I had the fortune of wrapping up my Dietetic Internship on Tuesday of this week, which was definitely a very nice feeling. I certainly learned a ton, especially about nutrition in the Critical Care setting. Tube feeds and IV feeds (whether central or peripheral access) with different conditions and elements involved was intellectually challenging, and some of the doctors were very willing to teach the physiology of things like SIRS & ARDS. It was an enlightening experience to say the least. While I continue to believe that our management of chronic conditions is seriously lacking, our doctors are incredibly well-trained in the acute care setting (which some might argue is part of the problem, because we treat chronic conditions like acute ones!).
In other news I went down to Cressey Performance for the day yesterday, which was a most welcome change of pace. I even gave the staff in-service in the morning before clients arrived, which was aimed mainly at teaching the 6 new interns the basics of working with high school athletes. We also had a Q & A after where Eric, Tony, Chris and others asked questions on different topics. It was more of an impromptu off-the-cuff talk than anything formally prepared, but I think it went really well. We recorded the talk, so I will keep you updated if we do anything with it.
Continuing the CP theme it was good to get back in the trenches and coach people again. Though there are a lot of new faces and plenty of new exercises that I had to ask a few questions on, the coaching aspect was like riding a bike. Coaching trap bar deadlifts, med ball work, core exercises, and my favorite for newbies – Glute Ham Raises was an absolute blast and I hope to do it again sometime soon. It was great to catch up with everybody and marvel at the speed at which Cressey Performance continues to grow.
I also had EC eval me as my left shoulder/trap/upper back area has been cranky as of late and not responding as I would have liked to some of my attempts at treating it. While it has gotten better, it wasn’t great, so I had Eric check me out. He basically concluded that I have downward rotation syndrome and jacked up levator scapulae, essentially my upper traps have been too neglected and I need to work on overhead shrugs and a few other similar exercises.
As we talked he mentioned that he has started to notice this issue more and more with guys when he assesses them, due to a seemingly over-emphasis on the “down-and-back” cue, near total avoidance of using the upper traps in addition to poor upper body posture (mainly anterior scapular tilt and excessive internal rotation – mostly from sitting too much). Looking back I can definitely see how I have not trained by upper traps/uppward rotators to the same degree as my downward rotators, not too mention the fact that I have been sitting a ton more since I left CP. We also both felt there was accumulated wear and tear on the area from years of baseball/lacrosse/hockey/rugby that certainly isn’t doing me any favors, but with some appropriate soft tissue work and corrective strategies I should be good to go.
This really speaks to the fact that the hardest person to train is yourself. As much as I know about appropriate training modalities, proper exercise execution, and corrective strategies, when training yourself it can be easy to continue to work on what you are good at and neglect areas that are weak. Doing a little more research myself I stumbled across a fantastic article by Mike Robertson and Bill Hartman that outlines the downward rotation syndrome and provides some excellent corrective strategies that I will certainly put to use – Push Ups, Face Pull, and Shrugs.
Lastly, I also wanted to mention to keep your eyes peeled for some audio interviews I did for Rick Kaselj of ExercisesForInjuries.com and Medhi of Stronglifts.com recently. They should be going up within the next month or so, and I will let you guys know when they do.
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