Exercise of the Week: Happy, Healthy Knees

Did you know the most common overuse injury for volleyball players is patellar tendinitis or “jumper’s knee?” Jumping to spike or block a ball requires a high rate of force production which can stress the patellofemoral joint and patellar tendon, which connects the femur (thigh bone) and patella (knee cap). Patellar tendinitis occurs when the patellar tendon becomes inflamed, due to overuse, resulting in symptoms of pain and swelling localized to the bottom of the patella. Patellar tendinitis increases with time spent playing and is more common in those with a higher vertical jump.

Given the frequent occurrence of this injury, this week we'll begin a series on injury prevention for the knee. The knee is the largest joint of the body and allows for flexion and extension of the lower leg. Without this joint we would not be able to run or jump which really takes some of the excitement out of volleyball, don't you think?

Let's take a quick look at the anatomy and kinesiology of the knee.


Flexion of the knee is performed by the hamstrings. The quadriceps are responsible for knee extension.



Now that you have a solid understanding of the anatomy of the knee be sure to check back in the upcoming weeks as we explore some of the best exercises to promote pain free knees.

See you on the beach!

Eric Hand, MA, CSCS

Exercise Physiologist and Strength and Conditioning Specialist
Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Pictures from howstuffworks.com and gla.ac.uk

Exercise of the Week: The Sleeper Stretch

Level: Beginner to Advanced

Specificity: Shoulder stability and mobility

Goal: Injury prevention

Equipment: None

This week we'll continue our series on shoulder stability with the Sleeper stretch. No, this does not mean lying down on the couch and dozing off after a long day of volleyball. The Sleeper stretch is a static stretch designed to promote mobility in the shoulder joint.

The shoulder joint provides the greatest range of motion of any joint in the human body. Maintaining a healthy shoulder is crucial to success and longevity in volleyball as the shoulder is involved in all the major skills - serving, setting, digging, blocking and hitting.

The repetitive actions of serving and hitting in beach volleyball can cause the posterior capsule of the shoulder to tighten over time causing a loss of internal rotation. This loss in mobility can add stress to the musculature of the shoulder joint, increasing our risk of injury.

Any program designed to promote the health and longevity of the shoulder should include a balance of strengthening and stretching exercises. For many of my clients the value of stretching is often overlooked. I don't call stretching the flossing of the exercise world for nothing. It might not always be fun but it's imperative to keeping yourself injury free. Chronically shortened muscles lead to stress, decreased performance, pain and injury. So, if it's been a while since you've "flossed" your shoulders, try this weeks exercise.

The anatomy of the shoulder and rotator cuff can be seen here:

Start position: Lie on your left side forming a straight line with your body. Your shoulders should be stacked directly on top of one another. You may want to use a foam roller or pillow to support your head. Use your left arm as a kickstand by placing your upper left arm on the floor with your fingers pointing to the ceiling. You should have a 90-degree angle with your left arm.



Use your right hand to apply gentle pressure on your left forearm, pushing it towards the floor, without allowing your upper arm to rise.

This is a relatively subtle stretch. Don't expect to be able to place your hand on the floor. Getting to 45-degrees would be...a stretch (ha, ha!) for most athletes.

Hold the stretch for 15-30 seconds. Repeat 3-5 times and switch sides.

Stretching is best performed at the end of a workout after you are thoroughly warmed-up. Include the Sleeper stretch 2-3 times per week as part of your post play routine and before that well deserved nap. Zzzzzzz...........

Thanks for reading and be sure to check back next week for more beach volleyball conditioning exercises.

See you on the beach!

Eric Hand, MA, CSCS

Exercise Physiologist and Strength and Conditioning Specialist
Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Exercise picture from www.menshealth.com

Exercise of the Week: Lat Stretch

Level: Beginner to Advanced

Goal: Improved performance and injury prevention

Muscles used: Latissimus Dorsi, Teres Major

Equipment: Physioball, chair or post

Our focus this week is enhancing the effectiveness of our spike by increasing the range of motion in our latissimus dorsi (lats). The lats are the widest and most powerful muscle of the back. The anatomy of the lats can be seen here:


One of the keys to an effective spike is reaching full extension of the hitting arm to achieve a high point of contact.


Who better to demonstrate perfect hitting technique than Misty May-Treanor?

Due to it's insertion on the humerus (upper arm bone) if the lattisimus dorsi muscle is tight or shortened this will impede our ability to reach up for that buttery set. Umm...buttery sets.

So to ensure that you can reach up and get yours try out this stretch:


Start position - begin by kneeling on the floor, with the physio-ball directly in front of you and hands on top of the ball.

Roll the ball forward by extending the arms and allowing your hips to shift backwards.

Continue to extend the arms forward and your hips backwards until a stretch is felt in the upper back, lats, or shoulders.

Gaze down toward the floor to keep your cervical spine neutral.

Hold this position for 15- 30 seconds. Repeat 1-2 times.

You can also perform this stretch with a partner by holding onto their forearms, slowly bending your knees and leaning back.

Thanks for reading and be sure to check back next week for more beach volleyball conditioning exercises.

See you on the beach!

Eric Hand, MA, CSCS

Exercise Physiologist and Strength and Conditioning Specialist

Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Pictures from stacktv.com, pgatour.com, uoregon.edu

Exercise of the Week: Y,T,W,L's

Level: Beginner to Advanced

Specificity: Shoulder stability

Goal: Injury prevention

Equipment: Physioball

This week we'll continue our series on shoulder stability with Y,T,W,L's. Again, our exercise this week is Y,T,W,L's not YMCA--sorry Village People fanatics.

The shoulder joint provides the greatest range of motion of any joint in the human body. Maintaining a healthy shoulder is crucial to success and longevity in volleyball as the shoulder is involved in all the major skills - serving, setting, digging, blocking and hitting. However, frequent use of a joint that provides such a wide range of motion can increase our risk for injury.

Our focus this week is providing a stable base for the shoulder, specifically the rotator cuff, by strengthening the scapulothoracic joint (shoulder blade, rib cage). The anatomy of the scapulothoracic joint can be seen here:

Y,T,W, and L refer to the position of the arms during each movement of this series. Although it may look simple this series is very challenging and beneficial. The start position for each movement is shown here:


Y: Lie with stomach on physioball with knees against ball. With arms relaxed in front of the ball begin by raising arms in front of you at a 45-degree angle so the body and arms form a Y. Aim for long arms and point your thumbs up, think Arthur Fonzarelli. Hey...Perform 8 repetitions and then move on to the T.


T: Lie with stomach on physioball with knees against ball. With arms relaxed in front of the ball begin by raising the arms directly to the side to form, you guessed it, a T with the body and arms. Point you thumbs up as you did in the Y. As you lift your arms retract, or draw your shoulder blades (scapula) together. Perform 8 repetitions and then move on to the W.

W: Lie with stomach on physioball with knees against ball. With arms relaxed in front of the ball bend your arms at the elbow, retract your scapula, rotate your hands back with your thumbs down, pinky fingers up while keeping your elbows tight to your ribs, forming a W. Perform 8 repetitions and then move on to the L.

L: Almost there! Lie with stomach on physioball with knees against ball. With arms relaxed in front of the ball, lift your elbows toward the ceiling and bend your arms so the upper arms are parallel to the floor. You should have a 90-degree angle at your elbows. Retract your scapula and externally rotate your arms until the backs of hands face the ceiling. Perform 8 repetitions and then relax, you deserve it!

Sets/Reps: Begin with 32 total reps (8 for each exercise) with no additional weight. These movements are much harder than they look. After 4 weeks, add 2 repetitions each week until you can complete 16 reps per exercise. At this time, if you have perfected your technique, you can consider trying this series with 1-2 pound dumbbells for 8 reps per movement.

Perform this series once or twice per week for best results.

Thanks for reading and be sure to check back next week for part IV of our series on shoulder stabilization for injury prevention.

See you on the beach!

Eric Hand, MA, CSCS

Exercise Physiologist and Strength and Conditioning Specialist
Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Pictures from www.stacktv.com and www.shoulderdoc.co.uk

Exercise of the Week: The Box

Level: Beginner to Advanced

Goal: Improve footwork and ability to change direction quickly

Equipment: None

This week concludes our series on agility training. Remember, agility is the ability to move quickly and change directions while maintaining control of the body. To be effective on the beach an athlete will need speed, balance, power and co-ordination. Agility training plays an integral role in developing these attributes.

Our drill this week is the Box. This is an excellent drill to warm-up the lower body, improve our footwork and enhance our ability to change directions quickly.

Be sure to perform a thorough warm up (click here) before performing the Box drill.


Start in the back left corner, facing the net, and sprint straight ahead to the net.
Immediately transition to a shuffle across the court to the front right corner.
Transition quickly to a back pedal all the way to the back right corner of the court.
Finish the drill by shuffling across to the back left corner of the court where you started.

Repeat 3-5 times with 45-60 seconds of rest in between repetitions.

Key points - When you shuffle stay low in a defensive position and avoid clicking your heels or crossing your feet. Keep the weight on the balls of your feet and not your heels.

Intermediate and advanced players can increase the intensity of the drill by adding an approach jump after the sprint to the net and a block jump after the first shuffle.

For variety you may also want to try the following pattern.


Incorporate agility drills like the Box into your conditioning routine once or twice per week for best results.

Thanks for reading and be sure to check back next week when we'll start our series on shoulder stabilization for injury prevention.

See you on the beach!

Eric Hand, MA, CSCS

Exercise Physiologist and Strength and Conditioning Specialist
Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Pictures from http://stacktv.stack.com/

Exercise of the Week: Line Hops

Level: Beginner to Advanced

Goal: Increase ability to change direction quickly, injury prevention

Equipment: None

This week we'll continue our series on agility training. Agility is the ability to move quickly and change directions while maintaining control of the body. To be effective on the beach an athlete will need speed, balance, power and co-ordination. Agility training plays an integral role in developing these attributes.

Our drill this week is the Line Hop. This is an excellent exercise to warm-up the lower body and increase our ability to change directions quickly.

Draw lines, two to three feet long, in the sand to form a + shape.


Facing the net, stand in the lower right corner of the box. It may help to think of this spot as box 1. The box immediately to your left would represent box 2. The box immediately in front of box 2 would represent box 3. The box immediately to the right of box 3 would represent box 4.



Starting in box one perform small, quick hops in a 1-2-3-4 pattern (left, forward, right, back). Repeat this pattern as many times as you can for 15 seconds. Rest for one minute and repeat.

For variety try hopping in different patterns. Some examples would be 1-3-2-4 (diagonal, back, diagonal, back), 1-4-2-3 (forward, diagonal, forward, diagonal), 1-2-4-3 (left, diagonal, right, diagonal).

Perform 2 sets of 2 different patterns.

Advanced athletes can work up to single-leg hops, repeating the pattern for 10 seconds with 30 seconds rest in between sets. Remember to work both legs!

Key points: Think of moving you feet as quickly as possible while staying in control, imagine hot coals underneath your feet! Keep your hips square and land as softly as possible.

Incorporate agility drills like the Line Hop into your conditioning routine once or twice per week for best results.

See you on the beach!

Eric Hand, MA CSCS

Exercise Physiologist and Strength and Conditioning Specialist
Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Picture from http://stacktv.stack.com/

Exercise of the Week: The Lateral Hop and Hold

Level: Intermediate and Advanced

Goal: Increase ability to change direction quickly, injury prevention

Equipment: None

This week we'll continue our series on agility training. Agility is the ability to move quickly and change directions while maintaining control of the body. To be effective on the beach an athlete will need speed, balance, power and co-ordination. Agility training plays an integral role in developing these attributes.

Our drill this week is the Lateral Hop and Hold. This is an excellent exercise for increasing our agility and reducing muscle soreness and risk of injury in the hips and knees.

Be sure to perform a thorough warm up before performing the Lateral Hop and Hold.

Stand on right leg with right knee slightly bent.

Hop two to three feet laterally toward the left.

Land softly on the left leg and hold position for two seconds.

Push off left leg to hop laterally to the right.

Land softly on the right leg and hold position for two seconds.

Repeat for a total of 10 repetitions.

Intermediate players should perform 2 sets with 30 seconds of rest between sets.

Advanced players should perform 3-4 sets with 30 second rest periods between sets.

Key points: Keep your hips square and land as softly as possible. Gradually increase the intensity of the exercise by bounding higher and farther from side to side.

Incorporate agility drills like the Lateral Hop and Hold into your conditioning routine once or twice per week for best results.

See you on the beach!
Eric Hand, MA CSCS

Exercise Physiologist and Strength and Conditioning Specialist
Fast Twitch Fitness

"We're all athletes. Some of us are just farther along in our training."

Picture from http://stacktv.stack.com/

Exercise of the Week: The T Drill

Level: Beginner to advanced

Specificity: Acceleration, Deceleration, Lateral Movement

Goal: Improve Agility

Equipment: 4 cones

This week we'll begin our series on agility training. Agility is the ability to move quickly and change directions while maintaining control and balance of the body. The beach game requires players to move in various movement patterns (forward, backward, lateral, at 45 degree angles) within a single rally. To be effective on the beach an athlete will need speed, balance, power and co-ordination. Agility training plays an integral role in developing these attributes.

The first agility drill we'll review is the T drill. The T drill is an effective way to improve agility as it involves acceleration/deceleration, movement forward/backward/lateral as well as quick changes in direction.

Be sure to perform a thorough warm up (click here) before performing the T drill.

To set up the T drill, place two cones 10 yards apart from one another. Place a third cone in the middle of these two cones and a fourth cone ten yards from the third cone to form a T.



Start at the bottom (cone A) of the T and sprint to the middle cone (cone B).
Upon reaching the middle cone, side shuffle to the left cone (cone C).
Upon reaching the left most cone, immediately change directions and shuffle to the right most cone (cone D).
Upon reaching the right cone, change directions and shuffle back to the middle cone (cone B).
Finish the T by backpedaling to the start cone (cone A).

Repeat 2-5 times.

Key points: Keep your hips square, stay low in a defensive position and do not cross your feet as you shuffle.

Incorporate agility drills like this into your conditioning routine once or twice per week for best results.

See you on the beach!

Eric Hand, MA , CSCS
Exercise Physiologist and Strength & Conditioning Specialist
Fast Twitch Fitness

“We’re all athletes. Some of us are just farther along in our training.”

Picture from topendsports.com