Dr Mel Siff Discusses Adductor Injury and Treatment

Author: Dr Mel Siff Blog  //  Category: Dr Mel Siff on Physiology, Dr Siff On Recovery / Other Therapies, Dr Siff on Injuries/Disease

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<This morning I was testing on the 13″ box squat. As I came off the box
about an inch or so? I felt what I believe to be my adductor tear, very
painfull. I dropped the bar on the pins and hit the floor. I thought I might
have to cut the suit off but got it off without ruining it. I had not yet
reached my top set and it did not feel too heavy. I noticed no lapse in
form. It just went. I got a prescription for a muscle relaxer and am taking
Ibupropfen until I can get to the doctor. Also using Ice packs 20 minutes on
and 20 minutes off. So far I do not see any bleeding, bulges or gaps, very
tender to the touch. Have any of you experienced this injury and what might
be ahead. I have not had this particular injury before.>

*** Many years ago, while I was jerking 325lb overhead, my front foot
slipped on baby powder left by a preceding 90kg division lifter on the
platform and I landed in a full ballet splits position. This was one of the
most painful experiences of my life and my adductor magnus was severely
ruptured, as indicated by massive bleeding and bruising that became visible Read more…

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More on Dr Mel Siff’s Subluxation Paradox

Author: Dr Mel Siff Blog  //  Category: Dr Mel Siff on Physiology, Dr Siff On Recovery / Other Therapies, Dr Siff on Injuries/Disease, Main Content

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In response to Dr Mel Siff’s Subluxation Paradox http://www.melsiff.com/12359/subluxation-puzzle-and-paradoxes-by-mel-siff/

Here is some further discussion from another list on my subluxation paradox:

Mel Siff:

< Can you cite any scientific references which definitely relate these small
“disturbances” to any significant pathology? What you are iimplying is that
the spine is critically tuned, displays a very sharply defined range of
efficient functioning and has a negligible “safety factor”, so that even
minor perturbations will cause genuine pathology or pain. This is not a very
efficient way for the body to have developed and evolved, so I have to wonder
about the validity of such an hypothesis.>

Comment:

Your point about the evolution of the system is well taken. As you point out Read more…

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Dr Mel Siff Talks Electrostimulation Training

Author: Dr Mel Siff Blog  //  Category: Dr Mel Siff on Physiology, Dr Siff On Recovery / Other Therapies, Dr Siff on Brain - Neuroscience

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When Serge Reding and I discussed the possible mechanisms for strengthening
by means of electrostimulation training about 30 years ago, we both felt that
the process may have to do with enhancing the ability of the athlete to
tolerate high levels of muscle tension if the ES is applied with progressions
to very high levels of activation. The following paper offers some
corroborating evidence in this regard.

——–

Improvement in isometric strength of the quadriceps femoris muscle after
training with electrical stimulation. Read more…

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PERIODISATION – FACT OR FALLACY – Part 4

Author: Dr Mel Siff Blog  //  Category: Dr Siff On Recovery / Other Therapies, Dr Siff on Resistance Training, Main Content

Here is the fourth and final part of Dr Verkhoshansky’s liberally translated
article on the validity of periodisation adapted from ‘Teoriya i Prakt
Fizischeskoi Kultury’ (1997). The extensive bibiography of some 120
references has been omitted for sake of brevity. As Dr Verkhoshansky
remarked at the end of the article: “The size of the article resulted in its
bibliography providing only a small part of the work referring to the
critical analysis of the problem being considered.”

The next article in this series will be a Bulgarian critique of Dr
Verkhoshansky’s article. Note that all of Dr Verkhoshansky’s criticism was
directed at the work of Matveev. There are many models of periodisation, a
large variety of which are discussed elsewhere (Siff & Verkhoshansky
“Supertraining” 1999 Ch 6).

—————————————————————————

THE PATH TO A SCIENTIFIC THEORY AND METHODOLOGY
OF SPORTS TRAINING

PART 4 (Final)

J.V.Verkhoshansky

6. The rudimentary part of periodisation lies in its manner of constructing
the training process.

The idea of periodisation consists of joining separate parts of the training
process in a linear sequence. The main structural unit in training is the
microcycle. The training process is represented as the sum of microcyles
aligned in a chain, the logic of linearity being defined only speculatively,
mainly on a principle of “it is possible, so it is valid to use standard
separate ‘typical’ microcycles with various names” thus ‘lining up’like
children’s building blocks under various names appointed by Matveev for the
longer parts of training process such as “mesocycles” which, in turn, are
united in “macrocycles”. Such a linear principle of constructing the
training process, according to Matveev, allows one to overcome the familiar
vagueness of the structure of training and to more accurately reflect its
actual variability.

However, subsequent research has not confirmed this conclusion. It tends to
reveal a na€  ïve primitiveness of similar technology and has shown, firstly, in
practice, that other methods produce results indistinguishable from those of
periodisation; secondly, they have shown the superficiality of models of the
training process as a linear combination of certain standard parts and,
finally, they have again confirmed the opinion of experts that the progress
of a sport is unpredictable if one uses periodisation.

——————————————

7. One of most essential deficiencies in periodisation highlighted today by
progress in the biological sciences, is that it consists only two factors in
regulating the training of the athlete, namely the volume and intensity of
the training load. This concept does not consider different ways for
constructing training, except, perhaps, for the primitive undulation of the
total amount of the load. Thus, since this involved a total increase of
volume of loads over all years of sports programming , periodisation remained
the primary factor for increasing the efficiency of the training process.
This explains why periodisation became not only a procedure of training, but
also the entire system for preparing athletes.

Thus, outside the field of vision of periodisation, there was the vast field
of adaptable processes, associated with the transformation of the qualitative
characteristics of external influences on the body into internal physical
changes. Misunderstanding problems of specificity of adaptation of the body
has involved Matveev in verbose reasoning on the so-called ‘carry-over’ of
skills and potential talents – a genuine phenomenon, inherent mainly to
physical training, but not to the specifics of the major sports. Now, for
example, if a physical education student in physiology today wrote in an
examination, that “many cyclic locomotor exercises, obviously varying
according to their specific form (running, swimming, skiing and a bicycle
etc.), are close in nature to the actual competitive exercises on the basis
of their character of displaying endurance and other motor qualities”, a low
mark would be awarded.

Questioning periodisation appeared powerless before the person of its
creator, though it was only necessary to open books to easily discern that
the phenomenon of selective, specific adaptive reactions of the body to a
given mode of training has been known for a long time. There it would also
have been noted that this is one of the major criteria for choosing the
content and organising training loads, the primary orientation of their
training influence and their general composition.

Today, when possibilities of the finding new methods of periodisation have
strongly decreased, and volumes of loads have reached a reasonable limit,
management of specific training strongly influences the training load,
which offers a unique way of increasing the effectiveness of training of
highly qualified athletes. Reasoning based on ‘carry-over’,especially in
emphasizing the role of periodisation in sporting preparation, return one to
the level of the 1950s.

The literature concerning the physiological mechanisms of the specificity of
training is extensive. Ignoring these insights – one more most serious
aspects of periodisation -involved huge expenditure of money and time, as
well as great energy devoted by athletes to training with very little effect.
Finally, it ruined the plans of preparation of many athletes who aimed to
achieve top sporting performance.

So, four fundamental defects have deprived periodisation of any theoretical
and practical importance:

1. Weak representations of actual sports activities, of technology in the
preparation of very qualified athletes, and of specificity in the
professional skill of the trainer.

2. The primitiveness of the methodological concept, a model not supported by
an objective foundation; mental methodological principles; absence of proven
practical recommendations.

3. The disregard for biological research.

4. The neglect of progress in adjacent sciences and experimental work in the
field of sports training.

——————————————

CONCLUSION

Very often critical remarks end with conciliatory conclusions such as
“nevertheless the merit (of the author, the theory, a literary work and so
forth) consists of…..”. I cannot follow this principle. I want to
emphasize that, if theory and practice had not followed the path of
periodisation theory, as planned by our trainers and scientists over the past
50 years, by today we would have achieved a far superior scientific, more
consistent, advanced theory and methodology of sports training.

But for the carelessness of the former federal, political and educational
authorities in the USSR, a main specialist subject of the curriculum for
physical culture would not have been be submitted by the scholastic demagogy
cultivating obscurantism of scientific knowledge; and whole generations of
students and post-graduate students would not have been subjected to the
deformed representations about the sports profession. Many capable experts
would have been freed to publish and exchange ideas and experience, as well
as successfully presenting substantial dissertations and endowing the theory
of sports training with a solid scientific basis.

—————————————————————————

Dr Mel Siff

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Strength, Posture and Active Release Techniques

Author: Dr Mel Siff Blog  //  Category: Dr Siff On Recovery / Other Therapies, Dr Siff on Injuries/Disease

<< I’m just a simple coach, but I’ve seen dramatic, immediate improvements in
static posture (using a plum line assessment, such as the type described in
Kendall’s PT textbook) with several soft tissue techniques, particularly
Active Release Treatment Techniques.>>

***Interestingly, Kendall’s methods recently have come in for a great deal of
criticism in many physical therapy and biomechanics circles, especially since
they have been based upon some rather thin research involving testing of
isolated joints under static conditions. I am sure that Barrett Dorko could
supply some references on this.

‘ACTIVE RELEASE’ TECHNIQUES

For those who may not know, ‘Active Release Treatment’ (ART) is a collection
of techniques simply given a new name by chiropractor Michael Leahy from
physical therapy (especially Janet Travell’s work on trigger point and
myofascial release), classical massage, Shiatsu, osteopathy and other
well-known tissue therapies.

I wrote an Internet review of its origins and requested any so-called ART
practitioners to furnish any research or peer-reviewed clinical studies which
showed categorically that ART is equal or superior to other therapies being
used to treat the same type of musculoskeletal problem. All that I received
was a series of the usual indignant letters quoting more anecdotal evidence,
none of which even vaguely controlled for the possibility of a placebo
effect.

Most significantly, I even received an offended letter from Michael Leahy
himself, who admitted that there was nothing original about ART, but that he
had just formalised it into an organised system with his own certification
scheme. In essence, he felt that I had not adequately recognised ART as
highly effective therapeutic system and that I should give it a fairer
hearing.

He also iterated anecdotally the great success enjoyed by ART, so I wrote
back stating that it would be a pleasure for me to write (for all the
Internet groups to which I belong) another article on ART if he could kindly
send me a list of references proving all claims that have been made for its
efficacy with respect to other standard methods of physical therapy, medicine
and chiropractic. Most significantly, he failed to reply and I have not
heard from him since.

Anyway, I was referred to websites such as the following by other ART
practitioners:

http://www.chiropractic-sports.com/reference/ART.HTML

Here is an interesting extract from this site:

<The skill of application of ART is highly dependent upon the practitioner’s
knowledge of anatomy, biomechanics and most importantly touch. One must not
confuse terminology related to performing ART. Often when a practitioner is
asked if they do ART, they respond by saying “yeah I do that, it’s like
myofascial release right?” You can tell immediately that they are not
properly trained and you can be assured you will not be getting ART. To be
certified in ART, the Doctor or therapist MUST have completed a course in ART
and passed a national certification exam.>

*** The implication immediately is that ART is somehow superior to Janet
Travell’s myofascial release and trigger point work, as well as its
simplified borrowings in the form of Bonnie Prudden’s ‘Myotherapy’, a claim
which is totally unsubstantiated by research or clinical studies. There are
just as many therapists who claim equally impressive success to ART.

The reference to a “national certification exam” has nothing to do with any
medically recognised national qualification. ART certification is a private
commercial scheme administered by Leahy. You do not have to be certificated
in ART to practise its techniques because all of those techniques existed in
other therapeutic systems way before ART was conceived as a separate
therapeutic modality. The name may be protected, but all of the techniques
may be used by any other therapist who is familiar with them.

The above extract also mentioned that the success of ART depends “most
importantly on….touch”, in other words on certain individual skills of the
therapist. This is true of all therapies. I have little doubt that Leahy
probably enjoys numerous successes with ART, not simply because of the
system, but because of his special personal touch and subjective qualities.
I have personally witnessed healing success with Therapeutic Touch,
shamanism, magnets and several other ‘complementary’ therapies, BUT this does
not constitute valid scientific proof of their effectiveness. Such
observations do not rule out the possibility of a strong placebo effect.

This does not mean that I would ever state that someone should not use any
therapy because of lack of scientific validity. As one of my physics
professors one said to me about a tedious and lengthy mathematical method
that I had unhappily used to solve one of the problems that he set for us:
“If it works, use it!”. I always felt awed when I saw how craftily and
succinctly many of the world’s truly great physicists solved problems, and I
felt that I should at least be a bit more elegant with my own solutions. My
physics prof put everything into a more realistic light with that remark
which I have remembered some 35 years later.

By all means, let anyone use ART, Therapeutic Touch or what they will, but
please don’t let them make unsubstantiated claims about clinical efficacy or
underlying mechanisms if they do not exist. Rather say what the TV detective
hero, Hunter, said about his method of solving criminal problems: “Works for
me!”

STRENGTH TRAINING & POSTURE

<<The same goes with strength training exercises. I realize that there are
many studies which say that strength training does nothing to improve
posture, but again and again I’ve seen athletes demonstrate dramatically
improved static posture after participating in a strength training program.>>

*** I agree with you on this score, but it may be that the improvement does
not necessarily have to do with increases in strength, but with other
processes that resistive training may mediate, such as disinhibition of
certain muscle actions, facilitation of other muscle actions, post-exercise
relaxation, overflow, enhanced proprioceptive sensitivity, conditioning of
certain reflexes or other neurally based facilitatory processes. So, while
strength increase may not always be the direct cause of postural improvement,
other processes involved with strength training may be responsible for
causing definite change. There is some interesting scope for research here.

Dr Mel C Siff

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