Garrett McLaughlin, MS, ATC, CSCS, ART

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Home Strength Training Routine for Runners

March 30, 2020 · by Garrett McLaughlin

| Article written on March 29th, 2020 at 06:28pm | Follow Garrett on Facebook and Instagram |

Strength training is an important supplemental strategy for runners. Not only does it help increase strength, power, stability, and balance, but it can have a protective effect on the body when incorporated properly alongside your running.

Since the combination of running and strength training creates a certain amount of total volume, it’s important that your strength training program takes into consideration your running mileage. As much as strength training is super important for any runner, total volume must be managed to make sure you aren’t creating an overtraining stimulus. This requires an appropriate balance between training (running & strength training) and recovery. However, if you are currently in the offseason or do not have a goal race scheduled within the next 3-months, I highly recommend making strength training a more consistent priority.

With the coronavirus pandemic undoubtedly disrupting your normal routine, this article will provide a home option to keep you moving in a consistent and healthy way. There is no equipment required and it can be easily scaled to your ability level. Even after the coronavirus crisis is resolved, I highly recommend using this routine as a supplement to your running.

There are two ways to get the most from this home program…

Simply continue following the article as it is outlined to walk step-by-step through the entire strength training workout.
If you would prefer to watch the exercises one at a time and without a more detailed explanation, click here to download the Home Strength Training PDF. This PDF will break the entire routine down into it’s individual pieces and is also a great resource when you fully understand the proper technique of each exercise. Please download it directly to your computer for safe keeping.

Now, let’s get started…

Dynamic Warm-Up Routine

The dynamic warm-up is a necessary component of any exercise program. In the following dynamic warm-up, I will show you how to very simply increase tissue temperature, lubricate the joints, and prepare the body for the more challenging exercises soon to come. I recommend completing each drill for 10-15 repetitions each. Feel free to add additional movements or increase repetitions as you see fit to prepare yourself for activity.

The dynamic warm-up includes:

Leg Swings (Forward/Backward)
Leg Swings (Across/Out)
Trunk Rotation
Arm Swings
Alternating Arm Swings
In-Place March or Marching
Pop & Float or Skipping
Line Hops: Double Leg Lateral
Vertical Jump & Stick
Medial to Lateral Jumps

Watch the video below to view the full dynamic warm-up in action!

Strength Training: Group #1 Exercises

Now that you are properly warmed up, it’s time to get into the strength-based exercises. The following exercises will target strength, endurance, stability, and balance. And, they are laid out in a superset to rotate from a lower body, upper body, and core exercise, before cycling back through for additional sets. What’s important is selecting the correct exercise variation that fits your ability level and completing the appropriate number of sets and repetitions to be challenged. I recommend completing each exercise for 2-3 sets of 10 repetitions. The hip bridge can be held for 30 seconds.

The group #1 exercises includes:

Split Squat
Eccentric Push-Up or Push-Up
Hip Bridge or Hip Bridge Marching

Watch the video below to view the full group #1 exercises in action!

Strength Training: Group #2 Exercises

In group #2, we will continue addressing a handful of key areas for runners including single leg strength & balance, upper body strength, and a hip/core combo. Once again, the exercises are laid out in a superset to rotate from a lower body, upper body, and core exercise, before cycling back through for additional sets. What’s important is selecting the correct exercise variation that fits your ability level and completing the appropriate number of sets and repetitions to be challenged. I recommend completing each exercise for 2-3 sets of 10 repetitions.

The group #2 exercises includes:

Step Up or Continuous Step Up
Dips with Knees Bent or Dips with Knees Straight
Modified Lateral Elbow Stabilization or Lateral Elbow Stabilization

Watch the video below to view the full group #2 exercises in action!

Strength Training: Group #3 Exercises

In group #3, we will wrap up the strength training component of this program by addressing multiplanar movement, posture, and core strength. Once again, the exercises are laid out in a superset to rotate from a lower body, upper body, and core exercise, before cycling back through for additional sets. What’s important is selecting the correct exercise variation that fits your ability level and completing the appropriate number of sets and repetitions to be challenged. I recommend completing each exercise for 2-3 sets of 10 repetitions.

The group #3 exercises includes:

Lateral Squat or Alternating Lateral Lunges
Bent Over TYI’s
Front Plank or Body Saw

Watch the video below to view the full group #3 exercises in action!

Cool Down Routine

Before going on with your day, it’s important to perform a brief cool down and flexibility routine. This routine provides recommendations for various drills that emphasize the lower body, but also target upper body posture and diaphragmatic breathing. All of these have their place following a workout or run. Complete each drill for 30-60 seconds and increase time as needed depending on how your body feels.

The cool down routine includes:

Wall Pec Stretch
1/2 Kneeling Hip Flexor Stretch
Spiderman Lunge with Rotation
Rocking Pigeon Stretch
Downward Dog
Crocodile Breathing

Watch the video below to view the full cool down routine in action!

Thank you for taking the time to learn and hopefully complete this home strength training routine. Regardless of your situation, it’s important to include a strength training component alongside your running to improve performance and reduce your likelihood of injury. To receive an individualized strength training and injury prevention program that addresses your particular weak links, click here to learn more about the Healthy Running Program.

By: Garrett Mclaughlin, MS, ATC, CSCS, ART

How to Utilize Strength Training to Improve Bone Health

March 25, 2020 · by Garrett McLaughlin

| Article written on March 24th, 2020 at 12:35pm | Follow Garrett on Facebook and Instagram |

Preserving optimal levels of bone mass is important as we age. Did you know that approximately 52% of American adults over the age of 50 have low bone mass at the femoral neck or lumbar spine?

Part of the difficulty lies in the fact that the majority of peak bone mass is accrued before 18 years of age in females and 20 years of age in males. Therefore, if we don’t take the necessary steps early in life to be active and/or follow a proper nutrition plan, we could potentially set ourselves up for bone related issues later in life.

According to the National Osteoporosis Foundation, approximately 10 million American adults, 8 million of which are women, have osteoporosis. Another 35 million have insufficient bone mass or osteopenia. Adults who do not incorporate regular strength training may experience a 1% to 3% decline in bone mineral density every year. Research studies show that significant increases in bone mineral density can be achieved after 4 to 24 months of resistance training. However, termination of strength training is likely to lead to a reversal in gains.

Need help improving bone mass or recovering from a bone stress injury? Click here to speak with Garrett about individualized strategies that can help you.

Over the years, I have worked with countless people who suffer from osteopenia, osteoporosis, and bone stress injury. Despite being caused by very different factors, all of these can and should be addressed with a structured and progressive strength training program. Strength training and proper loading have been shown to maintain/stimulate bone growth and prevent future decline in bone mineral density. Along with other nutritional and lifestyle factors, a daily dose of exercise can be a worthwhile strategy in promoting overall bone health.

Before we go on, let’s define the terms osteoporosis, osteopenia, and bone stress injury so we are all crystal clear on what this article is describing…

Osteopenia is a mild thinning of the bone mass where formation of new bone is not sufficient to offset normal bone loss. Not as severe as osteoporosis.

Osteoporosis literally means porous bone and is a disease in which density and quality of bones are reduced. Osteoporosis carries a greater risk of fracture.

Bone Stress Injury refers to a phenomenon in which bones cannot tolerate repeated mechanical loads, resulting in structural fatigue, local bone pain, and tenderness.

Since I work predominantly with runners in the Healthy Running Program, I’d like to use this article to speak directly to those who have a bone related disorder, previous history of a bone stress injury, or a combination of both. With the repetitive, sub-maximal nature of running, bone stress injuries are not uncommon and have been shown to comprise approximately 30% of all running-related injuries. This means a proactive approach and understanding of one’s medical history are important to reduce the likelihood of enduring a bone stress injury with the demands of running.

Like I mentioned previously, strength training and progressive loading are proven strategies to prevent the decline of bone mineral density, increase overall bone mass, and rehabilitate from a bone stress injury. Doing so under the supervision of a trained healthcare professional is important. That’s because these programs should be individualized to your needs and progressed at a proper rate over time.

Research shows that a minimum of 6-8 months are needed to see measurable results in bone mass. This is largely in part to one remodeling cycle of bone resorption, formation, and mineralization which takes 3-4 months to complete. Therefore, depending on your need to improve bone health, patience and consistency are necessary factors for success.

Strength training and weight-bearing activities specifically have been shown to provide beneficial effects on bone health. Not only does it increase or prevent the decline of bone mineral density as we age, but it also improves strength, balance, and coordination to reduce to the risk of falls which may contribute to fracture.

In order to achieve maximum benefits with strength training, the program must…

Include dynamic movements over static
Achieve adequate strain intensity
Consist of discrete and intermittent bouts
Include variable loading patterns
Be supported by optimal nutrition
Emphasize adequate intake of calcium and vitamin D

Since strength training is such a vast and complex topic, let’s get more specific and explore two of the most impactful exercises when addressing bone health. These exercises include the squat and deadlift.

The squat and deadlift are staples within the strength training world and for good reason. That’s because they create an axial/compressive load on the musculoskeletal system, can be loaded quite easily with a dumbbell, kettlebell, and/or barbell, and have numerous variations to stress the body in a variety of ways. Like I mentioned above with the requirements to achieve maximum benefit, the squat and deadlift check all of the boxes.

Of course, when suffering from injury or bone related disorder, form and technique become a priority to stimulate the bone in the correct way without creating injury. In the following videos, let’s cover a basic squat and deadlift progression so you understand proper form and how to progress these movements over time to see the best results possible.

Progression #1: Squat

The squat is a foundational knee dominant movement that you’ll commonly see in the gym and also throughout your daily routine. Whether you are lifting weights or getting up and down from a chair, this movement is essential and can be used as an exercise to improve bone density. When using the squat to improve bone mineral density, form and patience should take precedence over load. Once you are proficient with performing the exercise properly, increasing load by adding resistance or progressing to a harder variation will be important and necessary to stress the body enough for a positive change in bone density. This video demonstration will walk you through (3) different variations of the squat to see the best results.

Begin with 2-3 sets of 8-12 repetitions and progress to 4-8 repetitions over time with a heavier resistance. Rest for 1-2 minutes in between sets or complete a few sets in the morning and a few sets in the evening.

Progression #2: Deadlift

The deadlift is a foundational hip dominant movement that you’ll commonly see in the gym and also throughout your daily routine. Whether you are lifting weights or picking up a box from a floor, this movement is essential and can be used as an exercise to improve bone density. When using the deadlift to improve bone mineral density, form and patience should take precedence over load. Once you are proficient with performing the exercise properly, increasing load by adding resistance or progressing to a harder variation will be important and necessary to stress the body enough for a positive change in bone density. This video demonstration will walk you through (3) different variations of the deadlift to see the best results.

Thank you for taking the time to read this article on ‘How to Utilize Strength Training to Improve Bone Health.’ The key thing to remember is that regardless of your situation there are a multitude of factors that go into improving bone health. In terms of exercise, weight-bearing activities and the strength training exercises shared in this article can be helpful in the rehabilitation and prevention of a bone related disorder and/or bone stress injury. However, your best defense is creating good exercise, nutritional, and lifestyle habits early in life to lay a solid foundation of bone mass for later on in adulthood.

If you or someone you know is struggling with a bone related disorder or bone stress injury, click here to schedule your free consultation. Garrett is an athletic trainer and functional movement expert that can you help you implement an individualized program to improve bone health and reduce your risk of bone stress injury.

By: Garrett McLaughlin, MS, ATC, CSCS, ART

Sources:

Bone Stress Injuries by Kiuru et al.
Bone Stress Injuries in Runners: a Review for Raising Interest in Stress Fractures in Korea by Song et al
Bone Health In Athletes: The Role of Exercise, Nutrition, & Hormones by Goolsby et al
Resistance Training is Medicine: Effects of Strength Training on Health by Westcott et al
Physical Activity and Bone Health by Kohrt et al
Muscle Strength, Bone Mass, and Age-Related Bone Mass by Burr et al

Basic Plyometrics to Improve Bone Health

March 19, 2020 · by Garrett McLaughlin

| Article written on March 19th, 2020 at 5:41pm | Follow Garrett on Facebook and Instagram |

Preserving optimal levels of bone mass is important as we age. Did you know that approximately 52% of American adults over the age of 50 have low bone mass at the femoral neck or lumbar spine?

Over the years, I have worked with countless people who suffer from osteopenia, osteoporosis, and bone stress injury. Despite being caused by very different factors, all of these can and should be addressed with a structured and progressive exercise program. Exercise and proper loading have been shown to maintain/stimulate bone growth and prevent future decline in bone mineral density. Along with other nutritional and lifestyle factors, a daily dose of exercise can be a worthwhile strategy in promoting overall bone health.

Need help improving bone mass or recovering from a bone stress injury? Click here to speak with Garrett about individualized strategies that can help you.

Before we go on, let’s define the terms osteoporosis, osteopenia, and bone stress injury so we are all crystal clear on what this article is describing…

Osteopenia is a mild thinning of the bone mass where formation of new bone is not sufficient to offset normal bone loss. Not as severe as osteoporosis.

Osteoporosis literally means porous bone and is a disease in which density and quality of bones are reduced. Osteoporosis carries a greater risk of fracture.

Bone Stress Injury refers to a phenomenon in which bones cannot tolerate repeated mechanical loads, resulting in structural fatigue, local bone pain, and tenderness.

In long distance runners, approximately 50% of bone stress injuries occur in the tibia alone, while other common injury sites are the femur, fibula, calcaneus, and metatarsal bones. This is highly dependent on a combination of factors, including individual weight-bearing patterns and running biomechanics. Since the majority of long distance runners, compared to short distance runners, strike with a rear foot (heel) pattern, this places greater load on the long bones such as the tibia and femur.

Bone stress injury can be classified by location into two categories, including low-risk and high-risk. These are outlined in the following table…

Aside from running biomechanics, weight-bearing patterns, and increasing your intensity or duration too rapidly, there are several risk factors for bone stress injury which must be taken into consideration. These include…

Living a sedentary lifestyle
Genetics- white females are at the highest risk of bone disorders compared to African American females and males
Drug usage, including: antacids, steroids, and antidepressants
Lack of calcium, vitamin D, and other nutritional considerations
A history of previous fractures and low bone mineral density
Bone characteristics including a thinner cortex
Female athlete triad and interrelationship of energy availability, menstrual function, and bone mineral density
Hormonal imbalance
Biomechanical factors, including: leg length discrepancy, small calf circumference, pes cavus and pes planus, vertical loading rates, peak hip adduction, and rear foot eversion
Sport, training changes, terrain/running surface, inadequate recovery time, inappropriate or sudden change in footwear

Like I mentioned previously, exercise and a progressive loading program are proven strategies to prevent the decline of bone mineral density, increase overall bone mass, and rehabilitate from a bone stress injury. Doing so under the supervision of a trained healthcare professional is important. That’s because these programs should be individualized to your needs and progressed at a proper rate over time.

Exercise, and weight-bearing activities specifically, has been shown to provide beneficial effects on bone health. Not only does it increase or prevent the decline of bone mineral density as we age, but it also improves strength, balance, and coordination to reduce to the risk of falls which may contribute to fracture.

In order to achieve maximum benefits with exercise, the program must…

Include dynamic movements over static
Achieve adequate strain intensity
Consist of discrete and intermittent bouts
Include variable loading patterns
Be supported by optimal nutrition
Emphasize adequate intake of calcium and vitamin D

Plyometrics is a form of exercise that contains higher magnitude jumping, hopping, and landing-type movements which can be helpful in optimizing bone health. This should only be considered when progressed to properly following lower impact weight-bearing exercises and deemed safe by a healthcare professional following a bone stress injury. From a preventive standpoint, I recommend plyometrics to all of my asymptomatic running clients in healthy doses to properly stimulate the skeletal system.

Why plyometrics may be better than other weight-bearing movements is because they are higher intensity with a larger magnitude and rate of loading. This greatly increases ground reaction forces and stress on the bones to stimulate positive changes in bone mineral density. Also, they can range in difficulty and intensity, and require little equipment and minimal time.

Where do you begin? In the following, I outline 5 of my favorite plyometric drills to optimize bone health. These are simple hopping drills that require no equipment and can be completed in any setting. The important thing is they are progressive in nature and also take into consideration variable loading patterns and intermittent bouts.

Plyometric Drill #1: Ankle Hops

Ankle Hops are an entry level plyometric drill that teaches runners how to properly store and release energy at the lower leg. Since tibial and other lower leg bone stress injuries are prominent in the sport of running, this drill begins increasing load directly in that area while paving the way for more complex movements.

Begin with 2 sets of 5-10 repetitions and progress to 4 sets of 5-10 repetitions over time with a greater degree of intensity. Rest for 1-2 minutes in between sets or complete a few sets in the morning and a few sets in the evening.

Plyometric Drill #2: Line Hops: Double Leg Lateral

Double Leg Lateral Line Hops are a nice progression from Ankle Hops that start to introduce a load in the frontal plane (lateral). Running is a very predictable and repetitive movement pattern and, therefore, lateral and rotational movements can help provide variability to stimulate a positive response to the skeletal system.

Begin with 2 sets of 5-10 repetitions in each direction and progress to 4 sets of 5-10 repetitions over time with a greater degree of intensity or distance. Rest for 1-2 minutes in between sets or complete a few sets in the morning and a few sets in the evening.

Plyometric Drill #3: Line Hops: Single Leg Lateral

Single Leg Lateral Line Hops is an important progression from the double leg hopping drills I shared previously. As much as we can increase intensity by performing more repetitions, more distance on each hop, or a faster speed, progressing from double leg to single leg is necessary. Running is an exclusively single leg sport, therefore, implementing plyometrics on a single leg will not only provide a greater load on the skeletal system but better replicates the demands of running.

Begin with 2 sets of 5-10 repetitions in each direction and on each limb and progress to 4 sets of 5-10 repetitions over time with a greater degree of intensity or distance. Rest for 1-2 minutes in between sets or complete a few sets in the morning and a few sets in the evening.

Plyometric Drill #4: 4-Square Single Leg Hops with Stick

The 4-Square Single Leg Hops with Stick continues to increase load on a single leg while adding more variability to these plyometric drills. Since bone needs dynamic and variable movement patterns to continue stimulating growth, this drill is a nice progression when ready. Due to the added complexity of this drill, I recommend emphasizing a “stick” landing each time. This will improve control and stability to be challenged further in the next progression.

Begin with 2 sets of 2-4 complete rotations in each direction and on each limb and progress to 4 sets of 2-4 complete rotations over time with a greater degree of intensity or jump height. Rest for 1-2 minutes in between sets or complete a few sets in the morning and a few sets in the evening.

Plyometric Drill #5: 4-Square Single Leg Hops

The final plyometric drill in this progression is the 4-Square Single Leg Hops. Similar to the last drill, it require multi-directional hopping to provide variability and several ways to increase intensity. Start simple by mastering the drill in a small space. Once proficient, you can increase the distance of each jump, height of each jump, or overall speed going through the square.

Thank you for taking the time to read this article on ‘Basic Plyometrics to Improve Bone Health.’ The key thing to remember is that regardless of your situation there are a multitude of factors that go into improving bone health. In terms of exercise, weight-bearing activities and the plyometric drills shared in this article can be helpful in the rehabilitation and prevention of a bone related disorder and/or bone stress injury. However, your best defense is creating good exercise, nutritional, and lifestyle habits early in life to lay a solid foundation of bone mass for later on in adulthood.

If you or someone you know is struggling with a bone related disorder or bone stress injury, click here to schedule your free consultation. Garrett is an athletic trainer and functional movement expert that can you help you implement an individualized program to improve bone health and reduce your risk of bone stress injury.

By: Garrett McLaughlin, MS, ATC, CSCS, ART

Sources:

Bone Stress Injuries by Kiuru et al.
Bone Stress Injuries in Runners: a Review for Raising Interest in Stress Fractures in Korea by Song et al.
Bone Health In Athletes: The Role of Exercise, Nutrition, & Hormones by Goolsby
Effects of Plyometric Training on Bone Mass in Adolescent Girls by Witzke et al.

Loading Strategies to Resolve Patellar Tendinopathy

March 7, 2020 · by Garrett McLaughlin

| Article written on March 7th, 2020 at 1:17pm | Follow Garrett on Facebook and Instagram |

Anterior knee pain is common amongst runners, athletes, and the general population. In this article, I will attempt to explore different considerations regarding patellar tendinopathy specifically and provide various loading strategies for rehabilitating the knee back to full function.

Click here to connect with Garrett directly about your knee pain.

The patellar tendon is located directly at the front of the knee and connects the quadriceps, patella, and proximal tibia. Pain is usually localized to the inferior pole of the patella and during movements that load the quadriceps. Cook et al reports that approximately 1/3 of athletes who presented with patellar tendinopathy were unable to return to sport for more than 6-months. Therefore, early detection in less severe stages is crucial, as well as the acceptance that resolution of symptoms could take an extended period of time.

Anterior view of the knee joint and patellar tendon.

What’s important to realize about an injury to the patellar tendon is that we are dealing with a dense fibrous connective tissue that connects muscle to bone. According to Thorpe et al, the main function of tendons is to “transfer muscle generated force to the bony skeleton, facilitating movement around a joint, and as such they are relatively passive, inelastic structures, able to resist high forces.” Despite being able to resist against high forces, as in running, jumping, and many sporting activities, tendons are susceptible to injury based on various scenarios…

The force placed upon the tendon exceeds the tissue’s load capacity
A series of small and repetitive forces are applied for a duration long enough to cause tissue breakdown
Other biomechanical factors are creating compensation elsewhere throughout the kinetic chain which ultimately increases load on the tendon

Regardless of which scenario proves to be true, the end goal of any tendon rehabilitation program is not the absence of pain, but return to full, pain-free function. Like with most injuries, rest is important and will allow the injury to calm down temporarily. However, tendon pain will likely resume when load is re-introduced to the area if the capacity of the tissue is not restored.

In the research article, ‘Current Concepts in Biomechanical Interventions for Patellofemoral Pain,’ Willy et al describe a homeostasis model first created by Scott Dye in 2005. This model suggests that the injury process can be stimulated in response to sudden bouts of increased training loads or stressors. For example, a runner or athlete that is conditioned for a specific distance or intensity but decides to increase one or both of these factors before the tendon is ready to handle the increased workload. That’s why I recommend all runners follow a structured and progressive training program which increases mileage in a safe and effective manner to build tissue tolerance.

Willy et al states that once homeostasis of the tissue is disrupted, sudden increases in training loads may no longer be able to be tolerated even if these are routine daily activities. Therefore, once the tissue is in a pathologic state, the ability to load without pain decreases significantly. The goal now becomes to re-establish this homeostatic relationship to stabilize the tissue, then progressively restore the loading capacity to be more tolerant to the forces it will encounter. Basically, excessive loading created this situation but it will also be a key factor in resolving it for long-term success.

Now, before we cover the loading strategies to resolve patellar tendinopathy, it’s important to touch on cadence, aka step rate, and it’s impact on the knee while running. Overstriding (image B below) is a term that refers to the foot landing too far in front of the body’s center of mass at initial contact. What this does is create a braking mechanism and thus increases energy absorbed at the knee.

Progressively loading the quadriceps and patellar tendon will certainly make the area more tolerant to the forces of running. At the same time, increasing cadence by just 5-10% has been shown to decrease energy absorbed at the knee by 20-34%.

Running at a higher cadence reduces stride length, disperses the amount of force over more steps, and allows the foot to land closer underneath the body’s center of mass. A combination of both approaches is important to consider in order to reduce the likelihood of injury and/or return to running following patellar tendinopathy. Click here to read a more in-depth article that I wrote on the topic called, ‘The Impact of Cadence on Running Mechanics.’

When incorporating the following loading strategies, it’s important to keep in mind the 24-hour rule. Basically, you want to stress the patellar tendon in a healthy way that limits pain to nothing above a 3 out of 10. And if pain lingers, it should resolve completely within 24-hours. This is an important concept to understand with tendon pain. A certain degree of pain is acceptable and might be needed to elicit the desired response from the tendon. However, if your pain exceeds these parameters then modifying certain variables, such as the exercise, tempo, load, and position might be warranted.

Decline Squat Progression

The Decline Squat is a fantastic exercise that utilizes a slant board or elevated heel position to increase demand on the knee. Like with all of these progressions to rehabilitate patellar tendinopathy, it’s important to understand the dose and response relationship before increasing the intensity in anyway. What I mean is, start simple and progress slowly after seeing how the tendon responds to the added load, tempo, and number of repetitions. The different variations of this movement allow you to gradually increase load on the knee joint in a progressive manner. In this video, I demonstrate the bodyweight, goblet, and 2-dumbbell Decline Squat progression.

Spanish Squat Progression

The Spanish Squat is a somewhat newer exercise that I’ve only used for the past 2-years or so. Like with all of these progressions to rehabilitate patellar tendinopathy, it’s important to understand the dose and response relationship before increasing the intensity in anyway. What I mean is, start simple and progress slowly after seeing how the tendon responds to the added load, tempo, and number of repetitions. The different variations of this movement allow you to gradually increase load on the knee joint in a progressive manner. In this video, I demonstrate the bodyweight, goblet, and 2-dumbbell Spanish Squat progression.

Lateral Step-Up with Counterbalance

Since the knee is largely influenced by stability at the foot, ankle, and hip, it’s important to successfully complete one of the bilateral exercises mentioned above and then move on to a single leg variation. The Lateral Step-Up with Counterbalance allows the body to be held in a position that loads directly into the knee joint. Like with all of these progressions to rehabilitate patellar tendinopathy, it’s important to understand the dose and response relationship before increasing the intensity in anyway. What I mean is, start simple and progress slowly after seeing how the tendon responds to the single leg position, load, tempo, and depth of the step. This exercise is usually recommended after laying the foundation with the two bilateral progressions demonstrated above.

Despite showing you two different loading progressions to properly rehabilitate patellar tendinopathy, it’s not my intention for you to complete both of these. I would start by determining which is the best starting point for you and following that path to create a more tolerant and pain-free knee. Once that’s achieved, the Lateral Step-Up with Counterbalance is a suitable next step to incorporate single leg loading and stability. This is especially important if your goal is to return to running or a change of direction sport.

I hope this article has helped you better understand patellar tendinopathy, as well as recommended strategies to reduce pain and increase function. As always, it’s important to consult with a trained healthcare professional to be properly diagnosed and understand the underlying factors which may be contributing to your injury. Please take a second to click here so we can create a structured plan to resolve your knee pain once and for all.

By: Garrett McLaughlin, MS, ATC, CSCS, ART

The Impact of Cadence on Running Mechanics

February 20, 2020 · by Garrett McLaughlin

| Article written on February 20th, 2020 at 12:25pm | Follow Garrett on Facebook and Instagram |

Cadence is a hot topic in the running world, and for good reason. When manipulated properly it can positively impact your running to improve efficiency and reduce strain on sensitized tissues. As always when it comes to changing your running form, it’s important to understand the research, seek the guidance of a trained healthcare professional, and do so in the safest way possible. This article will cover some potential benefits that cadence manipulation can have on your running mechanics.

Let’s start by defining cadence… Cadence, also known as step rate or step frequency, is the number of steps you are taking per minute (spm). An easy way to calculate this is by counting the number of steps on your conversational pace run for 30-seconds and then multiplying that number by 2. This number should vary depending on your pace, intensity, and terrain. So keep it simple by calculating cadence during your long, slow distance run first. If you’re fortunate enough to have a Garmin watch or other wearable technology, it’s likely that your cadence has been tracked all along.

Over the years, there has been a lot of debate surrounding cadence. Famous running coach, Jack Daniels, and local running stores who offer Good Form Running Clinics, often propose 180spm as the gold standard. The problem with that number is, it does not take into consideration the unique characteristics of you as a runner, how many steps per minute your body auto-regulates to, and your injury history. When altering running mechanics, it’s important to do so on an individual basis and while considering every variable. This may or may not mean 180spm ends up being the right cadence for you. And, truthfully, there was no mention of this number in any of the research articles I reviewed.

In the following sections, let’s comb through the research to determine how much impact increasing your cadence can have on your running. I will highlight various research articles and discuss the key findings of each. This will serve as a good review of the literature and you can dig deeper into any article that interests you.

Article #1: Influence of Stride Frequency and Length on Running Mechanics by Schubert et al

Objective: To determine how running mechanics change when manipulating stride frequency and stride length.

Findings:

The knee was the most affected joint when cadence was increased, which displayed a more flexed position at initial contact and less peak knee flexion during the stance phase
The ankle demonstrated a more plantar flexed position at initial contact with a higher cadence
The hip displayed less peak hip flexion and adduction during initial contact with a higher cadence
The foot lands closer to the body’s center of mass when cadence is increased
There was a reduction in peak vertical ground reaction forces
There was a reduction in center of mass vertical excursion
Increasing cadence reduces ground contact time which in turn increases leg stiffness

Click here to view this article.

Article #2: Effects of Step Rate Manipulation on Joint Mechanics During Running by Heiderscheit et al

Objective: Assess the biomechanical effect that a 5% and 10% increase in cadence has on the hip, knee, and ankle joints to determine if it is a possible strategy to reduce lower extremity injury rates.

Findings:

Step length decreased as cadence increased
Decreased center of mass vertical excursion
Reduction in braking impulse at initial contact
Foot inclination angle, peak vertical ground reaction force, and step duration only differed with a 10% increase in preferred cadence
Rate of perceived exertion increased when cadence was 10% greater than preferred cadence
A 5% increase in cadence reduced energy absorbed at the knee by approximately 20%
A 10% increase in cadence reduced energy absorbed at the knee by approximately 34%
A decrease in preferred cadence produced a similar increase in energy absorbed at the knee
A 10% decrease in cadence produced a significant increase in energy absorption at the ankle and hip joints, however, a 10% increase in cadence only reduced energy absorption at the hip joint

Click here to view this article.

Article #3: The Effects of Running Cadence Manipulation on Plantar Loading in Healthy Runners by Wellenkotter et al

Objective: Evaluate the effects of cadence manipulation on plantar loading during running.

Findings:

Total foot contact time and peak force were lower with a 5% increase in cadence
Foot contact time was greater with a 5% reduction in cadence
Faster cadence decreased heel loading and did not increase metatarsal loads
Metatarsal loads were generally reduced with an increased cadence
A 5% increase in cadence was shown to reduce plantar loads 2.4-8.0%

Click here to view this article.

Article #4: Leg Stiffness and Stride Frequency in Human Running by Farley et al

Objective: Determine the relative importance of changes to the leg spring stiffness and the angle swept by the leg spring when humans alter their stride frequency at a given running speed.

Findings:

Stiffness of the leg spring increased 2.3x between a cadence that was 26% below preferred to 36% above preferred
The leg spring becomes stiffer to accommodate a faster cadence and less stiff when accommodating a slower cadence

Click here to view this article.

In conclusion, these research articles show there may be merit when manipulating cadence in certain situations. Increasing cadence may reduce overall load into the affected tissue if you are suffering from a running-related injury and improve running efficiency. Using a metronome can be a helpful tool when increasing to 5% or 10% above your preferred cadence as shown in the articles. It’s recommended to not make any abrupt changes, but do so in a slow and progressive manner which will allow your body to adapt to these changes in running form.

If you have any questions about how cadence manipulation may affect your running or you want more information regarding the Healthy Running Program, click here to contact me directly. Thanks for reading!

By: Garrett McLaughlin, MS, ATC, CSCS, ART

‘In the Spotlight’ with Carrie Leuenhagen

February 6, 2020 · by Garrett McLaughlin

In this edition of ‘In the Spotlight,’ let’s talk with Carrie Leuenhagen. Carrie was a recent finisher and 1st place winner in the Fall 2019 Healthy Running Program’s 6-Week Challenge.

What immediately struck me about Carrie was that she was ready to go. There was no convincing or pushing needed because she brought motivation and drive to each and every session. She is very driven, hard working, and consistent. These are only a handful of the reasons why she was able to complete 95% off all tasks over the 6-week period.

Carrie decided to join the program to improve consistency within her routine, re-establish a good foundation of fitness, and lose weight. Within 6-weeks of structured strength training and corrective programming, she increased her lower body endurance on the Split Squat Hold by an average of 50-seconds per side, core strength on the Side Plank by an average of 23-seconds per side, upper body strength on the Push-Up by 10 repetitions, and upper body strength on the TRX Row by 15 repetitions. Nothing short of great results since Carrie consistently followed the plan week after week and made no excuses while doing it!

Without further ado, let’s shine the spotlight on…

Carrie Leuenhagen

Q: What do you do for work?

A: “I am a Talent Acquisition Specialist for one of the automotive suppliers, Visteon, out in Van Buren Township. My whole career was as an elementary education teacher and then 3 years ago, I switched to recruiting. I have been with Visteon since July of 2019.”

Q: When you aren’t working, what are some of your favorite hobbies?

A: “I love to read and listen to audible. I am always reading or listening to personal development/growth books. I just want to get better. I enjoy podcasts as well.”

Q: What are the top reasons you enjoy running and staying active?

A: “I have run literally since I was 11 years old when I first ran cross country and track in sixth grade. Running helps me clear my mind, make decisions and destress while also enjoying friends, the outdoors and challenging myself. I have run 5Ks to full marathons and really enjoy the half marathon distance. I love to be active not just because of the physical reasons but because it truly helps me manage stress and be energized to be my best self.”

Q: If you could live anywhere in the world where would that be? Why?

A: “I truly love the south of France. I haven’t been there since just after college but I would love to spend some time there again in retirement.”

Q: When you first started working with Garrett, what were the goals you wanted to achieve?

A: “Unfortunately, I had just had a physical and realized I had put on some weight. I knew it of course, but that’s when I faced it. I am blessed that I can go up and down the scale and people don’t really notice—but I NOTICE- and I don’t want to keep adding 5lbs until I have a problem. So I wanted to start losing weight and gain strength and then start to figure out what my running goals would be.”

Q: What was it about the 6-week program that you felt like would be a good fit for you?

A: “I have a long drive to work and the location was right on my way home. I literally knew nothing about it but Garrett’s information about the program popped up on my Facebook. I liked having group training once a week and at home workouts the other days. I knew I needed a coach and some accountability.”

Q: Were there any specific motivating factors to incorporate a more structured strength training/injury prevention program into your routine?

A: “While I have always been a runner, I have not been consistent about weight training. This program helped me to enjoy it for a change!”

Q: What are the most noticeable improvements you’ve seen so far?

A: “Ironically, I didn’t run all that much during the 6 weeks. Once I picked it up, I could tell an immediate difference in my efficiency. You would have thought I had been doing tons of miles. I just ran 7 miles yesterday and felt strong.”

Q: What is that one thing you dislike the most but continue to work on because you know it will help?

A: “STRETCHING!!!”

Q: Accountability is one of the biggest aspects of the 6-week program. Were there any key ingredients that allowed you to stay so consistent that you came in 1st place?

A: “I loved the app! It helped me so much for consistency and accountability. Plus the ability to see the videos to be reminded how to do the exercises was a big plus. The Sunday check-ins helped me to consider weekly how I did with water consumption, getting in the workouts, etc. when I otherwise might not have reflected on it. I enjoyed competing for the prizes too! : )”

Q: Looking ahead, do you have any big goals or races you are working towards in 2020?

A: “Currently I am training for the Allstate Hot Chocolate 15K in Detroit in April. I am also doing the Run the Year challenge with an on-line team.”

Thank you for reading this ‘In the Spotlight’ segment. And, a big shout out to Carrie Leuenhagen! To learn more about the Healthy Running program, please click here.

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