Difficulty with Rotational Athletes

How rotational athletes can fool you and your measures

Sports such as golf, baseball, tennis, and more involve TONS of rotation, yet are certain athletes better predisposed to rotate well based on ribcage structure? Can tests be thrown off because of particular sport adaptations?

We dive into these questions today. Here, you’ll learn:

• Which infrasternal angle presentation has easier rotational capabilities
• If ribcage structure predisposes someone to be “GREAT” at their craft
• What shoulder external rotation really means in this population

Be prepared, folks, to better help your supreme rotational clientele.

Check out Movement Debrief Episode 146 below to learn more!

Watch the video here for your viewing pleasure.

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Show notes

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Which infrasternal angle is better for rotation?

Question: I have noticed that roughly 75-80% of my baseball players are narrow infrasternal angles (ISA). Do you feel this is representative of a normal population? I'm wondering if this is a case of selection bias where narrow ISA's, being more eccentrically oriented, have an easier time rotating, and therefore would be more likely to advance in a rotational sport like baseball or golf. Whereas a more concentrically oriented wide ISA may have a more difficult time and as a result would more bias towards sports requiring less rotation.

Watch the answer here.

Answer: Terry, you are spot on in the differences between narrow and wide infrasternal angles and the subsequent ability to rotate within the lower thorax.

Leverage in the lower thorax is the name of the game, and the obliques are the major players (folks, don't hate the playa tho).

Your obliques are some of the largest rotators within the lower thorax. The better these puppies have leverage, the more your rotational chops will be on point.

Now the next question should be which obliques have more leverage with each respective infrasternal angle (ISA).

AND YOU KNOW I'M GLAD YOU ASKED, FAM!

According to this study, drawing a lot from Shirley Sahrmann concepts:

• the internal oblique has more leverage with wide infrasternal angles.
• The external oblique has more leverage with narrow infrasternal angles.

Now, you need both obliques to perform rotation, so rotational function alone doesn't tell the whole story.

What does tell a larger portion of the story is the compressive action on the abdomen.

If you compare the attachment points of the external and internal obliques, the external oblique lies more superficial to the ribcage in comparison to the internal oblique.

[caption id="attachment_13522" align="aligncenter" width="399"] The big dog, external oblique itself! (Photo credit: Gray's Anatomy)[/caption]

• External oblique proximal attachment: Outer surface of ribs 5-12

[caption id="attachment_13521" align="aligncenter" width="403"] The good ole' internal oblique (photo credit: Gray's Anatomy)[/caption]

• Internal oblique proximal attachment:  Deep layer of thoracolumbar fascia, iliac crest, ASIS (peep this anatomy textbook to learn more)

These anatomical differences allow the external oblique to generate greater compressive forces in the lower ribcage, contributing to the narrowness of the infrasternal angle.

When this muscle contracts, it assists in pushing the viscera downward. If we assume, based on compensatory mechanics, that the infrapubic angle is also in a narrow orientation (and likely structural), the pelvic floor will be eccentrically oriented. This position will allow the viscera to migrate downward, allowing for rotation to occur!

The simple reason why narrow ISAs can better rotate: The guts can get out of the way. 

Contrast this to the wide ISA folks. The internal obliques have worse leverage to compress the ribcage and push the guts downward. Moreover, the wider infrapubic angle begets a concentric pelvic floor, which pushes the viscera upward. There simply becomes too much visceral interference in the ability to rotate.

Wide ISAs can't get guts out of the way.

Does this difference mean that there will never be elite wide ISAs in rotational sports?

FALSE!

In fact, many of the top golfers that I work with at Elevate have a wide ISA presentations. How in the hell does that happen?

Structural bias alone doesn't determine success in sport.

One thing to consider is the when looking at infrasternal angles, we have only concerned ourselves with rotation at the lower thorax.

HOWEVER, rotation occurs throughout the whole body.

In sports such as baseball and golf, you have to be able to rotate in the upper thorax, pelvis, axial skeleton, basically everywhere.

Each ISA presentation can have restrictions in the ability to rotate in these other areas, contributing to success or lack thereof in the ability to rotate.

Moreover, we cannot ignore the skill component needed in these sports. Again, many of our top golfers are hella stiff wide ISAs. It blows my mind how well these guys do at their craft. Some people are so skilled that they find a way to work within their body structure to achieve the desired output.

Lastly, considering the heavy narrow ISA bias within the population that Terry helps, I wonder what position many of his athletes play. Someone who has to move a lot within the game, such as an outfielder or shortstop, may be more biased to be narrow. Heavy hitters, first basemen, and catchers? Not so much, as playstyle changes for them, as wider ribcage have greater force production capabilities due to concentric bias within the pelvis.

[caption id="attachment_13520" align="alignnone" width="810"] Yeah, definitely not narrow, flaxseed oil aside (photo credit: Kevin Rushforth)[/caption]

None of the greats in the steroid era of baseball were narrow ISAs.

Pelvis movement during rotational sports

Question: What are the Ilial and sacral movements during rotational movements like a golf or baseball swing?

Watch the answer here.

Answer: The mechanics during a swing are no different than what we see in gait.

There is an initial contact, midstance, and propulsive phase in both gait and the swing:

• Backswing = initial contact
• Impact = midstance
• Follow-through = propulsion

With these parallels, we can see what is going on with the pelvis at each component:

• Backswing: Counternutation and sacral rotation toward the back swing.
• Impact: Backswing-side sacrum begins nutating and rotating away from the back swing.
• Follow-through: Counternutation and full sacral rotation away from the backswing.

Single-arm and leg exercises instead of shifting?

Question: Are single-arm and single-leg exercises good forms of shifting without using resets to accomplish this?

Watch the answer here.

Answer: Short answer: YASSSS.

Single-extremity moves are essentially a cheat code to drive anteroposterior expansion, as these movements rotate the axial skeleton. Plus, they are WAYYY easier to coach than most shifting-based work.

Let's look at left rotation as an example.

You can see how if I turn to the left, I can drive expansion into the left posterior and right anterior aspect of the thorax. These rules also apply to the pelvis regarding expansion.

The above action happens when you reach with your right arm OR have your right leg forward ASSUMING that you can maintain the stack. Stacking sets the foundation for rotational actions to occur.

If you can't stack and you attempt to rotate, problems and a subsequent compensatory rotation could occur.

In the thorax, you may see the following compensations:

• Crunching, which downs the pump handle and limits rotation
• Anterior thorax migration, which restricts the posterior thorax

At the pelvis, you'll see an anterior pelvic tilt/orientation, which limits rotational capabilities in the pelvis.

What skills do each infrasternal angle excel at?

Question: What are some skills narrow infrasternal angles would be better at than wides and vice versa?

Watch the answer here.

Answer: The infrasternal angle changes the relative contractile bias of the ventral cavity. This has to do with how the pelvic floor orientation that each type possesses.

• Narrow ISA: eccentric bias
• Wide ISA: concentric bias

Because of this, narrows generally have greater eccentric/flexibility capabilities in comparison to wides.

Also, because narrower ribcages have a larger surface area in relationship to the volume of abdominal contents, they are generally better at heat dissipation, which can help with endurance activities.

Wides, on the other hand, have a greater concentric bias, which is useful in terms of force production.

To summarize, here is what each could potentially be biased towards doing well with, with obvious exceptions to the rule (as there are many other influences to movement competency):

• Narrow ISA: Flexibility-based activities, endurance sports
• Wide ISA: Power and strength activities

Relative motion between femurs and pelvis

Question: Will there be a relative motion between the femurs and the whole pelvis or do we lock the hip joint as a whole and only work relatively within the pelvis? What actions would be happening?

Watch the answer here.

Answer: Given that there is more relative motion available within the hip joint in comparison to the pelvis, the hips are most certainly going to move.

The movement that the hips perform depending on what direction my legs need to move.

For example, let's say I want to keep my femurs pointing straight forward in a golf swing. If we use the sequencing above in pelvic rotation portion of the debrief, you'd have the following motions occurring.

Suppose we are swinging right to left:

• Backswing: Right hip external rotation, left hip internal rotation
• Impact: Right hip begins to internally rotate, left hip begins to externally rotate
• Follow-through: Right hip internally rotates, left hip externally rotates

Excessive shoulder external rotation?

Question: I work with 99% baseball players. You've talked about using shoulder external rotation at 90 degrees as a proxy for determining a need for expansion in the posterior lower thorax.

The majority of my guys are hypermobile in that measurement. However, I still believe there could still be potential restrictions in the lower posterior thorax. Is there another way to assess this? Additionally, is an increase in external rotation for a baseball player still indicative of a posteriorly oriented thorax? Again, thank you for your time and the work you have done!

Watch the answer here.

Answer: As I have mentioned previously, shoulder external rotation can act as a proxy measure for the ability to expand the ribcage along T6-8 level.

In some individuals, the thorax can tilt/orient posteriorly as a unit to compensate for a loss of posterior expansion.

[caption id="attachment_12963" align="aligncenter" width="500"] Like this joker[/caption]

When the thorax orients posteriorly, the scapula will also externally rotate, retroverting the glenoid and subsequently the humerus. Due to this orientation, someone may be able to pick up shoulder external rotation beyond physiological normal (aka 90°). This change would actually coincide with the humeral retrotorsion often seen in baseball players. (If you want to check out a blog that goes into shoulder motion in baseball players, this one is awesome!).

So okay Zac. We know that a baseball player should have a LOT more external rotation available. How do we know if this is a structural issue that we should let chill or if the we need more posterior thorax dynamics.

The short answer: Shoulder flexion.

If you look at the mechanics of shoulder flexion, you'll note the following ought to be present:

• Tons of humeral external rotation as I progress through the flexion arc (Yay for baseball players)
• The scapula progressively upwardly rotates (yeesh!)

If I have a posteriorly orientated thorax, concentric bias of the posterior musculature is going to give the scapula a helluva time realizing full upward rotation. Thus, shoulder flexion will be limited in a posteriorly oriented thorax. 

Some folks may have enough eccentric bias in the anteroinferior shoulder capsule to give the appearance of full shoulder flexion. You could check lower cervical rotation as well to ensure you are actually getting posterior thorax expansion, as cervical rotation can cross-reference the T2-4 expansion that is also needed in maximal shoulder flexion.

If you are limited in shoulder flexion, starting with cross-connect variations can drive expansion in the lower regions of the thorax.

Progress this to armbar activities, and NO ONE should mess with you.

Sum up

• Narrow ISAs have better rotational leverage than wide ISAs due to ability to move the viscera.
• Lower ribcage structure is only one component of rotational success. One must consider the ability to rotate in other areas of the body and sports skill.
• The pelvis rotates through the swing as it does in gait: counternutation, nutating, then counternutation.
• Single-arm and leg exercises can drive rotation, which acts as a cheat code to increase anteroposterior expansion in a given area.
• Narrow ISAs are better at eccentric strategies; wide ISAs are better at concentric strategies.
• The femurs rotate during the swing.
• Posterior thorax orientation can give the appearance of humeral external rotation beyond 90 degrees. Shoulder flexion and lower cervical rotation can be used as a test in these individuals, as they are often limited.

Image by Keith Johnston from Pixabay