Wednesday, April 20, 2016

Total Athlete Management - Athlete Monitoring Perspective



Managing an individual’s time and energy, their primary means of generating stress both good and bad, is as important as it ever has been if not more so; especially on the road to high-performance sport. In order to manage stress more effectively researchers, coaches, and athletes have all gone further in identifying and applying methods and techniques to monitor the processes of adaptation and recovery as they impact performance. Athlete monitoring has allowed them to improve this decision making by helping to better coordinate the interaction between internal and external training loads as they impact the process mechanically and energetically allowing for an effective “coopetition” strategy to emerge (1). However it is important that in doing so one does not “lose the forest for the trees.” How then does one remove barriers interfering with further improvements in physical performance and/or recovery while not at the same time creating new obstacles brought on by changes in a new performance environment?

Total Athlete Management (TAM) is the goal in both individual and team sports. As noted by Robert Newton and Marco Cardinale, “TAM is the ongoing process of ‘plan, do, review, improve’ common to management practice but applied equally effectively to athlete performance (2).” The process of athlete monitoring must go through the same changes that the athlete themselves must in order to break free from past limitations: checks and balances. In order to ensure this process maintains efficiency there must be changes that reflect better integration of “plan, do, review, improve”. In fact research from Ovallo & Sibony, in a review of over 1048 business decisions made in a five-year period, reveals that process trumps analysis by a factor of six (3). Creating an environment where good process is empowered is critical to maximizing what are sometimes very limited resources. This is an issue at the heart of any athlete monitoring discussion: are under-performing athletes unfit and poorly prepared because they are over-stressed or because the culture allows a less than excellent standard? This discussion goes beyond this paper but it is worth noting the critical relationship that culture plays in high-performance and as stated by Peter Drucker, “Culture eats strategy for breakfast.”   

Rather than viewing culture and strategy or process and analysis as antagonists we should instead view them as complementary but with the understanding that performance enhancement requires pushing the envelope of any targeted physical performance. As sport scientist Michael Regan suggested in the lecture The Role of Data in S&C and Scouting the goal is “sensible overload”(4). Yet defining “sensible” requires significantly more context to adequately encompass the range of possibilities in human performance. For example what is sensible for an athlete in a return-to-sport program may be altogether inadequate for a healthy athlete with no musculoskeletal issues (6).
Further, one should not assume that this is a one-sided issue where athlete monitoring is the single factor generating potential interference. Periodization itself should be challenged to validate its role in human performance and the process of physical preparation. As noted by John Kiely in his paper Periodization Paradigms in the 21st Century: Evidence-Led or Tradition-Driven, “In essence, due to complicating logistical constraints, experimental designs have compared interventions regularly varying training parameters with interventions with minimal, or no, variation. Accordingly what such studies have demonstrated is that variation is a critical aspect of effective training, not that periodization methodologies are an optimal means of providing variation. (9)”

A common adage is, “a change is as good as a rest.” Indeed many training program improvements brought on by a supposed proper application of periodization principles are only validated against the continuation of a program that may have already exhausted its ability to generate adaptation (9). This is not to suggest that periodization and planning are insignificant contributors to human performance, rather the intent here is to note that every aspect of the TAM process should be subject to review for its contribution and potential limitations both now and into the future. Again, “plan, do, review, improve” and as noted by President Dwight D. Eisenhower, “In preparing for battle I have always found that plans are useless, but planning is indispensable." Taking this further in order to apply it directly to physical preparation John Kiely states, “Such reasoning suggests a shift from the historical ideal of preordained “best” training structures toward a philosophy characterized by an adaptive readiness to response to emerging ‘information’. (5)” Best planning practices are those that allow for such emergent information to be what dictates the process moving forward; and not what was believed to be the appropriate process some time ago.
Much is made of the biological dose-response relationship as it relates to the training process and adaptation (8). Coutts and Cormack state, “The aim of training is to provide a stimulus that is effective in improving performance. For positive adaptation to occur, a careful balance between training dose and recovery is required. (8)” Coaches and athletes can sometimes get lost in finding this balance and this is an area where effective athlete monitoring is key. Coutts and Reaburn cited research that demonstrated this difference, an imbalance between stress and recovery, where collegiate soccer players who were under-recovered and had demonstrated symptoms consistent with overreaching performed worse on tests for muscular strength, power, and speed (9). These qualities are in essence a primary focus of many team sport athletes and are likely the reason their coaches had these athletes training with such vigor in the first place.  

Also notable is work with elite alpine skiers from strength & conditioning Coach Matt Jordan of The Canadian Sport Institute-Calgary and his colleagues of the Human Performance Laboratory at The University of Calgary, Alberta, Canada (6). Jordan et al. (2014) found that use of dual force place technology and DXA scans provided insight into lower-body asymmetry and its potential impact on physical preparation and the return to competitive high-performance sport. Jordan states, “The main finding of our study was the presence of a significantly greater CMJ and SJ phase-specific kinetic impulse AI in top-level ski racers with a history of ACL-R compared with uninjured ability-matched ski racers that remained despite a full return to activity. (6)” The increased AI (Asymmetry Indices) demonstrates a potential risk factor in the injured population versus their uninjured counterparts who were highly symmetrical across all phases of the SJ and CMJ tests (6). Monitoring the AI in elite alpine skiers, as well as other athletes with comparable demands on the lower body, could prove to be critical in both the injured and uninjured population collectively.  

In his dissertation for the University of Kentucky School of Kinesiology and Health Promotion Christopher Morris examined 59 Division One American football athletes and their use of an Athlete Monitoring System (AMS) that examines Heart Rate Variability and Direct Current Brain Wave Potential Outcomes (7). Morris then used a “fluid periodization” model to make daily decisions regarding the amount of stress to impose upon the athletes based on their current physiological state and readiness. Morris states, “The results from this study confirmed our hypothesis that the use of objective physiological measures, provided by the AMS, produced significantly higher performance outcomes in vertical jump, vertical power, broad jump, and aerobic efficiency. Additionally, the results confirmed our second hypothesis that these performance outcomes were gained at a reduced physiological cost by significant reductions in both core and accessory resistance training volume. (7)” The potential benefits of an athlete monitoring system that can help guide better decision making regarding what is the appropriate amount of stress to impose on athletes on a day to day basis, represented by the term “fluid periodization” here, warrants further discussion at the very least and potentially a paradigm shift.

Athlete monitoring should not be critiqued for what it is not. It is simply a part of the physical preparation process, that of TAM, and can be emphasized or de-emphasized according to a program, team, or individual athlete’s needs. In order to use athlete monitoring effectively the process should be consistent, valid/reliable, multi-faceted, individualized, and time sensitive. Coutts and Cormack state, “The ultimate value of monitoring training load and the fatigue response is when such monitoring informs decision making. For this to occur, the monitoring process needs to be part of the overall program approach. (8)” TAM should integrate athlete monitoring as a piece of the puzzle but with the understanding that athlete monitoring is only intended to better inform personnel on the decision making process. Atul Gawande speaks to the process of better effectively in his book Better: A Surgeon’s Notes on Performance, “Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. Above all, it takes a willingness to try. (10)” Table 1 represents some suggestions on athlete monitoring and is adapted from John Kiely’s book chapter “Planning for Physical Performance: The Individual Perspective, planning, periodization, prediction; and why the future ain’t what it used to be!” (5)

Table 1. Some Suggested Monitoring Methods

When                    What                                                                                                         Who says
Pre-Pre-training  Subjective indicator of ‘general’ well-being, e.g. RESTQ,              Collins 2000                                                         
                                POMS, recovery-cue; abbreviated versions of same                       Kellmann 2002  
                               Objective measure Morning HR/HR variability
Pre-Training         • Subjective rating (Score 1–10) of key indicators, e.g. Mood       Collins 2000
                               Sleep quality Readiness to train, Residual muscle
                               soreness/fatigue Site specific soreness rating Perceived
                               readiness rating
                               • Objective measure (readiness check)                                               Nurmekivi et al 2001
                               Psychomotor speed/reaction time                                                       Rietjens et al 2005
                               Measure system readiness,  e.g. countermovement                        Nederhof et al 2006,               
                               jump (height); drop jump (contact time/height)                               2007
In-training            • Prescriptive accuracy Rate desired intensity (how it
                               should feel) Technical execution (required quality) Empirical
                               range (load and repetition limits) • Recording detail Empirical
                               descriptors RPE (per effort, set, or session)
Post-training        • Post-session objective measure Repeat pre-session readiness   Suzuki et al 2003,   
                                check • Session RPE. Retrospectively calculate associated             2006
                                measures, e.g. Monotony (weekly average load/standard
                                deviation), Strain (mean weekly load  monotony), Training
                                load (RPE  training time) CPS (category ratio pain scale) TQR
                                (total quality recovery) • Weekly training ‘stress’ assessment
                                Daily and/or individual session RPE ¼ week total
HR, heart rate; POMS, profile of mood state; RESTQ, recovery-stress questionnaire for athletes; RPE, rating of perceived exertion
*Adapted from Kiely, John “Planning for Performance: The Individual Perspective” book chapter

Athlete monitoring and TAM need not be unnecessarily complicated for as Albert Einstein once said, “Make things as simple as possible, but not simpler.” Athletes are complex on many levels and as such they present with issues that will challenge coaches in many ways. Solutions to such problems should not further complicate these issues. John Kiely states here, “The functioning of complex biological systems is characterized by deeply entangled interdependencies between component subsystems, by sensitive dependence to initial conditions and subsequently introduced “noise,” and by the inherently unpredictable chain of consequences that may be initiated by any imposed action. (9)” For fear of noise or consequences athlete monitoring should not be dismissed. However it is important that it is given the opportunity for the same review process as every other component of TAM as there is not an unimportant part of athlete development. Better will always qualify as an improvement even if it never represents best.




REFERENCES
1.       Plisk, Steven and Stone, Michael. “Periodization Strategies”. Journal of Strength and Conditioning Research: Vol 25 (6) pp. 19–37
2.       Newton, Robert and Cardinale, Marco (Ed.). Strength & Conditioning: Biological Principles and Practical Applications. 2011: Wiley-Blackwell (Oxford, UK)
3.       Lovallo, Dan and Sibony, Olivier. “The Case for Behavioral Strategy”. McKinsey Quarterly 2: 30-45 (March 2010)
4.       Regan, Michael (2015). “The Role of Data in S&C and Scouting”: Lecture Presentation from Central Virginia Sports Performance Symposium
5.       Kiely, John. Planning for Physical Performance: The Individual Perspective, planning, periodization, prediction; and why the future ain’t what it used to be! In: Collins D, Button A, Richards H, (Ed.). Performance Psychology for Physical Environments: A Practitioner’s Guide. Oxford, UK: Elsevier: 2011: 139-160.
6.       Jordan, M.J. and Aagaard, W. Herzog. “Lower Limb Assymmetry in Mechanical Muscle Function: A comparison between ski racers with and without ACL reconstruction”. Scandinavian Journal of Medicine and Science In Sports: June 2014: 25(3), pp. 301-309,
7.       Morris, Christopher (2015). “The Effect of Fluid Periodization on Athletic Performance Outcomes in American Football Players” (Doctoral Dissertation). UKnowledge: University of Kentucky, Theses and Dissertations – Kinesiology and Health Promotion
8.       Coutts, Aaron and Cormack, Stuart. Monitoring the Training Response. In: Joyce, David (Ed.). High-Performance Training for Sport. (2014) Human Kinetics: Champaign, IL
9.       Kiely, John. Periodization Paradigms in the 21st Century: Evidence-Led or Tradition-Driven? IJSPP 2012 (7): 242-250
10.   Gawande, Atul (2008). Better: A Surgeon’s Notes on Performance. Picador: Hampshire, England

Tuesday, June 30, 2015

Out Of Breath

Short and sweet post here:

In my athletic career I was a relatively successful track & field athlete (called athletics internationally). Nothing crazy but enough to earn me an opportunity at the NCAA Division One level. Anyway, I used to get asked a lot about how to breathe when I was running so hard. People would say, "I like running but I get out of breath and have to stop." Well my response was always the same: I am pretty much out of breath from the first lap, or even the first curve, of whatever race I was running! The only thing was I knew how far I needed to run, I wanted to compete and do my best, so that made stopping just not acceptable. I realized that I may be out of breath, I may be tired, but my muscles can still go so I will see how far they can take me...

To my big epiphany today: I was sharing that thinking with someone else today and it occurred to me that even though I am no longer a competitive athlete that mindset has taken hold in my personal and professional life. " How do you get so much done everyday?" Well, I don't feel terrible everyday but I definitely get tired and run out of steam at times. But what I have realized is that I have never felt the need to quit so I might as well just keep going! People tell me I would love to read more, or exercise more, etc, but I just get so tired. Well, we all get tired so if that gets to all of us you may as well get tired doing things that will push you, make you better, and make your life more fulfilling and happier. I am "out of breath" most days but I just decide to keep going.

I am reminded of the movie "The Guardian" with Ashton Kutcher and Kevin Costner in which the latter plays a seasoned, legendary rescue swimmer for the Coast Guard and the former plays a newbie with a ton of potential. Kutcher's character continues to ask Costner's, "How do you decide who lives or dies?" because ultimately as a rescue swimmer you will just never be able to save everyone. Costner's character replies, "I swim as fast and as hard as I can for as long as I can. And the sea takes the rest." So ultimately we all just have to decide what that means for ourselves. For me I choose to go as hard as I can for as long as I can and I guess I have developed a pretty good capacity for such things.

I don't want to suggest to anyone that stressing yourself out is the way to go as I definitely would consider my workload challenging but not overwhelming. The key to it is making sure that the most important things stay that way. There is definitely room for balance, self-reflection, and realizing whether you are just trying to do too much each day. But there is also plenty of room to push yourself if something is important enough to you.

Thursday, March 26, 2015

Triangulating on the Target: Part Two

A few things I should point out before getting to the primary aim of this blog post: 

The energetics side of things should very much be a primary point of focus; especially for athletes in my population (as well as all athletes). The fact is however that given that I am a secondary support structure for the athletes I am coaching currently this is a difficult logistical issue. I either have to program work that I know I cannot observe/qualify how the work is being performed or I use what time I do get where I can get some quality energy systems work done whenever we can. 

Given the fact that a majority of the kids I coach are being buried in the work they perform with their club program or in their high school and the issue gains more complexity. This is something I am currently not comfortable with and for how it is lacking in the support I do give athletes I feel is an overall point of embarrassment. I would like to move towards better solutions for this but as of now it is worth at best an incomplete.

So with that said I will press on and get to this post: progressing from a more concurrent focus, an emphasis on training multiple qualities, to a more specific block periodization focus (training 2 to 3 dominant qualities and relying on training residuals and maintenance programming to contain the rest). A great analogy from Dr. Brad Deweese on this is the idea of cooking with a stove (his phase potentiation lecture from the NSCA Coaches Conference is outstanding). You can't have all of your burners on high at the same time but if you skillfully introduce the necessary components you are preparing then you can manage it all and really focus on one or two by keeping the others on low.

 This image gives you a pretty good visual for how you can best contain your training stimuli. Essentially we are moving from a more broad degree of focus towards an increasing volume of specific work. There are a few typical gaps that I will quickly address here:

1: You have to do a good job of addressing core competency, in all training qualities, before attempting to establish more capacity. Gray Cook says and it is quoted often for, "You cannot stack strength on dysfunction." One of the quotes I love from Gray that is referenced less often is, "You cannot rent your movement philosophy. You have to own it." We cannot engage athletes effectively if we know that we are going to do things that will potentially compromise their health and, by extension, their performance. If we want to push the limits of human performance we have to make sure we have what we need to make it through the whole journey healthy.
2: Because you establish competency early does not mean your program will fully contain it unless you have planning in place to do so. As you move towards higher workloads of specificity you are moving further away from general loads. As speed and power expert Mike Young has stated, "Soon ripe, soon rotten." General workloads will work very well to ensure that the athlete stays ready for important transitional points as well as help you pull back some when primary means, i.e. the athlete's sport itself, are pushing specificity to its limits. As Derek Evely stated recently, "Seen in this light, general workloads and exercises are no longer given a specific phase or 'season' in the planning cycle, but rather are used throughout the year to help an athlete recover from year-round specific loads and maintain general fitness, not unlike the way an anti-virus program operates in the background of your computer system; it's there, it's important, but it is not why you bought the computer in the first place."

The good news is with all of this that we continue to improve our athlete development process and systems to help us keep things finer tuned for this challenging work. It does seem that as our technology/systems evolve, we are always given less time/resources to actually do the job of coaching. But I digress...

I have mentioned before how primary loads for me function in a linear fashion. Meaning that there are some things in the training cycle that if I know we need to have in our body of work then I am going to fight like hell to get that done even if the remainder of the work gets varied or changed for practical/logistical reasons. 

My non-linear tasks are sometimes the primary means, for developmental purposes, but are often tasks of a secondary focus. A quick example of this here (assume 2 sessions per week as is common for me):

LINEAR TASK (PRIMARY MEANS)
Week 1
Session 1
A1. Back Squat 3x5 @ 80%
Week 2

Session 1
A1. Back Squat 3x5 @ 82-84%
Week 3

Session 1
B1. Back Squat 3x5 @ 84-88%
Week 4
Session 1
B1. Back Squat 4-6 x 3-5 @ 86-92%

NON-LINEAR TASKS (SECONDARY MEANS)
Week 1
Session 1
C1. DB Single-Leg Romanian Deadlift 2-3 x 8/Leg
Session 2
A1. Back Squat 3x3 @ 80%
Week 2
Session 1
C1. KB Goblet Reverse Lunge 2-3 x 8/Leg
Session 2
A1. Back Squat 3-5x3 @ 82-84%
Week 3
Session 1
C1. DB Split Squat 2-3 x 10/Leg
Session 2
A1. Back Squat 2-4x3 @ 84-86%
Week 4
Session 1
C1. DB Split Squat 3-4 x 8/Leg
Session 2
A1. Back Squat 2x3 @ 86-88%

To give you some perspective on these loads we are utilizing the back squat as a primary means of strength development so we can validate using that lift 2x per week, even if we only have 2 lifts during that microcycle, because we know there is a skill to squatting and it is a key factor in the development of strength and power for sports. The first training session of the week is the priority and the second session is the one where I would anticipate having more variability in performance (most athletes, at the high school and collegiate level, start the week pretty fresh but end up trashed by the end). If the first session is compromised for some reason, because of poor sleep or sickness, I would either 1-switch the loading from the sessions so we take the easier of the two lifts first, or 2-scrap it altogether and move those more important loads to the next session of the week.

Speaking to the single-leg focus as a non-linear task here we are essentially using the exercises to be self-limiting for the athlete but progressing the load of the lifts from a more hip dominant movement (the single-leg RDL) to a hip/quad dominant movement (the goblet reverse lunge) to a quad dominant activity (the split squat). What we are losing out on in terms of very necessary muscle balance we are gaining with improved leg strength. We are also moving through a broader range of movements that satisfy our developmental needs and give us a more technical focus early on, the single-leg balance task with load, to a less technical focus, a simplified task of the split squat, in order to enhance load and strength development. Something you would not want to push for very long but that will give you an opportunity to get much stronger through the training cycle (but limits the overall stress to a more narrow window). 

For the squatting tasks specifically it is also very helpful to utilize velocity-based training as an autoregulation tool to either confirm the appropriateness of workloads or to adjust/compromise and generate comparable fitness effects. Assuming we are well prepared there is not a lot I anticipate changing in programs from week to week but technology like the PUSH device can give you a very specific window of feedback on your velocities as your athletes progress in their training. I am currently only using the PUSH device for barbell based movement tracking on squatting, pulling, and Olympic lifts/variations but I look forward to continuing to explore the device's diversity. 

There are a lot of reasons that you will see variation in movement speed so I do not adhere too strictly to certain recommendations on this; however the PUSH device will give you specific feedback to the individual that you can compare against their current and previous levels of performance. This can help add a more qualitative metric to what most coaches are just using their eyes for. Certainly nothing wrong with that but because of the complexities of our connection with our athletes, especially prominent in working with female athletes as I do, we can limit training loads or volumes at times because we are imprinting fragility on the athlete that is simply not there. There is always a careful balance in coaching and athlete development between having your foot on the gas pedal to push it and knowing when to slam on the brakes. PUSH and similar velocity-based systems can help to keep ourselves and our athletes closer to their true "speed limits" without exceeding them.

With non-strength athletes it is not uncommon for me to keep a rep or two "in the tank" for many of their training sessions early in the microcycle. This will allow me to ensure that we have stability in the exercise's performance before we start to really push their physical limits. So depending on the athlete's level of preparedness it would not be uncommon for me to adjust their set-rep distribution of work or exercise variation to better match their needs. Two examples (notice the compatibility with the example from above please):

Intermediate Athlete (Low Variation)
Week 1:
A1. Back Squat 3x5 @ 80%
B1. Hang Power Clean 1x3 @ 70%, 1x3 @ 75%, 1x2 @ 80%, 3x2 @ 77%
Week 2:
A1. Back Squat 3x5 @ 82-84%
B1. Hang Power Cl 1x3 @ 72%, 1x3 @ 77%, 1x2 @ 82%, 3x2 @ 79%
Week 3:
A1. Hang Power Cl 1x3 @ 74%, 1x2 @ 79%, 1x2 @ 82-84%, 3-5 x 1-2 @ 81%
B1. Back Squat 3x5 @ 84-86%
Week 4:
A1. Hang Power Cl 1x2 @ 76%, 1x2 @ 81%, 1x2 @ 83-85%, 2-4 x 1-2 @ 82-83%
B1. Back Squat 4-6 x 3-5 @ 86-92%

So because of the exercise order changes in week 3 and 4 we should be able to sustain these high-intensity efforts successfully with less concern of the increasing back squatting loads generating interference. Because of the use of the PUSH device I have the ability to manage the distribution of work more effectively and be sure that there are not inappropriate changes in velocity on the performance of each lift.

Beginner Athlete (High Variation for Developmental Needs: Percentage Changes from Original Example)
Week 1:
A1. Back Squat 3x5 @ 70%
B1. Hip Power Clean 1x3 @ 60%, 1x3 @ 65%, 1x2 @ 70%, 3x2 @ 67%
Week 2:
A1. Back Squat 3x5 @ 72-74%
B1. Hip Power Clean  1x3 @ 62%, 1x3 @ 67%, 
B1. Hang Power Cl 1x2 @ 72%, 3x3 @ 69%
Week 3:
A1. Hip Power Clean 1x3 @ 64%, 1x3 @ 69%
A1. Hang Power Cl 1x2 @ 72-74%, 4 x 1-2 @ 71%
B1. Back Squat 3x5 @ 74-76%
Week 4:
A1. Hang Power Cl 1x2 @ 66%, 1x2 @ 71 1x2 @ 73-75%, 2-4 x 1-2 @ 72-73%
B1. Back Squat 4-6 x 3-5 @ 76-82%

In this example we are using the exercise variation to limit intensity and are advancing both the exercise and intensity through each training week. With many athletes we cannot execute the necessary intensities in training if their technical ability has not been developed to an appropriate level. For this reason intensity will be limited anyway; perhaps not just yet for them but as they develop if we do not adequately lay the foundation for better lifting we will reduce the likelihood of ever performing at our very best. I see many people posting PR videos and stating, "Well we are still working on their technique..." In my opinion this is short-sighted. The defense given is if they only ever work on technique they will never learn to lift heavy. This brings me to two points:

1-You may lift heavy but you will never lift at your best with inadequate technique. It may even be heavy for the coach observing but the athlete and coach will never learn what their true limits are. Beyond that there is always a cost of adaptation and because of the need for increased training loads, to compensate for inadequate technique, you will stress your body much further than necessary. 
2-For non-strength athletes strength training is a general means of development. This means that the further you get away from an appropriate use of the coordinative/technical components, the C of the E-M-C triangle discussed in part one, the less likely you are to have successful transfer into the sport or activity you are developing this strength and power for.

Overall I think this has been a fair look at my thinking regarding exercise programming. There are many roads to Rome and these are some of the ways I feel I am able to train athletes successfully given the limitations common to myself and my coaching environment and as it is common to many strength coaches and trainers. So a few closing thoughts here:

-The paradox of movement specificity and variation is a great one. For developmental athletes I side with more variability in their training environment as their needs often go beyond that of just improved efficiency in strength training. The coordinative side of things for them is tremendous. As Guido Van Ryssegem has stated, "Movement variability is the oil of the CNS." To keep things flowing properly there is a careful balance between general and specific tasks (as I hope I have addressed properly above). Yet progressing towards physical peaks requires a narrowing of the stream of inputs. Just remember as Robert Pirsig stated, "It is the sides of the mountain that sustain life, not the top." Climb the mountain, enjoy the view, but don't try to live there.

-Sub-maximum work is undervalued but an important part of working with athletes at any population. This is a sensitive point for me as many coaches overestimate competencies in unrelated tasks because of specific competencies in either the sport or one movement/activity. In my opinion most athletes are performing on a continuum from day to day and our feedback and programming should address this properly. 

-My feelings are the same for feedback on internal versus external cueing. Very few athletes are just dialed in to where they can utilize just external cues successfully. I believe there should be an appropriate flow each day that moves from internal to external and augmented feedback (velocity-based feedback and other similar metrics) properly as it is required. 

-I have referenced the movie "Searching for Bobby Fischer" before and how in the movie Josh Waitzkin's chess coach teaches him, "Don't move until you see it" and little Josh has a hard time seeing what is happening and will be happening in the game. Eventually though he sees it and it is an awesome outcome. The same can be said for coaching successfully. Do not advance a task until you can ensure competency and you know the athlete is ready to attack capacity with a full effort. If you do not see it happening with your current methods/means progressing to more advanced methods/means is unnecessary and dangerous. Be patient and use your training performances to drive your progressions not a piece of paper. 

Excellence is the only agenda!