Published June 6, 2023, 11:20 a.m. by Bethany
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right sorry are you
kidding me mate yeah that's ridiculous
that's literally ridiculous yeah
that's done that's it we're going with
that 100.
hello and welcome to another video and
we are in manchester we are back at the
radcliff group because today i'm going
to be doing a premier league medical
let's go
so simple premise when a premier league
team signed a player so for example may
not just on anthony right for like 85
million by the way probably the worst
signing in english history they undergo
a medical so he would have phoned into
man united or to manchester they take
and they go for a series of like medical
tests exams to make sure there are no
underlying issues there vo2 max etc they
say yeah all good and then he signs i'm
going to be doing that exact test today
so we are here i'm scared let's head in
[Music]
we're in jake what is happening today
what are we doing so today we're going
to mock up a uh football medical so
we'll go through all the stuff that we'd
look to go through with the athletes
coming into clinic we're going to break
it down into five key aspects range of
movement rate force development deep
force we'll then look into some more of
the vo2 max testing and the lactase
testing for endurance so throughout
those first three concepts which will be
done with myself we're looking at any
abnormalities um from one side to the
other that kind of looks at you know
players that will be predisposed to
injury so we've got to make sure that
we're aware of everything going on we'll
then go into the endurance stuff from
the lactator that will be done by the
sports scientist so working as a
multi-disciplinary team here yeah that's
why i'm particularly dreading like i
know i don't know
i'm sure you've got like a leaderboard
but i feel like this is going to set a
new record for like the
cardio rescue injury
we'll go through some benchmarks no
pressure okay
let's begin
[Music]
all right first and foremost looking at
observations so looking at kind of
musculature seeing if there's any
imbalances anything that i need to be
aware of i want you to come and touch
your toes for me matt
as we're dropping down you see right
sides
lifting up there's increased tone here
and you can see that sij's a little bit
stuck as it rises up come and bring
yourself back up for me so the tone in
the left hand side isn't as great as
when you come over to that
left hand side and you can see the right
side rises up and you've got increased
foam there and again nice and relaxed
come and bring that right knee up
towards your chest
and back down so you can see how you
putting all your weight through that
left hand side and back up again for me
just so we can compare
and you can see how my left thumb is
just dropping down and moving nice and
clean and back down for me
[Music]
so
obviously gone through stage one looks
all the range of movement stuff with
regards to that obviously there's a few
areas of tightness kind of predisposed
with you know previous injuries so from
your triple jump days that kind of right
right side you've got tightness in that
back that's obviously going to be a
compensation strategy and obviously the
hip flexors as well from the trickle
jumping days potentially or whether it's
to do with you know power lifting yeah
it's going to be kind of like a causal
factor
we're now going to look at the strength
stuff so see if there's any
discrepancies from there i'm going to
use the handheld dynamometer now so this
is going to look at strength but it's
also going to break it down into you
know peak force and rate of force
production so they're two really
important things when it comes to sport
and what we're going to do is going to
get you in uh laying on your front we're
going to look at leg leg flexion leg
extension you know almost as if you're
replicating kicking the ball
good push push push push push keep it
going keep it going all the way all the
way
weak my hamstrings are week okay so no i
say we'll really say that okay
calibrating again
and when you're ready
go on you push push push push classy all
the way away keep it going keep going
three
two
one that feels pathetic very good come
on push push push push good keep going
keep it going all the way all the way
try and drive that heel switch boom
let's go let's go let's go keep again
keep going all the way
left side's weak mate all right
drive drive drive drive keep it going
keep it going keep going
class keep going keep going three
two
one
sorry again looking at hip flexor rather
than lower back strength next time
keep going keep going all the way all
the way keep it going three two one and
relax i'll see you so just looking at
the results on here uh we can obviously
see rate of force reduction is quite
equal both sides but then when it comes
to that you know peak force you're
stronger on that left side as opposed to
that right which could show you know the
last six months of training you know
looking at that left hand side focusing
on that left hand side
what we'd also want to kind of look at
is your ability to disassociate muscle
groups so it's looking at the kinetic
control philosophy okay whereby
obviously there's a few compensation
strategies when we're doing some of that
testing yeah so whether it shows a true
true result or whether there's other
elements that are you know kicking in
which would then predispose to injury
having done all the assessment based
stuff in the uh treatment rooms we'll go
through to the gym now looking at more
functional movement patterns so the big
one that we're looking at is the kaiser
squat so it's that ability to generate
force for a triple extension pattern
okay so this right obviously the higher
you set the resistance the more ability
you have to bring that big power up yeah
newton's law forces mass times
acceleration the more mass you do the
quicker the acceleration the more cost
you're able to produce
as well i love it
ross park needs peak power so the record
they've had is 3 000 peak power so
straight away that's the goal i'm
beating i'm not leaving to our beating
so we're looking at setting the
resistance dropping down underneath feet
shoulder width apart
okay get yourself set
after you're positioning you're going to
drop down into that optimum position
that we're looking at so it's you know
exploding out of the blocks when we're
doing a sprint so you're looking at
driving up and getting that as high peak
power as you can
16 16 26 though
jake's going straight in with a big 16
26. how much would that play into
you know medical obviously you're
assessing like you know injury risk and
underlying problems would you also be
assessing performance to an extent you
won't forget yeah absolutely because if
you're not going to get paid the big
bucks if you're not able to produce are
you so that's why they do testing
three and a half k
on the market there's gonna be some big
big money bids coming in
dropping down into that squat position
oh i'm getting close
[Music]
come on that's the nicest feeling just
releasing all that pressure off my
shoulder
[Music]
the thing is yeah you can go beyond you
can go up on your toes aren't you yeah
and because of my achilles i'm too
scared to do that if i was able to go up
on my toes i think i could because i'm
having to like stop myself at the top
yeah i reckon i'd be pushing around in
this 4k you know really so yeah because
i'm missing that hold it 3200
well i'm not i'm not i'm too scared to
go on my toes
suspicious probably
team yeah i hate this
they got five thousand five thousand
yeah
team so they're sponsored by kaiser so
they do a lot of work with them so we
had uh one of the guys from kaiser come
in and tell us that you know they can
hit 5000.
i think right give me like another month
or like when my achilles is 100
the ability to go up on my toes i think
yeah
i reckon 5ks on the horizon all dude you
got the wrestled on our machine
it's good enough for me class right
should we head over for the a2 max stuff
so now we're going to look at doing the
endurance aspects we've just done the
power output we're looking at vo2 max
and lactate testing so stewart's going
to be leading through yeah
i'm yep
okay so remind me uh your name matt
matt what's her name is mauricio
m-o-r-s-i-a
uh is there any history of heart disease
in your immediate family no are you
suffering from any infectious skin
diseases or blood infections such as
hepatitis b or hiv no are you taking any
medication no
is there anything to your knowledge that
may prevent you from participating in
the testing today have you consumed
alcohol in the last 24 hours what would
you say your diet's been over the past
two days before average good or
excellent uh average
perfect okay okay right so if i die
europe's gonna do it yeah i said do you
exactly know what you're gonna be doing
very vaguely we'll do a quick warm-up
because the test itself is quite
progressive in nature um so you'll do
about 10 minutes just easy pedaling then
we'll jump you
10 minutes is such a long ago and then
what you'll do is you'll do four minute
stages where the watts will increase by
20 watts is it is standard like how do
you what's the starting point it's a
baseline standard but yeah there is some
recent research like guidelines in terms
of
where you should start off on so
beginners and intermediates and advanced
and then elites and so on so we'll start
you off on beginner stroke intermediate
and then what we'll do is progress from
there
once we've then got your lactate curve
we'll stop doing lactate samples and
we'll just take it to your vo2 max where
we'll increase the watt zone by 20 but
every minute i need to pop on a heart
rate minus spin around
that's it right you just need more
pressure as well
make sure
[Music]
so if you've had two people that are
similar
in cardiovascular endurance but like one
of them is heavy you'd expect them to
have a higher ability maximum lower
lower yeah so heavier so hence why one's
going marathon runners
yeah cyclists they have a higher vo2 but
they're because of the weight i think
i'm going to set some records today
like
baseline
i'm going to real you're going to have
to re-evaluate everything you thought
was possible in terms of terrible
okay so you're taking a finger brick
blood thing how frequently you have
every four minutes okay just while i'm
here just take it off my finger yeah so
that's why the cling films are kind of
bleed out we're not going to bleed out
hopefully
it's just more hygienic
[Music]
1.3 is a generally a typical value so if
it was much lower than that it'd mean
obviously you're really well rested yeah
if it's much higher than that it may
mean there's a bit of lactate still in
the body uh from maybe doing too hard of
exercise before but what tends to happen
is as you do your first couple of
intervals
your laptop actually drops as your body
is working through the system
i've requested a saddle change so i
never ride a bike right on the other
occasion i do that's quite an intense
like hard saddle
within two minutes my gooch is an
absolute pieces so
look at this like you've got a soft
squidgy gel cushion it looks much more
luxurious
what i'm talking about
that's what i'm talking about
[Music]
you ready
darkness is your ally
[Music]
before the end of the four minutes i'll
hold this off now a lot of them is doing
just point to where you're feeling
[Music]
1.4 so yours has risen by 0.1 so with
1.3 last time it's now 1.4 black tape
slowly climbing up nowhere near his lt1
yet
[Music]
do a little jump now gone up from 11 to
13. yeah so what we're looking to see
with lactate this point here is normally
around four millimoles
of lactate
and that's the intensity that you can
hold
for roughly about 50 minutes to an hour
and then after that you're starting to
get towards vo2 max
so from this point
it gets very hard very quickly
2.5
so that means we've gone above the first
threshold
so we've downloaded
this point here
so you're now moving into this one so
it's going to start getting hard quite
quickly now
so we're moving
[Music]
[Music]
[Music]
you can dig in for
[Music]
come on keep going you go go
[Music]
perfect
[Music]
and see what it
so we have is
milliliters per kilogram per minute so
that basically
indicates based off your
uh height
weight age
and obviously with you being male is it
within 116 predicted so what it had to
be predicted as uh you're beyond that
last lactate 10.2 so uh one of the
measures is your basis measurement so
you've got to get above eight
milliliters eight millimoles and you're
well so you definitely went to max
max heart rate was 170 so your vo2 based
off everything from normative is sat
within the good to excellence so that's
even with weight concealer
so uh
yeah if you were 10 kilos uh lighter
you'd be in the uh
i did some cardio
yeah i know that shoes you've got good
cardio why do you want to hop on and do
a cool
down no
good test oh yeah so your lactate went
up nicely
your ventilation went up nicely the vo2
went up it's probably a perfect test to
be honest most of the pro footballers
were anywhere between 60 milliliters and
70 to be honest
so
i'll take that so your football is at 60
and i'm at 40.
47. yeah but like saying as well because
that is divided by weight if you were
the same weight as that you would be
hitting those sort of london
so 46 points to be honest because i i
consider my cardio to be very very below
average yeah so 46.6 is for like saying
in terms of normative data from a health
point of view you're good nearly on
excellent
so
forget football and we're just from a
general health
that's real that's sick
[Music]
bruce over okay
we're done
cj thoughts well all i could think about
was you just sounding and looking like
bane
really the whole time i didn't it wasn't
until the moment when you're like get
behind
me that's a terrible it wasn't until the
end i realized i could hear my breathing
do you know what that'd be at that test
i was literally terrified it actually
wasn't too bad it was it was only the
last few minutes where it went from like
not much to really bad
it was the rest of it was more just that
like you know low-key discomfort boredom
hurt in my life my gooch is just
absolutely shredded right now like not
in a good way in a bad way uh what do
you say
it's not i don't want to shredded you
long story short i'm basically a league
football that's what we've established
that's the conclusion here is i'm pretty
much i seem to get good at football now
and then like well actually i am
actually i'm quite a decent people let's
do this what's the last time you play
football i'm rupturing my kids uh but
yeah
that's that it's done it's over that was
an insight into what it is like to
undergo a premier league medical as a
footballer pretty insightful i mean in
terms of my performance like nowhere
near as bad as i thought again i always
think of myself as having terrible
cardio particularly like i said after
the achilles drop shot i've done zero
cardio for like five months so i thought
it'd be worse than that that wasn't too
bad they were pretty happy with the
numbers and stuff so that's pretty cool
big thanks to the ragnarok again for
hooking me up that was a really cool
insight i think that's the video done
guys i hope you enjoyed it if you did
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in description and i'll see you
tomorrow
[Music]
you
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