Deadlift Variations…Which Lift is Right for You? - Iron Health Physical Therapy & Cryotherapy
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Deadlift Variations…Which Lift is Right for You?

Iron Health Blog –

Deadlift Variations or Which Lift is Right for You

By: Allison Scova, DPT

As an avid weightlifter, I have followed many online lifting programs from highly
recognized experts in the fitness industry. But one problem with these programs is
they are non-specific for the individual buying it. There are so many variations to
different lifts, but we must consider a few things when choosing the right lift for a
client and ourselves. First, we have to ask what are the client’s goals. Is their goal to
chase 1RMs? Is it hypertrophy? Are they trying to increase flexibility? Next it is
important to evaluate the anatomy of the individual. Some lifts, while best for 1RMs,
may increase stress on the hips and cause impingement. Finally, it is crucial to
consider the client’s injury history and current injuries. If someone is coming to me
with hamstring tendinopathy, it’s probably best I steer clear of stiff leg deadlifts for
the time being.

I see it too often as a Physical Therapist – a weightlifter with an extensive injury
history trying to max out on a lift that their body isn’t meant for. I never like telling
someone that they can’t do something. So let’s get one thing straight – if your
Physical Therapist tells you that you’ll never be able to deadlift again because of
your herniated disc…ABORT and find a new PT. That being said, we all have
different anatomy. Therefore, my squat stance does not equal your squat stance and
the same applies to all other lifts. Most gym injuries occur when load exceeds the
capacity of the joints and muscles. If you are continually forcing your joints into
ranges of motion that you don’t have, or forcing your muscles to perform at a
capacity they can’t, the risk for injury increases. Sometimes as weightlifters we are
trying to fit square pegs into round holes, and this just doesn’t work for longevity in
the weight room.

In this 2 part series, I will discuss the different deadlift variations and which injuries
or body types they suit best.

1. Conventional Deadlift
The conventional deadlift is one of most popular deadlifts incorporated into a
strength program. Due to the alignment of the shoulders, hips, and knees in a
“hamburger stack”, this deadlift almost works your glutes, hamstrings, and erector
spinae equally. Less hamstring flexibility is required due to the large amount of knee
flexion and greater demand is placed on the quads than stiff-leg and RDL. The
conventional deadlift accentuates the concentric phase of the lift; therefore if lifting
heavy loads is your goal this deadlift is for you! There is a fair amount stress placed
on the erector spinae, so if you have a history of back pain make sure you have good
core stabilization before participating in this lift. It may also be challenging to
complete this lift with heavy loads if you have long femurs, which increases demand
on the erector spinae. But overall, this lift gives you the most bang for your buck and
is achievable for most injuries and body types.

Best suited for: lifting heavier loads (hello PRs!), decreased hamstring flexibility,
distal hamstring strain/tendinopathy
Beware: long femurs, lower back pain and back injuries

2. Sumo Deadlift
Hello glutes! This lift has undoubtedly increased in popularity over the years. The
main reason this lift has gained recognition in powerlifting is because the distance
from the bottom of the lift to full lock out is shorter than the conventional deadlift.
What does this mean for powerlifters? They can lift more weight over shorter
distances. The sumo deadlift, like the conventional, starts with the weight on the
ground and emphasizes the concentric part of the lift. Whether your goal is to max
out at heavy loads or hypertrophy your glutes, the sumo deadlift achieves both.

Unlike the conventional and stiff-leg deadlift, this lift works the quads and glutes
with less emphasis on the hamstrings. Because of the upright torso, there is less
demand placed on the hamstrings and erector spinae. However, the stress it
imposes on the hip joint is the main downfall to this lift. The sumo requires a large
amount of abduction and external rotation, and when combining these motions with
hip flexion can cause lateral impingement in the hips. Make sure you have adequate
hip mobility before performing this lift!

Best suited for: decreased hamstring flexibility, low back pain and back injuries,
hamstring strain/tendinopathy, longer femurs
Beware: hip pathology or pain, groin/adductor strain, general decrease in hip

Stay tuned for the next blog that will cover the last 3 deadlift variations as well as the
lifts recommended for each injury and body type!

Joseph Rendina PT, DPT, OCS

Joseph Rendina PT, DPT, OCS

Doctor of Physical Therapy, Board-Certified Orthopedic Specialist
Joseph received his Doctorate in Physical Therapy from New York Medical College and is also recognized as a Board-Certified Orthopedic Specialist. As a former competitive athlete and weightlifter, Joseph understands the specific needs and demands of the human body. Joseph’s goal is to maintain an active approach to rehab while facilitating recovery.
Joseph Rendina PT, DPT, OCS

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