Introduction to Kettlebellsintrotokettlebells.s3.amazonaws.com/Handouts for Introduction to...

28
3/27/2017 1 Introduction to Kettlebells Brad Keisling MSPT, CSCS, KBC level 1 Introduction to Kettlebells Andrus Värnik 2005 World Champion Javelin

Transcript of Introduction to Kettlebellsintrotokettlebells.s3.amazonaws.com/Handouts for Introduction to...

3272017

1

Introduction to Kettlebells

Brad Keisling MSPT CSCS KBC level 1

Introduction to Kettlebells

Andrus Vaumlrnik 2005 World Champion Javelin

3272017

2

Introduction to Kettlebells

Introduction to Kettlebells

Kettlebell History

3272017

3

History of Resistance Training

bull Ecclesiates 19bull 2500 BC Egyptbull 1896 BC British Islesbull 600 BC Greece

ndash Milo

bull Greco-Roman 2nd Centuryndash Galen System of heavy lifting dumbells man to man isometricsndash All must be practical with the aim of promoting prowess in battle

bull Christian Ascetismbull Renaissance

ndash 1531 Sir Thomas Elyot quotes Galenndash Joachim Camerarius ldquoBoys should be encouraged to do exercises such as

hanging from a bar climbing a rope lifting weights matching strength with an opponent

ndash Michel De Montaigne writes of his fathers exercises to ldquobetter enable himselfeto pitch the barre and throw the sledgehelliprdquo

History of Resistance Training

bull 1772 and 1786 Ben Franklin writes of using dumbells on a routine basis for fitness even into his 80rsquos

bull 1824 The first ldquogymrdquo in the USA at the Roundhill school in Northampton MA

bull Europe and British Isles are on pace as well

3272017

4

History of Resistance Training

bull Eugene Sandow

ndash Turn of the Century Strong Man

Kettlebell History

bull So when was the KB invented

Kettlebell History

Greek Halterersquos

3272017

5

Kettlebell History

bull Folklore has it that KBrsquos were used in Russian markets as counterweights At the end of the day the farmers would swing juggle and toss the weights for fun and exercise

bull History places them in eastern Europe but their exact origin is unknown

bull Traditionally they were measured only in poods (approx 16kg) and there were 115and 2 pood varieties

Kettlebell History

bull Russian Competitionndash 1948 1st Regional KB competition

bull General Populationndash USSRndash The general populace was encouraged to pursue

physical fitness via KB lifting groupsbull Had complete control of what strategies to implement in

fitness and healthcarebull The desire to minimize up front costsbull The desire to maximize health longevity and functional

work capacity of their populationbull The desire to minimize healthcare costs over time

Kettlebell History

bull USSR military

ndash KBrsquos used extensively in their fitness training

bull When Russian and US Special Forces started competing against each other after the Soviet Union broke up the Americans made a disturbing discoveryWed be totally exhausted and the Russians wouldnt even be catching their breath says Jeff Shaffer an off-duty Secret Service agent watching the Sterling event It turned out they were all working out with kettlebells

3272017

6

Kettlebell History

bull Came to America via Russian Immigrants

ndash Coney Island Gireviks

bull When did KB come to America

Kettlebell History

Published 1905

Kettlebell History

1902

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

2

Introduction to Kettlebells

Introduction to Kettlebells

Kettlebell History

3272017

3

History of Resistance Training

bull Ecclesiates 19bull 2500 BC Egyptbull 1896 BC British Islesbull 600 BC Greece

ndash Milo

bull Greco-Roman 2nd Centuryndash Galen System of heavy lifting dumbells man to man isometricsndash All must be practical with the aim of promoting prowess in battle

bull Christian Ascetismbull Renaissance

ndash 1531 Sir Thomas Elyot quotes Galenndash Joachim Camerarius ldquoBoys should be encouraged to do exercises such as

hanging from a bar climbing a rope lifting weights matching strength with an opponent

ndash Michel De Montaigne writes of his fathers exercises to ldquobetter enable himselfeto pitch the barre and throw the sledgehelliprdquo

History of Resistance Training

bull 1772 and 1786 Ben Franklin writes of using dumbells on a routine basis for fitness even into his 80rsquos

bull 1824 The first ldquogymrdquo in the USA at the Roundhill school in Northampton MA

bull Europe and British Isles are on pace as well

3272017

4

History of Resistance Training

bull Eugene Sandow

ndash Turn of the Century Strong Man

Kettlebell History

bull So when was the KB invented

Kettlebell History

Greek Halterersquos

3272017

5

Kettlebell History

bull Folklore has it that KBrsquos were used in Russian markets as counterweights At the end of the day the farmers would swing juggle and toss the weights for fun and exercise

bull History places them in eastern Europe but their exact origin is unknown

bull Traditionally they were measured only in poods (approx 16kg) and there were 115and 2 pood varieties

Kettlebell History

bull Russian Competitionndash 1948 1st Regional KB competition

bull General Populationndash USSRndash The general populace was encouraged to pursue

physical fitness via KB lifting groupsbull Had complete control of what strategies to implement in

fitness and healthcarebull The desire to minimize up front costsbull The desire to maximize health longevity and functional

work capacity of their populationbull The desire to minimize healthcare costs over time

Kettlebell History

bull USSR military

ndash KBrsquos used extensively in their fitness training

bull When Russian and US Special Forces started competing against each other after the Soviet Union broke up the Americans made a disturbing discoveryWed be totally exhausted and the Russians wouldnt even be catching their breath says Jeff Shaffer an off-duty Secret Service agent watching the Sterling event It turned out they were all working out with kettlebells

3272017

6

Kettlebell History

bull Came to America via Russian Immigrants

ndash Coney Island Gireviks

bull When did KB come to America

Kettlebell History

Published 1905

Kettlebell History

1902

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

3

History of Resistance Training

bull Ecclesiates 19bull 2500 BC Egyptbull 1896 BC British Islesbull 600 BC Greece

ndash Milo

bull Greco-Roman 2nd Centuryndash Galen System of heavy lifting dumbells man to man isometricsndash All must be practical with the aim of promoting prowess in battle

bull Christian Ascetismbull Renaissance

ndash 1531 Sir Thomas Elyot quotes Galenndash Joachim Camerarius ldquoBoys should be encouraged to do exercises such as

hanging from a bar climbing a rope lifting weights matching strength with an opponent

ndash Michel De Montaigne writes of his fathers exercises to ldquobetter enable himselfeto pitch the barre and throw the sledgehelliprdquo

History of Resistance Training

bull 1772 and 1786 Ben Franklin writes of using dumbells on a routine basis for fitness even into his 80rsquos

bull 1824 The first ldquogymrdquo in the USA at the Roundhill school in Northampton MA

bull Europe and British Isles are on pace as well

3272017

4

History of Resistance Training

bull Eugene Sandow

ndash Turn of the Century Strong Man

Kettlebell History

bull So when was the KB invented

Kettlebell History

Greek Halterersquos

3272017

5

Kettlebell History

bull Folklore has it that KBrsquos were used in Russian markets as counterweights At the end of the day the farmers would swing juggle and toss the weights for fun and exercise

bull History places them in eastern Europe but their exact origin is unknown

bull Traditionally they were measured only in poods (approx 16kg) and there were 115and 2 pood varieties

Kettlebell History

bull Russian Competitionndash 1948 1st Regional KB competition

bull General Populationndash USSRndash The general populace was encouraged to pursue

physical fitness via KB lifting groupsbull Had complete control of what strategies to implement in

fitness and healthcarebull The desire to minimize up front costsbull The desire to maximize health longevity and functional

work capacity of their populationbull The desire to minimize healthcare costs over time

Kettlebell History

bull USSR military

ndash KBrsquos used extensively in their fitness training

bull When Russian and US Special Forces started competing against each other after the Soviet Union broke up the Americans made a disturbing discoveryWed be totally exhausted and the Russians wouldnt even be catching their breath says Jeff Shaffer an off-duty Secret Service agent watching the Sterling event It turned out they were all working out with kettlebells

3272017

6

Kettlebell History

bull Came to America via Russian Immigrants

ndash Coney Island Gireviks

bull When did KB come to America

Kettlebell History

Published 1905

Kettlebell History

1902

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

4

History of Resistance Training

bull Eugene Sandow

ndash Turn of the Century Strong Man

Kettlebell History

bull So when was the KB invented

Kettlebell History

Greek Halterersquos

3272017

5

Kettlebell History

bull Folklore has it that KBrsquos were used in Russian markets as counterweights At the end of the day the farmers would swing juggle and toss the weights for fun and exercise

bull History places them in eastern Europe but their exact origin is unknown

bull Traditionally they were measured only in poods (approx 16kg) and there were 115and 2 pood varieties

Kettlebell History

bull Russian Competitionndash 1948 1st Regional KB competition

bull General Populationndash USSRndash The general populace was encouraged to pursue

physical fitness via KB lifting groupsbull Had complete control of what strategies to implement in

fitness and healthcarebull The desire to minimize up front costsbull The desire to maximize health longevity and functional

work capacity of their populationbull The desire to minimize healthcare costs over time

Kettlebell History

bull USSR military

ndash KBrsquos used extensively in their fitness training

bull When Russian and US Special Forces started competing against each other after the Soviet Union broke up the Americans made a disturbing discoveryWed be totally exhausted and the Russians wouldnt even be catching their breath says Jeff Shaffer an off-duty Secret Service agent watching the Sterling event It turned out they were all working out with kettlebells

3272017

6

Kettlebell History

bull Came to America via Russian Immigrants

ndash Coney Island Gireviks

bull When did KB come to America

Kettlebell History

Published 1905

Kettlebell History

1902

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

5

Kettlebell History

bull Folklore has it that KBrsquos were used in Russian markets as counterweights At the end of the day the farmers would swing juggle and toss the weights for fun and exercise

bull History places them in eastern Europe but their exact origin is unknown

bull Traditionally they were measured only in poods (approx 16kg) and there were 115and 2 pood varieties

Kettlebell History

bull Russian Competitionndash 1948 1st Regional KB competition

bull General Populationndash USSRndash The general populace was encouraged to pursue

physical fitness via KB lifting groupsbull Had complete control of what strategies to implement in

fitness and healthcarebull The desire to minimize up front costsbull The desire to maximize health longevity and functional

work capacity of their populationbull The desire to minimize healthcare costs over time

Kettlebell History

bull USSR military

ndash KBrsquos used extensively in their fitness training

bull When Russian and US Special Forces started competing against each other after the Soviet Union broke up the Americans made a disturbing discoveryWed be totally exhausted and the Russians wouldnt even be catching their breath says Jeff Shaffer an off-duty Secret Service agent watching the Sterling event It turned out they were all working out with kettlebells

3272017

6

Kettlebell History

bull Came to America via Russian Immigrants

ndash Coney Island Gireviks

bull When did KB come to America

Kettlebell History

Published 1905

Kettlebell History

1902

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

6

Kettlebell History

bull Came to America via Russian Immigrants

ndash Coney Island Gireviks

bull When did KB come to America

Kettlebell History

Published 1905

Kettlebell History

1902

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

7

Kettlebell History

Kettlebell History

Kettlebell History

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

8

Kettlebell History

bull Published in 1914

NFL Play 60

Parental Responsibility

Kettlebell History

Travel gym

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

9

Kettlebell History

Kettlebell History

bull Modern day industry leaders

ndash RKC

bull Pavel Tsatsouline

bull Brett Jones

bull Gray Cook

ndash KBC

bull Adam Khai-Chronin

bull Dave Ganulin

Kettlebell History

bull Resource List

ndash wwwdragondoorcom

ndash wwwkettlebellconceptscom

ndash wwwstrongfirstcom

ndash wwwfunctionalmovementcom

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

10

Kettlebell Safety

bull Need open space

bull Clear of traffic

bull Sweat control

bull Proper attire

bull Education about muscle soreness

bull Donrsquot do anything you wouldnrsquot do with a 48kg KB

Kettlebell Anatomy Biomechanics Physiology

Brad Keisling MSPT CSCS KBC level 1

The System

Motor Learning

Based on movement observation how to coach for improved skill efficiency and goal acquisition

Exercise Physiology

The chemical and NM processes that occur with movement

Biomechanics

Study of the structure and function of biological systems by means of the methods of mechanics

AnatomyKinesiology

The foundation for understanding the physical structures involved in movements

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

11

KB Functional Anatomy

Spine Stability -Panjabi showed that Devoid of musculature can buckle with loads as small as 20 lbs (90 N)

-Typical ADLrsquos involve around 2000 N according to McGillrsquos work

KB Functional Anatomy

Spine Stability ldquoTrue spine stability is achieved with lsquolsquobalancedrsquorsquo stiffening from the entire musculature including the rectus abdominis and the abdominal wall quadratus lumborum latissimus dorsi and the back extensors of longissimusiliocostalis and multifidus Focusing on a single muscle generally does notenhance stability but creates patterns that when quantified result in less Stabilityrdquo

-McGill

KB Functional Anatomy

bull Latissimus Dorsi and Gluteus Maximusndash Thoracolumbar fascia

stiffnessldquoChronic back pain tends to inhibit the gluteal muscles as hip extensors and as a result clients create hip extension using the hamstrings as a substituting pattern Subsequent back extension overactivating the spine extensors creates unnecessary crushing loadsrdquo

-McGill

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

12

KB Functional Anatomy

bull The ldquo4 Knotsrdquondash If a knot is tied too

loosely it wonrsquot hold two structures together

ndash If a knot is tied too tightly it will bind the two structures in an immobile fashion

ndash If there is an imbalance of tension or strength at any problems with locomotion will occur

Kettlebell Biomechanics

bull What is the Difference

ndash Machine

ndash DB

ndash Free Weight

ndash KB

bull Length Tension Curve

Kettlebell Biomechanics

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

13

Kettlebell Biomechanics

bull U-shaped handle allows for

ndash COG Displacement

ndash More Complex Leverage System

ndash A fluctuating Resistance arm

ndash Increased Rotational Inertia

ndash Multiplaner Motion

ndash Environmental Similarity

Kettlebell Biomechanics

Travel gym

Kettlebell Biomechanics

bull ldquoStrength outcomes in fixed vs free form equipmentrdquo

ndash Spennewyn Journal of Strength and Conditioning Research Vol 22 Jan 2008 pp 75-81

raquo FX group increased strength 57 from baseline while the

FF group increased strength 115 from baseline

raquo Balance improved 49 in the FX versus 245 in the FF groups Testing

raquo Additionally the FX reported increased pain levels while the FF group reported lowered overall pain levels

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

14

Kettlebell Biomechanics

bull Newtonrsquos Law of Inertia An object will stay in motion (dynamic inertia) or at rest (static inertia) unless acted upon by another force

bull Are we training our patients to overcome inertia

ndash Canrsquot be done with a band

ndash There is a time and place for each exercise modality

Kettlebell Biomechanics

bull Kettlebell Swing Snatch and Bottoms-Up Carry Back and Hip Muscle Activation Motion and Low Back LoadsJournal of Strength amp Conditioning Research January 2012 - Volume 26 - Issue 1 -pp 16-27

bull It was found that kettlebell swings create a hip-hinge squat pattern characterized by rapid muscle activation-relaxation cycles of substantial magnitudes (sim50 of a maximal voluntary contraction [MVC] for the low back extensors and 80 MVC for the gluteal muscles with a 16-kg kettlebell) resulting in about 3200 N of low back compression Abdominal muscular pulses together with the muscle bracing associated with carries create kettlebell-specific training opportunities Some unique loading patterns discovered during the kettlebell swing included the posterior shear of the L4 vertebra on L5 which is opposite in polarity to a traditional lift Thus quantitative analysis provides an insight into why many individuals credit kettlebell swings with restoring and enhancing back health and function although a few find that they irritate tissues

bull Comparative Spinal Compressionndash Prone ldquoSupermanrdquo6000Nndash SL Sit up 3506ndash Bent leg Sit Up 3350ndash Bird Dog 3000ndash Side Bridge 2585ndash SLR 2525ndash Bird Dog LE only 2000ndash Pushup 1838

KB Exercise Physiology

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

15

ldquoToo many guys today look like Tarzan but play like Janerdquo-Siragusa

KB Exercise Physiology

When we start with a wrong assumption it

leads us down a wrong path

KB Exercise Physiology

bull When our patients get stronger how does it happen

bull Determinates of muscle strength

ndash Size (cross sectional area)

ndash Shape

ndash Motor Unit Activation

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

16

KB Exercise Physiology

KB Exercise Physiology

bull The Motor Unitndash Fast or Slow twitch

bull Chronic LBP pts tend to lose their endurance capability and have a higher proportion of fast twitch fibers (Mannion et al 1997)

bull Think LBP patients have more Fast fatiguing fibers vs slow fatiguing fibers

bull Think of fatigue more in terms of being able to perform repeated contractions vs holding a contraction

ndash Largely determined by genetics but can be altered with specific training

bull ldquoThe fundamental principle of strength training then is that all strength increases is initiated by neuromuscular stimulationrdquo (Siff M Introduction Supertaining)

KB Exercise Physiology

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

17

KB Exercise Physiology

bull Optimum LoadRepsRest for building strength is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

KB Exercise Physiology

bull Optimum LoadRepsRest for building endurance is

ndash Load

bull Light Medium Heavy

ndash Reps

bull Low Medium High

ndash Rest

bull Short Medium Long

CJ Cummings

bull Junior World Record 180 KG(39683 lbs) Clean and Jerk in the 69 KG (152 lbs) weight classhellipthatrsquos 26 x bodyweight

ndash 137 KG (301 lbs)Snatch

ndash 16 yo

bull Coach Ray Jones

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

18

What is the intent of your training

ndash Use Multiple sets with short duration rest to build endurance

ndash Use LaddersSplits to Build PowerStrength

bull 12321 Ladder

bull 212 Split

KB Exercise Physiology

bull A word on periodization

ndash Leo Matveyev (Russia) and Tudor Bompa(Romania)

ndash Microcycle Mesocycle Macrocycle

ndash Preparatory Phase Competive Phase Transition Phase

KB Exercise Physiology

Macrocycle

Episode of PTMesocycle

Focus Mobility

Microcycle

Joint

Microcycle

Neural

Mesocyle

Focus Motor Control

Microcycle

Endurance

Microcycle

Strength

Simple Complex

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

19

KB Exercise Physiology

bull Inhibition

bull Facilitation

KB Exercise Physiology

bull Neural Fatiguebull Neural Contributions to Concentric vs Eccentric ExercisendashInduced

Strength Loss Journal of Strength amp Conditioning Research March 2012 - Volume 26 - Issue 3 - pp 633-640

There were also 19 and 23 reductions in normalized EMG amplitude after the CON exercise and ECC exercise respectively but no changes in EMG mean frequency (MNF) MMG amplitude or MMG MNF These findings demonstrated a neural component(s) to the strength decrement after CON exercise and ECC exercise It is possible that after these 2 types of exercise activation of free nerve endings that are sensitive to muscle damage and pH changes resulted in inhibition of alpha motor neurons causing decreased muscle activation and torque These findings suggest that training programs designed to minimize strength loss during competition should consider the fact that at least some of this loss is because of neural factors

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

20

Potential Strength

or Possessor

of Real Strength

FirefighterFitness

Leg PresshellipBarbell SquathelliphellipHow many Squats with 135 lbs

Core strength A new model for injury prediction and preventionJournal of Occupational Medicine and Toxicology 2007 23 doi1011861745-6673-2-3

W F Peate (peateemailarizonaedu)Gerry Bates (GerryBatestucsonazgov)Karen Lunda (klundaworldnetattnet)

Smitha Francis (francisemailarizonaedu)Kristen Bellamy (bellamyemailarizonaedu)

bull Objective Many work in injury prone awkward positions that require adequate flexibility and strength in trunk stabilizer muscle groups Performance on a functional movement screen (FMS) that assessed those factors was conducted and an intervention was designed

bull Methods A battery of FMS tests were performed on 433 firefighters We analyzed the correlation between FMS performance and injuries and other selected parameters An intervention to improve flexibility and strength in trunk stabilizer or core muscle groups through a training program was evaluated

bull Results The intervention reduced lost time due to injuries by 62 and the number of injuries by 42 over a twelve month period as compared to a historical control group

bull Conclusion These findings suggest that core strength and functional movement enhancement programs to prevent injuries in workers whose work involves awkward positions is warranted

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

21

KB Foundational Exercises

KettleCore

bull Principlesndash Isometric before dynamicndash Smaller motions lead to

larger motionsndash Slower motions lead to

faster motionsndash Rhythmic motions lead to

arrhythmicndash Reflexive stabilization vs

Volitionalndash 25 contraction of trunk

stabilizers ndash BREATHING is KEY

ldquoIt appears that both static and dynamic approaches to core training are needed to enhance both velocity and force in distal limbsrdquo

ndash Lee B and McGill SM (2016) The Effect of Core Training on Distal Limb Performance During Ballistic Maneuvers J Sport Sci httpdxdoiorg1010800264041420161236207

KettleCore

bull Farmers Walk

Traditional Rack Bottoms up OH Press

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

22

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

KettleCore

bull Circles (Continuous Momentum)

ndash Waist (transverse plane dominant)

ndash Halo

ndash Around the world (frontal plane dominant)

KettleCore

bull Chops (Changing Momentum)

ndash Static (tall kneel frac12 kneel standing)

ndash Walking

ndash Lunging (sagittal and frontal)

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

23

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

Kettlecorebull Bridge variations

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

24

Kettlecorebull Bridge variations

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Note the large amount of hip flexion vs knee flexion

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-Stiff straight spine with posterior translation of pelvis to lower the weight

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

25

Kettlebell Foundational Lifts

bull Romanian Dead Lift

-The weight stays between the arches

Kettlebell Foundational Lifts

bull Front Squat

Kettlebell Foundational Lifts

bull Press

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

26

Kettlebell Foundational Lifts

bull Swing

-If canrsquot do proper

RDL then NO SWING

-Powerful hip extension

thrust

-Force transfer through

Rigid spine

-Strong First

Kettlebell Foundational Lifts

bull Swing

ndash Towel (take arms out)

ndash frac12

ndash Full

ndash Singles

ndash Exchanges

ndash Dynamic

Why Swing

J Strength Cond Res 2015 Jul29(7)1943-7 doi 101519JSC0000000000000845Effects of Kettlebell Training on Aerobic CapacityFalatic JA1 Plato PA Holder C Finch D Han K Cisar CJ

J Strength Cond Res 2016 May30(5)1196-204 doi 101519JSC0000000000001240Core Muscle Activation in One-Armed and Two-Armed Kettlebell SwingAndersen V1 Fimland MS Gunnarskog A Jungaringrd GA Slaringttland RA Vraalsen OslashF Saeterbakken AH

J Strength Cond Res 2016 Nov 19 [Epub ahead of print]The short term effect of kettlebell swings on lumbopelvic pressure pain thresholds a randomized controlled trialKeilman BM1 Hanney WJ Kolber MJ Pabian PS Salamh PA Rothschild CE Liu XAuthor information

J Strength Cond Res 2012 Jan26(1)16-27 doi 101519JSC0b013e31823a4063Kettlebell swing snatch and bottoms-up carry back and hip muscle activation motion and low back loads

McGill SM1 Marshall LW

Case Rep Orthop 201720174269575 doi 10115520174269575 Epub 2017 Jan 18

Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite SoccerZebis MK1 Andersen CH2 Bencke J3 Oslashrntoft C4 Linnebjerg C5 Houmllmich P6 Thorborg K6 Aagaard P7 Andersen LL8

Scand J Work Environ Health 201137(3)196-203 doi105271sjweh3136Kettlebell training for musculoskeletal and cardiovascular health a randomized controlled trialby Jay K Frisch D Hansen K Zebis MK Andersen CH Mortensen OS Andersen LL

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

27

Kettlebell Power Exercises

bull Clean (Single Arm Swing to Rack)

Kettlebell Power Exercises

bull Snatch (Single Arm Swing to OH Press)

Other References

Cholewicki J and McGill SM Mechanical stability of the in vivo lumbar spine Implications for injury and chronic low back pain Clin Biomech 1996 11(1) 1-15

Crisco JJ Panjabi MM Euler stability of the human ligamentous lumbar spine Part 1 theory ClinBiomech 1992 719-26

Kavcic N Grenier SG and McGill SM Determining tissue loads and spine stability while performing commonly prescribed stabilization exercises Spine 291254ndash1265 2004

Lee B and McGill SM (2016) The effect of short term isometric training on coretorso stiffness J Sport Sci httpdxdoiorg1010800264041420161235791

Lee B and McGill SM (2015) The effect of long term isometric training on coretorso stiffness J Strength Condit Res 29 (6)1515-1526

McGill SM Low back disorders Evidence based prevention and rehabilitation Human Kinetics Publishers Champaign IL USA 2002 ISBN 0-7360-4241-5 Third Edition 2016

Zebis MK Anderson CH Neuromuscular Coordination Deficit Persists 12 Months after ACL Reconstruction But Can Be Modulated by 6 Weeks of Kettlebell Training A Case Study in Womens Elite Soccer Case Rep Orthop 2017 Jan 18

3272017

28

Questions

3272017

28

Questions