The background is that the viral video in question circulated FB and the web and was first sent to me from the west coast by Phil Snell (of myrehabexercise.com fame).  Speaks volumes to tipping points that can be created with the internet when it was filmed less than a mile from one of my offices.

Below, a short clip, featuring yours truly, from our local news.  I think they did a nice job presenting a balanced approach.  I find it funny what they chose to use out of a 45 minute interview, but I agree with their conclusion that Crossfit should likely entered into with caution like training for a marathon rather than as a general exercise program.

A nice piece by Katherine Underwood: Crossfit Controversy

Points I wish made the video:

• We have a sedentary, obese society that needs to sit less and move more.  By motivating people to get moving in some ways Crossfit has it right.  They have also done well removing seated exercise machines and motivating people to perform a variety of more functional activities.
• Crossfit can be extremely fun, motivating and exciting.  (This is one of their great achievements but it can also compromise judgment.)
• One of the main flaws in training is the value of quantity over quality.
• Big picture goals should be as follows: For athletes: Long Term Athletic Development.  For adults: Long Term Athletic Participation.
• It is very easy to make exercise hard.  Do more reps, add more weight, do it faster.  It is very hard to make exercise challenging. This is where the exercise remains under control, but just on the edge of someone’s capabilities.  The difference is HUGE.  Challenge leads to adaptation and improvement.  Exercising hard leads to injury and failure.
• Health care providers have a duty to at least “DO NO HARM”.  Fitness trainers should adhere to this same concept.  
• Professor Stuart McGill reminds us that, “There is no good or bad exercise” only ones that are inappropriately applied.  Group exercise classes do not allow individualization which creates problems.  In other forms of group training there are also problems, yoga, pilates, etc… however with these other forms of group training there is more of an environment that it is acceptable that an exercise or activity may not be for you and an encouragement to ‘listen to your body’.  Crossfit adopts a mantra closer to ‘no pain, no gain’.
• Each person should be screened pre-participation.  Screening should include cardiovascular assessment, but also a movement based assessment such as the FMS looking for movement limitations & common injury mechanisms.  It is also essential that screening is implemented using corrective exercise and modification of the routine.

Some blog reviews: of Crossfit:
http://impact-pt.com/fitness/what-crossfit-is-and-isnt/

http://boddickerperformance.com/?p=295

http://justinlevine03.blogspot.com/2012/01/crossfit-is-it-safe-program.html

I had the pleasure of meeting Dr. Tom Michaud at Dr. Craig Liebenson’s Modern Spine Care seminar in Albany several years ago.  A few questions to Tom during one of the breaks turned into a miniature gait seminar, which was fabulous.  His depth of knowledge was quickly apparent as was his appreciation for how it could be applied clinically.  Further, it was apparent to me from Tom’s attendance at the seminar that he understood that we needed to be looking at the ‘whole picture’ even when focused on a foot or lower extremity issue.  This concept is evident in his new text as well, beginning with the title, Human Locomotion.

For those who haven’t purchase the book yet (available on the Newton Biomechanics website), read this paragraph from the preface.  Tom, “had me at hello”.

“Using the latest technologies, modern researchers are proving what practitioners experienced in conservative interventions have known for decades: hands-on manual therapy, orthotics, and rehabilitative exercises provide inexpensive, effective, long-term solutions for the majority of gait-related injuries.”

The book begins with a fascinating history of the evolution of bipedal walking and gait.  Laced with details that I’d never considered, it’s a fascinating read.  For example, “An extreme important by product of Homo rudolfensis’s habitual bipedality is that it decoupled the process of breathing from locomotion.  As noted by Carrier, running quadrupeds time their respiration with their strides…. the coupled patterns locks the breathing cycle during quadrupedal locomotion to the stride rate.”  I guess I haven’t spent enough time analyzing my dogs breathing pattern while he’s running.   This evolutionary detail reminded me of the common conversation of timing breathing with exercise. Considering the essential nature of respiration in spine stability, with the diaphragm serving as the dynamic lid of our pressurized canister, we must always have controlled breathing to have adequate spine stability.  The argument is often when to inhale and exhale during exercise and I think this point in Dr. Michaud’s book lends itself to what I’ve always believed the answer to be.  One of our evolutionary advantages is that we can inhale and exhale whenever we like, completely separate from gait or physical activity.  This evolutionary advance is something we should not give back by training specific inhale or specific exhales during exercise.  (exceptions for extreme performance such as Olympic power lifting are acknowledged)

This text continues with analysis of biomechanics, evaluation of gait cycle (ideal & abnormal), exams, orthotics, shoes, and ends with treatment protocols.  It includes a very insightful discussion of the risks and benefits of the barefoot running trend.   I enjoyed this particularly as a part-time, rational, minimalist runner.  For those interested in this specific topic see also Barefoot in Boston by Art Horne.

I’ve found myself using the book as a reference for lower quarter problems that I’ve been treating and taking some pearls away from Dr. Michaud’s text to add to my clinical toolbox.   This is a great read that shouldn’t be missed.  For other info and reviews of the book, see below:

AUDIO INTERVIEW @ SPORTSREHABEXPERT.COM (view the sample articles if you’re not a member)

During the interview Dr. Michaud covers a variety of topics.  One is the growing body of research that pre-competition stretching does not change injury rates.  He recalls a story of Rob De Castella in his clinic after winning the Boston Marathon and notes that he had a 4″ ASLR raise.  In discussion Rob explained, “when I run that’s as far forward as my leg goes so that’s as far as I want it to go”.  Dr. Michaud discusses the athletic value of ‘tightness’ and the clinical presentations which warrant stretching.  He also discusses barefoot running, treatment of plantar fasciitis, the role of hip stability and proprioception, reasons for recurrent hamstring strains in runners, and shows his ownership of the research which is so evident in his book.   To listen to the audio interview with Dr. Michaud go to sportsrehabexpert.com (membership to the site may be necessary): Dr. Tom Michaud audio interview

Still not convinced…. Read a great review and blog post by Patrick Ward about Human Locomotion.

Dr. Tom Michaud, author Human Locomotion

To see the actual work, read some samples from the text and see the Table of Contents @ www.newtonbiomechanics.com/pages/contents

20 Minutes that are worth spending… TedX video entitled “F*@# Y__ Stop Screwing Yourself Over” with Mel Robbins.
How activation energy, auto pilot, the need for exploration, and ability to FORCE yourself impact your happiness, success, and getting everything you want out of life.
If this doesn’t motivate you to make changes….

• in your activity level
• in your career
• in your sport/training
• in your relationships

… perhaps you didn’t watch closely enough?
This is SIMPLE but not EASY.  Just like so many treatments for my patients.  Simple, but not easy, exercises.  Simple, but not easy, changes in diet.  Simple, but not easy, changes in perspective and lifestyle.  Best luck to everyone to FORCE themselves to make the simple decisions.

I first viewed this on: SB Coaches College