that the arms are utilized by reaching outward during the eccentric phase while the foot on the same side lands and is loaded. The arm then contracts concentrically across the plane of motion as the same foot is pressing off the floor. As for specific lower body exercises, one is the “Single-Leg Power Step-Up” (Clark, 2018, p. 284). While this does also involve the upper body, much more work is done by the lower body during the upward acceleration as well as the loading phased on the downward motion.

References:

Clark, M. A., Lucett, S. C., McGill, E., Montel, I., & Sutton, B. (2018). NASM essentials of personal fitness training. Burlington, MA: Jones & Bartlett Learning.

Identifying Core System Inefficiencies

A strong and core is important to maintain a properly balanced muscle system throughout any movement. One assessment that can identify dysfunction in the core is the pushing assessment. While the pushing assessment may also reveal syndromes or dysfunctions in shoulders, knees, and feet it does allow the trainer to obtain subjective evidence on the lumbopelvic hip complex which comprises the core system.

The client utilizes a set of cables or bands positioned directly behind them with a level of weight or resistance that is light to moderate. He or she stands in a split stance with toes pointing forward, one foot forward and the other back. Feet should be firmly planted with instruction to maintain the abdomen drawn in. With one band or cable in each hand, the client then presses the handles forward, with opposing resistance pulling backward, and then returns his/her hands to the starting position. This process should be repeated in a very controlled manner several times to fully assess the client’s state. If the weight is too light, the dysfunctions may not become obvious. However, the weight should not be so heavy as to provide an excessive load for the purpose of the assessment.

The pushing assessment may help identify a core system inefficiency if the client exhibits a non-neutral lumbar and cervical spine during the movement. In other words, if the client’s lower back is arched during the movement, then weakness in the transversus abdominis of the local stabilization system may be the cause of the potential dysfunction. The designed form of the pushing assessment is to have the shoulders level and the lumbopelvic hip complex void of any anterior tilt. Should the client show an arched back, or pelvic tilt, then this could signify that there is a deficiency in the core musculature. If this is the case, then the drawing-in maneuver may be something to consider in addressing the inefficiency.

Overview of Fitness Assessment Components

A fitness assessment consists of multiple components that, when analyzed concurrently, allow for improved ability to design programs suited to the client’s individual needs.

Subjective Information

Medical history is important for laying a foundation of the client’s present state either as-diagnosed by a medical professional or presented by the client themselves. These may include conditions, surgeries, medications, and other physiological health status indicators.

General history reveals the client’s lifestyle conditions which impact their level of fitness. This is important to understand which physical activities may lead to improved program adaptation and includes details such as occupation, repetitive movements, recreation, and hobbies.

Sources for the above subjective information at a minimum include a PAR-Q or Physical Activity Readiness Questionnaire. The literature provides a sample that includes 7 questions; however, these client-answered surveys are a great resource to use to address all of the aforementioned points.

Objective Information

Physiological assessments, which include heart rate and blood pressure both during exercise and at rest, are valuable in determining the client’s overall cardiorespiratory health. They can be used to establish baselines as well as to measure progress. One such assessment of this is to measure the resting heart rate by checking the radial pulse gently while the client is calm. The maximum heart rate can then be roughly estimated using the straight percentage method.

Body composition testing compares the mass of fat versus fat-free tissue which can identify health risks and be used to monitor changes throughout the program. Perhaps the most common way of obtaining these values, albeit discounting the amount of visceral fat, is through the skin fold test. Other methods, such as bioelectric impedance, air displacement, or even x-ray (DEXA) are possible at varying levels of cost and accuracy.

Cardiorespiratory assessments are important to set a baseline for safe and effective levels of intensity based on the client’s current state. The Rockport Walk Test is one such method during which the client walks a distance of 1 mile as fast as is controllable on a treadmill. The duration and client’s heart rate are then used in conjunction with their age, gender, and weight to calculate the VO­2 score as an indicator for suggested heart rate zones.

Static assessments reveal what the body’s starting point for any movement will be as all movement stems from a base position resulting from neuromuscular relationships, joint mechanics, and possible injuries. The most consistent way to assess this is by utilizing the Kinetic Chain Checkpoints; Foot and ankle, knee, lumbopelvic-hip complex, shoulder complex, and head. This should be viewed from the anterior, lateral, and posterior perspectives.

Dynamic assessments partner with static assessments in that they may further reveal the body’s present functional state. The OHSA (Overhead Squat Assessment) is a powerful way to achieve this. Again viewed from both anterior and lateral perspectives, the OHSA allows the trainer to view any arches, pronation, leans, or otherwise that could potentially increase the risk of injury without addressing through visual and other cues.

Performance assessments allow the trainer to understand the client’s level of stability, agility, strength, and endurance. These are more often used for clients looking to achieve greater athletic performance but are not without their benefits for general use under the right circumstance. The Shark Skill Test is one such method that involves hopping in a defined pattern through a series of 9 squares.

Chicken Fajita Casserole

This week I found myself with a lot of left over chicken that I had cooked and put in the fridge. I decided to mix it into something new. This Chicken Fajita Casserole took an interesting turn for a couple of reasons.

First off, I took this chance to make a series of video clips to post the recipe on TikTok. Let’s just say I learned a lot during that process (both what to do, and what NOT to do). Needless to say, I’ve got room for improvement.

Secondly, in trying to make the video I didn’t quite think through what I was doing and made recipe harder on myself than it had to be.

Now that we’ve got that out of the way, on to the recipe. (Note, I had left over cooked chicken and cooked rice that used when making this)

Ingredients

  • 26oz Cooked Chicken Breast
  • 1 Bag Chopped Onions and Bell Peppers
  • 1 Can Cream of Chicken Soup
  • 1 Can Black Beans
  • 1 Can Diced Tomatoes with Green Chilies
  • 1 Cup Rice, Cooked (measured before cooking)
  • 1 Packet Fajita Seasoning
  • 1 Cup Chicken Broth
  • 1 Cup Sour Cream
  • 8oz Shredded Cheese, Fiesta Blend

Instructions

  1. Preheat oven to 350°F
  2. In a large bowl, combine cream of chicken soup, diced tomatoes, chicken broth, sour cream, half of the shredded cheese, fajita seasoning, and chicken. Mix well.
  3. In a 9×13 pan layer rice, beans, and onion/bell pepper mix.
  4. Spread on the mixture from step 2.
  5. Bake for 20-25 minutes, then spread the remaining cheese on top to keep baking until melted on top.

Nutrition

I made this divided into 6 containers which yielded the following after entered in MyFitnessPal.

  • Calories: 495
  • Fat: 22g
  • Carbs: 33.6g
  • Protein: 38.4g

If you want to watch a quick video of the recipe, visit me on TikTok. Feel free to share on Facebook or Twitter if you enjoyed it!

MASS Review – Monthly Applications in Strength Sport

For years I considered becoming a certified personal trainer to increase my knowledge and be able to continually improve. I eventually became certified and even trained several clients. I found that I just wasn’t getting the whole experience I was was hoping. Then enters Jeff Nippard. I subscribe to his channel on YouTube because he’s got a great personality and a unique way of presenting information. However unique, it was also scientifically sound. He often mentioned MASS (Monthly Applications in Strength Sport), so I decided to give it a shot.

I have now been subscribed to MASS for almost 2 years and honestly haven’t ever looked back.

Here’s the breakdown:

Each month you can “get concise and applicable breakdowns of the latest strength, physique, and nutrition research”. They’ll review and break down a bunch of studies and summarize them into topics for each article to include in the monthly release.

For example, the most recent issue I got (delivered consistently via email in convenient PDF format, among other media formats) has an article by Eric Trexler titled “Protein Distribution Matters, To An Extent”. Now I know this is a question that comes up often, and most people who ponder it end up turning to Google and the chaotic mess that can raise up from forums and chat rooms.

Turns out, there’s some science to the question, and some nuances to go along with it. The answer may not be as cut and dry as the random bro on Reddit leads you to believe, but MASS is something I can depend on. When I read their articles, I don’t get the sense of bias or any one-sided opinion. They present the facts and relay variables to the principles at hand.

So back to the personal training thought I mentioned initially. If you are a personal trainer, I highly recommend MASS as it will give you a stronger ability to help your clients and a higher capacity to coach based on sound principles and scientific evidence without combing through hundreds of pieces of literature on your own.

If you’re not a personal trainer, but enjoy learning a little more in-depth than what you commonly find online or in casual conversation, you should consider MASS.

If you’re not quite ready to jump right in, you can always get a free copy of what they offer.

FREE Volume: “10 Recent Studies You Should Know About

Then again, if you want to sign up click here and cancel any time (but I doubt you’ll even want to).

Tips to Losing Weight After Pregnancy

TIPS TO LOSING WEIGHT AFTER PREGNANCY

Worried about shedding that extra weight post-pregnancy? You are not alone!

Losing weight postpartum comes with its own set of struggles, as where on one hand you are recovering from childbirth, on the other you are getting used to a new life with your newborn baby.

Most women struggle to lose weight after pregnancy, but it is always helpful to have realistic expectations from yourself from the beginning. It is extremely important to feel positive about your body, and alter your perspective to focusing on achieving a healthy body weight rather than thinking about getting slimmer.

One of the first things you must keep in mind in your effort to lose baby weight is to understand that this is something that will take time. Once you are prepared to be a part of this weight loss journey, it would become much easier for you to reach a healthy weight range in an organic and effortless way. Here are some useful tips to help you lose weight after pregnancy –

  • Breastfeed –

Breastfeeding is not just great for a newborn’s health and immunity, but can also help the mother’s weight loss after 3 months of delivery. Many studies reveal that women who breastfeed tend to lose weight much early as compared to women who don’t. Other than that breastfeeding is also proven to help bring back the mother’s uterus to its normal size much faster after childbirth. So, if you can, you must choose to breastfeed your newborn.

  • Eat Healthy Snacks –

If you are making an effort to lose weight after pregnancy then make sure that your home is stocked up with healthy snacks like nuts, fruits, yogurt, etc. So, when you feel hungry, you choose to eat healthy snacks instead of gorging on highly processed junk foods like, chips, burgers, pizzas, candies, etc. that are high in calories.

  • Exercise / Resistance Training –

Some form of exercise, be it walking, running or resistance training must be combined with a healthy diet to lose weight after pregnancy. Resistance training can be really helpful in losing baby weight, as it does so while maintaining your muscle mass. But, before starting any kind of physical training, make sure that your pelvic and stomach area is completely healed to avoid any complications.

  • Increase Your Fluid Intake –

Staying hydrated all day long is essential to lose weight after pregnancy, especially if you breastfeed your newborn. Water and other fluids help boost your body’s metabolism, which eventually helps you with weight loss. So, make sure that you drink at least 1-2 liters of water/fluids every day and increase your chances of losing weight postpartum.

Your weight loss journey after pregnancy might take between six to nine months. And of the best things you can do to make this journey an easy one is to not be hard on yourself. Enjoy the beautiful feeling of motherhood, while trying to balance a good diet, exercise, and sleep; for it is a combination of all these factors that will give you effective results for weight loss postpartum.

Hylete Review

Athletic apparel has always been a struggle for me. Between trying to find the right fit and style, and not breaking the bank, it seemingly was an endless battle. Well, Hylete is definitely one you should consider.

I picked up a pair of shorts and also decided on a more business casual piece and went with a Polo too.

hylete shorts

This pair of shorts is extremely comfortable. It’s their Fuse Short in a Heather/Black color material combo. I’m pretty picky when it comes to comfort and breathability. I live in a warm climate that has tendencies to cool off a lot during the evenings so I see both ends of the spectrum. These keep me cool during the day yet aren’t a total dealbreaker in cold weather either.

https://www.hylete.com/fuse-short-heather-black

Their Prime Polo was equally comfortable, however I highly recommend checking their sizing guide to make sure you pick the right one. I personally found them to be more form-fitting than I’m used to, especially around the torso. For me, I’d need to go about a size or two higher to get the fit I like.

The sizing isn’t a big deal, just something to be aware of when you’re picking out your apparel.

https://www.hylete.com/prime-polo-heather-cool-gray-black

They’ve also got some pretty neat gear. Their bags and backpacks are pretty impressive. I remember seeing one a couple years back in a gym locker room, and the guy showed me how much he could fit in his backpack and how organized it was. Thoroughly impressed.

If you are interested you can get $20 off your first order by checking them out below:

Save $20 off Hylete

How to Fight Excessive Hunger

HOW TO FIGHT EXCESSIVE HUNGER?

Do you constantly feel hungry? Need help avoiding cravings? Find out ways to stop feeling hungry all the time in this article.

If you find yourself to be hungry all the time, then it has a lot to do with the type of food you eat. If despite eating in large portions, you still end up feeling hungry in some time, then it means that your food is lacking the nutrients that your body requires to feel full. Here are some ways to fight excessive hunger and avoid cravings for improved overall health.

One of the most effective ways to fix excessive hunger is to choose complex carbohydrates over refined carbohydrates in your meals. Complex carbohydrates, like; oatmeal, sweet potatoes, quinoa, berries are rich in fiber that makes them more filling in comparison to over refined carbohydrates. Hence, you must avoid over refined carbohydrates like, white bread that fail to satiate your hunger and make you feel hungry over again.

  • Consume More Protein-Rich Foods –

Protein-rich foods and snacks make you feel full for a longer time and help you avoid cravings to a great extent. Therefore, adding healthy protein meals in your diet like, eggs, lentils, fish, chicken and tofu etc. is another great way to avoid feeling hungry all the time.

  • Change in Lifestyle Choices –

Your lifestyle choices also play a huge role in the manner your body processes the food you eat. For instance, not getting proper sleep, dehydration, stress, etc. are certain factors that can trigger hunger pangs all the time. Therefore, apart from bringing significant changes in your diet to control hunger pangs, you must also make certain changes in your lifestyle and get proper sleep, hydration, etc. for the same.

  • Increase Your Water Intake –

Increasing your water intake throughout the day can help reduce your hunger to a great extent. Make it a point to drink water before your meals, and you will instantly notice a decrease in your cravings. You can also drink a bowl of soup before your meals, as it will eventually make you eat less and avoid unnecessary cravings.

  • Practice Mindful Eating –

Mindful eating requires you to focus on the food laid in front of you and relish it without any other distractions. By developing a habit of mindful eating, you get to focus more on the quality of your food instead of the quantity, eventually feeling full without having the need to binge eat.

Feeling hungry all the time is a sign that you should not ignore, as it means that your body is lacking in nutrients that must be a part of your diet. By following these simple tips, you can work towards reducing your cravings and hunger pangs in between meals. But, if you still feel excessively hungry despite taking all the above-stated measures; then you must consult a nutritionist or healthcare specialist to discuss your situation and find a remedy to fix it.