The Bill Hartman Podcast for The 16% - Season 14 - Number 5 Podcast
Good morning. Happy Tuesday. I have neuro coffee in hand and it is perfect. All right. A very busy Tuesday coming up. So we're going to dig straight into today's Q&A. This is with Taya. Taya's question pertained to scoliosis. And so we covered some ground in this one in regards to what I think is the source of the deformity, if you will. in regards to scoliosis and I think it's a very strong mechanical situation. There may be some other influences. I don't think there's any question that things tend to be multifactorial. There could be issues with silio deformities. There might be cerebral spinal flow issues, but I think the strongest evidence points towards the internal force relationship with the external physical structure and then how we manage things. Reason being, If we go back into, I believe it's an article in Spine Journal 2007 where they were looking at normal spines, so-called normal spines, people with normal internal anatomy compared to citizen versus what we saw was opposing mirror image curves of the normal spines. If you look at a scoliotic spine, you're going to see the structure of the anterior aspect of the spine is the area where we're going to see the lengthening of the connective tissues, where we're going to see the compressive strategy on the opposing side. So internal organs are attached to the anterior aspect of the abdomen and to the spine. Therefore, we should expect to see the elongation as described in the research. There was a more recent study by Schlosser where they specifically mentioned this concept of the influence of the internal organs. They found issues similar to the spinal curvatures in the 2007 study. So again, I think everything's pointing towards this mechanical representation as the source of the scoliosis. We also touched base on a little bit of what we would consider hypermobility and why it may exist. So this is a really, really interesting call. So thank you, Taya. Great question. Should get a little bit of discussion going with a lot of people as far as what they're dealing with and how we're going to manage these things. So again, thank you. Everybody have an outstanding Tuesday and I will see you tomorrow.
scoliosisspinal mechanicsinternal forcesconnective tissuehypermobility
My question is regarding scoliosis representation. I was reading about it and wanted to ask what is the main factor that makes someone more prone to developing exaggerated curves because we all have them, but some are visible with the naked eye. I was wondering what factor makes them more prone to getting those curves.
scoliosisspinal curvaturebiomechanics
Here's my thought process. This is my opinion: scoliosis is produced by the forces that are internal. The way that everything is attached on the inside is going to influence the movement and the forces involved internally. What we see externally is the response to that. Research is starting to ask that question and looking at the attachment orientations associated with people with scoliosis. That research exists, though it's not extensive yet.
scoliosis etiologyinternal forcesspinal mechanicsbiomechanical response
But that would be my opinion. I would say that those people are more likely to get these more exaggerated changes than others or like it's genetics or no.
scoliosisgeneticsbiomechanics
I would assume that its foundation is genetic to some degree. I don't know if it's like an epigenetic influence or where that falls. It's not my desire to find out that deep of a source. I'm looking more at the mechanical element of it. So I don't have that answer. I don't know that they have that answer either. I don't know if there's been like a gene or whatever that's been identified that would produce that. But from a mechanical perspective, it makes a lot more sense to me that this is a response to something. And then you say, well, what could that something be? Well, it could be something that's external. There could be an external influence, like some sort of force. So we've got gravity to deal with. But your internal forces are in response. There's a QT. There's an internal response to gravity as well. That's how those forces behave relative to gravity. So again, I look at this from the mechanical perspective versus something else.
geneticsepigeneticsmechanical forcesscoliosis etiology
I was just thinking because the scoliotic patients that I get to work with are all narrow. So I was just thinking maybe they're more biased because they're looking at force production, how to produce the force into the ground.
scoliosisforce productionnarrow stance
You know, just generally speaking on narrows, so the pressure through the axial skeleton is more distributed towards the outside of the axial skeleton. So that might be why we see more of this in the narrows because their turning capabilities are different, right?
axial skeletonnarrow individualsscoliosis biomechanics
And because this changes and turns in the spine are magnified, I'm just wondering that the patients I work with present as hypermobile. So I'm wondering that everything turns because the spine can't. Or is the spine turning that allows me that excessive motion?
scoliosisspinal rotationhypermobility
With every turn, you get a magnification of the peripheral measure. We can use Michael Savage's client as a representation or some of the other stuff that we've been talking about. That's why you have to appreciate that the spine is moving through ERs and IOPs. When you think about where the turns are in a patient diagnosed with scoliosis, they're going to magnify some of the peripheral measures. That's why they get branded as hypermobile. If I have an IR turn, let's just say the lumbar spine is rotated to the right relative to what the front would be. If we used a line through the sacrum and pubis as midline, and the spine is rotated to the right, can you see how that might magnify the left hip IR measure?
scoliosisspinal mechanicsjoint mobility
Yeah, I was just wondering because the spine is turned that way, that the IR on the right would not be as magnified because this.
spinal rotationhip internal rotationmovement compensation
Absolutely right. You see it? So again, it's like branding these people hypermobile probably isn't helpful. Right? You can appreciate the fact that the measures are magnified, but the reason why, like whatever hypermobility means, it just means that the direct measure, again, this is a structural reductionist kind of a viewpoint. It's like, oh, hypermobile, that means that the joint's moving too far. Is it really that the joint's moving too far? Or is it the combined representation of the spine, the pelvis orientation, and the hip joint is what's producing the ER? You see it? Yeah. So again, you have to appreciate that. Good morning. Happy Monday. I have neural coffee in hand and it is perfect. All right. Had a pretty solid weekend. Very exciting. Got the new, the intensive 19 notebooks came in over the weekend. So there you go. That's probably the first time that we've put the real intensive logo on anything. So that's kind of fun. Got to dig straight into day's Q&A, getting kind of busy this morning. So this is with Dante. And Dante's question pertained to understanding a little bit more about helical structure. And so we've talked about this helical structure quite a bit. In fact, I got a slide from the intensive one that's right there. And you may have actually heard that quote repeated by a couple of the people that were actually in the room at the intensive one. So we've always talked about this, this helical structure and we can look at this from the micro to the macro. Your DNA is helically oriented. The things that you're constructed out of your helically oriented, your total physical structure is a helical orientation. This is one of the reasons why I constructed the wide and the narrow. ISA archetypes is because of their helical structures being different, they will move differently. And so if we can understand their point A's a little bit more effectively, sort of like where they came from, and we can look at their point B's as to where they are, we can certainly deconstruct this process and allow them to restore relative motions as needed or raise their performance based on what their physical capabilities are, because these will be idiosyncratic based on physical structures, which is why we have people that are great swimmers. And we have some people that are great pole vaulters or whatever they might be because it all comes down to the physical structure. So thank you Dante for leading us in this direction. A very useful question. Everybody have an outstanding Monday and I will see you tomorrow.
hypermobilityspinal mechanicshelical structureISA archetypesbiomechanics
It's about the helical angle. I watched some rotation videos of you on the YouTube channel and sometimes you mention the helical angle, but when I search for 'helical angle' as keywords on the channel, there isn't a lot—there isn't a video that's focused on the helical angle. Do you have any videos just to explain what the helical angle is and how it affects the movement of the power plant?
helical structuremovement mechanicsISA archetypes
Do you know what a helix is? It's a spiral. Yeah. Spiral. That's how you're constructed. So everything that you're made of is a helix. So your DNA is helical. Your collagen fibers are helical. Your musculature is organized in helices. Your skeletal structure is organized in helices, right? So everything that you do moves on a helix. So every joint in your body moves on a helical angle. So there's not straight hinges like it's proposed in some of the literature. There's always a twist and a turn that's associated with that. And so your gross structure, so the big structure of you is actually kind of easy to see when you look at a skeleton. And each segment of you moves in a helical manner. And there is a resultant. It's like, if you take all of the helices and we put them together, it slowly, as you move farther and farther into motion, all of these helices start to superimpose and then superpose, just like we were talking about with Zach. So there's a twist and a turn. And so you have a certain ability to twist. And if we looked at somebody with a different physical structure, so you're a wide ISA guy, right? OK, so I think Ian, you're a narrow, right? In the narrow. Yeah, so if we were to watch you guys, you both turn because you're both human beings and have the same relative body parts, I would assume, you would look similar, but there would be a subtle difference in the angle at which your body would turn most efficiently. One second. And that would be when you're turning on the helix, but the thing you have to understand it's like there's not like a singular helical angle. Okay. We use ISA as a proxy measure. Okay. So as a gross measure for your general structure that guides us in how you would turn. So the ISA provides us a measure, so to speak, of how well you would turn or at what angle you would turn. Okay. So does that get me in the ballpark as to what your question might be?
helical structurehuman anatomybiomechanicsISA archetypesjoint movement
Yeah. Yeah. Yeah. And so everybody everybody has their own right their own representation of of their helical orientation and then that's where you best move you always move best on your helical angle.
helical structuremovement efficiencybiomechanics
Yeah.
Yeah. Yeah. Everybody has their own representation of their helical orientation, and that's where you best move. You always move best on your helical angle.
helical movementbiomechanicsjoint mechanics
And so everybody has their own representation of their helical orientation, and that's where you best move. You always move best on your helical angle.
helical orientationmovement efficiencybiomechanics
Okay. So does that mean we do all the joint movement? There is a specific angle that is best for the moment. Maybe because I remember.
helical orientationjoint movementmovement angles
That is a correct statement. But what we want in an ideal world is the ability to manipulate and change the angle of our helix to allow us to achieve coordinated motions. So for instance, if you were to reach straight up overhead, there's no helix there. That's not straight up, but it was a good effort. So there's no helix up there. What that means is for you to occupy that space, you have to be able to change your helical angle to get there. And so that's what we're measuring on people. We're just measuring their ability to change shape, to access spaces. You will always move best on your helical angle. If you can't move your helical angle, then your movement's restricted. Real simple.
helical orientationmovement coordinationjoint mobility
Thank you.
You're welcome.
Yeah, yeah, yeah.
Awesome.
Thanks. Good morning. Happy Wednesday. I have neuro coffee in hand and It is perfect. All right, today is Wednesday. That means that tomorrow is Thursday. That means tomorrow is 6 a.m. Coffee and Coaches Conference call. As usual, grab a cup of coffee. Please join us for some great people, great Q and A, always fun. We've been doing these for a while. We're gonna keep doing them until they're no longer fun. So once again, please join us at 6 a.m. tomorrow. Link will be up on the professional Facebook page just prior to the call. That's Eastern time, by the way, 6am Eastern time. Digging into today's Q&A, this is with Dante. Love Dante's questions. Dante loves to talk about the foundational concepts and so do I. And so this question really hit home. So he's making reference to a video that's up on the YouTube channel. If you're not on the YouTube channel, please go subscribe. so you can get all the videos. But he was using when we were talking about agility and the behavior of the pelvic outlet. And what this allowed us to do is we got to talk about concentric versus eccentric orientation connected tissue behaviors, foundational principles, like we will always move in the direction of expansion and such. And so again, really, really strong foundational question. So for those of you that are new to my model, It's a great video for you to even get started with, but it's going to lead you to some of the stuff on the YouTube channel. So please take advantage of that. Thank you so much, Dante. Truly appreciate the question. Everybody have an outstanding Wednesday. I will see you tomorrow morning, Thursday morning, 6 a.m. coffee and coaches conference call. We're going back to Dante. Is he still there? Yeah.
agilitypelvic outletconcentric versus eccentricconnected tissue behaviorsfoundational principles
Good morning. Happy Wednesday. I have neuro coffee in hand and it is perfect. All right, today is Wednesday. That means that tomorrow is Thursday. That means tomorrow is 6 a.m. Coffee and Coaches Conference call. As usual, grab a cup of coffee. Please join us for some great people, great Q&A, always fun. We've been doing these for a while. We're going to keep doing them until they're no longer fun. So once again, please join us at 6 a.m. tomorrow. Link will be up on the professional Facebook page just prior to the call. That's Eastern time, by the way, 6am Eastern time. Digging into today's Q&A, this is with Dante. Love Dante's questions. Dante loves to talk about foundational concepts and so do I. And so this question really hit home. So he's making reference to a video that's up on the YouTube channel. If you're not on the YouTube channel, please go subscribe so you can get all the videos. But he was using when we were talking about agility and the behavior of the pelvic outlet. And what this allowed us to do is we got to talk about concentric versus eccentric orientation connective tissue behaviors, foundational principles, like we will always move in the direction of expansion and such. And so again, really, really strong foundational question. So for those of you that are new to my model, it's a great video for you to even get started with, but it's going to lead you to some of the stuff on the YouTube channel. So please take advantage of that. Thank you so much, Dante. Truly appreciate the question. Everybody have an outstanding Wednesday. I will see you tomorrow morning, Thursday morning, 6 a.m. coffee and coaches conference call. We're going back to Dante. Is he still there? Yeah.
neuro coffeecoffee and coaches conference callagilitypelvic outletconnective tissue behaviors
I also watched a video about your explained concentric, eccentric yield and overcome. But it's two years ago; the video is two years old. Yeah, it's old. And the yield and overcome is also the muscle behaviors.
concentriceccentricyield and overcomemuscle behaviors
And now it's associated with muscle behavior. It's not the muscle behavior.
muscle behaviorconnective tissue behaviorconcentric eccentric
Okay, so now it's a connective tissue behavior, not muscle behavior. It's not muscle behavior. Okay, so you're concentric yielding. Concentric is the muscle behavior, yield is the connective tissue behavior associated with it. But in the old videos, you said concentric is an orientation, right? The concentric means shorter than the middle range, if there is a middle range. And the eccentric is longer than the middle range. Correct. So that is the orientation of the muscle.
concentric behavioreccentric behaviorconnective tissue behaviormuscle orientation
That's the orientation of the muscle, correct.
muscle behaviorconcentric orientation
But in that video set, the ear means like that. So yielding means like that. If it's just like this is a dumbbell and they go down, it cannot overcome the weight. So that is yield, right? Yielding behaviors.
connective tissue behavioryieldingconcentriceccentricmuscle orientation