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The Bill Hartman Podcast for The 16% - Season 14 - Number 3 Podcast
Bill:
Bill Hartman 0:00–1:35
Good morning. Happy Monday. I have neuro-coffee in hand and it is perfect. All right. Digging into a very busy Monday. Quick housekeeping item, IFast University members. We have a call today at 1 p.m. Eastern Standard Time. If you're not a member of IFast University and you'd like to participate in this call, please go to ifastuniversity.com. Get yourself signed up and please join us at 1 p.m. today. Digging into today's Q&A. This is Cameron. Cameron has a really good question. One of the things we have to understand is that no movement takes place without a gradient. So we have to have a differential in our ability to change our shape. So humans are primarily water, so we use compression and expansion to move through space. And if we don't understand how we are compressed or expanded, then we don't understand how we can help people restore their movement capabilities. And so this is why we have to rely on things like understanding archetype and starting conditions. And again, the strategies that people will use that become limiting in regards to movement so then we can actually help them recapture those movement capabilities. So we talk a great deal in this call about position and how we can apply pressures to promote these shape changes that are so necessary for movement. So thank you Cameron. Great question. Very helpful for a lot of people. Once again see you all on IFSU at 1pm today. Everybody have an outstanding Monday. I'll see you tomorrow.
movement mechanicsshape changecompressionexpansionarchetype
SPEAKER_05 1:37–3:12
So basically Alex asked this question a few weeks ago, and then it sort of goes with Jen's question. I lost a lot of sleep last night thinking about the foldable Mitsu. I was thinking about Jen's picture case, where there's a narrow stance, and the activities aren't working. So I'm trying to use manual intervention to shape the ribs and pelvis to initiate an actual turn on the right side. In that case, their ribs are somewhat flared or straight. I think you need to apply a helical pattern, so I stand behind them, trying to tuck the ribs back in. Once we're there, and they still appear with the right side down, but it's just multiple twists on the ribcage, I'm trying to figure out what to do next to help get some AP expansion on that right side.
rib mechanicsmanual interventionpostural alignmenthelical patternsAP expansion
Bill Hartman 3:15–3:34
Okay. So you said narrow asset, right? Yeah. Where is the expansion on somebody that is compressed? Like, so the compression is essentially anterior, posterior, correct?
respirationcompressionexpansiongradient
SPEAKER_05 3:34–3:34
Yes.
rib mechanicsrespirationpostural assessment
Bill Hartman 3:35–3:40
OK, so where's the expansion? Like, where can you create a gradient?
respirationrib mechanicsdiaphragm function
SPEAKER_05 3:40–3:42
Like at their belly?
respirationrib mechanicsbreath expansion
Bill Hartman 3:44–4:34
Jim Marchello knows. She's going to say it out loud and embarrass you. Gotcha. Oh, I'm very embarrassed. It's side rib expansion, right? Yeah. This is a point of confusion for a lot of people who think that the rib cage is an angle measurement. They go, 'Angles 106 degrees,' and it's like, 'Okay, so what?' So, like, every time you have a narrow rib cage. And they're laying on their back, and you're going to do some activity, and they take their first breath in, and then their ribs just literally separate sideways like the Red Sea. It looks like they're about three inches deep front to back and then they just go crazy sideways.
rib mechanicsbreathing mechanicsrespirationrib cage expansion
SPEAKER_05 4:35–4:37
Yeah. Okay.
Bill Hartman 4:37–5:31
So air volume is following the path of least resistance. The AP compression is not going to let them expand front to back, but they can expand sideways. And so this, like everything that I talk about in regards to rolling is to affect that capacity to create the gradient. So where you have to apply the pressure then is into, you're going to take away some of that expansion, and I'm going to try to promote it to move in the other direction. One second. Love you. And so this is why you would start somebody in sideline versus supine, because again, if the goal is to influence the gradient, you have to go where the expansion is possible first. Okay. That's how you determine it. It's like, what position do I put them in to start?
respirationrib mechanicsgradientsideline positioning
SPEAKER_05 5:32–5:51
It's like, okay, where can you put them? Like what sideline in this situation? And I'm going to use my hands to create the gradient at that point to start to shut off that lateral aspect of the rib cage.
respirationrib mechanicsgradient creation
SPEAKER_00 5:51–5:52
Okay.
SPEAKER_05 5:53–6:25
So, like in, cause I know what the why is that they're sort of the caliber situation. So it's fairly easy to see and feel where they're sort of like tucking their ribs into their pocket. I guess I'm trying to figure out, so it's like, once we get some malleability to not have the ribs be so straight, like in that case, am I still sort of creating that IR from that side with my hands, like still tucking into the pocket?
rib mechanicsrespirationmanual therapy
Bill Hartman 6:25–7:31
All right, so for a narrow ASA individual, do they have a great middle propulsive phase? No. So when you take a narrow to sideline, you have to start thinking the bias right away. I've got lateral expansion based on the current shape, but I'm going to create a bias to create the term that you're talking about like right away. So, if I was guiding the rolling, and you've seen me do this, I'm applying the downforce through the pelvis, but I'm also driving the shape of the pelvis and the direction of the short arc roll, because what I am actually trying to do is create that turn from the starting position. Because if I just leave them in middle propulsion, it's not the best place for them to be as a narrow because of the shape of the rib cage. Because I have to create the bend in the ribs.
rib mechanicspropulsive phasepelvis positioningshort arc rollbreathing biases
SPEAKER_05 7:33–8:02
I see. So once you like give them back like a helix of some type rather than straight. And that's, you'll, that's why you'll just like, you know, so put them in the sidelines. So they're, they're in middle P, which they don't have very much of anyway. And then that's when you'll like, you know, either, you know, from sort of the backside of the ribs or the, and the pelvis or start like bringing them. And so you'll start, you'll actually just start rolling them to move them towards early P and then the late P on that side. So they got a lot of that.
SPEAKER_00 8:06–8:06
Yep.
SPEAKER_05 8:07–8:42
So once you get that and they just still lack it, and then say once they get a little bit better at that, but they're still lacking any measurement or shape or you don't really see that dorsal rostral expansion. So if they're narrow, like they're already sort of over to that right side. So I guess, like, I just keep patient if I do like a dorsal rostral expansion, scapular mobilization on the right, like that would probably just be loading them up more to the right where they're at already. Like, can I do that? Or does that like?
scapular mobilizationdorsal rostral expansionrib mechanicsrespirationpostural asymmetry
Bill Hartman 8:42–8:50
Yeah. Okay. So when you're doing the scapular mobilization, what are you doing?
scapular mobilizationrespirationrib mechanics
SPEAKER_05 8:52–9:04
I'm trying to create a yielding or early PE, and then something in the one where I'm standing in front of them with my hands coming up and over.
scapular mobilizationthoracic expansionpatient positioning
Bill Hartman 9:05–9:28
Right, no, I know exactly which one you're talking about. Yeah, so it's literally the same thing that we were just talking about. So it is a way to be, and again, what you're doing is just being a little bit more specific as to where you're gonna be promoting the expansion. So you're gonna create the delayed representation on that same side that you're manipulating the scapula.
scapular mobilizationrespirationdorsal rostral expansion
SPEAKER_06 9:29–9:30
Right, yeah.
Bill Hartman 9:30–10:05
And so that's a short arc role. You're just driving it. So you're fixing the humerus against your chest as you're doing globalization. You move the scapula into the position that allows the dorsal rostral to expand posteriorly where you have taken the scapula away from that space. And so then the side closest to the table would be a later representation. The side that you're manipulating is going to be the delayed side.
scapula manipulationhumerus fixationdorsal rostral expansionlater representationdelayed representation
SPEAKER_05 10:07–10:12
So then from there, you could actually just roll and put them in the lateral on the top part.
scapular manipulationrespiratory positioninglater representation
Bill Hartman 10:13–10:17
Yes, you can close it back down and bring them towards you. Absolutely.
shoulder mechanicsscapular positioningrehabilitation techniques
SPEAKER_05 10:17–10:18
Yeah.
Bill Hartman 10:18–10:18
Yeah.
SPEAKER_05 10:23–10:24
Much more simple than I thought.
Bill Hartman 10:25–11:33
Well, discussion is very simple. No one has failed on one of these calls before. Everybody is successful on these calls. Come on, Cameron. It's like nobody ever misses. Nobody has to deal with these live humans that have their own thoughts and beliefs and issues, right? No, it's, it's always hard. It's always hard. But, but the, the thing that, the thing that you can, that you want to fall back on as a rule. Okay. So, okay. Here you go. Have you done any of the ISA roles? I go like, yeah, I keep calling them mummy roles, but yes, that would be the wrong, that would be the wrong thing to call them. Cause that would be absolutely wrong in every way, in every way. Um, no, so, so, uh, but you've done them, right? Yeah. Okay. And then there's a difference between how I place my hands, depending on which side I'm going to be determined by archetype as well. Right? Okay. Yeah. Why? Why is there a difference?
manual assessmentarchetype-based techniquehand placement
SPEAKER_05 11:34–12:00
I mean, well, sort of like the one that's closer, like on your chest, right? And then if you go on to that side, like that would. I'm with you, but it's like, but why is what, why does this matter? I mean, because like, at least the way I pictured it is that like, if it matters because just the helical angle of the why it's got to come like turn on a week and then the narrows can just sort of spin.
rib mechanicsrib cage positioningmanual therapy technique
Bill Hartman 12:01–12:07
OK, but so it has to do with the location that the pressure is being applied, doesn't it?
pressure applicationmanual therapy techniquebody positioning
SPEAKER_05 12:08–12:11
Oh, yeah, because the elbow is, like, pretty on you. OK.