So you know you've got an anti-orientation on both sides. You know it's more on the right. That's the right oblique representation. Good morning. Happy Monday. I have no coffee in hand and it is perfect. All right. Coming off a great weekend. Looking forward to another busy week. 17 days out from Intensive 14. So starting to get excited about that. So let's go ahead and dig right into today's Q&A for Monday. This is with Kyle and I talked to Kyle over the weekend. And we emailed back and forth a little bit on a wide ISA client that he's having a little bit of a struggle with. But we broke down a little bit about what the Raido Bleak is. So let me just show you real quick on the pelvis. When we get a compressive strategy, somebody that is a wide ISA turns on a much flatter oblique angle. And so when they get pushed forward from the left side, you get compression here. And then you start to see this elevation of the left side of the pelvis. So they're turning actually on an oblique axis. So it's much more oblique than if we saw somebody with a narrow ISA that's a much flatter turn because they're turning on a more vertical axis. But we've got the layered strategies on top of that as well that we have to manage. So the superficial concentric orientation creates some interference as well. And so we broke this down with Kyle. And then we talked about strategies for training this individual. So we really want to kind of step by step through this. And then we also established a KPI for Kyle to track things. So he doesn't delay people down on a table and measure them. He can just use some of his gym strategies to identify when he's making progress. So, very useful for those of you that do not do table tests and spend your time in the gym. So, if you would like to participate in a 15-minute consultation, please go to Ask Bill Hartman at gmail.com. Ask Bill Hartman at gmail.com. Put a 15-minute consultation in the subject line, and we'll arrange that at our mutual convenience. Everybody have an outstanding Monday, and I'll see you tomorrow. All right. Video's rolling. Clock has started. What is your question?

All right, so as I set you, so I have this chessboard with one of my clients and... I had the feeling that he was on the oblique axis. So I appreciate you confirming that over the email. Now, from an intervention standpoint, I'm a little lost because initially when I think of like someone being on the oblique axis, I think of bringing them back to the left. Correct. Well, you have a butt.

I have a lot of butt in there, okay? All right, so here's the deal. He's on the right oblique, you're absolutely right, okay? But there's a little extra addition here, okay? When you look at the hip IR measures, so typically on a right oblique, if you didn't have anything else added on, you would see a lot of internal rotation on the right hip, okay? You don't have any. Which means that he went on the right oblique and then he went forward. So if you try to push him back on the left, as you would say for a typical right oblique, what's going to happen is he's going to orient everything at the same time. So he is basically locked into one piece. He doesn't have his relative motions available to him. So if you look at the HIPPR measures especially, So you know, you've got an anti-orientation on both sides, you know, it's more on the right, that's the right oblique representation, and then you lost the hip internal rotation. Okay. So, one of the things that you're going to see here is a lot of orientation into external rotation. This is why your flexion measures got magnified because he shouldn't even have that much flexion based on the fact that he has almost no internal rotation. So you've got a proximal hip that's in external rotation and then he's internally rotating as he goes down towards the floor. So step one is you've got to bring him straight back first, recapture some of the external rotation and the internal rotation superimposed, then make your turn. Okay? Because like I said, if you make the turn too soon, all he does is everything just faces the other way. It's not the relative motions that you're trying to recapture. Does that make sense?

Yeah.

Okay. So from a strategy standpoint, you have to create a delay on the right side. You actually have to create the expansion on the right side first. So that's going to be anything that's ground based. You can use arm bars. You can use cross connects. I would roll this guy. He's a good sized human being. Correct. Yeah, so he's a wide guy. And so when you see this degree of forward center of gravity, when you see this degree of compressive strategy where you're losing a ton of ER, a ton of IR, I roll these people quite a bit on their sides because the ground expands them anterior to posterior. It makes life really, really easy, especially when you're not like a manual therapist that typically can lay hands. It's a lot easier to do this stuff. Just roll them on their side. Right away, you're probably going to pick up some ER and IR because of the expansion that you're going to capture. Then it's going to be a lot easier to move them backwards. Then you can do, like I said, your armbar series. You can do cable chops in a staggered stance, things like that, things that unweight him. You want to think about that kind of a thing. What you don't want to do right away, would be like a side split squat or anything like that where the load is pulling him down. You want to think about unweighting him. So the cable activities tend to be a better choice under these circumstances because they reduce gravity rather than adding to it. And so then he won't be so overcoming. You'll capture the yielding actions a lot more easily under those circumstances. Then once you recapture that, you make your turn. And now you're in splits dance, probably going to be doing some form of front foot elevated kind of a thing, again, to create the delays. And then same thing, his thorax is the same orientation as his pelvis is. So heavy presses, heavy pulls, bilateral symmetrical activities, not going to be the best choice for him right now. doesn't mean you can't train. It just means you got to be really, really selective with your activities, making sure that you're capturing turns and not just orientation. So that space between his scaps, you know, you got to move that back too, just like you're doing with the pelvis. But thankfully, it's like as you're using the extremities in the, in like the cable activities, you're going to get some of that expansion. But you're probably going to be looking at, like, something like a high low cable press in a staggered stance, things like that, things that, like said, you got to turn them in a very small radius first. Okay. Another reason why I like the rolling because it is a very small radius turn, but we're getting the expansion with the floor. Does that help you at all?

Yeah.

Yeah, so he's a wide guy. When you see this degree of forward center of gravity and this degree of compressive strategy where you're losing a ton of ER and IR, I roll these people quite a bit on their sides because the ground expands them anterior to posterior. It makes life really easy, especially when you're not like a manual therapist that typically can lay hands. It's a lot easier to do this stuff. Just roll them on their side. Right away, you're probably going to pick up some ER and IR because of the expansion that you're going to capture. Then it's going to be a lot easier to move them backwards. Then you can do, like I said, your armbar series. You can do cable chops in a staggered stance, things like that, things that unweight him. You want to think about that kind of thing. What you don't want to do right away would be like a side split squat or anything like that where the load is pulling him down. You want to think about unweighting him. So the cable activities tend to be a better choice under these circumstances because they reduce gravity rather than adding to it. And so then he won't be so overwhelming. You'll capture the yielding actions a lot more easily under those circumstances. Then once you recapture that, you make your turn and now you're in splits dance, probably going to be doing some form of front foot elevated kind of thing, again to create the delays. And then same thing, his thorax is the same orientation as his pelvis. So heavy presses, heavy pulls, bilateral symmetrical activities, not going to be the best choice for him right now. It doesn't mean you can't train, it just means you got to be really selective with your activities, making sure that you're capturing turns and not just orientation. So that space between his scapulae, you got to move that back too, just like you're doing with the pelvis. But thankfully, as you're using the extremities in the cable activities, you're going to get some of that expansion. But you're probably going to be looking at something like a high low cable press in a staggered stance, things like that. Things that, like I said, you got to turn them in a very small radius first. Another reason why I like the rolling because it is a very small radius turn, but we're getting the expansion with the floor. Does that help you at all?

Yeah, it helps me a lot. One of my concerns is that he's a wide ISA. When he does a split squat or anything like that, he immediately reinforces that pattern, so I'm worried about doing things that are just going to reinforce that.

Understood. Okay, so here's what you can do. Number one, I wouldn't put him in a front-to-back split squat. What I would do is I would deviate him out and put him on a little bit more, like actually quite a bit more of a diagonal, okay? He's got that space available to him. What he doesn't have is the straight ahead. So again, you know, like you ever done like, I don't know what they call it now, but we used to call them compass lunges, where you go like forward, you go to the side. So it's like North, South, East, West, Northwest, that kind of thing. So he's going to be on a diagonal first. But what I would do is I would actually put him in that position and then keep them fairly high. So above parallel to the floor kind of thing, like the bottom of the split squat, I wouldn't sink him down. I would put him in those positions and then that's where I would start to do some of the superimposed stuff with the cables and things like that. What that's gonna do, it's gonna allow you to capture some of this yielding action that he doesn't have. You're gonna start to reduce some of the posterior lower compressive strategy that he's using. So he's very concentrically oriented in that lower hip. You're going to start to expand that and then use your split squat, okay? So you have a test for your test. So you literally just told me what test is going to be the best one for you. So when he doesn't have to do that, so when he doesn't have to brace and hold, right? Because he's trying to hold position because again, everything's going to be this orientation. And then you just slowly, you take the stagger that looks like this and then you just slowly bring it in to where he's going to do a normal split squat. Okay. That's one of the advantages of the, of the like the front foot elevated stuff is because it does create the delay and it does promote some of the turn. So like I said, you're probably going to go in that direction, but I would, I would just deviate the split a little bit and then train him on that, on that angle for now and then see how that works for you. Because again, I think that you're trying to put him into a turn that he doesn't have. And therefore he has to hold his breath to get there. Like literally he's twisting to hold that front to back position. And in doing so, he is squeezing himself even tighter. Therefore there's no inhalation, right? If you don't have inhalation, you don't have extra rotation either. If you don't have extra rotation, you have no space. If you have no space, everything becomes orientation.

Do you see how it just cascades? So find those positions that he does have the available range of motion. Chances are it's going to be slightly away from midline. It's going to be slightly staggered to start, and then you just build him out from there.

Okay. So when you're saying this wide staggered, would you still have that front foot elevated to push him back over? I don't know.

No. I tend to not elevate the front foot. It's really awkward to do that. It's a lot easier when you start to bring that foot to the front. Then I would start to build that up a little bit more because you're already putting him in a fairly successful position by creating the staggered orientation. Okay. Again, his external rotations are out here. They're not in front. He doesn't have extra rotation in front of him. It's all out to the side. So let's just put him there where he's comfortable, where he can access a position and then just slowly work him back in. It's kind of like if you watch him squat and you put him in a wide stance squat, he squats better than when he's in a narrow stance. The reason he likes that is because that's where his external rotation is. And it's okay to put people there, with the understanding that if we're going to try to increase the relative motions, we'll slowly work that in. But that's why these dagger lunges work really well because they are turns, just subtle turns. If you try to force him into a position, everything becomes compensation, everything becomes that breath hold. If he's lifting heavy things, he's going to hold his breath. That's a given. Any time you load somebody like that, they're not going to be able to breathe normally and will hold their breath. Take that into consideration as well. But this is a guy that can do suitcase carries and sled drags. I would keep him in a sideways sled drag because that's where he's got the most range of motion available to you. You've got a lot of stuff that you can do in these shorter arcs of turn and then build it out.

Okay.

Okay.

Yeah. No, that's super helpful.

Yeah. So here you go. Let's just go through. Okay, so you have anything that's in a wide stagger. That kind of looks like a sled drag when you think about it, right? Sideway step ups. He can step up to the side or at a very steep angle. You've got, like I said, the chop, cable chops, high-low cable presses, arm bars, rolls. I mean, so you've got a lot of stuff available to you here. Just respect where his available motion is with the understanding that you're trying to expand him anterior to posterior. So you can increase the amount of turns and then you can start to access that stuff that's straight ahead.

Okay. Cool. Yeah. That's awesome. I'm curious about how you mentioned in your email that he's... So I'm wondering how that plays into it. Is that something I should be trying to fix, or is that going to be just following suit with the rest?

By increasing the anterior posterior diameter, his ERs are way out here. So he's oriented to turn his sockets that way and is twisting the musculature in that direction. As you increase the anterior posterior diameter, the orientation will adjust itself. Like he'll be able to access these positions in front of him. And the twists exist in the first place because he needs them. If you take away the need, then as you start to move the extremities through space and he does have spaces in front of him, that should start to adapt itself just like it got him there in the first place. Give him some place to go. He will find a strategy that will sort of undo that.

Yeah.

Well, if you take away the need, then as you start to move the extremities through space and he does have spaces in front of him, that should start to adapt itself just like it got him there in the first place. Give him some place to go. He will find a strategy that will sort of undo that.

Okay.

Okay.

Yeah. Yeah, that's awesome. Thank you.

Excellent. You're very welcome, sir. Is there anything else I can answer for you? You have one minute and 15 seconds.

Yeah, actually I have a question that's been bugging me. So I've heard you in the past talk about the lower posterior compressive strategies, and how they both happen in both archetypes, but they usually happen at different times. But I think you've said that it happens later with the wide, with the narrow, but I'm confused.

Yes.

Cool.

Yes. Awesome.

Thank you Kyle. I got to run to my next call. I appreciate you man.

Thank you.