How Not to
Warm Up
by Nick Tumminello
I like to think of myself as the thinking man's coach. I'm always evaluating
my own programs and what's currently being taught by other professionals
in the hopes of finding better, more efficient ways of doing things.
One of Nick's clients, showing good definition in
the deltoids and calves.
When it comes to my evaluation process, I use a very simple philosophy: "If
it doesn't make scientific sense, and it defies common sense,
then it must be nonsense."
As I've evaluated some of the exercises commonly used as dynamic
warm ups, I've concluded that many of them don't jibe with either
common or scientific sense. By deductive reasoning, I've concluded
that these movements are based on nothing but nonsense, and should
be eliminated from our program. I call these movements the Warmup
Don'ts, and I hope that by the end of this article you too will
avoid them like you would avoid a warm decaf soy latte.
Abort! Abort!
Because of the vast popularity of these exercises, it's very likely
that you're practicing some of them in your program. In addition,
many of these movements are currently being taught by several well-respected
coaches.
Well, in this article I'm going to provide you with a whole bunch
of science and a solid rationale for why these movements both fail
to promote proper movement patterns, and, based on recent research,
may actually lead to dysfunction. Rather than telling you what to
do and why, I'm going to try to teach you what not to
do, and why not to do it. As the great Bruce Lee once said, "It's
not the daily increase, but the daily decrease. Hack away the unessential."
Bruce Lee, hacking away the unessential.
Warm up Don't #1: The Scorpion Twist
Truth be told, I have always thought that the scorpion was popular
only because it looked cool. I have never used it because in my opinion
it felt very unnatural and had no real functional carryover.
My personal opinion aside, the fundamental flaw with the scorpion
twist is that it requires the athlete to simultaneously extend and
rotate the spine. This type of motion can cause stress to the spinal
facet joints. According to Dr. Wolf Schamberger in The Malalignment
Syndrome: Implications for Medicine and Sport (2002):
"The facet joints are stressed non-specifically on side bending,
back extension alone and back extension combined with rotation to the right
or left." (p. 244)
Facets are small joints that overlap like shingles
on a roof, forming the back surface of the spine.
Similar writings can be found later in the article:
"Loads on the facet joints of the lumbar spine may play a major role
in low-back pain. Shear forces resulting from axial rotation and flexion-extension
motions (compressive shear loads) are mainly transmitted through the facet
joints. Although traumatic or transient shear forces will be resisted by both
the disc and the facets, the disc's viscoelasticity causes slowly applied or
constant shear loads to pass through the facet joints." (Hassan A.
Serhan, Ph.D.; Gus Varnavas, M.D.; Andrew P. Dooris, Ph.D.; Avinash Patwardhan,
Ph.D.; Michael Tzermiadianos, M.D.; Biomechanics of the Posterior Lumbar
Articulating Elements, 2007)
This article than goes further into the types of pain caused by facet
stress and compression:
"Facet joint compression leads to at least three causes of back pain:
spinal osteoarthritis; bulging and herniated discs; and nerve root impingement...
Because the nervous system is responsible for many other activities, the effects
of facet joint compression are very wide ranging."
Recent research also suggests that you're ten times more likely to
suffer sciatica pain from facet compression injuries than from herniated
discs.
With this type of evidence, it's easy to see why the scorpion twist
is a Warmup Don't.
Warm up Don't #2: The Prone Alternating Superman
This superman is not so super.
The prone alternating superman exercise is probably the most widely
used exercise in my Warmup Don'ts list. I've seen this exercise
used by just about everyone in the health and fitness industry
from sport coaches to Pilates instructors, and even physical therapists.
In the book Fact and Fallacies of Fitness (2003), Mel Siff
thoroughly explains why the prone alternating superman is a Warmup
Don't:
"Since the lower extremities are heavier than the upper extremities,
this can impose a torque or twisting action around the lumbar spine if the
action of the extremities isn't well synchronized and instead of reducing any
potential risk of hyperextension, it can add an element of rotation to the
extension, thereby making this exercise less safe than controlled gradual simultaneous
raising of the legs and arms. In fact, it's not uncommon for this exercise
to cause acute back pain and spasm." (Siff, p.36)
Siff then goes on to say that "Current research has shown
that the superman exercise and several of its variations have little
or no benefit on back strength and posture." (Siff, p.36)
Although Siff advises that it's safer to perform the superman exercise
lifting the arms and legs simultaneously, he does mention that the
superman is virtually a useless exercise. Therefore, we have eliminated
the superman and all its variations entirely from our program.
Additionally, in the past we have had many healthy, pain free athletes
complain about discomfort during prone extension type movements like
the superman. We feel this is due to the fact that many explosive
type athletes tend to have a slightly increased lumbar curve (lordosis)
even while practicing a well-balanced program.
Some curves aren't as desirable as others.
With this in mind, having an athlete who is already in lumbar extension
perform movements like the scorpion or superman isn't only counterproductive,
but extremely risky.
Warm up Don't # 3: The Windshield Wiper (or Hip Crossover)
This is another one of these exercise that I've seen show up in
just about every system of training as either flexibility or as "core
strength" exercise. I have even seen coaches overload this movement
using a medicine ball between the legs.
I myself was using both the loaded and unloaded version of the windshield
wiper until I read an article by Mike Boyle called, Is Rotation
Even a Good Idea? In that article, Boyle referenced physical
therapist Shirley Sarhmann, who in the book Diagnosis and Treatment
of movement Impairment Syndromes Movement explained why movements
like the windshield wiper contradict the biomechanics of the lumbar
spine.
"Rotation of the lumbar spine is more dangerous than beneficial and
rotation of the pelvis and lower extremities to one side while the trunk remain
stable or is rotated to the other side is particularly dangerous." (Sahrmann,
pg. 72)
"During most activities, the primary role of the abdominal muscles
is to provide isometric support and limit the degree of rotation of the trunk
which, as discussed, is limited in the lumbar spine." (Sahrmann,
p. 70)
Sarhmann then goes on to explain in more detail the rotational range
of motion capabilities at the lumbar spine:
"The overall range of lumbar rotation is ... approximately 13 degrees.
The rotation between each segment from T10 — L5 is 2 degrees. The greatest
rotational range is between L5 — S1... The thoracic spine, not the lumbar spine,
should be the site of greatest amount of rotation of the trunk... when an individual
practices rotational exercises, they should be instructed to "think about
the motion occurring in the area of the chest." (Sahramnn pg. 61-62)
Taking Sarhmann's advice, we've chosen to eliminate exercises that
drive spinal rotation from the bottom up in favor of an alternative
variation that's driven from the top down, shown below. This version
is much easier on the lumbar spine and emphasizes rotation at the
thoracic spine, which is better designed for mobility.
Driving spinal rotation from the top down puts less
stress on the lumbar vertebrae.
Warm up Don't #4: The Iron Cross
The Iron Cross is basically a more dynamic version of the hip cross
over. Therefore, based on what I just told you, it should be obvious
why it's a Warmup Don't.
The Iron Cross is actually the most poorly designed and dysfunctional
movement on my hit list. This movement not only requires excessive
lumbar rotation, but also adds a small element of lateral flexion
to the mix, as a byproduct of lifting the leg toward the opposite
hand. Any qualified physical therapist will tell you that combining
spinal lateral flexion with rotation, especially under load, will
put you on the fast track to disc injury.
This is mentioned by Gregory S. Kolt and Lynn Snyder-Mackler in their
book Physical Therapies in Sport and Exercise (2003):
"The mechanism of back injury in athletes is normally the same as
in the general population (i.e. prolonged and or repeated spinal flexion, flexion
and rotation under load)." (p. 250)
In the book Fact and Fallacies of Fitness(2003), Mel Siff
also makes this point very clear:
"The combination of lateral bending and rotation constitutes one of
the most dangerous maneuvers for the lumbar spine." (p. 89)
Siff than continues to make a very important point and explain why
rotary training exercises are much safer and more functional when
performed in an upright position.
"A certain degree of compressive preloading locks the facet assembly
of the spine and makes it more resistant to torsion. This is the reason why
trunk rotation without vertical compression may cause disc injury, whereas
the same movement performed with compression is significantly safer." (p.
89)
My spider-sense tells me that someone out there are saying, "Oh,
come on now, Nick. Surely the exercises you've described in Warm
Up Don'ts 1 to 4 can't possibly create enough force to cause
any significant pain or dysfunction." Well, bubba, just feast
your eyes on the study below, and you'll see why this line of thinking
is flawed.
A research study took thirty-eight normal healthy young subjects (14 males,
24 females) with mean ages of 23 years (males) and 21 years (females), performed
36 functional rotational tasks of the trunk. The subject's lower extremities
were stabilized in a stabilizing platform, allowing the entire motion of flexion-rotation
and extension-rotation to take place in the trunk. Of these tasks, 18 were
isometric and the other 18 were isokinetic.
The isometric tasks consisted of flexion-rotation and extension rotation
from a 20, 40 and 60 flexed trunk in 20, 40 and 60 of axial rotation. The isokinetic
activity consisted of flexion-rotation and extension-rotation from upright
and flexed postures respectively in 20, 40 and 60 rotation planes at 15, 30
and 60 /s angular velocities.
The results revealed that the males were significantly stronger than females
and isometric activities produced significantly greater torque compared to
isokinetic efforts. The degree of trunk flexion was not significant; the angle
of rotation, although significant, had only a small effect. The 60 trunk rotation
was significantly different from 20 and 40 of trunk rotation.
(Kumar S.; Narayan Y.; Zedka M., Strength in combined motions of
rotation and flexion/ extension in normal young adults, Ergonomics
Volume 41, Number 6, 1 June 1998, pp. 835-852, Taylor & Frances Ltd.)
Pay particular attention to the concluding statement:
"Based on the results and analysis, it is suggested that the motion
involved rather than the torque may have a consequential effect in the precipitation
of back injuries."
This statement clearly explains that dysfunction can be created just
by moving the spine in a non-functional manner regardless of load.
So, as in the theme of this article, it's imperative that we do our
research and choose our exercises wisely.
Make wise choices, or you'll end up looking like
a horse's ass.
Warm up Don't #5: The Leg Cradle
Also known as the "I just dropped a friggin'
weight on my foot" movement.
The leg cradle is used by many sports coaches to develop mobility
in the hip rotators by mainly stretching the piriformis. It's basically
a standing variation of the traditional supine piriformis stretch.
The supine piriformis stretch.
This is another one of those movements that I haven't used much because
I've never really liked it. I feel that it's a hard movement to
coach and thought that it created unnecessary torque on the knee
joint. Regardless, I kept giving the leg cradle a chance and used
it on occasion. Finally, however, I decided to eliminate it entirely
from our program while attending a physical therapy workshop. It
was called Diagnosis of Mechanical Dysfunction and Stability
Retraining of the Hip, and taught by Mark Comerford.
During the workshop, Comerford thoroughly explained why stretching
the piriformis from any position (standing, sitting, supine, etc.)
with the hip externally rotated and abducted (as in the leg cradle)
will actually do more to stretch the posterior lateral hip capsule
than the piriformis muscle.
According to Comerford, consistently stretching the hip capsule in
most cases is a bad thing because it can develop uncontrolled motion
(i.e. instability). This type of instability can eventually lead
to a number of hip dysfunctions such as hip impingement syndrome.
Hip
impingement occurs when the head of the femur (thigh bone)
butts up against the acetabulum (hip socket). In the process, the
labrum (cartilage around the rim of the socket) gets pinched.
It was at that point that I realized something very important. I
realized that both the leg cradle and traditional supine piriformis
stretch placed the hip in virtually the same position as when sitting
cross-legged.
What Comerford was teaching us went along with what physical therapists
have been saying for years about limiting cross legged sitting as
it can lead to hip dysfunction. Until then I had just never made
the connection. It was fairly obvious to me at that point that the
leg cradle was a Warmup Don't. Just to put the final nail in the
leg cradle's coffin, I found a research article on hip impingement
by Dr. John C. Clohisy that said something pretty amazing.
"Improved MRI technology has made it possible to study this problem
more closely. As a result, we now know that many people who have no symptoms
have femoroacetabular impingement." (John Clohisy, Clinical Orthopedics
and Related Research Journal September 2007. Vol. 462 Pp. 115-121.)
This is very important to understand because it means that someone
can actually have hip impingement and not even know it. What's just
as important to understand is that the first thing any qualified
physical therapist instructs a patient with hip impingement to do
is avoid cross-legged sitting because it enhances the problem.
So, by performing the leg cradle or the traditional piriformis stretch
(which imposes the same forces as cross legged sitting) you could
very well be promoting a dysfunction. It should be clear to you now
that the leg cradle and the traditional supine piriformis stretch
are both poorly designed movements that should be eliminated from
your program.
The question now becomes, "Can I stretch the piriformis muscle
without possibly causing hip dysfunction?" Lucky for you, I
have the answer. Yes, you can, and I'm going to show you how it's
done.
To help you better appreciate the rationale behind the stretching
protocol I'm about to show you, you need to understand some basic
biomechanics of the piriformis.
The piriformis muscle.
"In the neutral hip position the force vectors of piriformis
action contribute to hip abduction, extension and lateral (external)
rotation. It might be assumed that the hip must flex, adduct and
medially rotate to stretch piriformis, but this isn't the case.
As the hip flexes, the rotation moment of piriformis changes such
that by full hip flexion it becomes a medial (internal) rotator." (Travell & Simons,
1992)
"The transition point for this change in action is considered
to occur at about 60 degrees of hip flexion." (Kapandji
1970, Lee 1989)
Because the piriformis, like all muscles, functions in all three
planes of motion, it must be stretched in all three planes of motion
in order to be lengthened effectively. If we look at the leg cradle
we can clearly see that the hip being stretched is in flexion, external
rotation, and abduction.
As explained above, the piriformis contributes to hip abduction
and therefore is shortened in that position. This is the reason why
the leg cradle does not stretch the piriformis effectively.
In order to effectively stretch the piriformis as an internal rotator
(above 60 degrees of hip flexion) we need to place the hip into flexion,
external rotation and adduction. You will see this occur in the protocol
below.
Note: the below sequence displays how to stretch the right hip. Reverse
for the left hip.
Step 1: Assume a quadrupedal (all fours) position
with your right ankle crossed over the back of your left knee as
shown above.
Step 2: Place your right hand out to the side.
Step 3: Shift your hips and shoulders toward the
right until you feel the stretch.
Be sure to move your pelvis and shoulders together in rhythm while
avoiding any lateral flexion or rotation at the pelvis and/or trunk.
This helps you prevent any substitution patterns (such as lumbar
flexion which is commonly seen in the supine version) and build some
awareness of spinal stability.
This stretch can be performed dynamically by moving the hips back
and forth every one or two seconds, or it can become a static stretch
by holding the position for 20 to 60 seconds or more.
We use this hip stretch as a level one progression in which we have
developed two other, more advanced variations. In our Warm Up Progressions
DVD series, we display the entire progression spectrum for this stretch
and give you many ideas for safer, more functional alternatives to
the Warmup Don'ts listed in this article. In addition, we show many
new, never before seen progressions and variations to other movements.
I'm going to close by sharing something I've been pondering about
this whole piriformis thing:
Given that the piriformis changes its function from an internal rotator
to and external rotator relative to the degree of hip flexion, is
it possible that in order to better improve its function, we might
need to stretch it in two different ways using two different hip
positions? It's definitely something to think about. And like I said,
I'm the thinking man's coach.
Remember what else I said at the introduction: "If it doesn't
make scientific sense, and it defies common sense,
then it's probably nonsense." Let's face it, with all
of the new training methods, styles, systems and opinions out there,
it can be difficult to decide what's really good and what's really
good for nothing. Use this little philosophy and the decision will
become much easier.
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