Guest guest Posted November 3, 2000 Report Share Posted November 3, 2000 Bob Forney <bobage24@...> <<I have also recently read Chek's article Big Bench, Bad Shoulders: <http://216.150.5.6/exclusive/chek/benchpress.htm> I have an opinion on the subject, but would also like to hear what everyone on the list thinks >> ***Thanks for bringing this latest Chek point to our attention. This tale warranted some in-depth analysis, because it addresses several issues that are part of fitness and therapeutic folklore, so be prepared for some lengthy reading based upon a series of extracts taken from this article! ------------------------ Big Bench, Bad Shoulders By Chek Chek point: The bench press exercise was never intended to be a benchmark of man (or woman!) hood. It is an exercise for improving the size and/or strength of the chest, anterior deltoids and triceps, nothing else. Siff Comment: *** Historically, the bench press has long been associated with producing an impressive chest, one of the hallmarks of bodybuilding. Try excelling in any bodybuilding event with an underdeveloped chest and see how far you go! Chest size and shape is important in some sports and careers, so it is fairer to say that the bench press may play an essential role in certain situations. Chek point: The movement-restricting factor during a bench press is not the muscles of the shoulder; it is the special connective tissue casing around the shoulder joint called the " joint capsule " . This highly specialized structure is anatomically designed to not only allow just right amount of motion to prevent joint damage, but also contains thousands of specialized nerve endings called " proprioceptors " . Comment: *** Wrong. The connective tissues also stretch and enhance the efficiency of muscle action, especially if it is more rapid or ballistic, as in throwing and running, or if prestretch is involved. Interestingly, the shoulder joint is ballistically thrust much further back (extended) during sprinting and fast running than any form of barbell bench pressing and for many more reps at a time. The force imposed on the shoulder joint under these conditions can exceed that experienced by the average recreational bench presser, so does this mean that we should not forcefully swing the arms back when we run? This highly specialised structure is meant to manage different types of passive and active range of movement which are significantly greater than the unloaded passive range stipulated by Chek. If the shoulder is designed to allow only just the right amount of motion (i.e. display what is known as “zero safety factor” in engineering), then it would be incapable of handling any unexpectedly large or extensive loads. That is not the way in which the body is designed. Even more cleverly, the different parts of the body obey the well known principle of SAID (Specific Adaptation to Imposed Demands), so that progressive gradual (or fluctuating) overload will cause adaptive reconstruction and allow the trained parts of the body to cope easily with loads which were impossible at the beginning. To state that each joint permits only “just the right amount” of movement is tantamount to saying that musculoskeletal adaptation does not take place. In other words, stretching and strengthening programs cannot significantly increase the safe range of motion of any joint. Chek should have stated that it is not advisable to begin bench pressing with loads that are too demanding for you to cope with, but that it would be more sensible to progressively increase loading, range and rate of movement so that the body can adapt effectively to ultimately work over a greater range of joint motion. Chek point: Additionally, because the bench press is performed on a flat weight lifting bench, normal movement of the shoulder blades (scapulae) is disrupted. This demands that more movement must occur in the shoulder joint itself. As the bar is loaded with heavier and heavier weights, the shoulder blades are pressed into the bench harder and harder, further disrupting the normal mechanics of the shoulder girdle joints and overloading the shoulder. Comment: *** The use of an inappropriate bench or position on a bench may indeed inhibit the scapula from rotating freely, but that does not mean that the shoulder joint has to produce more movement. Scapular restrainment controls the movement of the shoulder so that the connective tissues associated with the thoracoscapular ‘joint’ and the glenohumeral joint may have to stretch to offer an alternative mode of movement under those specific conditions. This is one reason why it is incorrect to refer to certain joints as behaving like “force couples”. A couple comprises a system of two equal and opposite forces which implicate only rotation and NO element of translation, but most joints that are popularly thought to produce couples are passively restrained by various connective tissues which are there to handle translational forces. That is why all this trendy talk about joint “couples” and “force couples” needs some serious reappraisal - this misinformation is leading too many folk to understand joint action imperfectly. Chek point: Place your arm in the bench press position and allow your arm to lower to its passive end range of motion. This is the position where the arm naturally stops without being forced. At this point you have determined the exact point at which the shoulder joint capsule becomes the primary restraint to shoulder ROM. *** This is suitable for unloaded, relaxed measurements of shoulder action, not the dynamic, loaded or ballistic actions of sport. This sort of relaxed test can be very misleading because normal sporting movement does not encourage the muscles to relax at the extreme end of range. Thus, under 'functional' conditions, it is not just the capsule which stabilises the joint, but also all the contracted muscles associated with the shoulder (and that means not simply the adored 'rotator cuff' muscles). Chek point: Although many will argue that you must train through the " full range of motion " to be strong for sport, this concept is unfounded. It is well known among Physiotherapists and exercise scientists that there is approximately a 15º +/- carry-over of strength developed at any specific joint angle with strength training. i.e. if you train the shoulder from 15º to 75º, the strength gained will carry over from 0º to 90º. This is how sports medicine doctors improve strength in an injured shoulder or knee without actually ever moving the joint through the painful ROM. *** Of course you have to train through full range of sports specific movement in order to produce sporting proficiency, because a large number of sports compel the joints to act over far greater ranges than those measured passively according to Chek’s guidelines. His entire article is based upon the typical model of the soft tissues behaving non-ballistically or cocontractively under conditions of predictable and smooth loading, which is the standard model used by therapists who rely on isokinetic devices and manual muscle testing to analyse human movement. Can you imagine if a wrestler, gymnast, weightlifter, powerlifter, field athlete, judoka and many other types of athlete who throw, catch, push or manhandle objects or other people did NOT train the most relevant joints over a full range of ‘functional’ movement? In fact, research done by Iashvili, Tumanyan and Dzhanyan have shown the importance of this type of training by thoroughly investigating the ranges of movement (ROM) and ways of enhancing ROM, as well as the relationship between unloaded and loaded active and passive ways of stretching (detailed in Siff & Verkhoshansky “Supertraining” 1999, Ch 3.5.8). The figures of approximately 15 percent carry-over were obtained under isometric loading conditions, which have nothing to do with the prestretched or ballistic actions commonly involved in many sports. Physical therapists use this type of training during the early post-acute stages of rehabilitation, but these regimes of isometric holding do not condition the muscle complex to cope with ballistic loading or heavily loaded exercise over a full ROM. It is entirely invalid to extrapolate highly limited methods from the clinical setting to the world of normal physical activity and sport, especially when the biomechanics and neurophysiology involved are so very different. For example, the brain mechanisms associated with isometric and ballistic movement implicate different regions of the motor cortex, basal ganglia and cerebellum. In simple terms, Chek is trying to use screwdrivers instead of spanners to work on the machine. Chek point: What most trainers, athletes and coaches don’t seem to respect is the fact that training beyond the shoulder’s passive barrier with heavy loads will stretch the shoulder joint capsule. Once stretched, the joint capsule can no longer stabilize the shoulder joint with common arm movements such as swimming, hitting a volley ball or netball, holding power tools over head or even swinging a hammer. If these arm movements are repeated without the stability provided by a functional shoulder joint capsule, an impingement develops, resulting in inflammation and pain in the shoulder joint. *** That is the very point of the whole exercise, provided that it is done in manner and rate which suits the individual and that even means using ballistic loading if appropriate for a given athlete. The fear that an active muscle will be permanently stretched is incorrect. There are at least two ways of stretching the muscle complex: by heavy loading or sustained loading. The former usually causes partial or complete ruptures, so that the issue of gradual plastic deformation does not arise, though the possibility of cumulative microrupture may exist. This leaves us with sustained lighter loading, but it is known that plastic deformation is produced in uncontracted muscle (i.e. in its non-contracting elements), not in the contracted muscle that is used in bench pressing. Chek is actually referring to what is known as Repetitive Stress Disorder (RSD), not permanent pathological stretching of the “muscle”. His understanding of the mechanics of joint damage need some revision. Chek point: In any sport, your arm rarely ever reaches a loaded end point in the same position twice in the same game or event. Because the loads in sport are both brief in duration and seldom as high as those encountered during a bench press session, the shoulder joint capsule can recover from intermittent exposure to end range loading. For those with insufficient range of motion to perform the traditional Bench Press, going to the gym and lowering heavy loads to your chest with slow speeds of movement, 30-100 repetitions or more per week is like repeatedly crashing your car into a brick wall at slow speeds just to prepare for the one day may actually have an accident! *** What!!?? The loads in any sport are seldom as high as those encountered during a bench press session?? I am sorry, but I simple cannot couch my response to this utter nonsense in more diplomatic terms, because it is seriously incorrect, as is obvious to anyone who has ever carried out biomechanical analyses of upper extremity movement in throwing sports. Even a basic application of Newton II will show you how wrong this comment actually is - this is one reason why shoulder injuries are far more common among athletes who throw or hit (baseball, football, tennis, etc) than among those who do bench press. As mentioned earlier, sprinting action also ballistically produces very large forces about the shoulder joint. Chek point: Begin your return to the bench press from the floor, not a bench. The floor creates a range of motion barrier, protecting your shoulder joint capsules and tendons from excessive stretch. *** It is incorrect to assume that movements which do not permit full prestretch are safer. Floor presses are commonly used by my powerlifting colleagues as a more advanced exercise (the aim is training of starting strength, not general training) not really for beginners, unless the load is seriously light. In fact, injuries are common in muscles that are not prestretched, so, if you are doing floor presses to limit joint range, then you must not rest the upper arm on the floor, but retain plenty of muscle tension before you begin the upward drive. Chek’s rudimentary prescription of floor presses can pose more risks than prevent them. Why not simply do full narrow hand spaced pushups or pushups from the knees for beginners if you wish to limit shoulder movement? Chek point: Always start with dumbbells. Dumbbells allow your body the needed freedom of motion to find a new bench press pathway that does not stress the injured tissues. *** Dumbbells (DBs) always allow you to move the shoulders over a GREATER range, one that is generally beyond one’s unloaded passive range. I thought that Chek’s main point was not avoiding this possibility! DB bench presses (or flyes) are excellent for increasing shoulder range of movement (besides challenging balance), not controlling it. I am not decrying such exercises, but simply pointing out a contradiction in Chek’s article. For the novice, shoulder width bench pressing with light loads on a bench with a hard smooth sponge surface of the right width is far safer. A final concluding point - personally I have bench pressed with reasonably heavy weights for over 35 years and never ever experienced a shoulder problem. Admittedly my best was only 165kg (363lbs) in the 90kg division as an over 40 years Master (Olympic lifters aren’t the greatest benchers in the universe), but that is still a heavy enough load for this steroid free athlete to make such a remark. Besides that I have snatched every week of my life over the same period and I have a very deep squat with shoulders well back behind my head. The only time I ever injured my shoulder was roller painting the extensive walls of our house when we moved back to Denver a few years ago. Give me good old serious bench presses, and Olympic lifts, any day: statistics-wise these activities are a lot safer than pitching a baseball . I am by no means unique -very few of the bench pressers I ever trained or trained with ever injured their shoulders unless they technically did something silly or overtrained. I am sure others who are top level powerlifters would be happy to share their happy experiences with those horrid benches! Over to them, now! Dr Mel C Siff Denver, USA mcsiff@... Quote Link to comment Share on other sites More sharing options...
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