Tag Archives: Dr.Stuart McGill

Want a strong core? Skip the 3- minute plank

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Recently, I walked by a packed evening kettlebell class, a room full of participants doing a terrific plank variation—slowly sliding a heavy weight in front of them from left to right, and vice versa. A plank is one of the gold standards for working the core in which you assume and hold a position. Sit-ups and crunches are no longer the norm for a great set of abs. Traditional core training sought to isolate a single area, such as the six-pack, which is problematic.

All movement originates through the core. The core is an integral part of the protective mechanism that relieves the spine of harmful forces during activities. Deep stabilizing muscles allow a protective mechanism for posture control and athletic performance.

The main reason sit-ups don’t help you is that they can damage the spine. The traditional sit-up, writes Dr. Stuart McGill in “Ultimate Back Fitness and Performance,” imposes about 730 pounds of compression on the spine. Those participants in the evening workout were shown ways to retire old concepts and learn from a great coach, in her presentation of fresher research: plank variations.

Secondly, planks recruit a balance of muscle from the front, sides and back of the body, as the core goes far beyond a six-pack. Even though Cher boasts about holding a three-minute plank, you don’t need to hold a plank that long. There are better ways to get strong. Once you can perform a 20-, 30- or 60-second plank, you can advance from a stability level to light loads and additional stimulus in a plank.

Here are two simple stability tests to determine your core strength before you add additional stimulus, as in that kettlebell class.

Forearm plank, 20 seconds

Forearm plank. All photos by Connie Aronson
  • Lie on the floor, with the feet flexed, toes towards the shins, and the elbows and forearms under the chest area. To begin, lift the body off the floor in a position in which the arms are perpendicular to the floor, and the elbows directly under your shoulders, hands under your face.
  • Brace the core, lock the knees and tighten the glutes.
  • Have a friend or partner place a long stick or broomstick in line with your spine.
  • Start the clock only when you are in straight body alignment.
  • Hold for 20 seconds.

Fail is any part of the body sagging away from the stick.

Pass is if your torso remains in full contact with the stick for 20 seconds without any noticeable quivering.

Anti-rotation Bird Dog

  • In a kneeling position with hands on the floor, have a friend or partner place a stick or broomstick in line with your spine.
  • To begin, raise the right arm up and extend it parallel to the floor.
  • Simultaneously raise the left leg up and extend it backward, also parallel to the floor.
  • Touch both the arm and foot back under the body to touch left elbow to right knee.
  • Return to the fully extended position for six repetitions. Repeat on the other side.

Fail is if at any point during the test, the body sags away from the stick, or it rolls off the back.

Pass is if you the body is in contact with the stick, and control is maintained throughout the test.

Straight arm plank with feet elevated

Example of an advanced plank, with increased involvement of the stabilizing muscles of the core.

Check out Idaho Mt. Express –

https://www.mtexpress.com/wood_river_journal/features/fitness-guru-want-a-strong-core-skip-the-3-minute-plank/article_72f3c06c-ded5-11ed-aea5-7f0302c07a5a.html

Break old habits to fix an achy back

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Healing a sore back requires breaking some old habits and forming some new ones, says Dr. Stuart McGill. If you’re living with an achy back, getting your swagger back, as McGill, the most recognized spine researcher in the world, states, is different from a knee or shoulder problem. The knee and shoulder, particularly in the early stages of rehab, both do well with full range of motion exercises—think of arm circles. Fixing your low back pain is different and more nuanced, as your spine needs stability, not excess motion. This means that you don’t want excess curves in the spine. A goal for a healthy back is to maintain a neutral spine position during your prescribed program, as well as in daily activities.

The emphasis throughout the day and during workouts is to focus on proper spine stability, rather than more movement in the lower back. Do you slouch when you sit or have too much curve in your lower back while standing? Do you bend over to lift a large object, which is problematic for the posterior back disks? Poor movement habits, repeated throughout the day, can result in a sore back. Stretching and strengthening are important, but not the whole answer. A key to a healthy back is retraining how you position your back during activities, lessening excess spine curves.

Move mindfully with the abdominal brace

McGill likens the abdominal brace as a mild contraction of the abdominals as though you are preparing to get punched in the belly. But it’s not in extremes, like “sucking them in.” Like a dimmer switch gradually adjusts light levels in a room, the abdominal stiffness during your activities isn’t an on/off switch, but works in relationship to what you are doing. You would use less ab bracing during walking and more for lifting a heavy object, for example.

Wall test for excess low back curve

Photo by Connie Aronson
Try the wall test to check for excessive lumbar curve

The abdominal muscles connect your ribs to hips along the front and sides. When you use your abs, they pull the ribs and hips closer. When you stand up, for example, and don’t use your abs, you allow your ribs and hips to be too far apart, creating back sway. Over time, this can contribute to movement flaws, soft tissue stress, or disc problems.

If you can’t stand back with your back against a wall with your heels, hips, upper back and the back of your head lightly touching, without arching your back, you probably have weak abdominal muscles. Remember, our goal is to reduce the excess curves of the spine. Try this test at home.

• Stand with your back to a wall, with heels, butt, shoulders, and head comfortably touching the wall.

• Keep your feet in a neutral position and legs straight.

• Have a friend place a hand behind your low back, or use your hand.

Results: If you can put your whole hand behind the space in the lower back, you have too much back sway.

Ideally, if you know how to brace your core, you wouldn’t be able to put your hand behind lower back !

If you can only get the first knuckle in your hand behind the lower back, congratulations, you have excellent abdominal bracing skills!

https://www.mtexpress.com/wood_river_journal/features/fitness-guru-break-old-habits-to-fix-your-achy-back/article_b0a8b022-b336-11ed-9db5-5b0e14ef4dc1.html: Break old habits to fix an achy back

Modernize your workout. Lose a few old popular exercises

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Modernize your workout with safe new moves

You may already lift weights, but is your workout working? What if you modernize a few moves? With the growing prevalence of chronic and overuse injuries, particularly in the middle- age population, you might be ready for safer alternative exercises. In 2013, there were more than 10 million doctor’s office visits for both lower back pain and shoulder symptoms. The shoulder joint and the back are two important areas where the combination of previous injuries and inappropriate exercises can initiate injury, damage soft tissue or exacerbate an existing injury. Behind-the-neck pulldowns and loaded lateral flexion (e.g. dumbbell side bends), once fitness standards, are two examples. Choosing newer, evidence-based alternative exercises can save you time visiting doctors and physical therapists and help you reap better training results.

Be kind to your shoulders

    A traditional exercise is behind-the-neck pulldowns. Forget your old high school training and don’t put the shoulder and cervical spine at risk of injury. It is estimated that up to 70 percent of people have a shoulder injury in their lifetime. Shoulders need the strength and flexibility that allow you to reach, hold, lift, carry, press and pull, pretty much what you do daily. It’s the most movable joint, and very shallow at that. The shoulder joint is a ball-and-socket joint, with the ball—the head of the upper arm—attaching into a small shallow socket (glenoid fossa), giving the joint inherent instability, often described as a golf ball sitting on a tee. The shoulder is also held together with an elaborate system of muscles, tendons and ligaments, including the rotator cuff muscles, which stabilize the joint during all the pushing and pulling activities that you do. Pulling a bar down behind your neck can lead to rotator cuff instability, suprascapular neuropathy and an increased risk of anterior capsule instability.

The same is true of behind-the-neck shoulder presses, with their risk of repetitive stresses on the joint because of the extreme range of motion. Bringing weights down behind the cervical spine causes excessive forward head tilt, or flexion, and has risk, as it could lead to transient upper-extremity paralysis or transient nerve injury. Aim for having your arms 30 degrees in front of you to allow your weights to be positioned in your body’s center of gravity throughout the lifts instead. You’ll have a better mechanical advantage, and better sports specificity.

Best abs ever

    What is the right workout that will preserve your back instead of destroying it? Dr. Stuart McGill, professor of spine biomechanics at the University of Waterloo, thinks that often the causes of back troubles are replicated in the exercises. When it comes to core work, often the public and even personal trainers focus on moves like sit-ups, often loaded with weight, or back hyperextension called ” Superman,” an extended posture that results in intervertebral disk loading. Similar exercises such as Pilates roll-ups or Russian twists, for strong abs, says McGill in his book “Back Mechanic,” put unnecessary loads, compression and strain on the discs. The loaded dumbbell side bend, for example, increases the likelihood of disc herniation.

  Planks and exercises like the framer’s carry improve core stiffness and trunk endurance—much better predictors of low back health. Super stiffness builds whole body stability, while sparing the joints. Splitting wood with an axe is an example that McGill uses as an analogy:  At the instant of impact, a total body “stiffness” is generated by a rapid contraction of all your core muscles, and spares your back. Check out link for safe alternative exercises~ /vimeo.com/251402324
Published in the Idaho Mt. Express January 19, 2018.