WEBVTT

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So long -term advice for any coaches based on

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this research is that it is absolutely shown

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that this type of training is effective in terms

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of helping enhance power output, which is essential

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in athletes that play sport, and protective against

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those athletes that are not participating in

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strength training, which is often something that

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we see a lot of athletes drop off of when their

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sport seasons or sport buy -ins increase. Hi,

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Emily. It's my pleasure to have you on Evidence

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Strong Show. If you could briefly introduce yourself.

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Hey, everybody. Thank you so much for having

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me. My name is Emily Neff. I am the owner of

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Relentless Athletics. We are a female -focused

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strength and conditioning facility. We only work

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with adolescent female athletes. We've been here

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for 10 years. All of our girls at Relentless

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play sports, and we have a heavy reliance on

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Olympic weightlifting. And this is what I actually,

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this population is what I base my dissertation

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work on. on utilizing Olympic weightlifting really

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as a novel tool for neuromuscular training to

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potentially help reduce ACL injury risks. Awesome.

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All right. We need some kind of backstory. How

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did you arrive here? Yes, in terms of the study.

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So basically, I mean, I always wanted to put

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what I'd been doing here for the past 10 years

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at Relentless into actual work and then to publish

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it because I've seen it work year after year

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after year in terms of reducing ACL. Just reducing

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overall injury rates, as well as being an Olympic

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weightlifter myself, understanding the brain

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-body connection, how necessary that is to execute

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the lifts, but then what that is doing at the

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inter and intramuscular level for athletes in

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general. So while working with our athletes and

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just seeing their movement quality increase,

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their rates of injury decrease, comparing that

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to their peers who were not participating in

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these types of lifts. lifts and looking at their

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injury rates, I knew that this was something

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that I wanted to, you know, actually put into

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research because my population here is so unique

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and very far few gyms have this many girls that

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are this age that are performing these lifts

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that we can then study and get published so that

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other people can actually face off. you know,

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this type of work. What is specific about this

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population? We see spikes in injury in specifically

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ACL injury rates occur during the pubescent period

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in female athletes. And unfortunately, most studies

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when we actually look at the ACL in female athletes

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occurs when they're in college, just because

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they're an easier population to study because

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you don't need parent consent. So if we need

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to understand what's going on at the physiological

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level that's leading to this increased injury

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risk, injury rate, we ask. absolutely need to

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study this population. So because I work with

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this population, this is really why I wanted

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to conduct the study on them and be able to put

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the results into actual practice, especially

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because when you look at the research in general,

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you know, there's a lot of talk now of ACL injury

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rates and how that could be related to phases

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of our menstrual cycle. Well, if that were the

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case, why do we see an increase of these rates

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occur during pubescent period and at least one

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year from a female athlete? getting puberty,

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50 % of her cycle is a novelatory, meaning that

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she's not actually ovulating because her hormones

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don't spike high enough. So if we want to focus

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on female physiology, these things don't actually

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add up. But what we do know is that females grow

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differently than boys. Males have a neuromuscular

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spurt. When they grow, they have an increase

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in their not only body size, but their muscle

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mass, and then their ability to actually utilize

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that muscle mass because of their neuromuscular

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coordination. But unfortunately for female athletes,

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or females in general, they don't have the same

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neuromuscular spurt. In fact, they're neuromuscular

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deficit. We see an increase in body size, but

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not a concurrent increase in body mass, or specifically

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muscle mass. So when that occurs, females' ligaments

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and tendons become loose to try to accommodate

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for their growing bodies. And this may anecdotally

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be what you may say is a female, sometimes after

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she goes through puberty, she kind of looks like

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a giraffe with her head cut off, and she's just

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super lanky, doesn't know how to control her

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limbs. Well, that's true, and there's a science

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behind it. but we can induce an artificial neuromuscular

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spurt, research shows through neuromuscular training,

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particularly neuromuscular training that's going

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to incorporate strength training and plyometrics.

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So if we look at Olympic weightlifting, Olympic

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weightlifting itself is going to introduce a

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type of plyometric training as well as obviously

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strength training because it introduces a progressive

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overload. So if we look at Olympic weightlifting,

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what a fantastic novel means of neuromuscular

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training. research has demonstrated that females

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become more interested in or adhere into training

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when there is some type of skill -based element.

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Olympic weightlifting is a skill. And unfortunately,

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when we actually look at studies that look at

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the prevalence of Olympic weightlifting utilized

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by strength and conditioning coaches, it's at

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a very low rate in females compared to males.

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So this is something that we need to look at

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and study and possibly introduce to female athletes

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because not only does it have the potential to

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reduce these injury rates, but it also has the

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potential because it's skill -based for females

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to more so want to adhere to training and stick

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with it, which again, long -term will lead to

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lower injury rates. Awesome. And there are a

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plethora of additional benefits that a female

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young athlete will get when they stick to training

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for longer. They stay in sports, they use it

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as physical activity later and, you know, pass

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it down on their family members and so on. So

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lots of good things happening now. Okay. This

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is what you decided has to be done. Now, how

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did you go about designing the study? Who did

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you invite? How did you structure the study and

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so on? So the protocol for Olympic weightlifting

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was actually based on the protocol here that

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we utilize at Relentna. So this has been a very

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systemized approach to introducing Olympic weightlifting

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to females. It's based off of most of the protocol

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that's provided through USAID. So with that,

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we also simplified this approach. Because we're

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a business, we need to make sure that we have

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systems that every coach can follow. So our approach

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to coaching Olympic weightlifting is top, bottom,

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clean only for the first month of training. Obviously,

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as long as an athlete can demonstrate proficiency

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in like an RDL, a front squat, all of that. But

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the main goal is for an athlete to be able to

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perform a hang clean while hitting three specific

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movement patterns. The athlete is able to maintain

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midfoot weight distribution, is able to hit vertical

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extension. a distinct start and finish position

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of her feet. Because this is neuromuscular training,

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this needs to be based on the athlete and her

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progression and learning these movements needs

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to be individualized. So with that said, if an

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athlete cannot hit those three protocol, she

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cannot progress to below the knee in the second

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phase. Instead, the athlete then moves to the

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blocks because this is based out of motor learning

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where we need to slightly change the movement,

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but stick to the actual goal itself to actually

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acquired the new motor skill so those athletes

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will just move two blocks with the bar above

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the knee same goal to maintain those three protocol

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if the athlete is able to mean those three protocol

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within that first phase she that is allowed to

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progress to below the knee but is introduced

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through movement chunking basically where the

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athlete performs a hang clean and then a low

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hang clean with the paws above the knee and now

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the additional protocol or or specific movement

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that this athlete is trying to achieve is a consistent

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back angle from below the knee to above the knee

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because these athletes are only training twice

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a week the first like as i said the first four

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weeks the athlete is doing just clean variation

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she does a clean and a push press for day one

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and just a clean for day two as we go to the

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second phase the athlete will do either cleans

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off the block or clean plus low hang clean based

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on how she performed in phase one and then day

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two will be a hang snatch same focus focusing

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on midfoot weight distribution vertical extension

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a distinct start and finish position of the their

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feet. And this is how we went about utilizing

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the Olympic weightlifting protocol as a type

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of neuromuscular training. We are not coaching

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athletes up to percentages. We call these, the

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whole point is working them up to what we call

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a threshold. So working them to a weight where

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the athlete is able to maintain those three movement

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patterns while hopefully hitting a slightly heavier

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weight than they hit the week before, but where

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technique is going to always triumph weight as

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well as the speed of the bar movement. So that

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threshold is basically where that athlete is

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able to maintain those movements, but is slightly

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challenged. And the goal is to push that threshold

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each week. From there, the weightlifting protocol

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itself is only going to last 30 minutes. The

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remaining 30 minutes of the hour session is going

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to be individualized. This is because research

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on the actual strength and conditioning training

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for the adolescent population is based off of,

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it needs to be individualized to that athlete

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based on what her motor, her movement quality

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is like, as well as where her external support.

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How many hours a week is she doing? So each athlete

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underwent a movement assessment prior to participating

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in the study. And this way, the athlete's remaining

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movements, which just consisted of some type

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of compound movement, such as bilateral squat,

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hip hinge, vertical horizontal press, vertical

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horizontal pull, nothing crazy. And some type

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of unilateral or split squat type of knee dominant

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movement pattern was all based on what their

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scores were. And these athletes were then. either

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introduced to a barbell front squat based on

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their scores or just a kettlebell goblet squat.

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So that's how those athletes were progressed.

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Very simple linear progression. Phase one is

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all about movement exposure. Phase two is about

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increased volume of those same movement patterns.

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These athletes were all athletes that are already

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paying members of Relentless Athletics, but they

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were brand new to strength training in general.

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So they could not have more than a year of structured

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strength training program or training. or else

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they would not be eligible. All these athletes

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had no significant prior injuries, meaning they

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could not have been taken away from sport within

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the past year, greater than 22 days due to a

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type of injury, as well as, of course, having

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any type of surgery, anything like that. We're

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very fortunate enough that we also had a control

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group. And the control group were athletes that

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played on very similar sport teams to the girls

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that were participating, because all the girls

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that participated were individuals. They weren't

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an entire team coming in because it's an individualized

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training program. these individuals from the

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control group all had very similar training loans,

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meaning hours a week of sport, and they did not

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participate in any external strength training.

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program over the course of those eight weeks.

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So that was really unique about this study is

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that not only did we have a training focus group,

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but we also had a control group that was playing

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sport but not participating in this type of training

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to then be able to look at the results. And what

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we were looking at utilizing force plates is

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we wanted to look at two things. We wanted to

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look at power production, specifically through

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a drop vertical jump, as well as peak landing

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forces to see what happens of those two qualities

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over the course of those eight weeks across both

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groups. And did you test before and after? Yes.

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Okay. How many participants did you have in each

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group? 15 and 9 were our total at the end of

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the... eight weeks that we actually were able

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to analyze the results from. Awesome. And you

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tested? The drop. Just the drop on the fourth

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place. Fourth place. Yep. All right. The only

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other thing that we did is that we also looked

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at possible confounding factors. We looked at

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athletes. This was just through a questionnaire

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for their parents, besides asking them how many

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hours a week of sport, any prior injuries, as

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well as we wanted to know their menstrual cycle

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status, if they started their menstrual cycle,

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if it was regular or if it was irregular. Oh,

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yeah. Are we ready for the results? Oh, we are

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ready. Let's go. Okay. So what was most significant

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was looking at the pre and post of the actual

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vertical jump height in our drop jump. So our

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athletes that were performing the strength training

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program were able to increase by 129 .7%. Meanwhile,

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the athletes in the control group, again, they

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were doing the same amount of sport volume, dropped

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26. So this demonstrated that this type of training,

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which I got into later in the discussion, is

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specifically neuroprotective. Because when we

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look at previous research that demonstrates that

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sport itself is going to cause fatigue and fatigue

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is going to influence our ability to produce

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power. And females specifically during peak height

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velocity are more susceptible toward this type

00:12:46.019 --> 00:12:48.929
of fatigue. And therefore... this type of training

00:12:48.929 --> 00:12:51.909
could possibly be neuroprotective in the fact

00:12:51.909 --> 00:12:53.909
that we didn't see the same drop -off. Instead,

00:12:54.549 --> 00:12:56.730
we saw an increase. Now, when we looked at the

00:12:56.730 --> 00:12:59.029
ground reaction forces, we actually saw that

00:12:59.029 --> 00:13:02.309
there was no change across any group. So in control

00:13:02.309 --> 00:13:04.529
or the training group, there was absolutely no

00:13:04.529 --> 00:13:06.710
change, no drop -off. Everything stayed very

00:13:06.710 --> 00:13:09.309
consistent. Athletes that came in with a higher

00:13:09.309 --> 00:13:11.570
vertical were those athletes that also had a

00:13:11.570 --> 00:13:14.110
lower peak landing force, regardless if they

00:13:14.110 --> 00:13:15.950
were on a training or control group. And this

00:13:15.950 --> 00:13:18.090
can kind of demonstrate what you would think

00:13:18.090 --> 00:13:20.149
is that athletes that maybe are just more athletic

00:13:20.149 --> 00:13:22.230
and more powerful, therefore demonstrate better

00:13:22.230 --> 00:13:24.809
landing strategies. And this is just what we

00:13:24.809 --> 00:13:27.990
are proposing. With that said, we also suggest

00:13:27.990 --> 00:13:30.210
that perhaps because this is only an eight -week

00:13:30.210 --> 00:13:33.409
study and we're trying to utilize Olympic weightlifting

00:13:33.409 --> 00:13:36.649
as a type of neuromuscular training tool that

00:13:36.649 --> 00:13:40.049
is implicit in changing our jump landing mechanics,

00:13:40.370 --> 00:13:42.809
we probably just needed a longer duration study,

00:13:43.049 --> 00:13:45.309
which is what other researchers suggest that

00:13:45.309 --> 00:13:47.399
in terms of motor learning. when we take this

00:13:47.399 --> 00:13:49.159
implicit approach, meaning we're not teaching

00:13:49.159 --> 00:13:51.059
an athlete how to jump and land. In fact, we're

00:13:51.059 --> 00:13:54.799
just trying to enhance movement quality implicitly

00:13:54.799 --> 00:13:57.200
through these movement patterns. We need a longer

00:13:57.200 --> 00:14:00.320
duration to actually see changes. So this kind

00:14:00.320 --> 00:14:02.740
of corresponded with what we expected in the

00:14:02.740 --> 00:14:05.750
research, but again, not what we wanted. So that

00:14:05.750 --> 00:14:07.950
was the vertical ground reaction force versus

00:14:07.950 --> 00:14:10.389
the change across either group. Did you look

00:14:10.389 --> 00:14:14.049
at the height of counter movement part of the

00:14:14.049 --> 00:14:16.490
drop jump? Did they improve after eight weeks?

00:14:16.590 --> 00:14:19.809
Was it the same? Yes. So the training group increased

00:14:19.809 --> 00:14:23.629
by 129 % while the control group decreased by

00:14:23.629 --> 00:14:27.029
about 26%. Okay. Could we bring it together?

00:14:27.110 --> 00:14:30.129
So what would be your advice from this study

00:14:30.129 --> 00:14:33.149
for the coaches? So long -term advice for any

00:14:33.149 --> 00:14:35.840
coaches based... on this research is that it

00:14:35.840 --> 00:14:39.480
is absolutely shown that this type of training

00:14:39.480 --> 00:14:42.580
is effective in terms of helping enhance power

00:14:42.580 --> 00:14:45.460
output, which is essential in athletes that play

00:14:45.460 --> 00:14:47.899
sport, and protective against those athletes

00:14:47.899 --> 00:14:50.120
that are not participating in strength training,

00:14:50.259 --> 00:14:52.159
which is often something that we see a lot of

00:14:52.159 --> 00:14:54.639
athletes drop off of when their sport seasons

00:14:54.639 --> 00:14:57.279
or sport buy -ins increase. So with that said,

00:14:57.500 --> 00:15:00.779
it really comes down to education. So sport coaches

00:15:00.779 --> 00:15:03.500
utilizing these full lifts and utilizing this...

00:15:03.529 --> 00:15:06.769
Gilbrate's based approach is essential when it

00:15:06.769 --> 00:15:09.610
comes to improving power output and helping decrease

00:15:09.610 --> 00:15:14.110
any potential loss of that power output across

00:15:14.110 --> 00:15:17.730
demanding sports schedules. Only two hours a

00:15:17.730 --> 00:15:20.909
week is necessary to elicit these types of results

00:15:20.909 --> 00:15:24.809
and educating parents on, although thinking or

00:15:24.809 --> 00:15:26.929
assuming that adding more to the schedule is

00:15:26.929 --> 00:15:28.769
actually going to be fatiguing to the athlete.

00:15:28.850 --> 00:15:31.590
In fact, we have research that have shown otherwise.

00:15:31.870 --> 00:15:34.230
Athletes that are actually adding this two times

00:15:34.230 --> 00:15:37.289
a week of training that emphasizes Olympic weightlifting

00:15:37.289 --> 00:15:39.750
actually helps your athlete perform better compared

00:15:39.750 --> 00:15:42.330
to those that are not, have a drop in power output

00:15:42.330 --> 00:15:44.629
demonstrating their fatigue. So having that type

00:15:44.629 --> 00:15:48.250
of education for our parents is fundamental to

00:15:48.250 --> 00:15:51.110
help this age group in this female athlete population

00:15:51.110 --> 00:15:54.549
maintain this type of training, as well as when

00:15:54.549 --> 00:15:56.620
looking... And at the dropouts, in terms of only

00:15:56.620 --> 00:15:58.759
lost two athletes across that point of time,

00:15:58.879 --> 00:16:00.879
it helps underscore that this type of training

00:16:00.879 --> 00:16:03.980
is going to help captivate female athletes to

00:16:03.980 --> 00:16:05.620
keep coming back. And that's what we need. Sounds

00:16:05.620 --> 00:16:08.019
good. Confounding variables. We looked at irregular

00:16:08.019 --> 00:16:11.159
menstrual cycles. There was no statistical difference,

00:16:11.379 --> 00:16:14.039
as well as athletes that did not have their menstrual

00:16:14.039 --> 00:16:16.519
cycle. So when we looked at those, those data

00:16:16.519 --> 00:16:18.659
points itself didn't affect the results in either

00:16:18.659 --> 00:16:23.210
case. Interesting. Oh, another Pandora box. Exactly.

00:16:24.269 --> 00:16:26.429
All right. Awesome. Two short questions to finish.

00:16:26.490 --> 00:16:28.450
The first one is, what is your favorite lift?

00:16:28.610 --> 00:16:30.639
Oh, the snatch. Most beautiful lift in the world.

00:16:31.179 --> 00:16:33.700
No question. And the last question is where people

00:16:33.700 --> 00:16:36.340
can find you when they want to see what you're

00:16:36.340 --> 00:16:39.340
doing or ask a question. Absolutely. Probably

00:16:39.340 --> 00:16:41.980
our Instagram is the best way. So it's at relentless

00:16:41.980 --> 00:16:45.080
underscore athletics underscore. That's the easiest

00:16:45.080 --> 00:16:47.259
way to really get in contact with me as well

00:16:47.259 --> 00:16:48.879
as just what we're doing here at Relentless.

00:16:49.080 --> 00:16:51.120
All right. All the best, Emily, for your research

00:16:51.120 --> 00:16:53.559
and your work. And thank you for today. Thank

00:16:53.559 --> 00:16:54.159
you so much.
