Supercross, Super Injured

As the 2023 Monster Energy AMX Supercross season unfolded it become increasingly apparent that it was going to be a season remembered for its shocking injury toll.  I will specifically focus on the 450cc class, to keep the article as brief as possible. The 250cc class injury list was equal in length to the 450cc class.

Here’s he injured list as of 2 May 2023. These riders missed one or more rounds or failed to complete a round in the 2023 season due to injury sustained in racing or practice:[1]

450SX

  • Eli Tomac – Achilles
  • Colt Nichols – Unknown?
  • Jason Anderson – Neck
  • Cooper Webb – Concussion
  • Justin Barcia – Collar Bone
  • Benny Bloss – Collar Bone
  • Grant Harlan – Shoulder
  • Christian Craig – Hip, Elbow
  • Dylan Ferrandis – Concussion
  • Brandon Hartranft – Back, Shoulder, Hip, & More
  • Scott Meshey – Leg
  • Marvin Musquin – Wrist
  • Bubba Pauli – Thumb
  • Aaron Plessinger – Hip
  • Alex Ray – Finger
  • Justin Rodbell – Achilles Tendon
  • Malcolm Stewart – Knee

The author of this list acknowledged they may have missed a few injuries because the injury list was so long. They have missed at least:

  • Adam Cianciarulo – Concussion [2]
  • Kyle Chisolm – Knee [3]
  • Christian Craig – Hip and elbow [4]
  • Joey Savatgy – Wrist [5]

And in the week following the compilation of this list add the following:

  • Ken Roczen – Knee [6]

In the seventeenth and final round of the season in the 450cc class, 4 of the top 10 riders on points were not available due to injury. That’s 40% of the top 10 points leaders. And  if you add Ken Roczen  who didn’t complete the final round, that 50%.

But even that stat is misleading on the upside, as it only includes those riders healthy enough to be in the top 10 points leaders by the last round.

If we look at the riders who started the season, it’s worse. Using the 20 riders listed on the official series web site,[7]  only the following three (3) riders may have avoided missing 2023 rounds due to injury.

  • Justin Hill
  • Shane McElrath
  • Dean Wilson

Assuming the 20 riders featured were the top 20 riders for 2023, this means 85% (17 of 20) of the 2023 Monster Energy AMA Supercross top 20 lost rounds or their season due to injury.  85%. That’s a huge number, even for a high risk sport. I have not seen or made any comparisons to prior seasons; however I suggest it is a PB – for the wrong reasons.

Many were surprised and shocked, including the riders, and industry experts.

The final stretch in one of the most exciting years of the Monster Energy Supercross Championship is playing out much differently than we had expected … several contenders in the 450 Class are now sidelined with injuries. [8]

These injuries have brought out the armchair experts, submitting their theories as to the cause.

Firstly, you did not need to surprised and shocked. At least not if you had read my blog article on this very topic, warning of the impending injury impact and the reasons why.

Secondly, while everyone is entitled to their opinion, most have no ‘skin in the game’. What if their hypothesis as to the cause of the rise in injury incidence is wrong? There is no price to pay. However, someone in every racer’s team is or should be accountable for ensuring the riders enjoys an injury free career, and it’s obvious they are failing their rider.  Now this is not uncharacteristic in sport as very few athletes enjoy an injury free career for the same reason. I will share my vision for the athlete in this regard.

Thirdly I share another principle I have developed – injuries are predictable and preventable. But only if you can accurately predict them. If an athlete I injured, either they have ignored their advisors warning or their advisor failed them.

And fourthly and finally, what are some key steps a racer can take to avoid the arrival on the injury curse’ in their sport.

I told you so

I was going to name this article this ‘I told you so’. But I felt the perception that I am a smart-arse might leave the messenger targeted and obscure the message. The message is that the rise in injuries in the sport of moto/super ross was and Is predictable, and unless changes are made it will continue as the new norm. It has in most sports for their systemic failure to understand the cause of injuries, and there is nothing about off-road motorbike racing that leads me to believe they will rise above other sports in the similar situation.

Anyway, coming back to my prediction. On 8 Sep 2021 I wrote blog article titled A Lament for the Late Arrivals, where I spoke specifically about the relatively recent embracement of sports including moto/super-cross and the tipping point that has been passed in the relatively recent embracement of messed up popular dryland training methods. The lament was for the price they would pay – specially injuries and performance decrement.

I wrote:

I feel for the late arrivals, and I lament the collateral damage they are potentially walking into…. The outcome is increased injuries and decreased performance. The exact opposite to the proclaimed benefits of ‘strength and conditioning’.. Ideally, I should be saving I hope your non-specific (physical preparation) training helps you thrive. That would be nice. However, based on my experience and observations – what I know – if you do what the rest of your colleagues are doing in their interpretation of the best way to train, survive may be a more appropriate term.

The Monster Energy AMA Supercross class of 2023 walked into this collateral damage in this season.

I have a saying

‘I take no delight in being right about my injury predictions.

I did tell you it was coming, but I don’t take any satisfaction from it. I said from the outset:

I feel for the late arrivals, and I lament the collateral damage they are potentially walking into….

Every athlete should be given the opportunity to fulfill their sporting potential, free from injury

I have been publishing this vision statement for many years now:

My vision is that every athlete should be given the opportunity to fulfill their sporting potential, free from injury.

For two reasons – firstly, performance and career results are inversely related to injury incidence and severity. The less injuries and or the less severe the injury, the higher the performance and career achievements.

I learnt this lesson unequivocally by the early 1990s and used this ‘zero-tolerance to injury’ approach to produce championship and podium outcomes in team and invidual sports.

The second reason I formed this vision was that it’s the right thing to do. Unlike the majority of coaches, I believe we can dominate in sport and provide optimal long-term health outcomes for the athlete concurrently. They are not mutually exclusive.

Other than the occasional regurgitation of my vision claimed by the usual authors unable to create original content, I don’t see many embrace my vision in the coaching decisions.

Which I why I expressed the following in my blog article titled A Lament for the Late Arrivals:

You deserve better. Our profession has failed to deliver safe training, let alone optimal training. Now it’s up to you to be more discerning. Don’t assume. Don’t imitate. Seek answers, dig deeper, objectively question and interpret the cause-effect relationship of what you are seeing and doing. Be more scientific in your review than our profession is.

Your future depends on it.

And not just your sporting future.

Injuries are predictable and preventable.

It appears that everyone has an opinion as to the cause of this injury rise in moto/super cross. And they are entitled to their opinion. What if their hypothesis as to the cause of the rise in injury incidence is wrong? You can’t prevent an injury if your hypothesis as to the cause is off track.

The most common ‘fail’ in injury explanation include:

  • It was a freak accident.
  • It’s just part of the sport.

This is a complete abdication of responsibility and ability to take control and prevent injuries.

Which is why I was shattered when I listened to and re-read Eli Tomac’s explanation for his season ending and championship denying Achilles tendon rupture in the 2023 season:

Basically at a loss for words right now over what happened and how it happened,” he said. “In my mind, it was just a freak deal and a racing situation, you know. I look back, I barely over jumped that tabletop and was just standing up into that ramp and I guess the high g load took a little too much for my Achilles there? I don’t know. I honestly just put it as a freak deal. I’ve over jumped into plenty of other jumps just as hard, if not harder, and have been totally fine before. I guess this stuff happens with racing.”[9]

You might notice some key words that I referred to above, including:

  • It was just a freak deal… I honestly just put it as a freak deal.
  • …a racing situation… I guess this stuff happens with racing.
  • … I don’t know.

I am not surprised he didn’t know what was going on with his Achilles before it tore off the bone. It would have taken a highly competent member in his support team to have provided this information. However, to not understand it better in retrospect – leaves a lesson not taken, and the probability of repeat injury.

He is a great athlete and dominating his class. This is the beauty of human performance. Even the best can be better. And one avenue available to Eli to advance would be to adopt a value-set towards injury more aligned with the philosophy described as the Serenity Prayer:[10]

God, grant me the serenity to accept the things I cannot change,
the courage to change the things I can,
and the wisdom to know the difference.[11]

I formed this saying many years ago –

Injuries are predictable and preventable.

However, if a coach lacks the ability to accurately and consistently predict an injury in advance – yes, in advance – then they have no chance of contributing to preventing them.

Let’s use Eli Tomac’s 2023 Achilles tendon rupture as an example.

It’s incredibly unlikely that there were no signs or messages that Eli’s Achilles was in trouble, and about to snap. Appropriate injury prevention screening would have picked this up.

If an athlete is injured, either the athlete has ignored their advisors warning – and that’s rare because why would they hire them only to ignore them? – or their advisor failed them.

Some key steps a racer can take to avoid the arrival on ‘the injury curse’ in their sport

It’s not good enough to be critical without providing at some solutions, so this section touches upon a few key, simple recommendations in the area of dryland training that will contribute to avoiding the collateral damage of mainstream training.

But before we go there let me clarity – my reference to ‘the injury curse’ was facetious. It’s the default go-to used by sports and coaches that want to abdicate their injuries to a source other than one within their control.

I have not seen it used in moto/super cross yet, but that’s only a matter of time…

Here are three simple considerations for racers to avoid injury, including crashed caused by training induced physical imbalances.

 

  1. Tissue length and tension.

I’ve been championing stretching and tissue manipulation for injury prevention, rehab and optical performance for decades. Then along came the abolition of stretching. I liken the attempts to scare individuals to avoid stretching to the many periods in history when reading or specific books were banned.  I suggest stretching has been pillared for the same reasons – because those who drive this paradigm stand to lose out (commercially) in the event you discover the benefits of stretching. Don’t became a victim to this. Stretch. Including static stretching.

As for tissue manipulation, the popularization of foam rollers is by the same interest attempting to ban stretching. Despite the economic gain for others of selling you a foam roller, the roller is innate. It can’t interpret your tension and adapt its work to address this. Whilst I do not suggest throwing out (or burring) your form roller, keep in mind it is just one of many modalities available to you to lower and monitor your tension levels. I suggest including some input from a competent human being e.g massage therapist or similar health professional with good hands and a sharp understanding of optimal tension.

Tip: If you spend more time on your bike than you do lengthening and softening your connective tissue, you will become an injury statistic.

  1. Reverse the damage of your sport before you seek to replicate it.

It shatters me to see athletes, including now off-road racers, performing ‘sport specific’ dryland training, especially strength training. A key principle I have developed and teach is that the primary goal of strength training in the first instance is to reverse any inappropriate adaptations that occur your specific sport. Let’s take the landing from jumps.. Let’s imagine that the calf and Achilles tendon increase in their tension and reduce in their length over time due to repetition of absorbing the G-forces in landing. Let[s pretend that if you don’t reverse this adaptation they become shorter, and weaker, dysfunction and inhibited, and finally experience a tear or worse a complete rupture. Actually we don’t need to ‘pretend’. That’s what happens and Tomac’s 2023 injury is a classic example of potentially failing to prioritize this ‘reversal’ work in dryland training.

Tip: Yes, you can do so-called ‘performance enhancement training’ by doing so-called sport-specific training – however if this is contributing to performance decrement because it is making the sport specific adaptations worse, you are creating performance decrement. On the other hand, if you enhance your muscle function by reducing negative sport specific adaptations through injury prevention/rehab training, you are going to enhance your performance. Sounds counter-intuitive but that’s my perspective.

  1. Challenge every adaptation.

 All training results in an adaptation. Is this adaptation truly serving you as a racer? I divide training into two simple categories – specific and non-specific. The only specific training is playing your sport, so that means when you are on the bike. All other training, no matter how much lip-service any gives that it is ‘sport specific’, it is not. It will give you specific adaptations. The only question is whether those specific adaptations will transfer to your riding.

Many athletes get a warm feeling from the muscle mass and strength increases from strength training. In part because of the social rewards placed on ‘getting buffed’, and in part because it gives them a feeling of being a warrior. There is no correlation between muscle mass and or non-specific (gym) strength that trumps optimal technical and tactical development. More likely, you will see a decline in technique if your dryland adaptations contest skill execution e.g., if you develop leg imbalances in the gym, which most do even if they are trying not to, you will load inapproachably over jumps and increase crash frequency. Just one of many examples.

Tip: Critically analyze, and in a futures sense, the adaptations your dryland training is and will give you, and question it’s transfer. If you a getting big and strong because of low-self-esteem, read a self-help book. And remember this – most of the current crop of riders leant to ride well before adding dryland training, after which they will experience a higher frequency of crashes and related injuries (because of the imbalances ij their dryland training).

Conclusion

I did intend to keep this article brief, however as I wrote my empathy for the athlete, in this case the racer, took over, and I sought to give a bigger lifeline.  (Lucky we restricted the focus to 450cc class injuries, and only over the one season!)

I don’t take any joy in saying ‘I told you so’, but it was quite ironic that what I wrote about 2021 came to be manifested within two years.

There are ways to train that can reduce a racers crashes and subsequent injuries, however it will take a fresh look at the options. Simply following the herd will not avoid this rising phenomenon of injuries that will be blamed on anything and everything other than the actual cause.

As an athlete you are not expected to solve all the problems and challenges of a long, injury free career by yourself. However, as an individual sport athlete the onus is on you to ask the right questions, and to appoint guides who have the best answers. That is you burden. Those appointments can make or break your career.

And if injuries do occur take the lesson. Avoid writing it off as a ‘freak accident’ or ‘that’s what happens in racing’.  The injuries will occur in conjunction with a crash so don’t rush to assume the injury was caused by the crash. The injury might have caused the crash. In the same way an equipment setup can cause crashes (e.g., inappropriate sag setting or similar placing too much weight on the front tyre and front washouts occurring more frequently), inappropriate body set up (e.g., imbalances in your musculoskeletal system) can cause crashes. If you don’t fully understand what causes crashes, you may never unlock the code of body-bike relationship and miss an opportunity to ‘tune’ the body in the same way your suspension mechanic tunes your bike to avoid you crashing.

Your physical coaches KPI (Key Performance Indicator) should be a reduction in crashes and injuries ahead of an increase in non-specific performance (VO2 max or load displaced in the gym or the size and strength of your muscles).

In my five decades of helping athletes fulfill their potential in a wide range of sports and in diverse countries through a double-digit number of Olympic cycles. I have seen that despite the challenges faced by athlete due to adopting misguided but dominant paradigm-based training programs, many athletes seem to want to cling onto the ego attachments of their choices. Others want to conform.

My hope is that you can do what the truly best I the world athletes do. Feel no desire to be like everyone else and find a way to train in a way that is best for you. This will need you to be willing to be different, and to make your own mind up. This alone will reduce your numbers of competitors. That’s the way of top performance. There are a few at the top so far ahead of the rest. There is a reason they are there, and you need to scratch below the perceptions to understand what sets them apart. Look beyond your sport for the best clues.

 

References

[1] https://www.vitalmx.com/forums/moto-related/current-2023-injury-list

[2] https://motorsports.nbcsports.com/2023/04/26/adam-cianciarulo-aaron-plessinger-detail-injuries/

[3] https://www.fullnoise.com.au/fullnoise-news/the-emergency-department-2023-ama-supercross-championship-round-7-arlington/

[4] https://motorsports.nbcsports.com/2023/04/10/christian-craig-timetable-for-return-uncertain-after-glendal-injuries/

[5] https://www.vurbmoto.com/joey-savatgy-injury-update-2/

[6] https://mxvice.com/injury-update-ken-roczen-10/

[7] https://www.supercrosslive.com/riders/450

[8] https://www.swapmotolive.com/2023-supercross-late-season-injury-updates-championship-changes/features/kickstart/

[9] https://www.vurbmoto.com/eli-tomac-on-future-after-achilles-injury-in-denver/

[10] https://en.wikipedia.org/wiki/Serenity_Prayer#:~:text=It%20is%20commonly%20quoted%20as,wisdom%20to%20know%20the%20difference.

[11] https://uscatholic.org/news_item/commentary-how-i-discovered-i-was-wrong-about-the-origin-of-the-serenity-prayer/

The athlete and boiling water – how the lessons are lost

There is an old fable that a frog in water where the temperature is being slowly raised will not jump out of the water, as the changes to their detriment are slow. Compared to a frog suddenly placed in boiling that may realize this is not a healthy place to be.

It appears to me that as the injury incidence rises in sport from decade to decade athletes are like this fable. They assume it is normal and accept the environment.

In an earlier article (A Lament for the Late Arrivals) I spoke about four waves of acceptance of strength training in sport (Table 1 below).  In this article, I seek to give specific examples of the lessons that should have been learnt from any of these earlier adopter sports, lessons that could and should have been passed on to improve the lot of the subsequent generation of athletes, and the later adopting sports.

For the purposes of this discussion, I will focus on the tipping point in the adoption of non-specific training referred to as physical preparation (or in the case of the American interpretation, strength and conditioning) as it relates to one specific sport sub-category – elite female swimmers in Australia.  To highlight the impact of this tipping point, I compare two cohorts – the pre-2000 cohort (1980-2000) to the post-2000 cohort (2000-2020), with specific reference to performance threatening injuries and surgeries caused by training.

The tipping point being the term credited in the first instance to American sociologist Morton Grodzins who coined the term in the 1950s[1], as defined by the Merriam-Webster dictionary as:

“…the critical point in a situation, process, or system beyond which a significant and often unstoppable effect or change takes place…” [2]

Therefore, I am not referring in my classification of sports and time to the outlier who was an individual early embracer of say strength training, but rather to the critical point where the rate of acceptance accelerated.

US futurist Joel Barker talks about the time it takes to reach 10 percent uptake in a new trend is the time that it races up to 90 percent acceptance, suggesting that the 10 percent mark may be a typical tipping point.[3]

Without actual statistics in each sport, my classification relies not only upon personal professional observations and is a generalization.

Table 1 – Four waves of sports that embraced physical preparation.

Phase USA Australia Sports
1 – Early embracers <1980 <1980 Track & field, American football
2 – >1980 >1990 Power and mixed energy sports e.g. rugby, Australian Rules
3 – >2000 >2000 Diverse medium sports e.g. swimming
4 – Late arrivals >2010 >2010 Displacement, balance and more coordination-based sports e.g. off-road motorcycle disciplines

©King, I., 2021

I now turn to the concept of turning point.  Vocabulary.com defines turning point as:

“…a specific, significant moment when something begins to change…” [4]

 The specific application of the turning point I introduce is when the impact of a tipping point becomes apparent in a larger scale, for better or worse.

We can measure this from the perspective of the intended goals of physical preparation – to prevent injuries (specifically to reduce injury incidence and severity and lengthen careers) and enhance performance.

Further, we can trade off the performance enhancement benefits against the injury costs.

The post-2000 cohort analysis (2000-2020)

A 2016 article identified Australian top 10 female swimmers post 2000.[5] This list included, in this order:

Libby Trickett (nee Lenton)

Petria Thomas

Leisel Jones

Cate Campbell

Emily Seebohm

Jodie Henry

Stephanie Rice

Alicia Coutts

Jessicah Schipper

Bronte Campbell

Libby Trickett (nee Lenton)

Triple Olympian Libby Trickett’s (nee Lenton) career spanned the post-2000 era – including the 2004, 2008 and 2012 Olympics (with a brief retirement in 2009).

In the early 2000s, Australian swimming and triple Olympian Libby Trickett (nee Lenton) became the first swimmer celebrated by the swimming fraternity for their strength training induced physique changes, in contrast to the response that Australian triple Olympian Lisa Curry received for the same transformation in the lead up to the 1992 Barcelona Games.

Libby suffered from wrist pain throughout her career:

“I have always had weak wrists and this problem first flared up after Beijing (the 2008 Olympics),” she said.

However, in 2011 the injury got worse. It is apparent the pain was less related to swimming than to her dryland training, at least initially.

“But this year it has started to hurt a lot more, at first when I was doing push-ups, then chin-ups, then gym and boxing, and then actually swimming. It got to the point where it was extremely uncomfortable most of the time.”[6]

She subsequently underwent surgery in 2011 to remove a cyst from the right wrist. [7]

In late 2012 she then tore her scapholunate ligament in her right wrist during a “…regular gym session.’ [8]

In December 2012 she had a second round of surgery on the right wrist:

After a full wrist reconstruction that never completely healed, it became clear that her swimming career was over. Trickett retired for the second time in 2013 at the age of 27.”[9]

This injury forced her into retirement and denied her from fulfilling her intended legacy at the 2106 Rio Games:

Despite amassing great success representing Australia in three Olympics, the freestyler had her eyes set on Rio in 2016.   

‘The pack starts to fall away, and you find yourself in a rarer and rarer crowd: the elite of the elite. And you get a rush from chasing that kind of distinction. I’m swimming for my legacy. Three Olympics is impressive, but four is legendary,’ Trickett wrote…[10]

The value placed on strength training in Lenton’s career is reflected in the reference to and sequence of strength training in this quote, where it appeared before reference to swimming:

“AFTER all the hard work, sacrifice, hours in the gym and countless laps in the pool, Libby Trickett is about to find out if she still has what it takes to be an Olympian”[11]

Petria Thomas

Triple Olympian (1996, 2000 and 2004) Petria Thomas struggled with shoulder injuries throughout her competitive career:

“Recovering and coming back from her three previous surgeries during her celebrated career…” [12]

And by the age of 43 underwent her fourth shoulder surgery, what appears to be a shoulder joint replacement or similar:

“… recovering from a four-hour shoulder replacement surgery on her right shoulder – her fourth major shoulder operation…“Thankfully (I’m) not in too much pain after my shoulder replacement surgery today, which went well,” Thomas wrote….“My shoulder was very arthritic so (I) defiantly made the right decision to get a new one!”[13]

Thomas engaged in strength training at the Australian Institute of Sport whilst still in high school. Note the importance placed on strength training based on the sequence of training modalities in the below:

“Training at the AIS was gruelling for a full time student. Thomas would rise at 5 am and train at the gym or the pool for a couple of hours before school. After school she returned for more training before going to the study hall for her schoolwork.”[14]

Leisel Jones

 The first Australian swimmer to attend four Olympics[15] (2000, 2004, 2008 and 2012), Leisel Jones appears to be an exception.

“I work on injury prevention as part of my training. Luckily I haven’t had any major injuries, just a few niggles here and there…”[16]

Cate Campbell

Four-time Olympian (2008, 2012, 2016 and 2020) Cate Campbell’s underwent shoulder surgery in September 2014[17]:

CATE Campbell is prepared to sacrifice her world title defence next year for Rio Olympic glory and has booked in for shoulder surgery next week that has ruled her out of racing for the rest of 2014. 

The world 100m freestyle champion has silently battled through the “chronic pain” of a bone spur impacting upon a nerve in her right shoulder, but with her long course season now finished with another two gold medals at the Pan Pacs on Sunday night she revealed her next task was surgery. [18]

In addition to the shoulder surgery she received cortisone injections:

“…had six or so cortisone injections into her neck..”[19]

Suffered a hernia in 2016 and underwent surgery for this:

“Campbell developed the hernia 3 months ago, but was not able to have the surgery before Rio for fear it would disrupt her training and preparation….The Sydney Morning Herald says Campbell will have surgery in October, after taking a post-Olympics holiday.”  

That was her apparently second surgery for the same type of injury:

“That will be her second such surgery in the past year.”[20]

Campbell told The Australian that the hernia, her second in 12 months, did not impact on her performances in Rio de Janeiro where she failed to win a medal in the 100m despite being the favourite.[21]

She showed some appreciation of the injury implication for life quality post racing:

“I’m 22 and I’m waking up with chronic pain in the morning, it doesn’t bode well for 50 years’ time,” she said. [22].

Emily Seebohm

Four-time Olympian (2008, 2012, 2016 and 2020) Emily Seebohm is another exception to the post 2000 pattern.  She suffered a dislocated kneecap in 2015[23] whilst riding a horse[24] however otherwise describes herself as;

“…’lucky that I’ve never had any massive injuries.”[25]

Jodie Henry

2004 Olympian Jodie Henry failed to defend her 2004 title in the subsequent Olympics’ due to a hip muscle injury:

“Australian star Jodie Henry won’t defend her 100-meter freestyle Olympic title in Beijing because of a muscle imbalance in her pelvic area. 

.. “I have been struggling with an injury which has meant that I haven’t been able to train as much as I would have liked, and as much as I have needed to, to be ready for the Olympic trials.” [26]

An emotional Henry fought back tears as she admitted matter had finally won out over mind, confirming she would miss the Olympics after succumbing to a chronic and complicated pelvic injury.

Henry, 24, will now relinquish her 100m freestyle title and be a frustrated observer as her beloved 4x100m freestyle and medley relay teams try to defend gold against strong challenges from the powerful US and German squads.[27] 

She was adamant she was not retiring:

Henry immediately ruled out retiring and said the injury would only need a few months of physio and pilates treatment to be fully healed.

…”I’m happy to say I’m definitely not retiring. There’s no way I want to go out like this. Now I’m just looking at resetting goals and fixing my injuries,” Henry said.

“It does cross your mind but I quickly put it out of my head. I’m only 24. I’ve got good swimming years ahead of me. I’m a sprinter. There’s a 40-year-old trying out for the American team and she’s a good shot. I can keep on going.[28]

She retired the next year:

“The 25-year-old said her persistent injury gave her insight into life outside of the pool and ultimately led to her decision to retire.”[29]

Stephanie Rice

Dual Olympian (2008 and 2012) Stephanie Rice struggled with shoulder injuries throughout her competitive career:

By 2010 she had racked up an un-viable amount of cortisone injections:

She has had seven cortisone injections in the shoulder, which is three more than what doctors recommend. If she had more it could cause structural damage that could end her career. “It is really inflamed,” Rice said.”[30]

She then underwent shoulder surgery in 2010, missing the 2010 Commonwealth Games:

“If she delayed the arthroscopic surgery, the 22-year-old Queenslander risked permanent damage and derailing her hopes at the 2012 Olympics in London…

 … Rice’s injury is not just one inflamed joint in her shoulder, but three joints, making surgery inevitable.” [31]

“Just got out of surgery. Things went well, thank you God … just cleaned the bursa in my right shoulder.”[32]

She repeated surgery in 2011 on the same shoulder:

“In a bit of deja vu, Australian superstar Stephanie Rice has undergone shoulder surgery and pulled out of the remainder of the Queensland State Championships, much like what happened in 2010 at the Pan Pac Championships when her problems first came to a head. It was last year’s version of these State Championships where she made her return after the prior surgery.”[33]

And there was a third surgery on the same shoulder, date unclear:

“Rice…having undergone three shoulder operations.”[34]

The surgeries did not resolve the issue as reported during 2012:

“The triple Olympic gold medallist revealed this morning at the New South Wales swimming titles that her troublesome right shoulder has not improved from recent surgery.”[35]

“Triple Olympic gold medal winner Stephanie Rice has admitted her injured right shoulder is giving her so much concern as she continues to nurse the injury towards next month’s selection trials, that if this wasn’t an Olympic year, she would have taken 12 months out of the water.”[36]

She managed to qualify for the 2012 London Olympics.

“Rice competed in London after undergoing three shoulder surgeries between the two Olympics. She finished fourth in 200 m individual medley and a joint sixth in 400 m medley. The London Olympics was her last stop as a swimmer and she eventually announced her retirement in April 2014”[37]

However, despite more shoulder surgeries:

“Rice, who has been plagued with injury, has not raced competitively since her unsuccessful 2012 London Games campaign, having undergone three shoulder operations.”[38]

And retired in 2014[39] without having raced since 2012.

Alicia Coutts

Triple Olympian (2008, 2012 and 2016) Alicia Coutts suffered a serious shoulder injury in 2014,[40] which remained with her in the following years:

“A chronic shoulder injury that refused to go away..”[41]

She retired in 2016 following the Rio Games:

In the final individual swim of her three Olympic campaigns, fellow Australian Alicia Coutts finished out of the medals in the final of the women’s 200m individual medley, touching in fifth place before tearfully signing off. …I’m just excited I could go out on my own terms after shoulder injuries…I’m proud of my achievements.”[42]

Regarding the shoulder injury her coach, post her retirement, shared:

“Alicia tore her labrum in her shoulder but it was never fully repaired, leaving her swimming in constant pain for two years,” Fowlie said. 

“She had a choice, surgery and end her career or push through and basically swim over one million strokes of constant pain to get on that team for Rio. [43]

Jessica Schipper

Triple Olympian (2004, 2008 and 2012) Jessica Schipper is another exception to the post-2000 pattern, with no significant injuries or surgery.

Bronte Campbell

Triple Olympian (2012, 2016 and 2020) Bronte Campbell sums up her relationship with injury with:

“I’ve been injured for five years, which is half of my swimming career..”[44]

The joints involved are listed below:

“The 25-year-old former world champion freestyler has a history of shoulder, neck and hip injuries and the 2019 season had a lot to do with rehabilitation and recovery.”[45]

Further details of the impact on her availability to compete are outlined in the below:

She was hampered by hip and shoulder injuries in the lead-up and during the 2016 Olympic Games in Rio de Janeiro. She took two months out of the pool after the Games. She continued to suffer issues with her left shoulder and then her right in the lead-up to the 2017 World Championships in Budapest, Hungary. (swimswam.com, 06 Sep 2016, 23 Jul 2017)

She was hampered by a hip injury from November 2015 until February 2016. (au.news.yahoo.com, 05 Feb 2016)

She had glandular fever and chronic fatigue syndrome in 2010 that disrupted her career for two years. (smh.com.au, 10 Apr 2012)[46]

And not just one shoulder:

“Campbell, 23, struggled with inflammation in her left shoulder during the Olympic year and could only manage fourth in the Olympic final in Rio. And just when she began to feel she had that injury under some control, her right shoulder has gone.”[47]

She underwent shoulder surgery in 2018:

“However, injuries including her lingering shoulder issue that required surgery in 2018, conspired to ensure she had never re-scaled those heights.”[48]

Summary of the 2000-2020 Era

All these swimmers achieved great things in the pool as measured by the podium and the stopwatch. There is no question of that. The question I raise is ‘How good could they have been had they not suffered these injuries?

A further challenge may be raised regarding the cause of the injury – some would suggest that shoulder injuries are ‘part and parcel’ of swimming. They didn’t use to be, at least not to this extent.

The pre-2000 cohort analysis (1980-2000)

In the absence of a third-party article, I can use to identify the ‘Top 10’ Australian female swimmers from 1980-2000, I include the following (listed alphabetically by surname), I apologize to any swimmers who perhaps should have been on the list. The intent is to provide a comparative sample.[49] Note also finding data on pre-2000 athletes is a challenge due to the relatively recent arrival of this platform:

Lisa Curry

Janelle Elford

Hayley Lewis

Eli Overton

Samantha Riley

Julie McDonald

Susie O’Neill

Nicole Stevenson

Petria Thomas

Karen van Wirdum

Summary of the 1980-2000 Era

Whilst the data pre-2000 is not as readily available as the post-2000 data due to the timing of the arrival of the internet, my professional experience combined with the limited data now available suggest the pre-2000 cohort had very limited incidence of competition threatening injury and surgery.

Comparative summary of both eras

The following table attempts to summarize and compare the injury statistics of these two cohorts.  The injuries included are indented to be training related injuries that caused loss of performance or ability to compete.  Both injury and surgery information are reliant upon that which is in public domain on the internet. The information for the pre 2000 cohort is more difficult to obtain.

Table 2 – Comparative analysis of injury and surgery between the pre-2000 and post-2000 Australia elite female swimming cohorts.

1980-2000 Injury Surgery 2000-2020 Injury Surgery
Lisa Curry

 

Libby Trickett (nee Lenton)  

X

X

Janelle Elford Petria Thomas X X
Hayley Lewis Leisel Jones
Eli Overton Cate Campbell X X
Samantha Riley Emily Seebohm
Julie McDonald Jodie Henry X
Susie O’Neill Stephanie Rice X X
Nicole Stevenson Alicia Coutts X
Petria Thomas X X Jessica Schipper
Karen van Wirdum Bronte Campbell X X
Total 1/10 1/10 7/10 6/10
%age 10% 10%   70% 60%

Based on this analysis, the post-2000 cohort experienced performance and competition threatening injuries at a rate of 70% and surgery at 60%.

The pre-2000 cohort, based on the limited data available, experienced performance and competition threatening injuries at a rate of 10% and surgery at 10%.

Irrespective of the limitations of finding injury and surgery information about the pre-2000 cohort, and not withstanding any information that may come to light about the injuries of the pre-2000 cohort in the future, its fair to say there is a significant difference between the injury and surgery statistics of the pre-2000 cohort compared to the post-2000 cohort.

Put simply, there is a significant difference between the two cohorts in these measurements.

The next question is why? Many would justify the post-2000 cohort injuries and surgeries by saying look at the stop-watch – they are swimming faster and that is the price you pay.

Which leads to a second question, which I have not seen being proposed elsewhere – could  the performance improvements of the post 2000 cohort relative to the pre-2000 cohort have been achieved without such a dramatic lift in injury and surgery?

That is a subjective conclusion and I will leave that to the values of the modern day swim coach.

Swimming techniques may have changed, and average meter/second speed in training may have changed. However, I am not sure if any of these changes account for the changes in injury incidence and severity.

Let’s be clear – this is a non-impact sport – apart from the risk of swimming into the wall, the athletes don’t bang bodies as they do in classic impact sport. Nor is their gravity impact – the swimmers are in a medium where they are supported in part by the water.  The most significant impact is the drive off the blocks or wall in the starts, and the push-off the way in the turns.

The length of the pool the same. The medium – water – the same.  The events – very similar. The competition schedule is similar. States, Nationals, Pan Pac’s, Commonwealth Games, Olympic Games.

So what has really changed between the training of both cohorts? The training? If so, is it the swimming training or the dryland training?

In relation to training, I suggest that the swimming training frequency and volume are not the difference. I suggest the most significant difference is the time spend in ‘dry-land training’ and the type. The average post-2000 cohort swimmer is performing maximal strength training three times a week all year around, a frequency that was not apparent in the pre-2000 era. The pre-2000 era may have conducted that frequency of dryland work but it was more literally by the pool, and bodyweight exercises.

The type of dryland training has changed in that in the pre-2000 ear the dryland training was more about circuits of bodyweight exercises. In the post-2000 era, a premium is placed on load displacement in the non-specific strength training exercises.

Secondly, in relation to flexibility training, swimming appears to have bought into the ‘all-sports just happen to think the same way’ paradigm that if any static stretching is to be done, it should only be done after training.

Thirdly it is possible that the post-2000 cohort may be doing more ‘cross-training’ than the pre-2000 cohort, to comply with the paradigm that ‘professional athletes’ have to do more training. So perhaps there are more road runs, more stationary cycles and rowing ergometers beside the pool.

Swimming has perhaps yet to work out how to achieve the advantages of dryland training, especially maximum strength training methods, combined with low injury incidence, minimal surgery and the avoidance of career-ending injuries, as experienced by the pre-2000 cohort.

This performance vs. injury trade-off dilemma/challenge is faced by all sports who have passed the tipping point in US-influenced physical preparation.

Conclusion

Yes, swimming is tough on the swimmer’s body. The initial goal of physical preparation is to prevent injuries, not compound them. I suggest this pattern underlines that is exactly what has happened since the tipping point of embracing strength training in swimming post-2000.

Another argument proposed may be that ‘the sport has changed’. The swimming pool is still 50 meters long, and there is nothing about the impact with the water that would explain shoulder injuries akin to contact sport injuries, such that they result in surgery.

Another argument proposed maybe that ‘Australia’s post-2000 cohort of elite female swimmers are achieving higher world rankings than the pre-2000 cohort’.  If this were true, does that demand the injury and surgery rate? Or could this performance be achieved with lower rates? The answer to that question alone creates a self-fulfilling outcome.

In my opinion, there are lessons here. I believe that that the injury and surgery incidence has increased beyond what can be justified.

Perhaps no one else is alarmed by this or sees the same concerns.

Either way, the lesson is not being used to serve sports or athletes within these sports that come along later.

This means the next generation of athletes and the sports I describe as late arrivals to physical preparation, especially the US version called ‘strength & conditioning’ will suffer the same fate.

I am sure they would have preferred if someone warned them about the hot water they may be about to get themselves in.

Something like this – ‘At the moment if you achieve your goals and reach elite status (in female swimming) AND keep doing what they (and basically everyone in sport) are currently doing, you have a 70% chance of experiencing performance and competition threatening injuries and a 60% chance of surgery. And a comparison to the generation before suggests that the next generation will probably be at 90 and 100% respectively. Unless things change….’

That’s a message that should be passed on.

 

References

[1] https://www.economist.com/free-exchange/2009/07/13/the-original-tipping-point-wasnt-one

[2] https://www.merriam-webster.com/dictionary/tipping%20point

[3] Barker, J., 1993, Paradigms: The Business of Discovering the Future Paperback – May 26, 1993

[4] https://www.vocabulary.com/dictionary/turning%20point

[5] https://www.dailytelegraph.com.au/sport/swoop/rio-2016-susie-oneill-to-libby-trickett-and-steph-rice-top-aussie-female-swimmers-since-2000/news-story/d9240b9a40e5e7ff5097f9770fca4405

[6] https://www.theaustralian.com.au/sport/libby-tricketts-cold-turkey-approach-to-relay-fight/news-story/694d8d397af4c63305ce03213318359a

[7] https://www.theaustralian.com.au/sport/libby-tricketts-cold-turkey-approach-to-relay-fight/news-story/694d8d397af4c63305ce03213318359a

[8] https://www.kalminer.com.au/news/goldfields/tricketts-focus-on-glasgow-ng-ya-284150

[9] https://hope1032.com.au/stories/life/inspirational-stories/2019/aussie-olympian-libby-trickett-opens-up-about-her-mental-health-struggles/

[10] https://www.dailymail.co.uk/news/article-7517073/Libby-Tricketts-sudden-retirement-pool-confronting-truth.html

[11] https://www.adelaidenow.com.au/ipad/trickett-up-to-the-weight-of-expectations/news-story/276c2e1074796e951e46c825bf38bb2f

[12] https://www.swimmingworldmagazine.com/news/four-hour-shoulder-operation-a-success-for-olympic-great-petria-thomas/

[13] https://www.swimmingworldmagazine.com/news/four-hour-shoulder-operation-a-success-for-olympic-great-petria-thomas/

[14] http://www.womenaustralia.info/exhib/sg/thomas.html

[15] https://www.news.com.au/sport/olympics/swimming/hurtful-dawn-fraser-sledge-leisel-jones-still-cant-get-over/news-story/e7f81f5c30e6090142a47abf237c25d2

[16] https://www.adelaidenow.com.au/ipad/how-i-look-like-i-do-leisel-jones/news-story/66a71b34c994f1c758bb731a765f981a

[17] https://olympics.com/tokyo-2020/olympic-games/en/results/swimming/athlete-profile-n1482861-campbell-cate.htm

[18] https://www.foxsports.com.au/news/cate-campbell-to-undergo-shoulder-surgery-after-starring-role-at-pan-pacs-with-rio-2016-on-the-horizon/news-story/3b98b78fabf72ec414ff0ce53dce2a41

[19] https://www.sbs.com.au/news/bronte-campbell-battles-shoulder-injury

[20] https://swimswam.com/cate-campbell-undergo-hernia-surgery-upon-return-rio/

[21] https://www.scmp.com/sport/other-sport/article/2007791/no-excuses-australias-cate-campbell-swam-hernia-olympic-games

[22] https://www.foxsports.com.au/news/cate-campbell-to-undergo-shoulder-surgery-after-starring-role-at-pan-pacs-with-rio-2016-on-the-horizon/news-story/3b98b78fabf72ec414ff0ce53dce2a41

[23] https://swimswam.com/australias-emily-seebohm-suffers-knee-dislocation/

[24] https://www.fina.org/athletes/1000096/emily-seebohm/profile

[25] https://www.theaustralian.com.au/sport/how-an-eating-disorder-nearly-ended-seebohms-swimming-career/news-story/2715dd0679644965018eb77ae343d10c

[26] https://www.espn.com.au/olympics/swimming/news/story?id=3269786

[27] https://www.theage.com.au/sport/henry-refuses-to-retire-20080301-ge6sdz.html

[28] https://www.theage.com.au/sport/henry-refuses-to-retire-20080301-ge6sdz.html

[29] https://www.olympics.com.au/news/athens-golden-girl-retires/

[30] https://www.sbs.com.au/news/tearful-rice-quits-games-for-surgery

[31] https://www.sbs.com.au/news/tearful-rice-quits-games-for-surgery

[32] https://www.sandiegouniontribune.com/sdut-rice-has-right-shoulder-surgery-2010sep01-story.html

[33] https://swimswam.com/stephanie-rice-undergoes-second-minor-shoulder-surgery/

[34] https://www.theguardian.com/world/2014/apr/09/australian-olympic-swimmer-stephanie-rice-retirement

[35] https://www.perthnow.com.au/news/shoulder-hurting-stephanie-rices-london-hopes-ng-3534790be8aa2e2415f9d3d363ff70c8

[36] https://www.smh.com.au/sport/injured-shoulder-an-olympics-concern-for-stephanie-rice-20120210-1sdr4.html

[37] https://en.wikipedia.org/wiki/Stephanie_Rice

[38] https://www.theguardian.com/world/2014/apr/09/australian-olympic-swimmer-stephanie-rice-retirement

[39] https://www.theguardian.com/world/2014/apr/09/australian-olympic-swimmer-stephanie-rice-retirement

[40] https://www.fina.org/athletes/1006023/alicia-coutts/profile

[41] https://www.espn.com.au/olympics/story/_/id/14897629/alicia-coutts-ready-make-splash-nsw-meet

[42] https://www.theguardian.com/sport/2016/aug/10/australias-emma-mckeon-claims-bronze-as-alicia-coutts-signs-off-olympic-career

[43] https://www.olympics.com.au/news/triple-olympian-coutts-bids-farewell-to-swimming/

[44] https://www.theguardian.com/sport/2021/jun/05/bronte-campbell-ive-been-injured-for-five-years-half-my-swimming-career

[45] https://www.swimmingworldmagazine.com/news/bronte-campbell-counts-blessings-of-olympic-delay-that-grant-injuries-more-time-to-heal/

[46] https://olympics.com/tokyo-2020/olympic-games/en/results/swimming/athlete-profile-n1482860-campbell-bronte.htm

[47] https://www.theaustralian.com.au/sport/injuries-cast-doubt-on-bronte-campbells-50m-100m-defence/news-story/51890d3b1684e4868b13f825417b21c8

[48] https://www.illawarramercury.com.au/story/6218777/bronte-campbell-seals-swim-titles-berth/

[49] Note that this list is intended to include swimmers whose careers spanned both the 1980s and 1990s

Still hamstrung, after all these years

The story goes that back in about the 1970s two high level bodybuilders agreed to a sprint race, and during that sprint race they both tore hamstrings.

This story entertained many, however I took a more serious lesson from it.

Combined with my observations of the shift in posture from the 1960s to the 1970s bodybuilder and took into account that the clients I served displaced further and faster that the average bodybuilder, alarm bells were ringing.

The development of the Lines of Movement Concept (especially the hip vs quad dominant component was a direct response to my concerns about injury potential from muscle balance.  As was the introduction and innovation of bodyweight and unilateral exercises into strength training in a way that was considered unconventional at the time (however since 2000 have become the backbone of the so-called ‘functional training’ movement). [1]

Or you can learn about it second hand, however I suggest the power of the message may have been diluted in these versions.

That’s just not my biased opinion – that an observation of the direction of injuries globally.

So in the 1980s I  committed to ensuring the muscle imbalances evident from mainstream strength training trends would not be part of the life of athletes I worked with.

Decades later I look back with confirmation that my Zero Tolerance approach to injuries, especially soft tissue injuries, has been successful.

Successful for athletes that I have worked with during the past four decades. However, the message, even with the concept being republished endlessly by others, has not been successful.

It appears humans are still struggling to prevent simple yet debilitating injuries such as hamstring strains.

These soft tissue injuries are predictable, preventable, unnecessary and non-productive.

Recently at an off-road motorcycling competition I observed a rider enter the pits prematurely and heard him declare he has torn his hamstring.  I was more than intrigued, mixed with the usual compassion for the athlete.  He had torn his hamstring on a motorbike?

As a student of injury prevention, not only did I provide care and guidance over the next hour, I tested my hypothesis as I typically do with a series of questions to the rider.

My conclusion – just another victim of mainstream training paradigms. He was buffed. Anyone male would be proud of the physique he had developed. But stretching? No, not much of that. I checked out his all-important quads and they were rocks. They looked great.   A real Men’s Health model candidate. However, the rest of the body was suffering for the training outcome he had produced – especially the hamstrings.

At first he was keen to tell me had been tight all is his life. That was shut down quickly with his – and to his credit – acknowledgement he had not done much to change this.

Then he went down the path of ‘I am a rower and that is why I am tight’. That was shut down quickly when I raised some of the elite rowers I had worked with, and that I had failed to observe tightness as a common theme in rowers.

Once we got through the excuses and the defense mechanisms and got to hear how he trained – there were no surprise. He had absorbed the current paradigms of training and was just another victim of the times.

There is no shortage of statistics on the extent of hamstring injury; Here are a few collated by Eirale C. and Ekstrand (2019)[2]:

  • Epidemiological studies assessing sports constantly rank hamstring injuries as one of the most prevalent factors resulting in missed playing time by athletes.[3] [4] [5]
  • Hamstring ‘strains’ account for a substantial percentage of acute, sports related musculoskeletal injuries with a prevalence of 6 to 25%, depending on the sport. [6]
  • Hamstring strains are far more common in positions in which sprinting is more often required.[7] [8] [9]
  • A survey of the UEFA Champions League showed that muscle injuries make up more than 30% of all player injuries and cause about 1/4 of total time lost due to injury.[10]
  • Over 90% of muscle injuries seen in this study involved four major muscle groups of the lower extremity: hamstrings, adductors, quadriceps and gastrocnemius. [11]
  • Injury to the hamstring muscle group is reported to be the most common injury subtype representing 12% of all injuries and more than 1/3 of all strains.[12]
  • A professional male soccer team with 25 players may expect about five hamstring injuries each season, equivalent to more than 80 lost football days and 14 missed matches.[13]
  • In soccer injury to the hamstring muscle group is reported to be the most common injury subtype representing 12% of all injuries and more than 1/3 of all strains.[14]
  • In a track and field sprinting study the most frequent diagnosis was hamstring strain.[15] For example, thigh strain was the most common diagnosis (16%) in sports injury surveillance studies at the 2007, 2009 and 2011 IAAF (International Association of Athletics Federations) World Athletics Championships.[16] [17] [18]
  • In the American football muscle strains account for 46% of practice injuries and 22% of pre-season game injuries, the second most common pre-season injury.[19]
  • More than half (53.1%) of all hamstring injuries in American football occurred in the 7-week pre-season, before the teams had even played their first regular-season game.[20]

And there is also no shortage of claimed causes and preventions. Perhaps the most popular of these is described in the following statement:“The best evidence for injury prevention is available for programmes designed to increase hamstring strength, particularly eccentric hamstrings strength.”[21]

So, what impact have all these theories and research had on hamstring injury incidence?

“Despite a massive amount of recent research and consequent prevention programmes, hamstring injury incidence is not decreasing.” [22]:

I shake my head as to why the sporting world is still plagued by soft tissue injuries. Everyone now wants to be a ‘injury rehab specialist’ – yet no-one wants to be an ‘injury prevention’ advocate.

Perhaps it is understandable, when you search the ‘web you find so many articles, website and experts purporting to have the education to prevent hamstring injuries. I am very uninterested in theories. I want to know of sporting seasons with high volumes of athletes and minimal if any soft tissue injuries. That’s the only evidence that matters.

Soft tissue injuries such as hamstring strains are completely optional and unnecessary. It’s pretty easy to make them extinct or near extinct. Yet they continue.

Two things are apparent to me – the rise in soft tissue injuries, and the concurrent rise in funding and research on how to prevent them has been ineffective.

Yet the ‘search’ continues. The NFL has just allocated $4m USD (yes, 4 million) to:

“…fund a team of medical researchers led by the University of Wisconsin” to “investigate the prevention and treatment of hamstring injuries for elite football players.” [23]

The NFL has had only one century to solve the mystery of hamstrings…[24]

This statement was made in relation to this research:

“The persistent symptoms, slow healing, and a high rate of re-injury make hamstring strains a frustrating and disabling injury for athletes and a challenge for sport medicine clinicians to treat,” said Dr. Bryan Heiderscheit, PT, PhD, FAPTA, Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison.” [25]

I agree it would be frustrating for the athletes – if they were trained in a manner that resulted in hamstring strains. I agree it would be a challenge for sports medicine clinicians to treat – if they didn’t know how to prevent and rehabilitate them on the rare occasions they might occur.

However, I don’t agree with the following suggestion in relation to the recent NFL funding:

“To truly understand and reduce hamstring injury risk requires a study of an unprecedented size and scope.”

And what will it result in? Will it solve the leagues 100 years search for answers to hamstring strains? Let’s review the hamstring strain stats in the NFL in about a decade. That should be enough time.

I have my predictions, and I am sure they differ from those invested in the ‘research’ of hamstring strains. Our profession has been ‘researching’ hamstring strains for decades, and I suggest that it has not resulted in a downturn in hamstring incidence.

But you don’t need my opinion. The statistics tell the story.

It appears the world is still hamstrung, after all these years.

 

References

[1] You can learn more about these concepts in the original writings of How to Write (1998) and How to Teach (2000), the Legacy book (2018) or the KSI Coaching Courses.

[2] Eirale C. and Ekstrand, J.,  2019, Hamstrings are dangerous for sport and sport is dangerous for hamstrings, Aspetar Sports Medicine Journal, Vol. 8, p. 438-444.

[3] Ekstrand J, Healy JC, Walden M, Lee JC, English B, Hagglund M. Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play. Br J Sports Med 2012; 46:112-117.

[4] Orchard JW. Intrinsic and extrinsic risk factors for muscle strains in Australian football. Am J Sports Med 2001; 29:300- 303.

[5] Eirale C, Farooq A, Smiley FA, Tol JL, Chalabi H. Epidemiology of football injuries in Asia: a prospective study in Qatar. J Sci Med Sport 2013; 16:113-117.

[6] Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG. Hamstring strain injuries: recommendations for diagnosis, rehabilitation, and injury prevention. J Orthop Sports Phys Ther 2010; 40:67-81.

[7] Elliott MC, Zarins B, Powell JW, Kenyon CD. Hamstring muscle strains in professional football players: a 10-year review. Am J Sports Med 2011; 39:843-850.

[8] Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39:1226-1232

[9] Orchard JW, Seward H, Orchard JJ. Results of 2 decades of injury surveillance and public release of data in the Australian football league. Am J Sports Med 2013; 41:734-741.

[10] Ekstrand J, Hagglund M, Walden M. In jury incidence and injury patterns in professional football: the UEFA injury study. Br J Sports Med 2011; 45:553-558.

[11] Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39:1226-1232.

[12] Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39:1226-1232.

[13] Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39:1226-1232.

[14] Ekstrand J, Hagglund M, Walden M. Epidemiology of muscle injuries in professional football (soccer). Am J Sports Med 2011; 39:1226-1232.

[15] Jacobsson J, Timpka T, Kowalski J, Nilsson S, Ekberg J, Renstrom P. Prevalence of musculoskeletal injuries in Swedish elite track and field athletes. Am J Sports Med 2012; 40:163-169.

[16] Alonso JM, Junge A, Renstrom P, Engebretsen L, Mountjoy M, Dvorak J. Sports injuries surveillance during the 2007 IAAF World Athletics Championships. Clin J Sport Med 2009; 19:26-32.

[17] Alonso JM, Tscholl PM, Engebretsen L, Mountjoy M, Dvorak J, Junge A. Occurrence of injuries and illnesses during the 2009 IAAF World Athletics Championships. Br J Sports Med 2010; 44:1100-1105.

[18] Alonso JM, Edouard P, Fischetto G, Adams B, Depiesse F, Mountjoy M. Determination of future prevention strategies in elite track and field: analysis of Daegu 2011 IAAF Championships injuries and illnesses surveillance. Br J Sports Med 2012; 46:505-514.

[19] Feeley BT, Kennelly S, Barnes RP, Muller MS, Kelly BT, Rodeo SA. Epidemiology of National Football League training camp injuries from 1998 to 2007. Am J Sports Med 2008; 36:1597-1603.

[20] Elliott MC, Zarins B, Powell JW, Kenyon CD. Hamstring muscle strains in professional football players: a 10-year review. Am J Sports Med 2011; 39:843-850.

[21] Bahr, R., 2019, Prevention hamstring strains – a current view of literature, Aspetar Sports Medicine Journal, Vol. 8

[22] Eirale C. and Ekstrand, J.,  2019, Hamstrings are dangerous for sport and sport is dangerous for hamstrings, Aspetar Sports Medicine Journal, Vol. 8, p. 438-444.

[23] https://www.nfl.com/news/nfl-scientific-advisory-board-awards-4-million-research-funding-hamstring

[24] https://en.wikipedia.org/wiki/National_Football_League

[25] https://www.nfl.com/news/nfl-scientific-advisory-board-awards-4-million-research-funding-hamstring

Where’s the evidence?! Part 5 – Which ‘evidence’ will you choose?

A young adult was watching a physical coach performing a pre-training static stretch with a large group of young athletes. They turned to those around them and said:

“You know they are wasting their time!?”

The coach whose professional implementation judgments they were calling into question was myself. The year was 2018.

Which type of evidence were they operating on? To understand that answer here’s a clue – they were an undergraduate student. There’s additional irony in this story as their college course was in physical therapy.   Here a few years in undergraduate study trumped the experience and conclusions of a person who had conducted four decades of multi-year, large sample size, many sports, many different countries experiments.

Reminds me of the 1980s when periodization was taught dogmatically and as a fact in coach education despite having no real science to justify it. If you were to engage in any speed work before developing an ‘aerobic base’, you were also ‘wasting your time’. Actually, more than that, the athlete was definitely going to get injured.

Was there any real science in this? No, but that didn’t matter. Once enough people were echoing the myth, and that was enough. Once it’s in printed word, that’s enough. Once certain ‘experts’, ‘gurus’ or ‘leading’ coaches saying it, that’s enough. It forms a ‘truth’ all of it’s own and everyone assumes that for a theory to reach this level of ‘definiteness’ it must be fact, supported by science.

I was keen to understand the science of this conclusion. With all due respect to the aerobic base proponents, I didn’t agree. So when I got the chance to listen to a strong advocated of this training method at a national convention I listened intently….. Until I heard the evidence – this is what it was:

…a newspaper article published a story where a person said they heard an New Zealand All-Black say they felt fitter because of their off-season aerobic training.

That was it?!

I was keen two to learn of the convincing science confirming that static stretching before training is bad. Here are two examples of this ‘evidence’:

xxxx says wild animals don’t do static stretching–they do long, slow-moving stretches, or even explosive bounding movements that form an integral part of all of their lives. “And the stretch is not a relaxed stretch; it’s done with a lot of tension. That’s an important point because we are often told to stretch only relaxed muscles. Look at the stretch of a cat, how it stretches up to its maximum with tension, according to what feels right. This type of active intuitive stretching equips you to cope better with strenuous exercise.[1]

Really? That was it?!

If you took rubber bands out of the freezer and prepared to use them by stretching them, what do you think would happen? You would easily break quite a few. This is why athletes frequently pull muscles…[2]

Really? That was it?!

So it must be true. After all, here’s a professional development organization also stating it’s true:

In general, there is little need to place much emphasis on stretching in your exercise routine, at least from a health or injury prevention perspective. [3]

And here’s another ‘guru’ telling you it’s true:

None of our athletes, from pros down to middle school students, stretch prior to these workouts…Our athletes do not do static stretches…[4]

Now did the science change with this very ‘guru’ ‘changed his mind’? An, no.

One thing that’s fundamentally different now from when the original ‘Functional Training for Sport’ book [2004] was written is there was no emphasis on tissue quality…tissue work…rolling, stretching. I can’t believe there was no reference to static flexibility and no reference to foam rolling just a few years ago. We had no concept of changing tissue density [tension]. [5]

I couldn’t believe it either! That this ‘expert’ published on such limited experience in that they no idea in 2004 that stretching and rolling contributed to altered muscle tension! The ‘we’ needs to be ‘I’….”I had no concept….”

What didn’t change was the damage that was done. The myth became a paradigm and the paradigm became ‘assumed science’. Sure there are some abstract short term studies showing that pre-training did certain things. Where there any conducted over years confirming that removing pre-training static stretching was superior?

So perhaps we can forgive or understand this undergraduate ‘I know’ attitude on the basis that all she knew was the theory she was told, and we are in an era of anti-static stretching.

But what about the ‘gurus’ who mess with the values of the average professional and end user and whose ‘teachings’ depends on the popular trend at the time? The way the wind is blowing on any given period of history….

Here’s a great example of this questionable influence. Say a physical coach with university qualifications and 20 years of industry experience? And who was struggling with chronic back pain? What ‘evidence’ would they rely upon to guide their ‘stretching is bad’ position on static stretching? The below is a verbatim transcript:

Strength Coach: I’ve read a lot of stuff that says doing static stretching before [training] actually makes the muscle weaker and the contractions less forceful. So I’ve always seek out stuff to validate this bias. So I’ve never really dived into stretching.

IK: So just as a matter of interest, you’ve heard the theory. Did you test the theory?

Strength Coach: No.

IK: So you’re leading a life on the basis of other peoples opinions? Can I ask you another question – how many original studies have you cited that came to that conclusion? The hard copy or electronic copy in your hands?

Strength Coach: Zero.

IK: I’m glad you’re honest with me.

Yes, just as the majority do – this extremely well intended and experienced physical coach has chosen the ‘evidence’ of the consensus thinking.

And they are not alone in doing so…..

You have choices in evidence, and that is your prerogative. I simply encourage you to be clear about your ‘evidence’, and encourage you to consider a more holistic approach to ‘evidence’. This means that personal and professional experience and observations with cause-effect relationship do count!

References

[1] Reference withheld to protect the message.

[2] Reference withheld to protect the message.

[3] ACSM’s Health & Fitness Journal (July/August 2009), Question Column by David C. Nieman Dr.Ph., FACSM

[4] Reference withheld to protect the message.

[5] Reference withheld to protect the message.

A message to parents of young athletes – would you sign up for this?

Imagine this. You are turning up to training 45 minutes earlier than the previous generation did. You are doing ‘dryland’ – alleged performance enhancing and injury reducing physical training. And it is degrading your body shape, increasing the severity and frequency of your injuries, and putting you out of sport, play and movement earlier than if you didn’t do it. And the performance enhancing impacts are unclear at best.

Would you sign up for this?

I would expect not. Then why are you signing your kid up for this?

I know, you don’t know any better. You trust your sports coaches, your school. You don’t know me. What I am saying it a ‘bit left field’. You don’t like what I say etc. etc.

Ignore me at your child’s peril……

I watched 10-14 year olds perform 45 minutes of dry land training before their multi-week swimming training session.

What physical risks does swimming present? Rounded and injuries shoulders, arched and sore backs. Both resulting in performance reduction.

So what will this 45 minute dry land session do to them?

I outline my thoughts below – not holding back, but at the same time not sensationalizing the matter. This is serious, and your kids are in the cross hairs.

I write this for parents of young athletes, or athletes of any age who seek to improve their understanding of optimal athlete performance programs.

I rely on concepts and analytical techniques I published from 1998 onwards in publications such as ‘How to Write Strength Training Programs’ (1998, book), ‘How to Teach Strength Training Programs’ (2000, book) – both of which are available to anyone; and DVD programs such as ‘Strength Specialization Series’ (1998, DVD) and ‘Injury Prevention & Rehabilitation Series’ (2000, DVD) – which are only available to coaches in our coach education program.

If I reduce one injury in one athlete, prevent one athlete from having surgery, extend the career of one athlete, give better quality of later life to one former athlete – my efforts are worthwhile.

Yes part of all of this message will upset, anger, offend etc. some coach or coaches somewhere – but your child is worth more than the feelings of a coach or coaches that should have made a greater effort to be better.

So let’s dive deeper into the dry land program we are using in this real world case study.

STRENGTH VS FLEXIBILITY

Let’s start with simple breakdown of time. It was 40 minutes of strength exercises, followed by 5 minutes of stretching.

If your aim was to accelerate the shortening that swimming causes to the muscle, you would be advised to do just this. 40 minutes of tissue tensioning and shortening work, and 5 minutes of tissue lengthening.

If your goal was to reduce injury and enhance performance and length their careers – you would reverse this. 40 minutes of stretching, and 5 minutes of strengthening.

Now lets talk about sequence. Strength first, flex second. If you flex first apparently, according to rumor and sketchy science, it will make you weak. So the current trend in a world that refuses to think for itself is to do it last.

Now in the real world, if you had the courage to defy conformity, and did stretching first, you would find the stretching open up your joints, free the nerves to fire, reduce the joint wear and tear. The only way to do it! But that’s just my opinion, based on near 40 years of coaching and the experience of training more athletes in one lifetime than you could imagine.

However unless you control the program, don’t hold your breath waiting for this change. Your child will be having shoulder surgery before that happens, as the dominant world trends – the reason why humans do anything including their sports training – are going the other way at them moment. Stretching is bad. Just about the only time you are going to hear your child needs to stretch is after the injury has occurred, from your physical therapist. A little too late….

UPPER BODY VS LOWER BODY VS TRUNK (Core)

If you divide the body simplistically into three sections – upper body, lower body and middle of the body (core) where should the dry land focus go?

Based on how I saw the exercises being conducted, and taking into account my interpretation of the prime mover, I observed that…

about 12.5% of the exercises go to trunk (abdominal or core as some like to say), and these were done as the last few exercises. The trunk/core/abdominal was given by far the least focus.

….about 25% of the exercises go to upper body and these were for the most part down in the latter half of the strength session.

….about 50% of the exercises go to lower body, and these were done for the mo part in the first half of the strength session. So the lower body was given the most priority.

Now I don’t expect to dwell on the discussion of relative importance of each of these three sections of the body to swimming performance – that would take a bit more time and space, and we can get into that another time.

However I will speak without hesitation to injury prevention (or in this case, as in most cases injury creation). I suggest the neglect of the middle of the body completely unacceptable.

ABDOMINAL BALANCE

Based on the ‘Lines of Movement’ concept I first published in 1998 and now universally adopted (although rarely referenced) I identify four (4) basic lines of movement in the abdominals that generally speaking provide balance in training along with two additional, more advanced ones.

Now there were more exercises in the w0rkout that included abdominal involvement (e.g. med ball throw downs), however when they are not the primary focus, they are listed as abdominal exercises. And when they involve other muscles such as ‘planks’, they get categorized as integrated.

Essentially not only is the abdominal program under prioritizing this muscle group, what is done potentially lacks balance.

Opportunities I found Reality of this program
BASIC
1. Hip flexion

Ö

2. Trunk flexion

Ö

Ö

3. Rotation

Ö

4. Lateral Flexion

Ö

ADVANCED
5. Co-contraction glut/ab

Ö

6.   Integrated

Ö

Ö

UPPER BODY BALANCE

Based again on my ‘Lines of Movement’ concept I divided the eight (8) upper body exercises into the following lines.

Horizontal pull – 4.5

Vertical Pull – 2.5

Horizonal Pull – 1

Vertical push – 0

The part numbers came from giving a movement that shared dominance in lines of movement 0.5 points to each of the two dominant lines of movement/muscle groups.

This translates into the following table.

Percentage of lines of movement based on number of exercsies.

My recommended exercise distribution of using 8 exercises Reality of this program
Horizontal pull

50 %

15%

Vertical push

25 %

0%

Vertical pull

12.5%

30%

Horizontal push

12.5%

55%

What is the main form of upper body imbalance from most swimming strokes? Rounded and drooped shoulders. What causes this? The reliance of the majority of swimming strokes on the chest (horizontal push) and lats (vertical pull) to pull the body through the water.

What does this program do? Makes the imbalances even worse, faster. You can expect a hastened decline in posture, more injuries, more severe injuries, more surgery and a shorter career, followed by a life time of rounded shoulder…

But it doesn’t have to be this way….

And this is without getting into a discussion of relative sequence of exercises, and relative loading potential of exercises selected, the results of which would only painter a gloomier picture.

LOWER BODY BALANCE

The potentially least important muscle group (yes, it is important, and it will be dependent on stroke, style, individual swimmer) that got the most attention in this dry land training program example has it’s own imbalances.

There were a total of thirteen (13) lower body exercises, however leg swings were three of them and I have taken them out of the equation for the moment.

Based again on my ‘Lines of Movement’ concept I divided the remaining ten (10) lower body exercises into the following lines.

Hip dominant – 2

Quad dominate – 8

This translates into the following table.

Percentage of lines of movement based on number of exercises.

My generalized recommended exercise distribution using 10 exercises Reality of this program
Hip dominant

60 % (6)

20 % (2)

Quad dominant

40 % (4)

80 % (8)

What is the main form of lower body imbalance from most swimming strokes? The muscle imbalances of the lower body in a swimmer are less than the upper body challenges they face. However sore lower backs are, in my professional opinion, caused by over-used quad muscles pulling on the hips and causing the nerves of the spine to be pinched.

Now swimming in itself does not cause a large number of lower back injuries compared to upper body injury potential. However, if you were to do this kind of dry land program chronically, you would quickly find yourself facing a higher incidence of back pain and lower extremity soft tissue aggravations than you would from normal swimming alone.

Quad dominance caused physical ailments are common in many land based running sports. Now swimming is neither land based or impact, so why would you want to reproduce a potential side effect in a sport that otherwise sees relatively little of it?

And this is without getting into a discussion of relative sequence of exercises, and relative loading potential of exercises selected, the results of which would only painter a gloomier picture.

For example I teach that prioritization of the training effect is caused by three main factors – which exercise/s are done most (relative volume), which exercise are done first or in what order (sequence), and what are the relative loading potential of each exercises (if an exercise can do load, it has the potential to create greater change in the muscle. If not matched by the opposite muscle group exercise, imbalances can result).

Take relative loading potential. All the quad dominant exercises involve the squat or squat variations – the load potential and real load lifted (even if only bodyweight) is far in excess of the load potential of the two hip dominant exercises – which only involved part of the bodyweight, and by nature of the less number of joints involved, could never match the load potential of the squat exercise.

In other words if I painted the full picture, it would get even uglier….

But it doesn’t have to be this way….

SUMMARY

Sport has the potential to create many positive outcomes. What is often overlooked is the potential for sport to also create shape in the body for better or worse, long term. Mostly for the worse. The longer you play, the higher level you play, the greater the chance you take the physical downsides into the rest of your life. It doesn’t take too long or too many training sessions to commence the shaping.

We accept that about sports. It comes with it’s good and bad. However what if what we are doing in our ‘dry land’ or ‘physical preparation’ was making the physical downside worse?

In the 1990s I suggested that most physical training in sport was doing more damage than good.

In fact I believe that most injuries are actually caused by the way athletes train. The only injury acceptable is an unavoidable impact injury.   Virtually all soft tissue injuries are avoidable. But imagine that – training, during which focus is geared towards performance enhancement, may induce most injuries. Isn’t this ridiculous! [1]

In fact from my experiences and observation, the greatest effect that I have seen from most physical preparation is to detract from these five factors, not enhance it. Imagine that – training and being worse off for it. Well how do you think the athlete would feel if he/she found out! Yeah, they’re real fit – to sit in the stands in their team uniform and watch![2]

If it was introduced at about 20 years of age, and most athletes retire from competitive sport in their late twenties, the physical damage and the aging factor combined and were hidden.

But what if the training methods now, some two decades later, are just as damaging to the body as they were in the 1990s? What if they were done to kids? The kid would potentially be damaged to the point where a decade later, n their teams, they were too damaged physically to continue to play, or to continue to improve.

And in my observation, that is exactly what is happening.

When assessing the injury potential of your decisions in training today, one must look forward many years. Because few physical preparation coaches train individuals for many years continuously, they do not have the opportunity to understand the long-term implications of the training program they are implementing with the individual athlete. As a result, from my observations, most physical preparation programs do more harm than good. They may give short term results or confidence to the athlete, but result in significant performance restrictions and or injuries long term.

The more an athlete participates in physical preparation, including the younger they start in physical preparation, the greater the incidence and severity of injury. Unfortunately these injuries are being blamed away by many involved in sport as being a function of the increased demands and impact forces in ‘modern day’ sport. This to me is little more than an excuse, an exercise in putting one’s head in the proverbial sand. Quite simply, the majority of training programs are flawed from a physical preparation perspective and are causing the increased injuries. [3]

In my opinion, I repeat my comment of 20 years ago – most training does more harm than good. The only thing that has changed is now we are doing the damage to younger and younger athletes.

The below summarizes in table format how far apart my approach to what is being done by the majority.

A comparison of my generalized recommendations vs. the observed training session.

My recommendations Reality of this program
Sequence of dry land Flex then strength Strength then flex
Time allocation Flex–30m/Strength–15m Strength–40m/Flex–5m
Prioritisation of body part Middle-upper-lower Lower-upper-middle
Number of abdominal lines of movement

4-6

2

Prioritization of upper body lines of movement 1.     Horizontal pull

2.     Vertical push

3.     Vertical pull

4.     Horizontal push

1.     Horizontal push

2.     Vertical pull

3.     Horizontal pull

4.     Vertical push

Prioritization of upper body lines of movement 1.     Hip dominant

2.     Quad dominant

1.     Quad dominant

2.     Hip dominant

In summary, what I observed being done these young athletes and what I believe should be done is almost diametrically opposed. It would be difficult to reach more opposite conclusions. Interpretation aside, one of us is really off-track.

Question I have include – who writes these programs? What is their experience? Will they ever be held accountable for the long term impacts? Why are we doing this to our children?  Will you keep throwing your child into the ‘lion’s den’?

I was of the understanding we were to care and nurture our children, not accelerate and amplify the damage of sport….

[1] King, I., 1997, Winning & Losing, Ch 5, p. 25

[2] King, I., 1999, So you want to become a physical preparation coach, p. 30-31

[3] King, I., 2005, The way of the physical preparation coach, p. 66-67

There is a better way – Part 1: Why are you ignoring the message from Tom Brady, Kevin Durant, and Novak Djokovic?

More athletes are having their athleticism destroyed, their careers shortened, and their long term quality of life threatened because of they way they are being trained than ever before in my lifetime.  The athlete training world has lost the plot.  Not concerned or don’t buy into this statement?  Then you don’t read any further.  There’s heaps of more valuable articles on the internet for you to read, such as how to create hypertrophy in the absence of skills, or the exact liquid temperature to consume your glutamine in the absence of any focus on foundational nutrition…For those that resonate with my concerns, I invite you to stay with me.

Is that my opinion or is it a scientific fact? It’s my opinion. Now those who don’t know or don’t appreciate (or don’t want to do either for various reasons) the depth of experience training athletes or track record in identifying limiting factors in sports training and performance and innovating solutions that have led to this opinion – you may be forgiven for discarding my opinion.

However before you disregard my conclusions on the state of athletic preparation, I want you know you are also disregarding the opinion of a couple of athletes that have also to train differently to what most are doing – Tom Brady, Kevin Durant and Novak Djokovic.

The way we train athletes does more harm than good. That’s the message I have been sharing since the 1990s. And it is not just getting worse. It is reaching diabolical standards.

In fact I believe that most injuries are actually caused by the way athletes train.  The only injury acceptable is an unavoidable impact injury.   Virtually all soft tissue injuries are avoidable.  But imagine that – training, during which focus is geared towards performance enhancement, may induce most injuries.  Isn’t this ridiculous! [1]

In fact from my experiences and observation, the greatest effect that I have seen from most physical preparation is to detract from these five factors, not enhance it.  Imagine that – training and being worse off for it.  Well how do you think the athlete would feel if he/she found out!  Yeah, they’re real fit – to sit in the stands in their team uniform and watch![2]

…from my observations, most physical preparation programs do more harm than good. They may give short term results or confidence to the athlete, but result in significant performance restrictions and or injuries long term…. Quite simply, the majority of training programs are flawed from a physical preparation perspective and are causing the increased injuries[3]

For those not familiar with these three athletes who share my opinion, allow me to provide a quick bio. Tom Brady is the most successful quarter back in American Football history with five Super Bowl Championship rings.  Kevin Durant just won his first championship ring with the Golden State Warriors in the NBA.  And Novak Djokovic has been dominating men’s tennis internationally during the ten years, frequently occupying the coveted No 1 world ranking. He is considered one of the greatest tennis players of all time, with a 80+% match winning rate (the second highest in the Open Era).

So what does Tom Brady have to say?

“I have been blessed to learn the right methods, through my nutrition, hydration, pliability and proper rest. It’s really not that hard if you do the right thing.”[4]

No mention of maximal loading or hypertrophy training.  In fact he apparently stays away from lifting heavy weights, and focuses on flexibility.[5]

What does Kevin Durant have to say?

“All the strength coaches were laughing at me and s—. They were giggling with each other that I couldn’t lift 185 pounds and I was like, ‘All right, keep laughing. Keep laughing.’ It was a funny thing because I was the only one that couldn’t lift it and I was struggling to lift it. I was embarrassed at that point, but I’m like, ‘Give me a basketball, please. Give me a ball.’….I was ranked the last person in camp, drills-wise. I was the worst player, and the first player didn’t get drafted. That tells you a lot about the significance of that s—.”[6]

What does Novak Djokovic have to say?

           ….And I know if I need to spend two hours a day stretching, I’ll spend that time, because I know that’s going to make me feel good.”

The following statement comes from his first coach, Jelana Gencic, who guided him between about the ages of 6 years through to his early teens.

“You know Novak was not too strong a boy,” Gencic said. “You know how he is now elastic and flexible. Do you know why? It’s because I didn’t want to work too hard with him.”…Gencic held up her racket“This,” she said, “is the heaviest thing he had to handle. We only worked on his legs, his quickness, only fitness on the court, not in the weight room. We stretched and did special movements for tennis, to be flexible, to be agile and to be fast and with the legs. And now he’s excellent, excellent, excellent.”

Djokovic said Gencic’s approach was always long-term.

“Jelena was one of the people that had a huge impact and huge influence on that part of let’s say my profession, being flexible and taking care of my elasticity of the muscles,” he said Saturday. “Because she taught me and convinced me that if I stayed flexible, not only will I be able to move well around the court and be able to recover well after the matches, but also I’ll be able to have a long career……[7]

If you look at how the world is training athletes, its obvious that the majority are disregarding the messages from this dominant sporting icons.  Allow me acknowledge one of the most likely criticisms. That the opinions of these three athletes does not override the fact that thousands of other athletes have trained more trend like – heavy load, excessive volume, to high levels of fatigue.  I acknowledge this counter argument.  You are right. You can always provide evidence to support both the for and against of any argument.

However allow me to share what I believe is one indisputable fact – that the evidence provided in the case studies of these three athletes confirms that you can become the best in the world without the training proposed by most coaches and engaged in by most athletes. The way most train is not a common denominator with success.  It’s not necessary,  its not optimal, and I suggest in most cases does more damage than good.

I suggest that conforming to the dominant trends will is a common denominator with injuries, reduced athleticism, shortened careers and a lower quality of later life.

The great thing about human life is we get to choose what we believe in. If you as an athlete choose to embrace the mainstream approach, fantastic and good luck.  If you are a coach and also choose to believe in and embrace the current dominant training methods, I trust in the future you take time to reflect upon the outcomes, and be accountable.   Visit with your athletes 20-40 years after they have retired, and see how they are going. And take responsibility.

For those athletes and coaches who are concerned about the direction of training and want to believe there is a better way – congratulations. There is a better way.  I have spend the last four decades discovering better ways to train, and we teach  these better ways when we work with athletes or coaches.   For example, the KSI Coaching Program aims to provide you with the tools to train athletes and others in their highest and best interests, with no interest in what the dominant trend is or will be in the future.

The training world is now one where you will get a job whether you are great or incompetent – there is simply demand for services. However if you want to go beyond simply ‘getting a job’, if you want to do the best by the athlete, to fulfill your potential – you are not going to achieve these goals training the way everyone else is training.

What is happening is not good enough, and the athlete is paying the price. The good news is there is a better way. The question remains – will you go there?

Note:

In July 2017 we are offering selected physical preparation coaches the opportunity to spend 21 days with my top coaches and myself; through webinar and forum interaction.  It’s not for everyone. Here are some of our pre-qualifications criteria:

  1. You need to have been coaching for at least 5 years.
  2. You need to have come to the conclusion that there is a better way (for both you and your clients).
  3. You need to have taken some action to date to study KSI material (not including free online articles).

21 days with us during which you will get an inside look at who we are, what we do, and why we are totally confident we lead the world in athlete preparation.  Free.  Email info@kingsports.net immediately if you want to be part of this program and qualify.

[1] King, I., 1997, Winning &amp; Losing, Ch 5, p. 25

[2] King, I., 1999, So you want to become a physical preparation coach, p. 30-31

[3] King, I., 2005, The way of the physical preparation coach, p. 66-67

[4] http://bleacherreport.com/articles/2686534-in-better-shape-than-ever-at-age-39-heres-how-tom-brady-does-it

[5] http://finance.yahoo.com/news/tom-brady-says-hurting-time-162548454.html

[6] http://abcnews.go.com/Sports/kevin-durant-calls-nba-combine-waste-time-top/story?id=47338234

[7] http://www.nytimes.com/2013/07/03/sports/tennis/djokovic-bends-and-twists-but-doesnt-break.html

To think or conform?

I received an email from a young man on the subject of stretching, a classic case of humans choosing conformity over thinking. The email went like this:

“Recently I purchased your Legacy book. The book is full of training gold, especially important information is about stretching. You should spread the truth about stretching. I can`t believe how everybody is wrong with this dynamic stretching B.S. Static stretching rules. I´m more flexible than ever, feel great, and it does transfer to dynamic motions.” [i]

I was really impressed that this young man sought to gain a personal experience about stretching prior to reaching a conclusion. He thought for himself, in the face of dogma to the contrary, and reached a conclusion contrary to the dogmatic teaching.

As for spreading the ‘truth’ about stretching, that’s what I have been doing for nearly 40 years now. The challenge is most people don’t want to think independently. The famous Dr. Albert Swcheitzer when asked in about 1952 reached the same conclusion.  Earl Nightingale tells this story in his 1956 audio ‘The Strangest Secret’. (A must listen to!)

Here is the transcript:

“Some years ago, the late Nobel prize-winning Dr. Albert Schweitzer was asked by a reporter, “Doctor, what’s wrong with men today?” The great doctor was silent a moment, and then he said, “Men simply don’t think!” [ii]

Now as far as the truth or wrong, I tend to avoid these words where possible. To ignore the value of static stretching and replace it with dynamic stretching – or to leave your static stretching till after the workouts. These are mistakes.

However I understand how static stretching is promoted, and I understand most people are more committed to conformity than fulfilling their potential.

I have watched many of those who have achieved marketed position of influence in this industry promote their values on stretching. I know personally that the minority of these influencers who actually train don’t stretch, and never have.  To acknowledge they have missed the point in training as regards stretching is not going to happen in their lifetimes. And the influencers who don’t train have no chance of knowing personally the best alternatives or combinations.

As for conformity, I again refer to the best selling (in the true sense of the word, not in the way current industry marketers use it) for one of the best comments on conformity:

“Rollo May, the distinguished psychiatrist, wrote a wonderful book called Man’s Search for Himself, and in this book he says: “The opposite of courage in our society is not cowardice … it is conformity.” And there you have the reason for so many failures. Conformity and people acting like everyone else, without knowing why or where they are going.” [iii]

[Imagine if referencing and crediting were the norm in this industry? wouldn’t that be amazing! instead of this encouragement to lie, cheat, steal and plagiarize…]

Now concepts are promoted with great dogma, which is why I have historically encouraged people to challenge and ignore the dogma:

“Not only are you taught with a degree of dogma in formal education, you are often taught not to think – rather to accept ‘this is the way’.  Certain informal education teaches you to think for yourself (as we do at KSI) or teaches you a different perspective to the one you were taught to dogmatically adopt in your formal education. Exposure to this can cause some initial unease.” [iv]

I don’t suggest knowing the truth, however I have reached conclusions and encourage others to do the same, even if they are contrary to the dominant paradigms:

“I don’t know about truth, but I can say that blind and dogmatic teaching of this by personal trainers and others has contributed to some serious misconceptions…” [v]

My strong recommend has been to:

“Resist the temptation in program design to conform to mainstream paradigms simply for the sake of conforming, no matter how dogmatically they are presented, or how much you may be ridiculed or ostracized for trusting your intuition over conformity.” [vi]

Not to be confused of course with a thinly paraphrased paragraph that followed a year later in an article at t-nation.com from another ‘author’….

“When designing training programs, resist the pressure to conform to any tradition or system of beliefs, no matter how dogmatically that tradition or those beliefs are presented, or how much you get “slammed” for not conforming.” [vii]

My message to the young man who wrote to me, and to you to, is have the courage to think for yourself! And if you need help, I wrote the book ‘Barbells & Bullshit’ to help you. If nothing it will shock you into realizing that your own conclusions will be far more accurate and ethical and better for your than the self-serving dogma dished up by many who seek to exert their influence for reasons other than a pure intention to serve you. You can get this book in hard copy or e-book.  If you email me at question@kingsports.net sharing your commitment to think for yourself, I would love to give you a free copy of the e-book.

So the choice is yours – to think or to conform. Just don’t expect the masses to be so brave!

[i] Personal communication, name available on request, 26 April 2017

[ii] http://www.nightingale.com/articles/the-strangest-secret/

[iii] http://www.nightingale.com/articles/the-strangest-secret/

[iv] King, I., 1999, So You Want to Become a Strength and Conditioning Coach

[v] King, I., 2001 (?), Q &amp; A, T-mag.com, Issue #10

[vi] King, I., 2005, The Way of the Physical Preparation Coach, p. 17

[vii] xxxx 2006, xxxxx, T-mag.com, Feb

Strength training makes you weak and should not be done  

We’ve been conducting some studies lately and have reached the conclusion that strength training is bad and should not be done.

The protocol we have been using has been to complete a set of near Repetition Maximum reps in the squat, and to test vertical jump and speed within a few minutes of the sets.

There was a direct correlation between level of muscle fatigue and reduced strength, power and speed. There is also a direct correlation between the number of sets and the decrement in strength, power and speed.

The evidence is clear – strength training makes you weaker and slower, and should not be conducted. If you must do strength training, the lower you Repetition maximum you go the less strength, power and speed you will loose, and the less sets you do, the same applies.

I have conferred with a number or colleagues on this and it is our learned recommendation you stop strength training.

Whilst this position has not been formally adopted by any professional development associations, we are confident we will find enough academics and marketing gurus whose lack of strength and understanding of strength should be sufficient motivation for them to temporarily adopt a falsehood until they conduct further personal investigations and gain a higher level of knowledge and personal competence in this area, which will be followed by a range of trend based crappy e-products that create short term cash and the perception of marking leading knowledge, advocating the use of strength training.

And due to the fact that, in the 1950 words of the great Dr Albert Schweitzer, ‘man does not think’ (read – most humans are too dumb or at least have been dumb-downed to question powerful presented paradigms and trends} this will be a really easy sell.

By then, there will be a generation of humans who struggle to loose the conditioning that strength is bad, and who will pass this myth on to their children in a highly non-scientific way, and another if not more generations of humans will suffer for this falsehood that suited the vested interests of a minority.

Hold it – I might be getting confused with the fate of stretching….

PS. Make sure the masses don’t hear that if you waited a few more minutes to test strength it would be a different outcome…

PPS. How is that blindness side-effect going?….

Physical train wrecks  

It does not have to be this way

Every day I speak with athletes who have more injuries than I believe are necessary or acceptable. The list of injuries is getting longer, relative to the decades past. This may be the trend, however no athlete needs to follow the trend. However for them to buck the trend, they will need to think differently, act differently and have different values than those around them. Because too many in the sports circle now accept, embrace and even benefit from this high incidence of injury.

Todays athlete injuries story – shoulder surgery at 17 years of age, multiple shin stress fractures in the next few years, following by multiple ankle joint and ligament strains in the next few years, followed by a dislocated wrist.

The one before – ACL, torn peck, etc etc.

Now I don’t blame the athlete in the first instance, especially when their first injury was in an age when in other aspect of life society does not deem them legally responsible. Noting that the exposure to ‘strength and conditioning’ was about two years prior to the shoulder injury, I confirm another example supporting my hypothesis that if we were to remove all ‘strength and conditioning’ programs globally, the athlete injury rare would halve or more.

In the first instance the sports administrators, coaches, physical coaches, and commercial sellers of goods and services should take a look at their values and competencies. Coaches – if just getting a job gives you a sense of fulfilment, I hope one day you look for more, including best the best you can be for the athlete. However as that is not likely to occur en-mass, the responsibility must come back to the athlete, especially the athlete 18 years or older.

Athletes – it’s time to wake up. You don’t have to be injured. You don’t have to accept this paradigm. But you are going to need to do something about it yourself because no one else is. Its your call. Accept the smorgasbord of injuries like most do – or be different. Find out what you can do to fulfill your potential through injury free training and competing. It is possible. We do it every day.

Should I stretch before or after training?  

Shortly after the ‘stretching before training and games is bad’ paradigm raised up in the late 1990s, a default position was also promoted – to stretch afterwards. Ironic (or tragic) in that in my opinion for the most part, those promoting this position don’t stretch and have low competency and personal scores in flexibility.

I am often asked my position on this topic. The mere fact a person asks indicates they have been influenced in some way by this ‘trend’. Here is typically how I answer this:

The new athlete asked: “Do would you recommend stretching before or after training?”

Coach King: “Stretch before. Stretching afterwards is the default positioned promoted by those involved in discouraging effective stretching, their motive something we could chat fo hours on.

Stretching after has the single advantage of having higher body temperature, which in itself is not a pre-requisite for success or change from stretching.

Stretching after has the following disadvantages:
1. You fail to receive the benefits of pre-training stretching, which include but are not limited to increased joint gap therefore reduced joint wear, reduced compression of nerves, better blood supply, and less pain.
2. You are tired and therefore risk the following – performing the stretching will less quality than if done first and fresh; and not doing it all because you just want to have a shower, meal etc and relax

So if it was a choice, I would always do before.”
–Ian King