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The Bill Hartman Podcast for The 16% - Season 13 - Number 2 Podcast
Bill:
SPEAKER_05 0:00–1:34
Good morning. Happy Monday. I have neural coffee in hand and it is perfect. All right, busy Monday already. Quick housekeeping item: applications for the Intensive 18 are now closed. We hit our target. Selection process has begun. Applications are pretty awesome this go around, so it's going to be a tough call to get the eight people into the room. I appreciate everybody that has applied. I'm sorry that everybody won't get to come—only eight got to keep it intense, so to speak. But again, I appreciate you very much. Diving into today's Q&A, this is with Michelle. Michelle's a powerlifter. She's noticing some issues with the right foot, but it turns out it's probably going to be associated with a lack of internal rotation on the right side. So she's noticed a lack of internal rotation in the right hip, having trouble getting medial foot contacts on the right. We break her case down a little bit, give her some exercise suggestions. Even brought in Andrew, who's another individual on the call, to help us out because Andrew and I have had this conversation in the past. I was challenging him a little bit, which was kind of fun for everybody involved. Maybe not for Andrew so much, but he did a great job. I'm very pleased with the outcome and think we gave Michelle some really good recommendations to get her rolling. So if you are a powerlifter, having trouble getting that right medial foot contacts, losing some internal rotation in that right hip, that would be a great question for you. Everybody have an outstanding Monday and I will see you tomorrow.
hip internal rotationmedial foot contactpowerlifting techniquebiomechanical assessment
SPEAKER_07 1:36–1:52
So I kind of asked this, or I mentioned it last call, but my right big toe won't stay down in squats. And I've noticed that it really, I don't even toe off that foot when I walk. So I'm trying to figure out where to start.
squat mechanicsfoot mechanicstoe-off
SPEAKER_05 1:52–1:54
You're kind of on the outside edge of your foot?
foot mechanicsgait analysissquat technique
SPEAKER_07 1:55–2:04
Not really. It's just that I come off before my toes come off. I just end at mid stance when I walk. And I don't even know why.
foot mechanicsgait analysismid stance
SPEAKER_05 2:06–2:11
So I guess I'm not following your description then. So you're saying the toe doesn't touch the ground?
foot mechanicsgait analysisbiomechanics
SPEAKER_07 2:12–2:29
It does touch the ground, but it doesn't. Like in squats, my toes are very relaxed and not firmly down. I noticed when walking that if you think about pushing off your toes, it doesn't really happen.
foot mechanicsgaittoe push-off
SPEAKER_05 2:29–2:33
So do you push off the side of your foot then when you walk?
gait mechanicsfoot propulsionwalking mechanics
SPEAKER_07 2:34–2:36
I guess a little bit more in that foot.
gait mechanicsfoot pressure distributionwalking biomechanics
SPEAKER_05 2:37–2:41
What's the last thing on the ground when you're walking? Is it your big toe or your little toe?
gait mechanicsfoot strike patternbiomechanics
SPEAKER_07 2:43–2:48
More so like the ball of my foot, but not my toe.
gait mechanicsfoot strike patternbiomechanics
SPEAKER_05 2:48–2:55
So you don't roll over your big toe. Okay, then you have to be on the outside edge of your foot, right?
foot mechanicsgait analysisbiomechanics
SPEAKER_04 2:55–2:55
Yeah.
SPEAKER_05 2:56–3:10
Okay. And you're a power lifter, right? So you're probably going to be biased towards a wide stance, correct? Awesome. Okay. So your turn, this goes back to Sanis' question here.
powerliftingstance widthbiases
SPEAKER_07 3:11–3:14
Yes, that's why I decided I'd ask because this seems very related.
SPEAKER_05 3:15–3:36
Yeah. So you're turned on the oblique axis, right? And so you've got a hip socket that's turning outward on the right hand side towards external rotation and it's starting to take your foot with it, right? So you have to learn how to push down and in with that right foot. So if you box squat, right?
oblique axiship socketexternal rotationfoot mechanicsbox squat
SPEAKER_07 3:38–3:39
I sometimes, yeah.
SPEAKER_05 3:39–4:10
OK. So here you go. Let's fix this with a box squat. Oh, man. I tell you what. Andrew Green, I'm you. OK. because I think we talked about this in the past. I want to bring her back on the right side. I want her right heel to come down and I want her to capture the big toe with a box squat. What orientation could I give her to keep her back on that right hand side?
box squathip external rotationfoot positioningright heel drivebig toe capture
SPEAKER_10 4:14–4:18
Well, I guess it depends on whether she can get the foot representation.
foot representationexternal rotationhip mechanics
SPEAKER_05 4:18–4:22
I'm going to say that she can as long as we put her in the right position.
box squatfoot positioningexercise technique
SPEAKER_10 4:24–4:32
So you probably want to start out by doing a right foot forward so she can get the IR representation.
foot positioninginternal rotationbox squat technique
SPEAKER_05 4:33–4:34
And then where do I need her to go though?
positioningmovement progressionfoot representation
SPEAKER_10 4:36–4:39
Being here to go back into the left.
foot positioninternal rotationassessment
SPEAKER_05 4:40–4:43
Hang on. I need to get that right side first. I won't disagree with you. We wanted to get her foot representation first. So she might have to actually put the right foot out in front of her first, but then I want to move that foot back.
foot positioningassessment techniquerepresentation
SPEAKER_10 4:45–4:45
Okay.
SPEAKER_05 4:48–4:59
I won't disagree with you. We wanted to get her foot representation first. So she might have to actually put the right foot out in front of her first, but then I want to move that foot back. So I want to flip flop it. So she pushes down because where does the wide I say need to go first if she's over to the right?
foot placementweight distributionpostural adjustment
SPEAKER_10 5:00–5:00
Okay.
SPEAKER_05 5:00–5:07
So I want to flip flop it. So she pushes down because where does the wide I say need to go first if she's over to the right?
foot positioningweight distributiongait mechanics
SPEAKER_10 5:09–5:16
If she's over to the right, or if she has, she already got—no, she's on her little toe.
foot positioningweight distributiontoe stance
SPEAKER_05 5:16–5:23
She's on her little pinky toe. See the difference?
foot mechanicspostural assessmentfoot positioning
SPEAKER_10 5:24–5:30
We did, not this exact situation. So I'm trying to use my intelligence here. It's OK.
clinical reasoningproblem solvinglearning process