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Jan
26

Funnel chest or depressed sternum is a congenital chest deformity that many times goes undetected until early adolescence. The medical term for this condition is Pectus Excavatum. Its cause is unknown but in many instances it is a hereditary defect and is sometimes associated with Marfan or Poland syndromes. It occurs due to overgrowth of the rib cartilage connected to the sternum, resulting in the sternum being pushed backward toward the spine. If the breastbone is pushed back far enough, heart and lung function may be hindered; therefore, exercise that stimulates the circulatory and respiratory systems may not be the best tactic for reversing this deformity.

Treatment

There are a few surgical procedures which can reverse Pectus Excavatum. However, bodybuilding exercise techniques can help with the deformity by increasing the pectoral muscles, but exercises focusing on strengthening, chest expansion, back straightening techniques and encouraging correct posture are prefered.

Fatigue

Pectus excavatum may place pressure on the heart and confine the organ, resulting in fatigue accompanied by cardiac arrhythmia and tachycardia. Especially during extensive physical and strenuous exercises you may find corrective exercise more than a challenge. If the heart is displaced to the left of the mid-line, part of the complications can be due to a heart murmur from the pressure caused by the displacement.

Respiratory Complications

Because the chest wall can not expand correctly, it’s difficult to accomplish normal oxygenation. This means you may not be able to meet the respiratory rate demanded during exercise. Your diaphragm must work hard to collapse and expand the lungs instead of using the inter-costal muscles of the rib cage for the oxygen and carbon dioxide exchange. Your already fatiguing condition may not be able to tolerate this extra work load.

Precautions

The Norfolk, Virginia-based Children’s Hospital of The King’s Daughters explains that even if you commit yourself to its exercise program, the hospital cannot promise to cure a severe case of Pectus Excavatum. Its doctors can, however, help to correct poor posture, which is known to aggravate this condition, increases breathing difficulties and add pressure on the heart. The exercises can also prevent progression of a mild case, possibly make surgical correction easier and help prevent a recurrence after surgery. As always, see a doctor before embarking upon any type of exercise program; this is especially important if you are attempting to correct Pectus Excavatum.

Jan
26

For many with Pectus Excavatum, the minor severity of their condition renders the invasive Nuss procedure necessary and inadvisable. It is only a recommended option when the patient suffers from physiological symptoms associated with the disorder. However, in some cases, when the patient experiences severe psychological drawbacks from the cosmetic appearance of their chest, a procedure such as the Nuss may be advised. Nevertheless, for the vast majority, the options presented to patients are to consider less evasive cosmetic procedures to hide the condition, to undergo lengthy non-surgical treatment programs, or to simply accept and live with the condition. Thus, many individuals consider cosmetic procedures to be their best option since it is the quickest and arguably the most effective of their available treatment plans.

The most common cosmetic treatment for Pectus Excavatum is the use of silicon chest implants. the procedure is relatively straight forward and is synonymous with a breast implant procedure. However, in the case of Pectus Excavatum, the surgeon will shape the silicon implants to specifically hide the inward appearance of the chest. this may be optimal by using two implants under each pectoral, or a single implant over the sternum. The procedure can be highly effective, any the majority of patients are happy with the changed appearance of their chest.

A further cosmetic surgery option involves the use of dermal filler, which is injected into the tissue above and around the sternum. The procedure is much quicker and requires less down time. However, depending on what substance was used, the resulting implant may not be permanent. It is this reason which steers individuals to opt for silicon chest implants.

Jan
26

German Volume Training (GVT) is brutally hard, but it can be an effective way to pack on muscle fast! In strength-coaching circles, this method is often called the ten sets method.

What is GVT?

Supersets and tri-sets allow you to perform a lot of work in a short period of time. The rest-pause method allows you to use heavier weights, so you can recruit the higher threshold muscle fibers, and eccentric training enables you to overcome strength plateaus. The bottom line is that almost any training method will work (provided you do it with intensity!), at least for the few weeks it takes for your body to adapt to it. There is, however, one training system that stands above all the rest. It’s brutally hard, but I’ve found it to be a very effective way to pack on muscle fast!


In strength-coaching circles, this method is often called the “ten sets method.” Because it has its roots in German-speaking countries, I like to call it German Volume Training. To the best of my knowledge, this training system originated in Germany in the mid-’70s and was popularized by Rolf Feser, who was then the National Coach of Weightlifting. A similar protocol was promoted by Vince Gironda in the U.S., but regardless of who actually invented it, it works.

In Germany, the ten-sets method was used in the off-season to help weightlifters gain lean body mass. It was so efficient that lifters routinely moved up a full weight class within 12 weeks.

It was the base program of Canadian weightlifter Jacques Demers, Silver Medallist in the Los Angeles Olympic Games. Jacques was known in weightlifting circles for his massive thighs, and he gives credit to the German method for achieving such a spectacular level of hypertrophy. The same method was also used by Bev Francis in her early days of bodybuilding to pack on muscle.

The program works because it targets a group of motor units, exposing them to an extensive volume of repeated efforts, specifically, 10 sets of a single exercise. The body adapts to the extraordinary stress by hypertrophying the targeted fibers. To say this program adds muscle fast is probably an understatement. Gains of ten pounds or more in six weeks are not uncommon, even in experienced lifters!
Goals & Guidelines

The goal of the German Volume Training method is to complete ten sets of ten reps with the same weight for each exercise. You want to begin with a weight you could lift for 20 reps to failure if you had to. For most people, on most exercises, that would represent 60% of their 1RM load. Therefore, if you can bench press 300 pounds for 1 rep, you would use 180 pounds for this exercise.

For lifters new to this method, I recommend using the following body-part splits:
Body-Part Splits:

Day 1: Chest & Back
Day 2: Legs & Abs
Day 3: Off
Day 4: Arms & Shoulders
Day 5: Off

When using this program or any other, you should keep a detailed journal of the exact sets/reps and rest intervals performed, and only count the repetitions completed in strict form. Here are a few more guidelines to ensure optimal progress:

Terms You’ll Need To Know

Rest Intervals: When bodybuilders start with this method, they often question its value for the first several sets because the weight won’t feel heavy enough. However, there is minimal rest between sets (about 60 seconds when performed in sequence and 90-120 seconds when performed as a superset), which incurs cumulative fatigue. (Interestingly enough, you might find you get stronger again during the eighth and ninth sets. This is because of a short-term neural adaptation.) Because of the importance of the rest intervals, you should use a stopwatch to keep the rest intervals constant. This is important, as it becomes tempting to lengthen the rest time as you fatigue.

Tempo: For long-range movements such as squats, dips and chins, use a 4-0-2 tempo; this means you would lower the weight in four seconds and immediately change direction and lift for two seconds. For movements such as curls and triceps extensions, use a 3-0-2 tempo.

Number of Exercises: One, and only one, exercise per body part should be performed. Therefore, select exercises that recruit a lot of muscle mass. Triceps kickbacks and leg extensions are definitely out; squats and bench presses are definitely in. For supplementary work for individual body parts (like triceps and biceps), you can do 3 sets of 10-20 reps.

Training Frequency: Because this is such an intense program, it’ll take you longer to recover. In fact, if you’re familiar with the writings of Peter Sisco and John Little, you’ll find that the average “Power Factor Rating” of the 10-sets method is about 8 billion. Consequently, one training session every four to five days per body part is plenty.

Overload Mechanism: Once you’re able to do 10 sets of 10 with constant rest intervals, increase the weight on the bar by 4-to-5%, and repeat the process. Refrain from using forced reps, negatives or burns. The volume of the work will take care of the hypertrophy. Expect to have some deep muscle soreness without having to resort to set prolonging techniques. In fact, after doing a quad and hams session with this method, it takes the average bodybuilder about five days to stop limping.

Beginner/Intermediate Program: Phase 1

This is a sample routine based on a 5-day cycle. Once you’ve used this method for six workouts per body part, it’s time to move on to a more intensive program for a 3-week period.

Day 1: Chest and Back

Decline Dumbbell Bench Press Decline Dumbbell Bench Press
A-1 Decline Dumbbell Presses,
10 Sets, 10 Reps, 4 0 2 0 Tempo, 90 sec Rest Interval Semi-Supinated Grip(palms facing each other)
Gorilla Chin/Crunch Gorilla Chin/Crunch
A-2 Chin-Ups
10 Sets, 10 Reps, 4 0 2 0 Tempo, 90 sec Rest Interval (palms facing you)
Incline Dumbbell Flyes Incline Dumbbell Flyes
B-1 Incline Dumbbell Flyes
3 Sets, 10-12 Reps, 3 0 2 0 Tempo, 60 sec Rest Interval
One-Arm Dumbbell Row One-Arm Dumbbell Row
B-2 One-Arm Dumbbell Row
3 Sets, 10-12 Reps, 3 0 2 0 Tempo, 60 sec Rest Interval

Notes: Rest 90 seconds between each “A” exercise and each superset; rest 60 seconds between each “B” exercise and each superset. Incidentally, I only recommend three sets of ten in this program for the “B” exercises. The “B” exercises constitute supplementary work, and doing ten sets of them would result in overtraining.

Day 2: Legs and Abs

Barbell Squat Barbell Squat
A-1 Barbell Squat
10 Sets, 10 Reps, 4 0 2 0 Tempo, 90 sec Rest Interval
Lying Leg Curls Lying Leg Curls
A-2 Lying Leg Curls
10 Sets, 10 Reps, 4 0 2 0 Tempo, 90 sec Rest Interval
Leg Pull-In Leg Pull-In
B-1 Leg Pull-In
3 Sets, 15-20 Reps, 2 0 2 0 Tempo, 60 sec Rest Interval Or Low-Cable Pull-Ins*
Seated Calf Raise Seated Calf Raise
B-2 Seated Calf Raise
3 Sets, 15-20 Reps, 2 0 2 0 Tempo, 60 sec Rest Interval

(*Low-Cable Pull-Ins: Take a weightlifting belt and buckle it. Attach it to the low pulley of a cable crossover machine. Lie down on your back in front of the machine, and hook your feet in the belt. Then pull your knees toward your chest.)

Notes: Rest 90 seconds between each “A” exercise and each superset; rest 60 seconds between each “B” exercise and each superset.

Day 3: Off

Day 4: Arms and Shoulders

Dips – Triceps Version Dips – Triceps Version
A-1 Parallel Bar Dips
10 Sets, 10 Reps, 4 0 2 0 Tempo, 90 sec Rest Interval
Incline Hammer Curls Incline Hammer Curls
A-2 Incline Hammer Curls
10 Sets, 10 Reps, 4 0 2 0 Tempo, 90 sec Rest Interval
Dumbbell Lying Rear Lateral Raise Dumbbell Lying Rear Lateral Raise
B-1 Dumbbell Lying Rear Lateral Raise*
3 Sets, 10-12 Reps, 2 0 x 0 Tempo, 60 sec Rest Interval
Seated Side Lateral Raise Seated Side Lateral Raise
B-2 Seated Dumbbell Lateral Raises
3 Sets, 10-12 Reps, 2 0 x 0 Tempo, 60 sec Rest Interval

(*Another Variation–Bent-Over Dumbbell Lateral Raises: While seated on the edge of a bench with your torso bent over, raise the dumbbells out to the side, making sure the top two knuckles (the ones closest to your thumb) are in line with your ears at the top of the movement.)

Notes: Rest 90 seconds between each “A” exercise and each superset; rest 60 seconds between each “B” exercise and each superset. “X” in the tempo means to move as fast as possible, keeping the weight under control.

Day 5: Off

Beginner/Intermediate Program: Phase 2

After six of those 5-day cycles, I recommend you do a 3-week phase where the average set is 6-to-8 reps, and do only 4-to-6 sets per body part over a 5-day cycle, or you can do any other split that suits your recovery pattern. After this 3-week block, you can return to the German Volume Training method by doing the following ten sets of six reps routine. In the exercises that are prescribed for 10 sets, use a load you’d normally be able to do 12 repetitions with. The goal in this phase is to do ten sets of six with that load.

SAMPLE 10 sets of 6 routine:

Day 1: Chest and Back

Incline Dumbbell Press Incline Dumbbell Press
A-1 Incline Dumbbell Press
10 Sets, 6 Reps, 5 0 1 0 Tempo, 90 sec Rest Interval
Wide-Grip Rear Pull-Up Wide-Grip Rear Pull-Up
A-2 Wide-Grip Rear Pull-Up
10 Sets, 6 Reps, 5 0 1 0 Tempo, 90 sec Rest Interval (palms facing away from you)
Dumbbell Flyes Dumbbell Flyes
B-1 Dumbbell Flyes
3 Sets, 6 Reps, 3 0 1 0 Tempo, 60 sec Rest Interval
Bent Over Barbell Row Bent Over Barbell Row
B-2 Bent Over Barbell Row
3 Sets, 6 Reps, 3 0 1 0 Tempo, 60 sec Rest Interval Can also use EZ Bar

Notes: Rest 90 seconds between each “A” exercise and each superset; rest 60 seconds between each “B” exercise and each superset.

Day 2: Legs and Abs

Barbell Deadlift Barbell Deadlift
A-1 Barbell Deadlift
10 Sets, 6 Reps, 5 0 1 0 Tempo, 90 sec Rest Interval
Seated Leg Curl Seated Leg Curl
A-2 Seated Leg Curl
10 Sets, 6 Reps, 5 0 1 0 Tempo, 90 sec Rest Interval
Oblique Crunches Oblique Crunches
B-1 Twisting Crunches
3 Sets, 12-15 Reps, 3 0 3 0 Tempo, 60 sec Rest Interval Also called oblique crunches
Standing Calf Raises Standing Calf Raises
B-2 Standing Calf Raises
3 Sets, 12-15 Reps, 3 0 3 0 Tempo, 60 sec Rest Interval

Notes: Rest 90 seconds between each “A” exercise and each superset; rest 60 seconds between each “B” exercise and each superset.

Day 3: Off

Day 4: Arms and Shoulders

Dips – Triceps Version Dips – Triceps Version
A-1 Parallel Bar Dips
10 Sets, 6 Reps, 5 0 1 0 Tempo, 90 sec Rest Interval
Incline Hammer Curls Incline Hammer Curls
A-2 Incline Hammer Curls
10 Sets, 6 Reps, 5 0 1 0 Tempo, 90 sec Rest Interval
Dumbbell Lying Rear Lateral Raise Dumbbell Lying Rear Lateral Raise
B-1 Dumbbell Lying Rear Lateral Raise*
3 Sets, 10-12 Reps, 2 0 x 0 Tempo, 60 sec Rest Interval
Seated Side Lateral Raise Seated Side Lateral Raise
B-2 Seated Dumbbell Lateral Raises
3 Sets, 10-12 Reps, 2 0 x 0 Tempo, 60 sec Rest Interval

(*Another Variation–Bent-Over Dumbbell Lateral Raises: While seated on the edge of a bench with your torso bent over, raise the dumbbells out to the side, making sure the top two knuckles (the ones closest to your thumb) are in line with your ears at the top of the movement.)


Notes: Rest 90 seconds between each “A” exercise and each superset; rest 60 seconds between each “B” exercise and each superset. “X” in the tempo means to move as fast as possible, keeping the weight under control.

Day 5: Off

German Volume Training For The Advanced Trainee

For the advanced trainee, variety in training is even more important to elicit adaptation. With the advanced trainee, I use a system called the four percent method. That is, I increase the load 4-to-5 percent every workout for two workouts in a row, and I reduce the target rep by one rep for every weight increase. Then I reduce the weight 4-to-5 percent and increase the rep bracket to its original starting point. Since this is mathematical, let’s look at an example that will clearly illustrate this point.

Let’s say you can barbell curl 100 pounds for 12 strict reps, and you haven’t been able to increase the amount of reps or weight on this exercise. Here’s a sample routine that would increase your curling strength:

Sample Barbell Curl Routine:

Barbell Curl Barbell Curl
Barbell Curl

Workout 1: 10 sets of 6 @ 110 lbs
Workout 2: 10 sets of 5 @ 115 lbs
Workout 3: 10 sets of 4 @ 120 lbs
Workout 4: 10 sets of 6 @ 115 lbs
Workout 5: 10 sets of 5 @ 120 lbs
Workout 6: 10 sets of 4 @ 125 lbs
Workout 7: Test day. At this point, you would curl 120 for 12 reps, a 9% gain over 6 workouts!
Sample Bench Press Routine:

Here’s an example of the German Volume Training method with the 4% to 5% method for someone who can bench press 300 pounds 10 times in strict form:

Barbell Bench Press – Medium Grip Barbell Bench Press – Medium Grip
Barbell Bench Press – Medium Grip

Workout 1: 10 sets of 5 @ 300 lbs
Workout 2: 10 sets of 4 @ 315 lbs
Workout 3: 10 sets of 3 @ 330 lbs
Workout 4: 10 sets of 5 @ 315 lbs
Workout 5: 10 sets of 4 @ 330 lbs
Workout 6: 10 sets of 3 @ 345 lbs
Workout 7: Test day. At this point, you would bench press 330 lbs for 10 reps.
Conclusion

To recap, perform the Beginner/Intermediate Phase 1 program for six weeks (six 5-day cycles). Then, progress to the Beginner/Intermediate Phase 2 program for three weeks. After that, you’ll be ready to graduate to the Advanced program.

This program is elegant in its simplicity, but that’s what the Germans do best. Just ask any Mercedes Benz or BMW owner.

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Does Working out treat Pectus Excavatum?

Tuesday, January 26, 2016

Funnel chest or depressed sternum is a congenital chest deformity that many times goes undetected until early adolescence. The medical term for this condition is Pectus Excavatum. Its…

Cosmetic Surgery to Treat Pectus Excavatum

Tuesday, January 26, 2016

For many with Pectus Excavatum, the minor severity of their condition renders the invasive Nuss procedure necessary and inadvisable. It is only a recommended option when the patient…

German Volume Training

Tuesday, January 26, 2016

German Volume Training (GVT) is brutally hard, but it can be an effective way to pack on muscle fast! In strength-coaching circles, this method is often called the…

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