Following our introduction to recovery, we’re going to continue the series looking at some of the research around many popular recovery methods and offer some practical
First up on the list is sleep – one of the most important influences on recovery, one of the simplest to address and yet is often the most overlooked of all performance variables.
Sleep is a needed resource for psychological and physiological wellbeing, during which time many of the bodies more potent repair and recovery processes are kicked into overdrive. It is generally accepted that the primary purpose of sleep is restoration – To recover from previous wake-period operations and/or prepare for functioning in the subsequent wakefulness period.
An individual’s recent sleep history (consisting of both duration and quality) can have a dramatic influence on daytime functioning. Research has firmly established that sleeping less than 6 hours per night for four or more consecutive nights can:
1. Impair cognitive performance and mood
2. Heighten risk of illness and injury
3. Disturb metabolic health, appetite regulation and immune function
There are many reasons why sleep habits may be negatively affected, some of which include:
Stress, nervousness, thinking, worrying, planning.
Unsuitable diet/nutrient deficiency
Poor sleep habits and environment (eg noise, lighting, temperature, late television watching, late caffeine use, late activity).
In addition to the above, Erlacher et al. 2011 asked 632 german athletes from various sports about their sleep habits leading up to important events or competitions, with the results showing that:
Factors identified as reasons for poor sleep included:
The value of quality sleep is clear and it is easy to see how it can be impacted by many of the above variables which we all face from time to time. What isn’t so easy though, is how best to mitigate these factors to ensure that you get a good night sleep and subsequently prevent the associated performance decline from sleep loss.
Suggestions for improving sleep:
1. Develop a ‘POWER-OFF POLICY’ before bed
Switch off tv, computers, tablets, and smartphones 1-2 hours before sleep time. These will disturb the production of hormones that prepare you for sleep.
2. Develop a ‘Wind down’ routine before bed
Slow down and de-stress as much as possible before bed and try to establish consistent sleep and wake times. A shower before bedtime has been shown to improve sleep onset latency. Research has also shown that almost half of all insomnia cases are linked to stress or emotional upset. Avenues to reduce stress are highly individual and situation dependent, so finding ways to reduce stress are paramount to improving sleep, and long-term health and wellness. Some proven strategies include:
Habits and Environment
3. A quiet sleep space is a key
If noise can’t be avoided try using headphones with instrumental music at a low volume, or keep a fan on for an acutely distracting ‘white noise.’
4. Temperature, darkness, and clothing
Approximately 18 degrees Celsius is a cool room temperature that has been shown to help comfortable sleep occurrence. Thick bedding and clothing must also be avoided if it causes overheating. A dark environment with limited lighting can also help the body recognise that it’s night time and time to begin the process of preparing for sleep.
5. Coffee and heavy meals
Avoid caffeine, big meals and heavy amounts of liquid before bed.
6. Take Naps Where You Can & Need To
Naps can be beneficial to catch up on lost sleep, however, avoid them later into the afternoon if it might impact your regular sleep time. Blanchfield et al. 2018 recently showed that a short afternoon nap improves endurance performance in runners that obtain less than 7 hrs of nighttime sleep. Napping might be an important strategy to optimise endurance exercise in other athletic and occupational scenarios when sleep is compromised (eg long-haul, intensified training etc).
”Every training element has a point of diminishing returns. Our job (the coach’s job) is to find it shift emphasis and cycle back at the optimal point in time.” ~ Derek Hansen
When it comes to choosing which exercises to use in your strength training program, we encourage trainees to approach exercise selection with a balance of both pushing and pulling movements for the upper and lower body. This gives you a more complete development and greater overall balance and movement proficiency in a variety of different movement demands.
This usually involves targeting movements and body parts from multiple angles which, aside from symmetry also helps to:
1. Accumulate needed training volume, which is an important factor for building muscle size and strength.
2. Sculpt and shape the body towards ones desired proportions if training goals are more aesthetic driven.
3. Target unpractised or lagging movements and strengthen specific contributing muscles.
We’ll often have new clients show us the strength programs they’ve been using and have put together themselves to get some feedback. Often we’ll see included almost every known exercise variation for a body part that you can imagine in an attempt to cover all angles. This is a fine idea in theory, however, there are a few things to consider when trying to cover all possible angles and one of those considerations is something that I like to call variation preservation.
If you use all of the most productive or favourite exercises in your program, you will have too few exercise variations to choose from or to progress towards once you’ve reached training a plateau and are no longer making the kind of progress you used to on those exercises. The human body is an amazingly efficient and adaptive organism and certainly will, over a short period of time adapt to a given training plan, and this is where you’ll begin to see your progress slow and eventually stop altogether. When this happens, you will need some strategic deviation and a variant go-to exercise that still gives you similar qualities, while offering a fresh stimulus again, and all without losing any of the progress you have built up to this point.
Another more obvious problem with this ‘do everything’ approach is that you may end up doing way more than you need with potentially overlapping and redundant exercises, and subsequently using up more of your valuable recovery ability, that could go towards repair and building.
One of the possible solutions that I often suggest is to do fewer total exercises and more total sets of those exercises. Specifically, pick fewer exercises, but make sure that you use mostly your high return movements and keep a few of them in your back pocket for a later program. Doing more total sets of fewer exercises allows greater focus to be had, and for the beginner lifter in particular, more high-quality technique rehearsal.
You’ll notice that with option 2, you can manage the same total weekly training volume and focus it towards fewer exercises. Option B also offers a complete pressing program and leaves you with plenty of effective variations to utilise once progress begins to slow or stops.
It has been well documented that strength adaptations can drop off at around the 3-4 week mark using the same schedule. From here you may try changing the grip that you use, the set & rep scheme, the rep speed, and even the rest period between sets. Any of these as well an intermittent deload week can provide enough of a small change and a fresh stimulus, and still be fairly consistent enough to make continued improvement. After approximately 2-3 training cycles, however, it may then be a good idea to swap out those exercises and bring in the reserves.
In closing, try not to do every exercise possible – leave some high-return favourite exercises on the bench for variation preservation, to call in when you need fresh options to go to and for continued success in your training.
Do less and do it better.
If you like us to take a look at your training programming or would like some help with building one, reach out to one of our performance specialists and we’ll point you in the right direction.
One of the most common complaints we see as physio’s is shoulder pain, and it doesn’t just affect athletes. While acute shoulder injuries often happen in collision sports or because of a sporting accident, people performing overhead activities such as lifting in the gym, throwing, racquet sports or swimming are also prone to shoulder pain.
Shoulder Impingement Syndrome is the most common cause of shoulder pain in the general population & with many types of sports activities. It can be very debilitating for people such as swimmers, racquet sports players and gym-goers. Throwing, bowling or pitching sports like cricket, baseball and softball are also common places to find shoulder impingement injuries.
Some occupations that involve lifting, carrying, and other repetitive tasks, especially if they are performed with the arm away from the side of the body, are also common causes of shoulder impingement. Even some common DIY tasks like painting walls or ceilings, repetitive drilling at shoulder height or above, and digging in the garden can bring on the pain.
As the arm is raised, the rotator cuff muscles keep the ball of the humerus tightly in the centre of the socket of the scapula. If this position is not maintained well, the tendons of the rotator cuff may be pinched between the top of the arm bone & the bony “roof” of the scapula. This can cause irritation of the tendon which can lead to inflammation, weakness and pain. Eventually it can lead to more significant problems like tearing of the tendon.
The classic presentation is a painful arc, which is when you feel pain as you lift your arm away from your side and up to your ear. This corresponds with the narrowing of the sub-acromial space, which is where the tendon gets pinched.
Many people also feel pain with twisting movements such as putting on a jacket or when reaching behind your back. When the inflammation is active you may feel pain at night and be unable to sleep comfortably on that side, and your shoulder can ache even when your arm is resting. Sometimes people describe a ‘locking’ sensation in the arm on certain movements.
Initially, avoiding painful activities to help settle your symptoms is important. If you have recently started or significantly increased your exercise regime you may just need to progress more slowly once your pain has resolved. However because most shoulder impingement is caused by an imbalance in muscle length &/or strength around the shoulder, you need to fix the underlying cause of your pain otherwise it is likely to return again in the future. This is especially true if you have had more than one episode of pain because recurrent pain strongly indicates an underlying imbalance within your shoulder, often within the rotator cuff muscles or the muscles that control your shoulder blade.
Keeping correct shoulder alignment relies a lot on keeping the right balance of length and strength within your shoulder muscles. Having a balanced gym program of pulling and pushing exercises is a great way to help achieve this. If you don’t normally go to the gym then you may need to do some extra strengthening for the muscles at the back of your shoulder, especially if you are an office worker and tend to hunch over your desk a lot. Shoulder and pec/chest stretching can also help.
If you have had a significant episode of pain, or several mild-to-moderate episodes recently, then you should get it checked out by a physio because you are very likely to have an underlying imbalance that will keep giving you problems in the future. Treating the pain when it is only recent and relatively mild is usually fairly simple. However, recurrent episodes can lead to more tendon damage requiring prolonged treatment, costly investigations such as an MRI, potentially more invasive management like cortisone, and much more time away from doing the things that you love.
Sydney-siders love a good run! And with the Blackmores running festival coming up, beautiful scenery & awesome weather it’s easy to see why. So today we look at the most common type of knee pain that can affect runners as well as people playing many other sports that involve running and jumping.
The knee is the most common site for pain in runners, but it’s not just “runners” that are at risk. Many other sports that involve running &/or jumping have a relatively high risk of knee injuries. One very common cause of knee pain is Patellofemoral Pain Syndrome, which accounts for up to 40% of all knee problems in sports medicine centres. The pain is felt around or behind the kneecap & occurs when the kneecap (patella) does not align correctly into the groove on the end of the thigh bone (femur). It is common in young people, & affects more women than men.
Pain is either felt around the front part of the knee or along one or both sides of the kneecap. It can sometimes be hard to find a specific spot where the pain is felt the most, especially because sometimes it feels like it is hidden away behind the kneecap. Your knee may be making some grinding or clicking noises, & there may be some swelling.
Often there is no specific cause (eg a fall or twist) of patellofemoral pain. Sometimes you may be able to relate it back to an increase in running or jumping volume, or things like new shoes or more hill running. It often begins as a niggle then gradually gets worse if you continue to exercise on it, eventually stopping you doing your normal training. It usually settles temporarily if you stop exercising but keeps coming back when you return.
Patellofemoral pain is usually made worse with anything that increases the load within your knee, eg taking your weight in a bent-knee position. Examples of painful activities can include;
Some people also get pain from sitting in a bent-knee position for long periods of time, eg working at a desk or sitting in a movie theatre. This is because this position squashes the inflamed back surface the kneecap onto the end of the thigh bone, causing pain after a while.
The main cause of patellofemoral pain is when the kneecap doesn’t “track” properly in the femoral groove when we bend our knee. It can get pulled out to the side of the groove, meaning that it rubs on the wrong places & becomes inflamed. Excessive or rapid increases in loading, usually due to increasing training or running volumes too fast, are also common factors that contribute to patellofemoral pain.
Poor biomechanics (i.e. the way our body controls movement) is the major factor that contributes to incorrect tracking of the kneecap in the femoral groove. Common biomechanical problems include:
Females are more likely to develop patellofemoral pain than males (3:2). This is due to women having a bigger “Q Angle”, which is where the quads muscles have a more outwards pull on the kneecap because women’s hips tend to be wider than mens.
Assessing & correcting your biomechanics is a big part of getting your knee pain resolved. You need to release any tight muscles on your outer thigh & hip, usually by using a foam roller or spikey ball. You will also need to strengthen muscles that are not keeping your leg and knee in the right alignment. The usual problem is that your knee rolls inwards over your big toe too much, so strengthening your glutes muscles to correct this is critical. Making sure that your inner quads muscle (your VMO) is strong enough to balance your outer quads muscle (VL) is also important.
Your foot position also needs to be checked. The most common foot problem is over-pronation, where your inner arch collapses & rotates your shin and knee inwards too much. You will need to ensure that you have the right shoes for your foot type, eg if you are an over-pronator then pronation control shoes or orthotics are likely to help you. However as physio’s we always find that shoe type or orthotics alone are not the full solution – they are only one component. You must correct your other biomechanical factors like hip control as well.
Every day our friendly & experienced physio’s work with runners & athletes at all levels, from weekend warriors to national champions. We can help you with fast relief & get you back out there on the road, track, field or court. We specialise in finding & fixing the underlying cause of your problems so that once we’ve got you feeling good, you stay feeling good.
Have you ever wondered what people are talking about when the words probiotics and prebiotics get thrown around? It seems every food company these days is marketing their products on TV, magazines and bus stops as being beneficial for gut health due to their prebiotic content. But what does it all mean and do you need to be including them in your diet? Read below if you want help making sense of it all!
Probiotics are live microorganisms that live inside the digestive tract, and are found in bacteria, yeast or fungi. Probiotics are the good kind of bacteria that keeps the digestive system healthy, helping to break down food as it enters the system, and has also been found to be beneficial in relieving constipation, aiding recovery from diarrhoea, reducing harmful bacteria that lead to gas and bloating, and supporting the immune system. Probiotics can be taken as a supplement form or found in food products. If using a probiotic supplement, look for one that contains at least 10 billion CFU’s (colony forming units), check the storage recommendations on the label, and take the probiotic with breakfast for at least a month to be able to see the effects on your health. There are various strains of bacteria that will have benefits for different conditions, so your doctor or dietitian will be the best source of information when looking for a supplement.
Prebiotics are a type of non-digestible carbohydrate found in certain foods. These food components pass through the digestive system relatively unchanged and arrive in the large bowel, where they become food for the good bacteria living in there. Prebiotics help to balance the digestive system and maintain regularity by providing fuel for the beneficial bacteria that live in the body.
Tip: the prebiotic fibre in these foods break down over time and with cooking, so try enjoying them fresh and raw wherever possible!
Our dietitian Kelsey Hutton can help you with all your nutrition & diet needs including;
In Part 2 of this blog post series, we covered the hormone changes that occur in the first phase of the menstrual cycle, the follicular phase. This week we will go into the second phase of the cycle, the luteal phase.
The luteal phase occurs from day 14-28, assuming a 28-day cycle. We know this phase all too well as this is when PMS (pre-menstrual syndrome) symptoms occur! Be aware of food cravings, especially if your symptoms sideline you from your usual workouts.
This phase is the high hormone phase with progesterone at its peak. Progesterone increases the body’s core temperature, lessening tolerance to heat during workouts and increasing sweat which causes the body to lose more sodium. Because of this you need to really make sure you stay on top of your hydration when working out in the hotter months of the year in the second phase of your cycle!
During the luteal phase, the body uses carbohydrate less effectively for energy, instead utilising fat. If you are trying to reach high exercise intensities or need to perform at your best during this time, extra carbohydrates around training sessions may be necessary for you to be able to exercise at your best. Protein breakdown also increases, so its really important to make sure you are recovering adequately with protein sources after a workout.
Examples of high protein snacks to enjoy post-workout includes plain yoghurt with nuts, a fruit smoothie made with milk, yoghurt and fruit, or some boiled eggs.
Try having red meat or salmon for dinner post-workout to aid your recovery and help you get in your essential nutrients during this time of the month.
If you are looking for an effective periodised nutrition plan to suit your cycle and training demands, our sports dietitian Kelsey Hutton can give you everything you need. Your initial assessment with highlight your goals, current nutrition levels & areas to focus on. Your personalised plan gives you a practical & effective way to fuel your body with everything it needs for peak performance.
After a long summer it seems the Australian winter is finally upon us; the time of year when cold and flu symptoms are on the rise. It seems as though everyone around you will have advice for how to beat your cold or flu, from drinking honey, ginger and lemon teas, or jumping into a sauna to relieve congestion. It can be hard to separate fact from fiction when it comes to the abundance of remedies, so our dietitian has some simple and reasonable advice for you to follow this winter.
Food can play a really important role in preventing and reducing the severity of colds and flu, which is no surprise because 80% of the immune system is located in the digestive tract. Healthy gut bacteria, proteins and other chemicals are just some of the warriors in the digestive system that help to fight off infections. Before illness comes on, it is important to eat a healthy diet to provide the immune system with these nutrients it needs to fight off infections. Here are just some of the foods that help to protect your immune system and should be included in the everyday diet:
Berries are a great source of Vitamin C which is an antioxidant that has antimicrobial properties, protects immune cells from damage and contributes to maintaining a healthy immune system. Vitamin C can also help to reduce duration and severity of colds. Frozen berries have the same nutrition value as fresh berries, so it doesn’t matter if you buy frozen.
Capsicum contains twice the amount of Vitamin C as citrus fruits. Vitamin C boosts white blood cells to help fight infections. Include capsicum in stir fries or salads.
Broccoli contains Vitamins A, C and E which are antioxidants. Antioxidants assist in preventing cell damage and reduce risk of certain illnesses. Broccoli is best when cooked for the shortest time possible, to keep in the good nutrients
These all have anti-microbial properties, helping to prevent illness. Use these together when cooking stir fries and pasta dishes.
Yoghurt is a good source of probiotics to keep your gut healthy and boost immune function. Choose the unflavoured varieties for benefits e.g. plain Greek yoghurts or plain Chobani/Yo-Pro yoghurts
Salmon is high in Omega-3 (essential fatty acids) which will help to maintain healthy cells and assists with reducing inflammation, particularly important for recovery for those with heavy training loads.
Brazil nuts are high in a nutrient called selenium that helps to protect the body’s cells from oxidative damage. Deficiencies of selenium have been associated with increased risk of illnesses. Incorporate brazil nuts into your diet a few times a week to reap the benefits.
Being sick will often result in a decrease in appetite, so every meal consumed while sick is an opportunity to choose nutrient rich foods that will help to fight off infection and speed up recovery. Some foods that should be included in the diet during a bout of cold or flu includes:
What do citrus fruits, tomatoes, pumpkin, capsicum and sweet potatoes have in common? These foods are all high in Vitamin C, which is an antioxidant that has been found to assist with reducing the severity and longevity of colds by protecting cells from damage. Try a roast vegetable tray with tomato, pumpkin, capsicum and sweet potato, or snack on some oranges or mandarins.
Garlic has antimicrobial properties so acts as an antibiotic that can help to reduce the severity of your cold.
Chicken soup has long been a favourite of Mum’s everywhere to help fight off a cold, but Vietnamese Pho is another great option! This big bowl of warming soup will help to rehydrate you by providing plenty of fluid and electrolytes and provides a source of protein. You can even order extra meat to boost the protein content!
Supplements that reduce the severity and duration of colds can be really useful, particularly when you don’t feel like eating a lot! The following are good quality supplements that I recommend you to use while sick:
Lastly, the most important thing you can do for yourself is to eat a healthy and varied diet to protect your immune system. Make sure you rest and eat well when sick, using supplements if needed to help reduce the longevity and severity of colds and flu. Book in an appointment with our dietitian to find out more about how a healthy diet can positively affect your wellbeing.