A couple months ago I came across Carson Boddicker’s site and was blown away. He’s a really bright coach and has a lot of unique ideas about training athletes. I asked him to write something for you on the importance of developing proper breathing patterns, which is probably the most overlooked aspects of sports performance training and can have a huge impact on your health and performance.

Enter Carson:

Breathing is a critical piece of the movement equation and is one that has been almost ignored until recently.  Many people simply breathe, and call it “good” if they do not suffocate, unfortunately this is far too simplistic as there is a “right” and a “wrong” way to breathe.

Unfortunately, we know that the majority of people fall toward the “wrong” way and incorrect breathing patterns lead to a gamut of movement dysfunctions.  Improper breathing can lead to dysfunction as high as the TMJ (though some osteopathic physicians see proper breathing as having a mobilizing effect on the skull) and as low as the hips.  In between, breathing plays a powerful role in cervical posture, carpal function, shoulder health, thoracic spine mobility, and lumbo-pelvic-hip stability via intra-abdominal pressure mechanisms.  Better control at the pelvis, leads to more favorable mechanics of the joints above and below, making breathing a powerful ally in preventing lower extremity injury common in hockey players like sports hernia and athletic pubalgia.  Restoration of proper breathing patterns can reduce tone in the majority of cervical muscles, aid in the reduction of forward head posture, and reduce tone of the hip flexors.

The biochemical effects of hyperventilation have powerful effects on fascial constriction and there are primary and/or accessory muscles in each and every fascial line presented by Thomas Myers.  As we understand from the concept of tensegrity, it then stands to reason that breathing limitations alter all fascial lines, and ultimately lead to movement dysfunction.   One could go as far as to say that due to the relationship between the obliques and intercostals of the lateral line, improper breathing can result in reduced function of the “anterior X” that controls and produces torque, and subsequently running, walking, and skating mechanics can be altered.  An inability to check torques appropriately though the LPH complex is yet another risk factor for hockey related hip and groin dysfunction.

Proper breathing certainly provides great benefit to the athlete, is inimitable, and is of huge benefit to a vast array of movement dysfunction.  Thus, there is little question that breathing must be a core competency.  As the great neurologist Karel Lewit said, “If breathing is not normalized, no other movement pattern can be.”

So how does one go about normalizing breathing patterns as Dr. Lewit suggests?

First, before we go about correcting anything, we need to understand if something needs to be corrected at all.

Proper breathing involves the diaphragm contracting to compress the abdominal cavity, making more space for the lungs to expand.  The best way to assess this is simply have the athlete in a seated position, palpate the lower ribs, the sides of the abdomen, and the iliac crest, and have him breath.  Ideally, the athlete will expand his ribs into your hand with minimal elevation of the ribcage until late in the breathing cycle if at all.  If he is unable to do so in seated, I suggest regression to supine positions (like in the first exercise below.

Once the player’s breathing proficiencies are identified, proper correction can commence.

I typically begin my athletes’ training at level where they first demonstrated poor patterns.  If patterns look good in supine, but not prone, I will start them in prone.  If they look fine in prone, but not seated, then training begins in seated positions, etc.  Below are a few of my favorite breathing exercises.

Supine breathing is a great first step for many and can be progressed quickly.  Ideally the bottom hand will rise vertically, and the top hand will demonstrate minimal movement.




Once the supine breathing is well patterned, I often progress to prone prayer position to work on facilitating posterior and lateral ribcage expansion.  According to physical therapist Diane Lee, she finds posterio-lateral expansion to be most restricted in those with lumbo-pelvic-hip dysfunction like SIJ pain, groin strains, and sports hernia.  It is one of the harder positions to master, so providing some feedback by springing on the posterior rib cage at the end of expiration and cuing the athlete to “breathe into my hands” often help solidify patterns.



While there are some exercises designed simply to focus upon breathing and breathing only, it is critical to be able to breathe effectively thorough an abdominal brace, so I challenge athletes in a number of positions and exercises that are traditionally seen as “rotational stability” and “anterior core” exercises.  One of my current favorites is the breathing bench dog with hip flexion as it provides a great rotational stability demand, is lower level, and the contraction of the psoas develops a strong fixed point for diaphragmatic contraction.



Remember as with all we do as coaches, we should be constantly assessing and thinking about ways to help our athletes succeed.  Understanding, coaching, and integrating breathing pattern work is no exception.

Best regards,
Carson Boddicker
www.BoddickerPerformance.com

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One of main topics of the Boston Hockey Summit was the growing problem of sports hernias and “groin” strains within the sport of ice hockey. These injuries are affecting an increasing number of high-level hockey players. I wrote Dissecting the Sports Hernia last summer for StrengthCoach.com outlining some of the research on the topic.

The anatomy involved with these injuries can be very complex, but the concepts involved in preventing them are relatively simple: Maintain balanced strength among the muscles connecting to the pelvis and maintain adequate hip range of motion. Admittedly, these concepts are “simple” in theory, but difficult to implement.

One of the factors associated with hip and lower abdominal injuries is a loss of hip internal rotation range of motion. This can be the result of excessive tightness of the hip external rotators. The stretch below is a great one to maintain hip internal rotation range of motion. Basically you just plant your feet, pull your stomach down toward the floor, and pull your knees toward each other. You should feel this deep in your hips.

 

Knee-to-Knee Stretch

 

Kevin Neeld

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By: Kevin Neeld

In collegiate and professional athletics, the term “sports hernia” seems to be frequenting conversations more and more.  While the diagnosis of a sports hernia seems to be increasing both in prevalence and media attention, the injury remains poorly understood and defined.  An in-depth look into the associated research helps explain why there is so much confusion surrounding this injury.

“Sports” Hernia vs. “Traditional” Hernia

The primary reason for the confusion surrounding sports hernias is that there is no established definition of this injury.  In fact, there isn’t even an agreed upon name for this injury, as sports hernias have also been referred to as: athletic pubalgia, sportsman’s hernia, Gilmore’s groin, athletic hernia, hockey groin syndrome, Ashby’s inguinal ligament enthesopathy, incipient hernia, and osteitis pubis (1).  Generally sports hernias are a label given to a situation involving an athlete that has chronic pain in the lower abdominal or upper proximal medial thigh area.  This pain is further aggravated by rapid rotational or kicking movements, sudden changes in direction, and anything that increases intraabdominal pressure (coughing, holding your breath, etc.).  Typically these symptoms have persisted for an extended period of time and have not responded to non-operative treatments (rest, ice, heat, anti-inflammatory drugs, stretching, etc.).  Physical inspection is unable to find any true hole in the abdominal or inguinal wall or protruding tissue, which are characteristics of “traditional” hernias (2).  Essentially this means that sports hernias aren’t hernias at all.  Naturally, then, the questions is: What is a sports hernia?

The most commonly accepted definition of a sports hernia is a weakening of the posterior inguinal wall.  It is important to note, however, that this is one of MANY proposed definitions.  Complicating the issue further is that sports hernias rarely occur in isolation.  Upon surgical inspection, the following are commonly found:

  • A deficiency in the posterior wall of the inguinal canal (1-3, 5, 6)
  • A deficiency of the transveralis (1, 2, 4, 6)
  • A tear/strain in the conjoined tendon (common tendon of the internal oblique and transversus abdominis; 1, 2, 4, 6)
  • Dilation of the internal inguinal ring (1, 6)
  • Thin or torn rectus abdominis insertion (1, 2, 4, 6, 7)
  • Thinning or tearing of internal or external oblique aponeuroses (1, 2, 6)
  • Entrapment of ilioinguinal, genitofemoral, obturator, femoral, iliohypogastric, and lateral femoral nerves (1, 2, 6, 8)
  • Adductor tendinopathy (1, 5-7)
  • Iliopsoas complex strain (1)
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