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Bad Posture Equals Bad Form

6/17/2015

2 Comments

 
Picture
At right: Running coach giving bad advice on running posture from lack of knowledge and understanding of how the body works and what posture really is and where good posture comes from. 
Running coaches are always talking about "posture" nowadays. While I love that they talk about it, I do not like how they talk about it. Every running coach I have ever seen talks about posture as a conscious decision, something that runners should focus on while running, and something that takes effort to maintain. Running coaches demonstrate and show "good posture" by tilting their pelvis out of an anterior tilt by tightening their abdominal muscles or butt muscles, lengthening the back of their necks, pulling their shoulders back and down, tucking their chins down and in, and softening their knees. 

The problem with this advice is that posture should be unconscious - just look at any young child: perfect posture, movement, and running form and they never are thinking about how they are moving, they are just moving. All these running coaches have it right - that posture matters - but are going about it all wrong. We must change the underlying muscle imbalances and lack of function and joint range of motion so that good posture is natural, unconscious, and always there. 

If a runner (or running coach as we'll see below) has bad posture standing, they will for sure have bad posture while running. It's just the way the body works. But if you have good posture standing, you will have good posture running. 

Most coaches are handing you a bucket and saying "use this bucket to scoop out the water leaking into the boat to keep the boat from sinking". I want to teach you how to fix the leak (bad posture) in the boat (your body) so you don't have to worry about any water (injuries) getting in and the bucket (conscious control of posture/form and management of symptoms) isn't needed. 

Here's a snapshot of a running coach from her youtube video talking about good running posture and softening the knees:
Picture
Notice how in her normal standing posture her feet point out (external tibial torsion and abducted feet) and her kneecaps point in (internally rotated femurs)? This is imbalanced posture caused by weak hip muscles and a lack of coordination between her ankles, knees, hips, and shoulders. 

Here's her running in place with soft knees trying to show good running form:
Picture
  • Notice how her feet are abducted (turned out) and knees are adducted (knock-kneed). Soft knees might be ok, but they won't leave her running pain free without the strong hip muscles needed to support her knees and keep them from collapsing in. 

Here are two more running coaches talking about posture and running form: 
Picture
Notice their standing posture: 
  • He is showing a lateral head tilt, uneven shoulder, arm, and hand position, eternally rotated femurs, abducted feet, and a wide stance.

  • She has a large hip disparity where she is only loading her right hip while hyperextending her right knee, abducting her right foot, dropping her left shoulder and hip, and externally rotating her left knee and foot. 

Both of them are showing signs of unstable hips - him because of his wide stance and turned out feet and her because of her hyperextension of the loaded leg and hands of her hips which means her hips don't want to hold up her upper body and her upper back is fatigued from doing it all day long. 
Picture
Here he is shown from the side and while he is talking about standing up tall, what he is really doing is going into a major swayback posture which is a sign of hip weakness and instability. I'm sure he is using his calves to help hold him up here instead of his hip musculature. 
Picture
She is shown running and it is obvious that her hips are unstable. Her right knee is collapsing inward in a valgus position and internal rotation. Her right hip flexor is weak and this is causing excessive left arm-swing across her body. 
While these are fast runners and great running coaches, the one thing they don't have going for them is a clear understanding of what good posture really is, how to help other runners achieve good running posture, and how standing posture and running form are closely linked. 

If you are a running coach, elite or recreational runner, or other healthcare professional that works with runners, contact me and I'd be happy to help you understand how posture, form, and running pain free are interconnected and easily achievable. 

Related articles:
How shoulder posture affects running performance
Why runners don't get knee arthritis
5 things runners should know about knees
Is training your "core" really helping you?
2 Comments
Paul
7/30/2015 03:56:27 am

That man and woman does not have poor posture. I am the one with poor posture. My shoulders are always slumped even when I try to stand up and sit up straight. When I looked at that picture of that man and woman I think they are standing really good compared to me.

Reply
Matt Whitehead link
7/30/2015 05:19:27 am

Hi Paul,

Thanks for the comment. That is good that you have recognized your posture and realized that it could use improvement. What are you doing to help improve your postural alignment? Have you tried doing any of the exercises from the videos or articles on my blog? Have you read Pain Free by Pete Egoscue and tried those exercises? I'd be happy to help you if you want assistance, just email me: matt@oregonexercisetherapy.com or call me: 971-279-2189

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    About Matt Whitehead

    I'm an Egoscue Institute certified Postural Alignment Specialist (PAS) and Advanced Exercise Therapist (AET), certified personal trainer, PatchFitness performer, FiveFingers wearer, trail runner, mountain biker, dad, music lover, environmentalist, and wanna-be slam dunk champion. I will be providing you with the latest posture exercises to help you live, play, and be pain free.

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