Post-Concussion Symptoms During Training

I have a client, whom I’ll call Jim, who suffered a concussion during an ultimate game this summer. He has had concussions before, and suffered post-concussion symptoms for many weeks. He took 5 or 6 weeks off from training with me during the post-concussion period while he was under the care of athletic therapist and osteopath Richard Gregory. Richard is the head therapist at Ottawa Osteopathy & Sports Therapy and is one of the best manual therapists in Ottawa. I learned a lot from him when he used to be my boss, and I continue have a great relationship with him.

Jim returned to training once his post-concussion symptoms were gone. He enjoyed several weeks of training that felt great, but then after one session, some of the symptoms returned: By the time he got home he felt nauseous and had to go to bed. This happened again the following session.

I wasn’t sure what to think so I reached out to Richard to see if he could suggest anything. The following emails share some context and Richard’s amazing explanation of what was likely going on and some guidance on addressing it:

Email from me to Richard Gregory:
“Hey Rich,
Jim was in Tuesday and again last night and both times ended up with post-concussion symptoms returning. He had had several training sessions prior to that without problems. Tuesday I think he was fine during training but then felt a bit off that night and very off the next morning.

Thursday we talked about it and the plan was to backtrack to the workout he had done the previous time, which had been fine, but by the end of his power section (kb swings and push presses) he was done.

Any thoughts? I was wondering if it might be one or more of:

  • Maybe the rapid vertical to almost horizontal head movement in swings is complicit? (he has been doing them without problems for a while – with no weight increase). He’s also been doing single leg RDLs which of course have that same vert to horiz motion. But those are also not new this week.
  • Tuesday we upped the intensity on a few of his exercises a bit. I put him on a protocol called 5-3-1, where basically set one is pretty easy, set two is moderate, and then set 3 is hard as you do as many reps as you can with good form at that weight. Then we use that to calculate future weights. It’s cool as it is very responsive to fluctuations in ones energy/strength/ability. And the calculations use 1RM percentages but applied to 90% 1RM weights, meaning they are not aggressive. His reps ended up in the 8 to 12 range on the last set. Maybe too much volume? Or maybe the intensity of ‘as much as possible’ was too much?
  • Maybe it’s combined volume of work over the week that is now putting him over the edge? He’s doing twice weekly and I think playing Frisbee once and maybe biking etc? Hopefully he’ll clarify. If this is likely, should we go with either less intense both days, or do 1 intense day, 1 easy day?
  • He mentioned that he stopped doing the vestibular exercises once he no longer had symptoms – so maybe 2 months ago? Is it worth bringing those back in and then planning to do them in some maintenance capacity even after he feels fine?

I welcome any thoughts that could help with Jim’s programming/training so he can train at the optimal level and with reduced likelihood of more symptoms.



Richard Gregory’s response:

“Hey guys,
Here’s my DIY sleuth guide for getting rid of post-concussion symptoms. The symptoms are sometimes very specific and sometimes very vague. Hopefully this info will help you figure out what the issue was.

Cerebral BP Changes:
Post-concussion brains lose their ability (temporarily) to regulate the blood flow (pressure) to the brain amidst rapidly fluctuating body blood pressures. The control of cerebral blood flow (cerebrovascular autonomic regulation) is run on both negative (factors that decrease brain BP) and positive (factors that increase brain BP) feedback loops. If HR spikes too rapidly, pressure sensors in the aorta and the brain’s middle cerebral artery adjusts and dials down blood flow to the brain. The reverse also happens. After a concussion, abnormal blood flow control gives the owner of this brain a very vague malaise feeling of just not feeling right. The recipe to make this go away is to train the vascular system to be more efficient. As you exercise at lower or moderate intensities for steady state (no intervals), you get new arterial growth in the brain (arterioles). This allows a larger number of vessels to provide the same brain tissue with blood flow thus decreasing irregular flow issues. Additionally, the regular steady state cardio (ideally 5/week for 20-35 minutes) “resets” the ability of the brain to regulate blood flow amidst changing body BP. Setbacks which occur months after the concussion usually happen for the following reason.

Brain owner says “I feel good. Thank God that rehab is done. I did at least 4-5 weeks of cardio like 5/week. Now I’m gonna just live my life.” Frisbee happens, a couple of workouts but the steady pace cardio fades off. The effect of the auto-regulation can fade but over time, the more consistently that cardio is trained (over weeks and months), the fade of efficacy of the auto-regulation will stop happening.

How to test it:
Smart way – start doing cardio steady pace at least 20-30 minutes 5 days per week and wait 3-4 weeks before doing heavy weight days or cardio intervals. If you feel better, that was likely the issue. You’ll also know it was the issue if you relate to the brain owner that did considerably less cardio than during the rehab stage at the time you felt the set back. Remember to avoid the breath holding when you go back to the weights and the interval workouts.

Painful way – go to Els’ gym. Do no warm up, drink a Rockstar energy drink to prime your adrenaline. Do 5 sets of heavy squats with lots of breath holding. Then immediately lie down. Feel the wave of nausea wash over you. Feel crappy the rest of the day and possibly the next day. (I don’t recommend you do this). If you feel not so good, you have a temporarily altered cerebral auto-regulation.

I recommend completing the “Smart way” of 3-4 weeks of cardio.

Vestibular Dysfunction:
The improved vestibular dysfunction attained from completing a methodical and specific vestibular rehab program often needs to be reinforced. If the concussion happened several months ago and you did vestibular rehab for about 3-5 weeks, then you may need to “top up” your neuro-vestibular synapses. It is common to achieve a normal or sometimes even greater than normal level of vestibular function but then have this function fade imperceptibly over the course of 2-6 months. This can leave you feeling vaguely nauseated and very low energy. If this is the case, do the following test:

Vestibular test: (Jim knows this test)
Stand in place with eyes focused on a spot, rapidly turn 180degrees and stare at a spot straight ahead of you. Repeat the same test 2-3 times on each side with about a 10-20 second break between reps.

Video of the test:

If you feel woozy, your field of vision feels like it’s moving but you’re standing still or you see blurry, your vestibular function isn’t up to snuff. You can play the same game from lying to sitting rapidly or standing to looking at the floor. Jim only had a rotational dysfunction at the time we tested for it so it’s unlikely that a new vertical issue arose and also unlikely that the rotational dysfunction was stimulated by the gym exercises. Regardless, this is a harmless test and is worth doing. The rehab is to repeat the test for 3x2minutes at a pace that is sustainable and doesn’t provoke symptoms. Do this daily for 5-10 days. I got concussed in 2012 and I still break out a little spin-o-rama 3x2minutes every 8-12 months. I feel like it fades, then I do it for like 2-3 days and it pops back to normal. The need to top up my vestibular function has significantly decreased over time and I feel normal for 12 months at a time. This is not a finding that is available in the literature yet but leading researchers and concussed athlete practitioners (like me) have observed it in the clinic.

Additional vestibular training exercise video:

Global Neural Fatigue:
The concussed brain doesn’t distinguish well between too much exercise, too much work or too much emotional stress. It just knows when it’s been too much. Some researchers are using the term brain bucks. Every time you do work, exercise or experience an emotional stress, the brain pays using a finite amount of brain bucks. The better you sleep, the better you eat (fish oils, healthy fats, low simple sugars) the more brain bucks you get. If you’re sleep deprived, drinking lots of alcohol and eating poorly, then you might have a few less brain bucks. The workout may have been the same, the intensity may have changed only slightly but there may have been other factors such as travel for work, perceived emotional stress etc. Try to think back and see if you felt perhaps you worked a bit more, slept a little less or had other factors that might have made the same well thought out workout cost the last available brain buck. This would leave you feeling like you’re just done and you really don’t want to do the next set. If you think this was the issue, the solution is to monitor your overall brain expenditure by doing a little less (when possible) on the days you’re going to work out. You can also significantly increase your brain’s function and ability to tolerate stress, sleep better, get more out of relaxing etc by doing 10 minutes of mindfulness training. I particularly like Headspace. It’s easy, realistic and doesn’t require wearing silk pants and chanting. Not that there’s anything wrong with that. It’s also been shown that changing one’s perception of negative stress (distress) into a positive stress (eustress) which will embolden you for future stresses can significantly lower the correlated cortisol spike, BP spike etc and consequently, it would cost you less brain bucks to live through the same life stress. Cool Ted talk on this here. Kelly McGonigal: How to make stress your friend.

These are the three most common issues I see that cause setbacks in my post-concussion athletes. Hopefully, you’ll find a solution to the issue. If you hit a barrier you can’t get past, give me a ring. Sorry for the essay.

Hope you guys had a good weekend!


My email back:
“Wow, that was amazing. Thanks for the essay! So really this is:
1. back to cardio for 3 to 4 weeks and no gym (what about Frisbee?)
2. Figure out a good frequency to continue some vestibular test/training – likely will need less often over time.
3. Sort out if there is a stress/perceived stress aspect.
4. Start back at the gym again in 3 to 4 weeks with a similar approach, although perhaps this time we hold off on intervals a bit longer and probably if it will be twice weekly, we make one a light day for a while.
Sound right? Thanks again Rich. Obviously this is helpful for Jim, but this is also super helpful for me to get this great explanation and insight.

Richard’s email back:
“Hey Els,
I suggest 2-3 weeks of no heavy lifts, no strength tests, no max reps, no valsalva etc. I suggest cardio 5xweek for about 20-35 minutes steady pace. If the ultimate has been feeling fine, then continue. I’d suggest the ultimate be played as a poachy D and handler and possibly skip the odd point while taking one of the weaker players to cover on D. Gym can probably continue at lower intensities in 1-2 weeks depending on how Jim feels. Also worth doing the vestibular tests as they’re easy and safe.

My guess is that it’s a BP issue that just needs a bit of priming. Let’s let Jim chime in on how he feels and go from there.

Have a good day guys. “

Jim’s reply:

“A Huge Thank You to both of you for taking the time to discuss this with me and with each other. I honestly can’t put into words how much I appreciate it. It feels really good to know that you both care enough about how I’m doing to take the time to exchange all these ideas by email. I know it takes a lot of time to write all this down and it would be easier if I just made appointments and came into the office, so I appreciate the time spent on these emails a lot!
I suspect the reason for the relapse is just what Richard said: “I feel good. Thank god that rehab is done. I did at least 4-5 weeks of cardio like 5/week. Now I’m gonna just live my life.”

From early March until late April I had a really good routine of doing my vestibular pen-following and rotation exercises. From mid-April until late May I had a really good routine of 4-5x per week cardio for 20-30 minutes – a lot of bike rides along the canal in the morning or evening. I wasn’t a huge fan of the pen-following/rotation exercises and was happy to let them go, but I really enjoyed biking along the canal. The only reason I stopped biking was a customer event that required me to be at work much earlier and later than usual each day for the last month, which made it hard to find time for biking during reasonable daylight hours. That customer event is over now, and I’m happy to get back to biking in my free time.

Until last week, I was feeling really good. I was playing ultimate once per week, having two really solid workouts with Els, and doing some interval training 1-2x per week on my own. Last week for the first time I felt symptoms again – super barfy and dizzy after workouts with Els. On Friday night I “tested” myself with one set of 60 seconds of pen-following, and I could only make it through 30 seconds before I got barfy and dizzy and I had to lie down. The good news is that last night I was able to do two sets of 60 seconds with no ill effects.

I will get back to my cardio bike rides (which I really enjoyed anyway), and more of the vestibular exercises to top that up.

Thank you both, again, so much!


PS “poachy D and handler and possibly skip the odd point while taking one of the weaker players to cover on D” – that sounds like a lot of fun, I should try that!”

Richard’s reply:
“Good luck with the barfy exercise. You’ll bounce back way quicker the second time around. Keep your eyes peeled for a tiny relapse in another few months and do the cardio and the barfy thing again.

Have a great day!”

If I was to modify the FMS for my interests…

This is a follow on post to Looking at an Alternative to the FMS for Client Assessments, and To FMS or not to FMS: That is the Assessment. In those posts I discussed why I was looking at alternatives to the FMS as a means to see how my clients move so that I can better create their first training program, the alternative approach I tried, as well as the outcome of my trial.

I came to the conclusion that I still preferred the FMS, but I have issues with some aspects of it. Initially I hesitated to make changes to address these issues. This is a reflection of my engineering background: If I’m going to modify a system, I want to be sure I have really thought it out. It’s now two months after that post, and I have thought about it. And I have officially moved to implementing a modified FMS instead of the FMS. This post shows the changes I made, and the rationale. I would love it if the FMS would address some of these aspects going forward, although I would understand if they didn’t. There is something to be said for maintaining a consistent system, especially one that has widespread use across different organizations. That said – no system is ever perfect from the start, and sometimes it makes more sense to make the difficult decision to change than it does to stay the course.

Here are the modifications I now use, and the ones that would be made if I was involved with the FMS:

These changes are listed in the order that the FMS test is done.

1. Replace the Deep Squat test with an Arms Crossed Squat. I don’t think anything would be lost with this, as the In Line Lunge, Shoulder Mobility, Trunk Stability Push Up, and Rotary Stability tests still provide plenty of insight into upper back and shoulder mobility and stability. I also removed the requirement for feet straight ahead and replace it with a requirement that feet stay within 10 degrees of straight to fit more people’s anatomy. I recognize the challenge in set up for that, but I know a great engineer turned trainer who loves problem solving who might be able to come up with an idea.

2. Keep the Hurdle Step as is. I know some complain that everyone gets bilateral 2s on this, but that’s not quite true, and the qualitative information one can draw from this is meaningful, including balance and hip flexion quality. That said, if there was a desire to drop a test, this would be my pick.

3. Keep the In Line Lunge test as is, making sure the scoring and set up are clear. I think they are now, but there was a period where many practitioners, including myself were not clear on some of the details of the scoring. This might be the fault of us as practitioners, but I personally have a motto that if most of my clients misunderstand my instruction, the fault is mine, not theirs.

4. Keep the Shoulder Mobility (SM), but adjust the corrective hierarchy to accommodate close scores. The FMS says to address SM first if there is an asymmetry, but I would suggest changing that to: “Address SM first if it is 1s or an asymmetry involving a 1, or a 2/3 asymmetry where the difference is more than one inch. A 2/3 asymmetry where the difference is less than an inch would still take precedent over other 2/3 asymmetries, but not over 1/2 or 1s in other tests.” Maybe that wording is too clunky, but I think you get the idea.

5. Keep the Active Straight Leg Raise (ASLR), but add a Passive Straight Leg Raise as a secondary test in the event that the person scores a 1. This helps to differentiate between whether the problem is range of motion or stability. This is what I currently do, and plan to continue. While I noted in the earlier post that I think the ASLR is not a great screen for whether someone possesses the movement to deadlift, I do think it provides valuable insight into hip stability and mobility.

6. Keep the Trunk Stability Push up as is.

7. Adjust the Rotary Stability test as follows. Keep the “2 position” test, where the test involves the opposite arm and leg, and replace the “3 position” test with either a bird dog with 5 reps of 5 second holds (or 3×5 would probably suffice) or a side plank. For more on why I like this approach, read To FMS or not to FMS: That is the Assessment.

8. Add a Hip Hinge test. I use a dowel held horizontally at the waist and ask them to bend over by pushing their hips back while keeping their back straight and shoulders back. I recognize that this is contrary to the notion of not coaching the test, and I accept that maybe it should remain an add-on. My goal with this is to determine whether or not a deadlift variation is a viable strengthening exercise for the client. The FMS proposes that the ASLR is the clearing test for deadlifts, but it does not address whether someone has the movement comprehension to deadlift. I have had many clients who score 3s on the ASLR but have a hard time doing a hip hinge. They are cleared to deadlift, but they are not deadlift capable. I see this most among people with desk jobs, runners, cyclists, and those who practice yoga. (Note that wasn’t meant as a knock against athletes in those sports; it is just an observation. My guess is that it’s the result of movement patterns or prolonged postures that are similar but different). Sometimes those who aren’t deadlift capable require a lot of coaching to get them there. In these cases, I would much prefer to program a hip hinge as a corrective exercise and do a different hip dominant exercise to strengthen their posterior chain so that they can start getting stronger in the backside right away.

Side note: For the past six months or so I have been doing passive hip rotation range of motion tests as part of my assessment for all of my clients. I look at passive hip internal and external rotation range of motion with the hips flexed and extended. It’s something I was initially doing for my own curiosity, and I am now starting to come up with why and how this might be meaningful for programming. I presented my preliminary findings and suggestions about in my talk about variations in anatomy and their impact on exercise at the Women’s Fitness Summit at the end of August. I’ll share the results as a blog post soon.

What I Look for When Hiring a Personal Trainer for My Gym

I’m in the process of hiring a personal trainer (or two) for Custom Strength, to avoid having to turn new clients away. But it’s a fine balance, as our clients expect a certain level of knowledge and ability from their trainer. It thrills me that our clients expect this, and I love that it keeps me on my toes and keeps me learning so that we can continue to provide great training. It does, however, make hiring a challenge. There are some great trainers out there, but most are already enjoying a rewarding career elsewhere (although if you’re a great trainer in Ottawa who is no longer enjoying your career, please shoot me an email). There are also many not so great trainers out there, and then there are the new or soon to be trainers.

The new or soon to be trainers may be great from a personality and potential perspective, but they just don’t possess the knowledge and experience necessary to work with my clients. I’ve come to the realization that in order to grow Custom Strength, I need to help develop some trainers. And I’m happy to do so as I love to teach, especially to those who are keen to learn. Unfortunately I’m very busy, which means I have to be somewhat discriminating with my time. This may be a good thing, because it means I have to pre-screen who I am willing to help. I was reminded of this recently when I interviewed a few potential trainers, and then took them through a couple of training sessions to get a feel for their training and movement knowledge and ability. There were a couple of people I really liked in the interview, but their knowledge just wasn’t there. It is true that I can teach it, but I actually don’t think that’s the right start. Instead I am putting the ball back in their court. Here’s my response to an email from one of these individuals, who had expressed frustration in the circle of not having experience, but not being given the opportunity to get experience:

“To your frustration, I get it. And I would like to help, but I guess I need for you to have a bit more knowledge first. That said, you may be able to get that outside of work. There are some books and a website that I can suggest that will help you learn some of the basics that strongly influence how Custom Strength works. Unfortunately this stuff is not taught in the certification you took. The good news about that, is that learning this can catapult you way ahead of where you are now.

Training Resources I wish all Trainers would read:*
1. Movement or Athletic Body in Balance by Gray Cook
2. Advances in Functional Training or Functional Training for Sport by Michael Boyle
3. Any Core Performance book by Mark Verstegen
4. Any New Rules of Lifting book by Lou Schuler and Alwyn Cosgrove (the Women’s one is co-written by the amazing Cassandra Forsythe)
5. A membership to Read articles from it, and follow the forum threads. This is a gold mine of knowledge. Also members can download a free ecopy of Advances in Functional Training.
6. Ignite the Fire by Jon Goodman. This one is about the personal training profession, including things like how to market yourself. From the perspective of your frustrations about not being able to get experience without having experience, this will be especially helpful.

This is not an exhaustive library, but rather what I would consider a solid introduction to the style of training that we do at Custom Strength. More importantly, it’s an introduction to what I believe is a solid approach for how a trainer should look at the needs of the body. As you read these books, you’ll notice common themes. That commonality is the underlying body of knowledge that I want any trainer who works for me to have. I’m happy to help develop and train it further for the right person. But please understand that training and developing someone to help them be the best trainer they can be takes time and energy. Before I will commit my time to helping develop someone further as a trainer, I need that person to commit to their own self-improvement. I want to invest my energy in the kind of person who will see this list, and excitedly go buy them (or get them from the library) right away.

Put another way: If you’re looking for work in a field where you don’t have a lot of experience, you’re effectively asking to be assessed on things like personality, potential, drive, and enthusiasm. Your actions in response to the reading list above speaks volumes about drive and enthusiasm.

Once you’ve spent a month or two reading, email me back and let me know that you’re ready to meet again. Just be ready to talk about what you’ve learned. I don’t expect you to have memorized anything, so don’t stress. Think of it as an opportunity to talk about what you’re learning, to ask questions about things you didn’t quite get, and to even bring up anything where you disagree with the authors. Here’s the real point of this (on top of you learning): I am a geek when it comes to training, and I will happily offer my time to help someone else who is interested enough in training that they want to read and then talk about what they read. The flip-side of this: if you’re not much of a reader, then realistically, you are going to have a hard time becoming a trainer. If that is the case though, definitely pick up Ignite the Fire as a minimum. It alone won’t help you get work at Custom Strength, but it is a great resource to help you get work and clients.

Lastly, while you’re reading, try to apply the training principles you learn to yourself and to your friends. You can try to do this by coaching yourself, or by following one of the training programs in one of the books above, or hire a great coach who is experienced in the type of training these books espouse. If you’re in Ottawa, you could consider getting trained at Custom Strength for a while. Or if it would feel weird to hire me and then apply to work for me, there are other great choices: The Athletic Conditioning Centre, John Zahab at Continuum Fitness, and Jonathan Chant at Fitness for Freedom. Note there are other great training options in Ottawa where you can learn, but I didn’t list them because I’m not as familiar with the approaches of others or how similar or different they are from what we do at Custom Strength.

Good luck with your learning and I hope to hear from you in a month or two.”

Addendum: If you are an experienced trainer in Ottawa, and you have read most of the books above, and maybe you’re thinking, how come she didn’t include Supertraining, Periodization Training for Sports, Low Back Disorders, Diagnosis and Training of Movement Impairment Syndromes, Athletic Development, or anything by Eric Cressey? Great question! And if you are looking for a change, or maybe to add a shift or two each week somewhere different, I definitely would love to hear from you.

Elsbeth Vaino, B.Sc., CSCS, is eager to find great people to join the team at Custom Strength. Those great people don’t need to have experience if they are willing to put in a little effort.

* Note that the links to the books and website above are all affiliate links. I don’t have any reservations about earning a few bucks for recommending solid resources. If, however, that bothers you to be a part of the whole affiliate system, then instead of clicking the links above, open a separate browser tab and search for the book title or website directly. I won’t know the difference, and if I did, I wouldn’t be offended.

To FMS or not to FMS: That is the assessment

This is the second part of a two-part post about personal training client assessment options. Check out part one here where I talk about why I was looking for alternatives for the FMS and what I was looking at.

For the past ten weeks I have put new clients through a dual assessment: the FMS as well as the alternative assessment I shared in part one. Note, I understand that the FMS is designed as “a screen” and not an assessment however I think that distinction is founded in the context of a medical assessment. As a trainer, when I say assessment, I am not referring to a medical assessment, but rather a tool for collection of information about a client that I can use to help guide the exercise program I will create for them. A review of a few dictionaries confirms this as a valid use of assessment.

I ran 15 people through the dual assessment. As mentioned in part one, I made notes after the assessments about what I learned from each for each person, but then I didn’t look at it again until this week as a means to reduce any pre-judgement I might have.

My conclusion:
Ten weeks after starting this test drive, I have decided to stick with the FMS, with a few additions. I know part one had a tone that suggests I would be parting ways with the FMS. I wrote that before I started testing the alternative, and at the time, I thought I would end up dropping the FMS. Even though I felt that way, I am an engineer at heart, and that means I don’t make decisions like that without a proper evaluation. Given my conclusion, I’m thankful for that.

Here are the main contributors to my decision to stick with the FMS:

1. The things I like about the alternative assessment were related to how well they set me up to coach exercises we would be doing during my client’s first training session, but it didn’t have much impact on selecting the exercises. Practically speaking, I was just taking part of the first training session and doing it as part of the assessment. I’m not sure that’s actually a gain.

2. As I ran new clients through the alternative assessment, I realized it wasn’t giving me as much clarity in regards to corrective exercises as the FMS does. I am certain I could map the movements of the new assessment to appropriate corrective exercises, so the new assessment could accomplish this in time. But I am already able to do this with proficiency using the FMS, so at best this falls into the category of different but not better.

3. There were three areas where I like the alternative assessment so much that I will continue to do them after the FMS. In fact they almost won me over to the new approach:

  • Hip hinge: I mentioned in part one of this post that I was moving toward the thought that the Active Bent Leg Raise (ABLR) would be a better predictor of deadlift ability than the Active Straight Leg Raise (ASLR). In practice, it wasn’t. Almost everyone can do a decent ABLR (maybe obvious to some, but it wasn’t to me). The hip hinge on the other hand was very useful.

    I think this really demonstrates Dr. David Frost’s point about transferability of movement quality to actual movement (part one for more). Whether or not someone can lift their leg beyond a certain angle does not mean that they can deadlift safely. A score of 2 or 3 on the ASLR means they have the hip range of motion to deadlift safely, but a deadlift also requires movement coordination and stability. There are a fair number of people for whom the hip hinge movement is foreign, and for these people, programming a deadlift as their main hip dominant strength exercise in their first training program is a missed opportunity. This is because we’ll spend too much time teaching, and until it looks good, we will have to limit the load. The hip hinge test allows me to see who is actually capable of doing a deadlift which, in conjunction with the ASLR, helps me to decide who gets a deadlift pattern as a starting strength exercise and who will gets an alternative like a hip lift while working on the hip hinge as a corrective exercise.

    The other reason I like the hip hinge in the assessment is that, further to Dr. Frost’s point, I’m no longer convinced that a score of 1 on the ASLR is necessarily a sign that someone doesn’t possess the movement required to deadlift. The ASLR would be a good choice to screen for whether someone possesses the movement to straight leg deadlift, but that’s not an exercise I use. I have clients doing conventional deadlifts (from risers if warranted), Romanian deadlifts (like the straight leg but slightly bent legs), rack pulls, and single leg Romanian deadlifts.

    Admittedly a 1 on the ASLR likely means a person won’t be a good candidate for conventional deadlifts from the floor, but that is not the only deadlift option I’m considering. I do like the ASLR because it will help me to determine which deadlift patterns are more likely to be good options – once I have determined with the hip hinge that they are candidates for a deadlift at all.

  • Arms crossed squat: Watching people do the arms crossed squat made it very clear to me that I don’t like the Deep Squat (DS) as a screen for whether someone has the movement to squat well. I saw many people perform poorly on the DS who had a very nice arms crossed squat. Testing the arms crossed squat allows me to decide whether a goblet squat is a viable option for someone’s first program, whereas the DS is sometimes unclear for this.

    I love split squats as a first program squat option, but there are some people for whom it is a gruelling exercise. Usually (but not always) these are people who struggle with the In Line Lunge (ILL) in the FMS. For these people, I would prefer to work on the split squat as a corrective and build strength with a squat version that more suits their current body.

    The practical reality is that I want my assessment to help me determine what knee exercises make the most sense for my client initially. Unfortunately the combination of the DS and ILL don’t always succeed at that. If someone scores a 2 or 3 on the deep squat, I can feel confident that they will be a good candidate for the goblet squat. But if someone scores a 1, I don’t know whether or not this would be a good choice for them. I want to know.

  • Bird dog: The bird dog is similar but different from the Rotary Stability (RS) test. I really like the bird dog as a test because it tells me whether someone has the stability for the exercise, and by asking where they feel it, it gives me insight into how well they’ll do at lateral/rotary core exercises like Pallof presses, and side planks. I think a side plank could achieve the same thing.

    Lateral core stability is an interesting topic for me at the moment. Ever since I started asking clients where they feel rotary and lateral core exercises, I have heard some responses about their shoulders and backs, while others thankfully say core. It turns out many of my clients were looking good while doing exercises to train rotational stability, but they weren’t getting that stability the way I hoped. Finding this out changed the way I program for rotary core stability, and as such, I like either the bird dog or side plank in the assessment.

    At the same time, I also don’t care for the more challenging part of the RS test. In fact, if I had my way, I would use the FMS but replace the same side elbow to knee touch test with a bird dog where they perform 3 reps for 5 second holds with one arm leg combination and then repeat with the other. The problem with the stability part of the RS test is that it’s too hard for most of the population, meaning the result provides very information.

    Doing the bird dog in addition to the opposite side arm/leg rotary stability test in the FMS would tell me everything I want to know. The opposite arm leg RS part tells me about range of motion (and stability to an extent), and the bird dog part tells me about their ability to stabilize. Adding the “where do you feel it” question makes it a complete picture.

4. There were two other parts of the alternative assessment that have me thinking:

  • Push-up: I saw people perform poorly on the FMS Trunk Stability Push Up (TSPU) but then do well on a “normal” push up. I still like the TSPU because I think it provides valuable insight into core stability. For example, one such client scored a 1 on the TSPU but could hold a plank for two minutes and could do regular push ups relatively easily. Upon closer examination, his spinal erectors looked like huge metal rods while doing both regular push ups and the plank, which suggests to me that the TSPU did do its job in that it told me that something is off. The regular push up combined with the plank also told me that, but less efficiently, requiring two tests instead of one.
  • Split squat: The split squat is the one exercise that I think often looks right but is actually wrong. Since noticing this with my clients, I now always ask where they feel it, and their response helps me decide how to coach it for them. While I think this is important, I’m not sure it belongs in an assessment. By using the split squat in the alternative assessment, I knew going in to the first training session whether I would need to overly coach the movement. I’m just not sure how helpful that is. Especially in light of my decision to add the arms crossed squat to my assessment. By looking at someone’s ILL and their arms crossed squat, I can easily decide whether split squats are a good strength exercise for them, or whether it makes more sense as a corrective at first. In my mind, this renders the split squat part of my alternative assessment less valid. It’s true that I’m picking two tests over one, which I frowned upon for the push up. In this case, I am getting more bang for my buck though because the ILL also contributes to my understanding of how their thoracic spine and shoulders move, which I value.

5. I have been adding single leg squats to a bench with my clients in addition to the FMS for years, but I think adding the arms crossed squat may render it unnecessary. The single leg squat tells me if the person has decent hip stability, while also pointing out if there is a strength deficit on one or both legs. The arms crossed squat will show me the hip stability part via hip shifting or knee alignment. It won’t necessarily show me the granularity of strength deficit that the single leg squat does, but that won’t affect my programming much. If someone has a significant strength deficit, I will have see it in the ILL, and a minor strength deficit is not going to affect my programming.

Summing it up:

I’m not breaking up with the FMS after all. This experiment has shown me that I want to keep using it as the core of my client assessment. What remains to be seen is whether I continue with the actual FMS with a few extra tests, or whether I start using a modified FMS. I really want to do the latter, but my inner engineer doesn’t like informal system edits, so it’s a tough call for me.

I’ll post an addendum to this in a couple days with the specific modified FMS that I am considering.

Elsbeth Vaino, B.Sc., CSCS, is a personal trainer in Ottawa whose inner geek is currently on overdrive.

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Corrective exercise is like coriander

People either love coriander and that guacamole without it is an abomination, or they run screaming at first taste when they see the little green bits in their salsa. It’s amazing that an herb can be so divisive. Not that there are other divisive herbs.

Corrective exercises are like coriander in that they too seem to be quite divisive. In particular, they come up as a reason some people have for disliking the FMS (Functional Movement Screen). I have read many a rant about how people who use the FMS are wasting their client’s time because they spend their entire training session corrective movement patterns, and that if they want their clients to succeed, they need to get their clients squatting and deadlifting instead of wasting time with mini bands.

I completely agree. Training clients entirely with corrective exercises and doing no strength training is not great training. In fact every trainer I know who uses corrective exercises would also agree. The assumption that someone who uses corrective exercises ONLY uses corrective exercises is ridiculous. If someone tells you they like coriander, you wouldn’t assume they only eat coriander. Coriander elevates salsas and guacamole to new heights that could never be achieved without it, but without the salsas and guacamole, it’s just a plant.
Corrective exercise is the same way: Its presence elevates the training.


I view the use of corrective exercises as a very efficient way to prepare for the workout. My clients will do a warm-up that lasts between 5 and 15 minutes based on how well they move, how fit they are, and how old they are. The primary goal of my warm-up is the same as it would be if I didn’t believe in corrective exercise: To prepare the body for the work ahead. The only difference is that I accomplish this with specific exercises intended to improve weak or limited aspects of the person’s body instead of general exercises.

Ask any engineer how much they love accomplishing two outcomes with one task and you’ll understand why I love warm-ups built on customized corrective exercises.

Now that the warm-up is done, we move on to the pillars of the workout: power, agility, strength, and conditioning. My clients pick up heavy things and put them down again just like yours do.

Elsbeth Vaino, B.Sc., CSCS, is a personal trainer in Ottawa who likes to do mini-band walks before lifting heavy weights.

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Looking at an alternative for the FMS for client assessments?

I’ve been such a big proponent of the FMS (Functional Movement Screen) since I started my personal training career that it feels weird to be looking at other options. Am I really going to break up with the FMS? For now I suppose I’m just experimenting. But let’s face it: when a relationship gets to the point where you want to see other people, it’s usually a sign that the end is near. Still, I haven’t given up on the FMS yet. We may still have a future. But there are doubts.

The doubts have been coming on for a while now. Interestingly, they reached a peak while I was writing my “why I use the FMS” answers in a blog debate about the FMS with Bret Contreras. It felt a bit odd to be writing about how great I think the FMS is, while at the same time evaluating alternatives. I do mean what I said in that article, and in fact I noted in it that I was looking at options.

Why are my eyes wandering?
I think my doubts actually started with some FMS discussions on the forums. While most people on that site have a pro-FMS philosophy, there is still discussion. In particular there has been a lot of discussion in recent months about FMS scoring details. It’s these discussions that first planted seeds of doubt for me about the FMS. One of the aspects I like most about the FMS is the simplicity, but I don’t love the level of nit-picking for some of the scoring details. Or more accurately, I have a hard time relating these details to anything functional.

Once I start to question the small details, it’s almost inevitable that I will soon start questioning some of the bigger details. Such as:

  1. The scoring criterion for the Shoulder Mobility test is that a 3 is scored if the distance between hands is less than the length of the person’s hand, and a 2 is scored if the distance is less than 1.5 times the hand length. This means that in some cases a half inch difference from left to right could score an asymmetry, while another person could have a two inch difference and score symmetrically. I don’t believe that human movement is a place for step function scoring.
  2. Feet pointed straight forward is a requirement in the FMS Overhead Squat test, meaning if one or both feet turn out during the movement, it is scored down. I initially thought about this as a problem while attending a Dr. Shirley Sahrmann seminar as she talked about how common structural hip differences are. Not everyone has a hip structure such that feet forward is neutral. Given that, it doesn’t make sense to me that everyone should be able to squat with feet forward, or that the ability to squat with feet forward has any meaning.

Other thoughts have also been brewing. I realized that the more I used the FMS, the more I became attached to its truths. Most notably, that the Active Straight Leg Raise (ASLR) test was a useful determinant in whether someone could (or should) deadlift. I held on to this belief until a few weeks ago when I discussed the FMS with Dr. David Frost at the Toronto International Strength & Conditioning Conference prior to his presentation about an alternative assessment concept. I mentioned my belief that the ASLR is a good test to help determine if someone can or should deadlift, and he quickly asked why straight leg? Why not bent leg? Huh. Why straight leg indeed? Later in his presentation, he spoke about how our movement competency is different with legs straight or bent. Very true. And given that, what is the relevance of an active straight leg raise in functional movement? I was trying to think of a sport or occupational movement where a straight leg raise is relevant? Gymnastics was the only one I came up with.
Earlier during that same conference Dr. Tyson Beech gave an interesting presentation of some of the FMS lab tests he and Dr. Frost had run. The most interesting (to me) of Dr. Beech’s findings was that some of their subjects (firefighters) scored well in the FMS but then when they were subsequently asked to perform work tasks, their movement did not display functional competence. Test competence did not transfer to performance competence. One specific example given was of an individual who had scored an 18 on the FMS, including symmetrical 3s in the In Line Lunge, but then when asked to pull a fire hose in the way he would on the job, he did so with a large valgus collapse in his knees. The position he takes to pull the hose is effectively a weighted lunge walk. The In Line Lunge score did not ensure that the subject lunged well. Huh.

Dr. Frost also spoke about the concept of transferability in assessments. If the movement quality in the assessment does not hold when the movement is used in the field, is the assessment relevant? A good question, in my mind.

He then presented an assessment concept that I believe provides the basis for a simple, meaningful and easily transferable assessment than is the FMS. The concept is that you select appropriate movements for the individual and in each one you assess for whether or not they can control:

  1. Shoulder elevation
  2. Shoulder anterior rotation
  3. Back flexion/extension
  4. Back lateral bend
  5. Back twist
  6. Knee frontal plane
  7. Knee sagittal plane

Now I would guess there might be four reactions to this:

  1. Clever!
  2. But how do you pick the movements?
  3. Where’s the repeatable system?
  4. This is nothing new.

I for one thought all four, but upon further reflection, realized that maybe I can pick a baseline set of movements that relate to what my clients do in the gym, and then create a series of movements to have at the ready for specific sports. Even if I don’t have the latter initially, the former still provides a solid foundation. I can then set up a data table (remember I am an engineer: I love me a good table!) with the movements as row heading and the area of control I’m looking for as the column headings. For each movement I watch, I can mark an X for each cell where there is compromised movement or control. Now it’s repeatable. As for whether it’s new, well, is anything really new? I do think it is similar to what many great coaches already do: they treat each exercise as an assessment. But what I like about this is that I have a formal set of things I’m looking for in each movement and I can mark it down for myself for program creation and to remember to look at again, as well as to share with other trainers working with me so they can anticipate where they will have coaching challenges.
I did like Dr. Frost’s 7 movements to control, I opted for a few slight variations to make it fit my needs. In particular, I opted for controlling the hip in the frontal plane (instead of lateral bend of the spine), and I separated spinal flexion and extension. I also added two extra columns to my table: Where did they feel the exercise, and a notes column for my observations. Here are the exercises I have selected (so far):
1. Squat
2. Hip hinge
3. Push-up
4. Single arm cable row or TRX inverted row
5. Split squat
6. Single leg squat
7. Active bent leg raise
8. Bird dog
Optional adds:
a. Side plank
b. plank

Here’s what the table looks like for a recent new client at Custom Strength, and for comparison I have also attached the FMS result.

New assessment example

FMS for same person

It is true that we can interpret some of this from the FMS, but lately I’ve been wondering if the transferability from FMS to exercises we do in the gym is always as clear as I hope it would be, and when it isn’t, I am left having to make changes in the first training session. My gym is called Custom Strength, so of course I don’t mind customization, but I wonder if I can get more out of a different assessment such that I’ll have less need for change to the program I create based on the assessment.
There are three additional reasons I like this approach: (I had another in mind but can’t think of it)
1. Most of my clients see me one or two times per week, meaning I have them on a one day program. Given that, I really only have time for one knee dominant (squat family) exercise and one hip dominant (deadlift family) exercise. Because I am a proponent of both bilateral and unilateral exercises, I typically give my clients either a bilateral hip dominant exercise and a unilateral knee dominant exercise, or vice versa. Periodically I go with unilateral or bilateral for both. I don’t always find that the FMS reliably gives me enough information to decide which combination is most suitable for the given client. I say that in conjunction with some observations I have made from clients to date:
a. Some people can perform beautiful goblet squats but do not score well in the overhead squat.
b. Not everyone can perform split squats comfortably. Those who can’t should work on it, but if I make that their primary squat pattern, they are going to be staying with very light resistance as they build that movement. While score in the In Line Lunge sometimes predicts this, I haven’t found this to be a reliable predictor.
c. Some people really struggle with the hip hinge pattern, and score in the ASLR is not always predictive of this. In some cases, I have seen bilateral threes in the ASLR, but it has taken a long time to teach the hip hinge. If I could have seen the hip hinge in their assessment, I would have had given these clients a different hip dominant exercise and worked on their hinge as a corrective pattern initially.
2. Adding the “where do you feel it” question is really important for me, especially with the split squat, and bird dog. I have seen many people who have a good looking split squat but who feel the exercise primarily in the back leg hip flexor/quad. In some cases, I haven’t noticed until I realized after several sessions that they were not able to progress the resistance as I would have thought they should. I am starting to realize that a good portion of the population needs extra coaching to perform this exercise properly, even though it may look like they already are. Similarly, the bird dog was my choice to represent rotary core stability. For now. When I ask where they feel it, I am on the lookout for people who feel it primarily in their shoulders or back. My current thought is that this is a sign of someone who does not engage their rotary core muscles well. I see this enough that my guess is many of your clients are also in this situation, even if you don’t know it yet. I don’t mean that as a knock, but rather I was surprised to learn that some clients who were doing great looking Pallof presses and side planks weren’t actually feeling their sides at all. Now that I am asking this question in the assessment, I am starting their first training session several steps ahead. Perhaps there is a way to do this with the FMS, but I have not figured it out.
3. Reassessment is a breeze, as I can now pick intervals where I will bring out the table and mark Xs while my clients are doing their workout rather than pulling them aside for a re-FMS. I train clients in a semi-private environment, so this is logistically a better option for me.
While I think this post suggests that I’m quite excited about this approach, I am still trying to remain logical and scientific about the decision of whether to use this with all of my clients, or whether to continue with the FMS. The FMS has served me well for years, so throwing it out based on a few ideas and discussions would not be prudent. Instead I am spending a couple of months test driving the new assessment approach while also continuing to use the FMS. It means my time spent on assessments during this period is longer, but I feel it is worth that time investment to make a sound decision. During this test drive, I am running each client through both tests, and am making the following notes both when I create their program and after I have trained them a few times:
1. What did I learn from the FMS that I didn’t learn from this new assessment?
2. What did I learn from this new assessment that I didn’t learn from the FMS?
It is too early to tell which direction I will go with this in the end. Early indications suggest to me that the new assessment will be more favourable in selecting the exercises I use in the strengthening portion of the workout but may leave me with less guidance about what to include as corrective exercises, which I believe is an important part of our programs, even though it occupies a fairly small portion of their workout time.

I actually wrote the main draft of this post two and a half months ago, meaning I have already test driven the dual screening approach for just over two months, and have come to a conclusion about how I will screen clients in future. That will be part two, which I’ll share next week.

Elsbeth Vaino, B.Sc., CSCS, is a personal trainer in Ottawa Canada.

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Tennis training: dynamic warm-ups, training, hip rotation, and back pain

I had a great tennis lesson with a new instructor yesterday, and we chatted a bit before starting, and in particular noted that the warm-up I had been doing was not what tennis players typically do. I mentioned that I have a dynamic warm-up for tennis video that I would be happy to send to him. As the discussion ensued, I realized that I have a few references that would probably be of interest to tennis players, so I decided to organize them into one post.

Without further ado, this post includes the dynamic warm-up video, an article about training for tennis, a series of exercise videos aimed at improving your hip rotation, and an article about exercises for low back pain. I include the latter because three of my tennis player friends have been having back problems this month.

Dynamic warm-up for tennis

Try this while you’re waiting for the court. It only takes about 5 minutes.

Tennis training

This post covers concepts and some specific exercise videos in regards to strength, power, endurance, and mobility training for tennis. Click here to read the article.

Hip rotation training

These are actually videos I put together for training skiers, but I realized while watching a tennis player do a cross-over that this would also be very helpful for tennis players. As you watch it, every time I refer to turning the skis, pretend I said changing direction on the court and I suspect you’ll find it makes a lot of sense.

Note: In addition to the videos below, if you have a hip injury, or find that your hips bother you when (or after) you play, you may find my ebook about Training Around Hip Injuries very helpful. The ebook is only $9.99 now, but will go up to $24.99 on August 1st. Note that the currently available version is specifically for individuals with Femoro acetabular Impingement or FAI, but I have a new version coming out in September that is intended for a wide array of hip issues, including labral tears, arthritis and even hip resurfacing or replacements. If hat is more interesting to you, I suggest you add yourself to this list and I will send out an email when it is available.

Standing hip rotation:

Mini-band hip rotations:

Single-leg squat:

Reverse lunge with hip rotation:

Low back exercises

As noted above, several of my tennis player friends have been having back issues recently, and so I have sent my 6 Exercises for Low Back Health article out a lot. The challenge with tennis in regards to our backs is that a tennis swing involves a lot of rotation, and the serve will likely have rotation combined with extension, and potentially even rotation combined with flexion in the follow through. Ideally most of that movement happens in the hips and thoracic spine (upper back), but if mobility is limited there, then the low back will pick up the slack. Unfortunately the low back is not as well equipped to handle these movements. Click here to read the low back exercises article.

I hope this post is useful for some tennis players out there, and that some of it helps you to improve your performance and/or helps you stay healthy so you can enjoy this great (but sometimes frustrating) sport.

Elsbeth Vaino, B.Sc., CSCS, is a personal trainer in Ottawa Canada who works primarily with athletes and individuals returning to active lifestyles post-injury.

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How to fix your car when you know almost nothing about cars, spark plug edition

Last Friday evening my car wouldn’t start. Knowing that I wouldn’t have time to take it in on Monday and that I needed the car on Tuesday, I decided I would fix it myself on Saturday. This was a strange conclusion because I’ve never done any car repair before. Heck, I rarely even take it in for oil changes. Haha, so many people cringed at reading that. But it’s true. So lesson #1: if I’m selling a car, you probably don’t want to buy it. Even though it would have the appealing ad copy “one owner”. I decided to take photos and post commentaries on Facebook as I did the repair, and allegedly it was more than mildly entertaining. So I figured I’d pull those posts together into a single blog post here:

My car won’t start, which I have self-diagnosed as a spark plug problem (based on zero auto repair knowledge+being an engineer). Five minutes watching a (great) how to video and a trip to Canadian Tire and Sherwood Deli and I am ready for my first auto repair experience.


Spark plug replacement, steps 1 and 2: Open hood and eat sandwich.


Spark plug replacement steps 3 and 4: Take off manifold cover (is that what it’s called?) while experimenting with whether this can be done with one hand, as this is being done in parallel with step 2. Wash hand in case sandwich is messy enough that it requires a second hand (it is). Sandwich does not get put down at any point. Obviously.


Spark plug replacement steps 5 and 6: Open beer and contemplate that you have exhausted all of the easy steps.


Spark plug replacement step 7: notice that this looks to be broken and ponder what it is and whether that might be the real problem. Anyone know?


suddenly I experienced the true benefit of Facebook – instant answers to questions! Like these:

“Trim the end and reattach to the nipple. It is a vacuum hose. May not be the reason for the non start, but should be fixed.” A second comment confirmed that. Validation!

“That tin pot is a vacuum control on your fuel rail. That means your fuel rail is not controlled properly and you have a major vacuum leak. It could stop your car from working.”

Spark plug replacement steps 8 – 12: Realize that the ratchet set won’t work because it actually requires allan keys. While contemplating where your Allan keys are, check oil and realize you basically don’t have any. Add oil as your excellent neighbour Ken pulls up and offers his Allan key set. Remind yourself of the lefty-loosey righty-tighty mantra as you remove the bolts to get the manifold out of the way.


Spark plug replacement steps 13 – 16: Enjoy a moment of admiration at how easy it is to lift the manifold up and out of the way. Find appropriate jack to hold it up there, and then feel sweet accomplishment as you see how easy it is to use the spark plug wire tool to remove the wires. Then decide it is time to rewatch the video part about removing the actual spark plugs.


Spark plug replacement step 17 – 19: go back to the toll box for thw extended 5/8 ratchet noticing the SPK written on it, almost as though it was designed for spark plugs, then adopt a wow cool expression as the spark plug comes out with the ratchet. Just like in the video! Minor note: took way more than the 7 or 8 turns in the video. Ponder whether to open another beer or wait until the job is done.


Spark plug replacement steps almost last: feel sense of accomplishment as all plugs are in. Wonder if the car will actually start as you start to reattach the manifold. Then the cursing begins. Seriously VW? Allan f’ng screws to hold the fricken engine together? Thinking beer number two before starting this would have been wise. To be continued…


And it’s all back together minus one screw that is lost in the engine. I didn’t realize VW employed child labor, but I don’t see how some of these screws get installed without the help of tiny fingers. A bit worried that a lost screw in the engine is a bad idea but I’m going to do the test run anyhow. Oh and wasn’t able to reattach that vacuum hose as it’s too short now. It looks easy enough to replace though. Now the moment of truth…


And it works! Although isn’t exactly purring like a new car. Off to Canadian Tire for a hose…and hoping the car will still start when I try to leave there.

Customer service win! Went to Canadian Tire for a vacuum hose for my car and the guy spent a few minutes looking at the computer asked what diameter, I said I didn’t know, and he then said, “we don’t carry it”. My sense was he wasn’t sure and didn’t want to bother, but I could be wrong. Went to Parts Source and the guy said there were a couple of diameters so he would go get a couple and see which fit. Note the rain in the photo. Part cost less than a buck. Gotta love people that do their beat to help their customers. This is my new go to store for all things auto.


Spark plug replacement project epilogue:
1. Got some help in the search for the missing screw.

2. Apparently some people feel that driving around with less than the minimum recommended amount of oil is a bad idea.


3. I wasn’t allowed to leave until the world (aka my car’s oil level) was righted.


4. And now that all is well, I’m sure I can wait a few months before getting that oil change.


Next up: replacing the brake pads and rotors!

Elsbeth Vaino is an engineer turned personal trainer who for some strange reason felt that a post about replacing spark plugs belongs on her nutrition and exercise blog.

Top 13 benefits of a unique name

Several fun lists about the challenges of a unique name have made the rounds of the interwebs recently, which made me think it was time for a list of benefits.

And thus the following Top 13 benefits of a unique name list was born:

1. I got What’s your URL, Dave Smith?

2. Like Madonna, and Cher, last names are optional.

3. No chance of getting on a no-fly list because the authorities confused you with another person with the same name.

4. Similarly, security clearance applications take very little time due to the ease and quickness of the background check. I got my last one in the time it took to walk three blocks back to the office. My boss waited three months.

5. That blissful feeling when, after forty years of searching, you finally get an off-the-shelf mug with your name.

els mug

6. When someone mentions you in a story at a party, nobody asks “which Elsbeth?

7. Frequent Starbucks name blunders inevitably lead to adopting a superhero name for ordering which is surprisingly fun. If you can’t spell or pronounce Elsbeth, you may call me Elektra.

elektra coffee

8. If the barista spells your fake name wrong, you won’t mind because it’s not your name.

9. Long lost friends have no problem finding you. (Arguably this could go on the disadvantages list too. )

10. Slough off any responsibility for friending people on social media with a simple “It will be much easier for you to find me”.

11. You can do things like leaving notes on food in a communal fridge that say ‘property of Elsbeth’ without worrying that someone else will take it as an invitation. ()

12. If you are ever teaching or giving a presentation, it provides a great option to lighten things up. I like to use it as a way to decide who wins swag at seminars. “First person who pronounces my full name properly gets this suspension trainer”.

13. You have a very easy out with telemarketers: “May I speak with Elizabeth please?” “Sorry, there is no Elizabeth here.

Do you have a suggestion for my list? If so, please add it in a comment and if I like it, I’ll include it (with credit of course).

Elsbeth Vaino, aka Elizabeth Viano, aka Elsa Wino, aka Elvis Vanio, aka Lizbet Vain, aka Elektra is a personal trainer in Ottawa, Canada.

If you’re Canadian and food labelling is important to you…

Consider stepping up and being part of the solution. The Canadian Food Inspection Agency (CFIA) has created a survey for consumers and industry about proposed changes in direction to the food labelling system in Canada. If you’re Canadian, and you have an interest in the direction we take in our food labelling, then please take the time to fill in this survey.

Unfortunately the survey is clunky and long, and I know it’s not easy to find time to fill in surveys like this. In fact the instructions say it will take about 45 minutes to fill in. I didn’t keep track of how long it took me, so I can’t confirm or refute that estimate, but it isn’t short. The upside is that you can save at the end of each section, so you don’t have to finish all at once. The other downside is that some of the questions are oddly worded. In fact they remind me of project meetings from back in my consulting days. My guess is the survey was designed in-house. Oh well. The upside is that there is a lot of room for comments, so if you have ideas do share them. Hopefully someone will be reading.

Also keep in mind that this is a survey for industry and consumers. My bet is that there will be no shortage of responses from industry. This means that if we the consumers don’t take the time to fill it in, the direction of our food labelling system will be (more?) skewed in favour of industry.

What if only industry representatives answered the following question (from the survey):

“Are you in favour of a model in which industry takes a more active role in the development and maintenance of policies on consumer values claims?”

This is my answer:

At the end of the day, industry is responsible to its shareholders, not to the public. By definition that means they have goals that are related to profit over health. They should of course be a stakeholder along with the Government, nutrition and health practitioners, and consumers. But the size of their role should be strongly scrutinized.

I have a friend who is in the frozen foods business, and he once told me that one of their key performance indicators was oil uptake. They try to adjust recipes to increase the relative quantity of oil because oil is their cheapest ingredient. My guess is that all manufacturers have their own version of that KPI, and it is very clear that that does not align with either the Government, health care, or consumer goals for food. This is why industry should not have a bigger stake.

Want to make sure interested Canadians have as much of a say as interested industry?

Here’s the link to the survey again: Canada Food Labelling Survey. Please fill it in if you have an interest in the future of the Canadian food labelling system. The deadline is June 30th, 2015. If you have an extra interest in food labelling, there is an email address for the initiative at the bottom of the first page of the survey.

Elsbeth Vaino, B.Sc., CSCS, is a personal trainer in Ottawa who counts on effective labelling to help make healthy choices.

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Exercise and nutrition for healthy living and sports performance