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The Bill Hartman Podcast for The 16% - Season 15 - Number 1 Podcast
Bill:
SPEAKER_00 0:00–2:04
Good morning. Happy Friday. I have neuro coffee in hand and it is perfect. All right, a very busy Friday coming up. We're going to dig straight into today's Q&A. This was Paul. He's doing a virtual consultation with a fitness client going through some complex movements and was identifying some of the limitations, but we dug into this a little bit deeper to gain a little more understanding. A lot of representations that we'll see in complex movements are based off of the same concepts that we would see on table tests. Now, we always talk about table tests being dirty. So a dirty table test means that what you think you're measuring isn't necessarily what you're measuring. So we have to look at these things systemically. So if we're moving a hip through its range of motion, that excursion that you're measuring is not necessarily the hip that's moving. And we need to be able to identify what is actually moving in that process. And so this is one of the things that we looked at with Paul's online client. I think we were looking at a squat in this circumstance in a couple of the compensatory strategies showing up and they led us to an understanding of what the actual limitation was based on the visual representation. So this is the hard part. This is going to take some practice for you to develop but this is why the understanding of the table test becomes so important. So the table test gives us what these options are and these active complex movements allow us to demonstrate them. So again, thank you, Paul for asking this question. It's going to lead people in a very good direction. Also gave you a little bit of a demonstration so you can understand a little bit what we were talking about on the video. So make sure you watch it all the way through. Don't forget to subscribe to the YouTube channel. Podcasts will be up on Sunday sometime and we will see you next week. Very helpful. This is a really good representation because, again, people will accuse these people of turning the wrong way.
table testscomplex movementsmovement limitationscompensatory strategiesvisual representation
SPEAKER_03 2:04–2:11
Yeah, turn. This was maybe the first time I'd seen such a blatant leftward turn.
SPEAKER_00 2:12–2:20
Okay, it's not a turn. It's a bend, right? Okay. It's not relative motions to get there.
movement patternsbiomechanicsjoint mechanics
SPEAKER_03 2:21–2:22
Yeah, it's a big award.
lumbar rotationspinal mechanicsmovement compensation
SPEAKER_00 2:22–2:24
That's the thing you got to recognize.
recognitionmovement pattern
SPEAKER_03 2:24–2:32
When I say turn, that's implying like a real turn. A better word would be like he's really oriented to the left.
spinal movementorientationlumbar mechanics
SPEAKER_00 2:33–2:53
He's twisting. He's got it. So he's creating an ER, like a twist in the low back. So his low back is twisting. So take a bamboo pole and bend it and twist it in your hands. That's what's going on. This is not comfortable segmental rotation. Compress the two ends of the bamboo pole, and it's got to bend in some direction. That's basically what he's doing. He's creating a downforce, anti-orientation. He's squeezing the spine together so it becomes one segment. So the low back, the lumbar spine has five segments in it with discs in between. Take that, jam it together so it behaves as one thing. Instead of having relative turns between segments, it's now one thing that's going to bend in different directions. What you're seeing is a bend in a twist. This is not what you would consider a turn that would have relative motions.
spinal mechanicslumbar spinesegmental rotationspinal compressionmovement compensation
SPEAKER_03 2:54–2:56
Absolutely, absolutely not.
spinal mechanicslumbar spinesegmental motion
SPEAKER_00 2:59–3:34
Compress the two ends of the bamboo pole, and it's got to bend in some direction. That's basically what he's doing. He's creating a downforce, anti-orientation. He's squeezing the spine together so it becomes one segment. So the low back, the lumbar spine has five segments in it with discs in between. Take that, jam it together so it behaves as one thing. Instead of having relative turns between segments, it's now one thing that's going to bend in different directions. What you're seeing is a bend in a twist. This is not what you would consider a turn that would have relative motions.
spinal mechanicslumbar spinesegmental movement
SPEAKER_03 3:35–3:41
Don't try not to confuse that. As far as the bend, what direction do you think it's going?
spinal mechanicsmovement analysis
SPEAKER_00 3:43–3:44
Where do you see the bump?
spinal mechanicsbiomechanics
SPEAKER_03 3:46–3:46
To the right.
spine mechanicspelvic movementspinal alignment
SPEAKER_00 3:47–3:51
There's a bump to the right, and there's a bump to the left. The bump to the left is the spine.
pelvis movementspinal anatomybody landmarks
SPEAKER_03 3:53–3:55
What do you think the bump to the right is on his lower?
anatomypelvisspine
SPEAKER_00 3:56–4:02
That's his pelvis. That's his pelvis moving away from that space.
pelvis movementanatomybiomechanics
SPEAKER_03 4:04–4:05
Which space?
pelvis mechanicsspinal movementpelvis orientation
SPEAKER_00 4:06–4:08
The pelvis is still facing the right.
pelvis orientationbiomechanicsspinal movement
SPEAKER_03 4:10–4:17
Oh, OK. I was thinking the right side was ahead.
pelvis orientationspinal mechanics
SPEAKER_00 4:21–4:35
Wait. Where's the turn coming from? Is it coming through his pelvis? No. If I twist the spine to the left above the pelvis, the pelvis orientation doesn't change. He didn't give way in the left posterior pelvis under any circumstance here. It's still pushing forward harder than it is on the right. The spine above it is twisting. That's what makes it look like the left, like people say the pelvis is facing the left now. Well, technically speaking, it is facing the left because the spine twisted in that direction. This is still a right turn. It's still a right turn in the pelvis. Like the orientation of the pelvis is to keep facing the right. That's the problem. He's running into this because the pelvis still wants to go right. The spine is trying to twist to the left so he can stay straight ahead.
pelvis orientationspinal twistingbiomechanicsmovement analysis
SPEAKER_03 4:39–4:40
Interesting.
SPEAKER_00 4:41–5:17
He didn't give way in the left posterior pelvis under any circumstance here. It's still pushing forward harder than it is on the right. The spine above it is twisting. That's what makes it look like the left, like people say the pelvis is facing the left now. Well, technically speaking, it is facing the left because the spine twisted in that direction. This is still right turn. It's still a right turn in the pelvis. Like the orientation of the pelvis is to keep facing the right. That's the problem. He's running into this because the pelvis still wants to go right. The spine is trying to twist to the left so he can stay straight ahead.
pelvis mechanicsspinal rotationpelvic orientation
SPEAKER_02 5:17–5:24
Okay.
SPEAKER_00 5:24–5:29
People are looking at this. They're looking at this through the lens of relative motion. This is not relative motion.
relative motionbiomechanicskinematic analysis
SPEAKER_03 5:31–5:34
So sequence of events for him to have gotten here.
biomechanicspelvis mechanicsspinal alignment
SPEAKER_00 5:34–5:40
Hey, Paul. Hang on. I need to grab something. I'm going to try to explain this. I need you to see this, because I think if you see this, you'll get it. Definitely a visual.
visual demonstrationexplanationunderstanding concepts
UNKNOWN 5:40–5:40
OK.
SPEAKER_00 5:40–5:45
I'm going to try to explain this. I need you to see this, because I think if you see this, you'll get it.
visual learningcommunicationexplanation
SPEAKER_03 5:46–5:47
Definitely a visual.
visual learningdemonstrationcommunication
SPEAKER_00 5:49–5:51
Stop to share, so I get big on the screen.
visual demonstrationpresentation technique
SPEAKER_03 5:51–5:52
Oh, yeah, my bad. There we go.