So let's go through a couple of examples. as a representation. So somebody comes in, they have narrow ISA, they're going to be biased towards an eccentrically oriented pelvic diaphragm. Now if this person lacks force production, so again they don't propel well, they lack tissue stiffness, so instead of being able to store and release energy, from their connective tissues their dampeners so again they just don't produce force very well then this inertial trainer actually may be part of the solution because if we can increase the propulsive force and we can teach them to to manage tissue stiffness more effectively now we actually have an increased vertical jump potential or whatever the the parameter that we're we're training for may be somebody comes in with a wide ISA they're biased towards force production all day every day they have very high tissue stiffness so let's just say they've already done a bunch of heavy strength training and so so tissue's already stiff and now we apply the same the same modality um what's going to happen is we may not get any effect whatsoever it may not be demonstrated or if we magnify what they're already good at We may see an increase in, like say, further strength output, but what if we increase their tissue stiffness even further? We've taken away their yielding strategy, so now they can't storm lease energy either, and so now we've actually reduced their explosiveness or done absolutely nothing for them. where I can see the the eccentric or inertial trainers really coming in handy though Mark is is at one end of the rehab or if we want to use the term prehab we can we can call it that The extended duration of loading in the prolonged overcoming action that's produced in the tissues is actually beneficial from a tendon adaptation standpoint. Very similar to what we would see with the static protocols that have actually shown to have some benefit in cases of different types of tendinopathy. And so, again, it's just a matter of identifying what this tool is useful for. So I hope you can see how number one, you need to evolve a principle-based model and then everything just kind of falls into place once you're better able to identify what the needs of the individual are. It's not about what I like or what I think is superior under the circumstances is what this person can execute based on what their needs are.

So now we just have to say, okay, what is this fit in and then what problem does it solve? And so if we take a look at what it does, and then we have a person that would say, well, they already have the ability to sustain the propulsive phase where they already have tissue stiffness, this really wouldn't be the solution for them. If we apply it to someone that lacks these things, now we have a useful intervention. So let's go through a couple of examples. as a representation. So somebody comes in, they have narrow ISA, they're going to be biased towards an eccentrically oriented pelvic diaphragm. Now if this person lacks force production, so again they don't propel well, they lack tissue stiffness, so instead of being able to store and release energy from their connective tissues their dampeners so again they just don't produce force very well then this inertial trainer actually may be part of the solution because if we can increase the propulsive force and we can teach them to manage tissue stiffness more effectively now we actually have an increased vertical jump potential or whatever the parameter that we're training for may be. Somebody comes in with a wide ISA they're biased towards force production all day every day they have very high tissue stiffness so let's just say they've already done a bunch of heavy strength training and so tissue's already stiff and now we apply the same modality, what's going to happen is we may not get any effect whatsoever it may not be demonstrated or if we magnify what they're already good at we may see an increase in, like say, further strength output, but what if we increase their tissue stiffness even further? We've taken away their yielding strategy, so now they can't store release energy either, and so now we've actually reduced their explosiveness or done absolutely nothing for them. where I can see the eccentric or inertial trainers really coming in handy though Mark is at one end of the rehab or if we want to use the term prehab we can we can call it that. The extended duration of loading in the prolonged overcoming action that's produced in the tissues is actually beneficial from a tendon adaptation standpoint. Very similar to what we would see with the static protocols that have actually shown to have some benefit in cases of different types of tendinopathy. And so, again, it's just a matter of identifying what this tool is useful for. So I hope you can see how number one, you need to evolve a principle-based model and then everything just kind of falls into place once you're better able to identify what the needs of the individual are. It's not about what I like or what I think is superior under the circumstances is what this person can execute based on what their needs are.

based on the interventions that we're going to utilize. So again, principle-based approach, pick your interventions wisely and then monitor the outcomes. It's not about success or failure. It's about determining what the next logical step is.

By 50% I'm half-inhaled, half-exhaled. If I exhale a little bit more, I'm just biased towards exhalation, went in, and a little less inhalation. So we have to recognize these things as being superimposed. That's why you always hear me talk about a bias because what I'm expressing to you is, yes, all of those things that you think are external rotation? There's still internal rotation there. It's just biased towards more external rotation. And so we're going to talk about this as we talk about a golf swing. A couple other concepts: for us to access movement, we have to be biased towards expansion, otherwise we have to create some form of compensatory strategy. To produce force, we have to be biased towards a compressive strategy, so more of an exhalation concept. So again, breathing is our way that we can help ourselves bias towards the expansion element and the compression element. Okay, now let's go to the golf swing. So should you breathe during a golf swing? Yes, because you're going to need to be able to access movement and force production. So think about this for a second: if we're going to move ourselves into the backswing, we're going to be biased towards external rotation throughout the system, which means that we're going to be moving towards an expansive strategy. Otherwise, we cannot access ranges of motion that are necessary to accomplish an effective golf swing. So all you have to do is go out to the range and take a breath, squeeze it as tight as you can, and then try to move. It doesn't really work too well. So I have to be able to inhale to capture these positions at end ranges. Now, at about the point where I'm coming down from the backswing, where my arm is about parallel to the ground, I start to bias myself towards an exhalation strategy because I have to produce force. I actually have to stop my body from moving so I can translate the force into the clubhead. So this is where the clubhead is going to start to pick up its acceleration. I'm going to hit the maximum exhalation strategy at the point of impact. This is max propulsion for golf swing, just like when we talk about gait or running or whatever, we have to have our max propulsion. After the impact with the ball, I have to move again towards my ability to actually rotate, my ability to inhale, inhale and expand because I have to recapture the external rotation bias in the follow-through. So the same sequence occurs no matter what sporting event that we're actually talking about. If I'm swinging a tennis racket, a golf club, a baseball bat, if I'm throwing a ball, any kind of implement sport, any kind of rotational activity, all of these things are going to occur because I need to have an external rotation, inhalation bias to access positions and movement, and then I need to capture an exhalation, internal rotation, compressive bias to produce force. And so again, they're always superimposed; I'm just biasing myself in one direction or the other. So it's always two strategies, one plane. It's all that you have. And all we have to do is understand is how they interact, how they're superimposed, and how we bias ourselves towards one or the other. And that answers so many questions about how we do things.

If I swing a tennis racket, a golf club, a baseball bat, if I'm throwing a ball, any kind of implement sport, any kind of rotational activity, all of these things are going to occur because I need to have an external rotation inhalation bias to access positions and movement and then I need to capture an exhalation, internal rotation, compressive bias to produce force. And so again, they're always superimposed. I'm just biasing myself in one direction or the other. So it's always two strategies, one plane. Always two strategies, one plane. It's all that you have. And all we have to do is understand is how they interact, how they're superimposed, and how we bias ourselves towards one or the other. And that answers so many questions about how we do things. So hopefully that gives you a little food for thought. For all of you golfers out there, hope it gives you a little something to think about because all you guys think that you're internally rotating when you're actually externally rotated bias in the top of that backswing. That's why you cheat all the time. That's why you see the foot roll to the outside edge. That's why you see the knees starting to point out towards right field at the top of those backswings. People don't have enough external rotation. It's not internal rotation. So, a little extra tip there for the golfers.

We're talking about gradients and superimposition. So things are overlaid on top of one another. It's never all one, it's never all the other until you hit the very extreme end ranges. When we talk about internal and external rotations, we're talking about a bias. So we'll be biased towards external rotation at the top of the backswing. Let's use a right-handed golfer as an example. All rotational sports are just variations of walking, and the golf swing is walking with your feet fixed. The backswing is like taking a step forward when walking. As I step forward with my right foot and swing my arms, I turn to the right. If I fix the foot and use the same mechanics, it becomes the backswing. Now we need to identify the early propulsive strategy, focusing on the hip position. For a right-handed golfer, in the early phase of hip flexion (0-60 degrees), I am biased towards external rotation. This is where the backswing movement occurs. To transfer weight to my right foot and turn right, I must create a position within the pelvis that allows that turn. This position requires a counter-neutation and a concentric yielding strategy posteriorly in the pelvis, allowing the sacrum to turn right. Without this, the lumbar spine cannot turn right. As I create this shape, I also retrovert the acetabulum, putting me in a position of external rotation at the end of the backswing. If I try this in internal rotation, the ilium nutates the sacral base, blocking the sacrum from turning right and blocking the lumbar spine from turning right. Attempting to twist the thorax on top of this would lead to potential injury. So it's external rotation at the top of the backswing. It doesn't mean no internal rotation is occurring—they're superimposed. I'm just biasing it towards external rotation. If you don't have enough external rotation to capture this position, your golf swing will show substitutions: supinating the right foot, orienting the knee outward, side bending away, or reverse pivoting. These are all substitutions for the lack of external rotation. The same applies to the upper thorax. At the top as I accelerate toward impact, internal rotation becomes more important for max propulsion, which is an internal rotation strategy and exhalation-based. To acquire range of motion, I need to be externally rotated and in an inhaled state at the top of the backswing. Transitioning into internal rotation at that point would require compensation.

Now, if I was to try to do this in internal rotation like a lot of people think, I'm going into IR, the Ilium, I'm gonna nutate the sacral base on this side. If I nutate the sacral base on the right side, and I try to move in that direction, I've just blocked the sacrum from turning to the right. I've just blocked the lumbar spine from turning to the right. If I try to twist a thorax on top of that, well, enjoy your spine surgery or your hip replacement because that's essentially what's going to happen. You're now turning against the mechanics that allow you to turn comfortably and efficiently. And so again, this is ER at the top of the backswing. It doesn't mean that there's no IR occurring because remember they're superimposed. I'm just biasing it towards extra rotation. Now, let's just suppose you don't have enough external rotation and you can't capture that position. What's your golf swing going to look like? Well, you're going to have a number of swing faults. Keep in mind that all of these swing faults are going to be substitutions of the lack of being able to acquire this external rotation position. So you're going to try to supinate your right foot as you take the club back. So you're going to roll to the pinky toe side of your foot. That's an external rotation of your foot. That's a substitution for external rotation up the chain towards the hip. You're going to orient your knee outwards. So you're going to turn your lower leg and your thigh outward. So you're going to point your knee out towards right field as a substitution for the lack of external rotation. You're going to try to side bend away from that side, or you'll reverse pivot, which is also a substitution for a lack of external rotation to the right. So all of these are substitutions for this inability to acquire the position at the top of the backswing. Now, here's a little hint. The same thing's happening in the upper thorax. So don't get confused. It's going to be an ER position at the top as I accelerate the club head and move towards impact. That's where your internal rotation is going to be infinitely more important because that's going to be where max propulsion lies. That's an internal rotation strategy. That's exhalation based. And that's where you're going to produce all of this force. So when I have to acquire range of motion, I need to be ER'd, inhaled, and that's going to be the top of the backswing, and if I transition into IR at that point, I'm going to have to compensate. So I'm going to challenge a constraint, or I'm going to create a swing ball. Hopefully that clarifies that for you. If you have any more questions, please, please ask. Go to askbillhartman at gmail.com.

Have an outstanding Wednesday, and I will see you guys at the Coffee and Coaches call tomorrow morning. Good morning, happy Thursday. I have neural coffee in hand and it is perfect.

I've been trying to understand what happens in terms of expansion in the body with nutation and counter-nutation. I've been having trouble conceptualizing where there's free space and where the contents are going. What I don't understand is if I'm dipping into nutation, wouldn't that then just push everything forward and down? Or no, because it's compressing down. So I'm not sure if the axis of the change, the expansion would go in the opposite way.

Okay. So what do you think so far?

Well, it's what I'm not understanding is, if I'm dipping into nutation, wouldn't that then just push everything forward and down? Because it's not really—I mean, it's compressing down. So I'm not sure if, if the axis of change, the expansion would go in the opposite way.

So you used a word that I really, really like. So the pelvis has an axis. The picture on the left is the pelvic axis, the green arrow. You see it? Take your head. Okay. And so that would be some measure of an in-between kind of a thing. Okay. And so you've got the, you've got the vertical pressures, you get the pelvic axis. And then if, if I, if I nutate the, the sacrum and I've exaggerated in the picture for effect here, you redirect the, the pelvic axis. So now that blue arrow becomes the new pelvic axis. Okay. So when, when you think about the outlet, So basically, you're reorienting the direction of the outlet. So if I move the, let's stop this, share for a second. So if I do that, right, you gotta look at where I actually created space. So the anterior outlet becomes concentrically oriented and will elevate. So it creates pressure upward, but I'm nutated there. And so I'm gonna follow the path of least resistance. Okay, and so under these circumstances, this is why you get hip flexion during certain types of exercises versus like a straight down descent. So what people would say would be like the difference between like an RDL and a squat, right? So the RDL is more nutated and that's why your behind moves backwards. because literally the guts are going to follow the path of least resistance. And so where the direction of the expansion is where you will move. Okay. Does that make sense? Yeah. Okay. Now, so you've also got the consideration that you've got the pelvic floor muscles are pushing upward at the same time. Okay. So you got what you got, pubo rectalis, pubic coccygis, is it ileococcygis? And opter. Anyway, so they're concentric and they're pushing up. And so while you have an element of expansion in that posterior aspect that's allowing the pelvis to move backwards, I also have pressure going upward. So the guts have to go somewhere. OK. If you're notated and under normal circumstances, that would be an exhalation. So I would be exhaling, I would be compressing, and then the guts would move up and forward. All right. If we're going to talk about like a compensatory strategy though, where like if you have somebody that has a wide infersternal angle and they're using a compensatory breathing strategy, they have a concentric thoracic diaphragm because of their breathing strategy, right? So they cheat to breathe in by pulling their diaphragm down into concentric orientation. So now I have concentric going up, I have concentric going down. Can you see it? Shoves everything forward. How about that? Yeah, exactly right. And it's a great way to express it because this is not a passive response. This is like, OK, I'm pushing down. I'm pushing up. I only have so much space to go down and back with. The rest has to push out the front.

And so this is where you get the really lean guys with the six pack, but they got kind of like the round belly, right? Because they're compressed. But the guts have to go somewhere. Easiest place, I can't go back through the spine. It's really hard to do that, right? And so they end up going, again, they're gonna follow the path of least resistance. And so you get this, like literally it's like the guys are jacked and they got this kind of roundness to the abdomen because the guts have to move somewhere, right?

I think that makes sense because the axis of the spine the expansion really would shift kind of in line with the shape.

That is exactly right. Okay. And so, now you've got a really good understanding. It's like, so they're kind of walking around in this orientation, like okay, they're deadlifting 24/7. So now think about, so now you kind of know where the expansion is going to be. Right? Where's the compression? On the opposites. Yeah. So now they walk in, they go, yeah, my back really hurts, Bill. This is why the archetypes matter. This is why the compensatory breathing strategies matter. And then you're just seeing this progressive reduction of adaptability, right? And then look for where they cannot alleviate that pressure.

So if the ISA is almost like a proxy measure for the adaptability of the easiest, the most easily moved ribs, right? And the top rib, the first rib is the most difficult to affect. Is there a proxy measure to measure the change there? Like, does the collarbone and this?

Go for it. As soon as Grace gives you permission, you're good to go.

So if the ISA is almost like a proxy measure for the adaptability of the easiest, the most easily moved ribs, right? And the top rib, the first rib is the most difficult to affect. Is there a proxy measure to measure the change there? Like, does the collarbone and this? Just like, whether you're going from like a narrow to a wide or like a positional change. So like, does the collarbone and the superior border of the scap form some sort of angle? Or is that like, is that a thing or no?

Which change are we doing?

Just like, whether you're going from like a narrow to a wide or like a positional change. Yes. So like, does the collarbone and the superior border of the scapula form some sort of angle? Or is that like, is that a thing or no?

Does anybody want to take this one? Does anybody want to take it?

I refuse to call it by the name that we're going to term it as because he'd get to.

You're not allowed to have an exercise and an angle.

Is that basically the rule? Yeah, it can't work.

So yes, Lucas, there's an angle there. There's a very specific angle, in fact. So we call it the Camparini angle just because I don't want anything named after anybody. And so I just kind of make fun of Campo. And so anything that comes up that we have to give a name to, I name it after him. So the angle between the clavicle and the scapula, right? On average, it's going to be about 60 degrees. OK.

And do you have a standardized way of measuring it?

Yeah, I go like that. OK. Gotcha. Yeah. But let me offer you this. So there are measures that are going to be associated with a narrowing of that angle. So think about what would happen to close it. So to move the clavicle back and the scapula forward, they're stuck in the way. So I have the upper rib cage, I have air volume, et cetera. And so for that angle to actually close, I have to have an anterior or posterior compressive strategy that is closing that angle. As it closes, it goes up. The human ribcage is somewhat conical. So basically the scap rides up, and the clavicle moves up and back. That angle gets closed. It gets very, very narrow. And so when you think about like upper dorsal rostral compression, you think about the manubrium being compressed down. So you're going to lose, if the clavicle moves back, you're going to lose internal rotation behind the body. And you're going to, and if the dorsal, upper dorsal rostral gets compressed, you're going to lose N range overhead reef. Good morning. Happy Friday. I have neural coffee in hand and it is perfect. Man, we had a great week. So let's wrap this up with a really cool Q&A. It addresses a situation that I'm very fond of talking about, which is the iterations between the pelvis and the thorax. And it comes from Ryan. And Ryan says, I've been interested chess board that I'd appreciate your insight on. The patient of interest has a wide ISA with bilateral upper dorsal rostral compression left greater than right. In a right anterior upper thorax compression, they also have a limitation in right forearm pronation. So remember that orientation because it's going to show up here in the next paragraph. Lower body appears to be iterative, so Ryan's on point already. So it's iterative to the presentation with bilateral hip ER limitations and a right hip IR limitation. They also have an early propulsive foot on the right that has difficulty dorsiflexing, pronating and everting. So this person comes to Ryan with a complaint of right lateral foot pain with an increased running volume. And if we come up with a solution, I really think that this foot thing is going to be addressed. But it's more important that we talk about what this representation really looks like and what's happening. And then we'll talk about some strategies to resolve it. So let's grab Paul this. Let's see what this thing looks like. Ryan mentioned that we've got dorsal rostral compression in the upper thorax. If we look at the iterations, dorsal rostral compression in the thorax will also be representative of this posterior upper compressive strategy in the pelvis. Now, it's compressed on both sides, but Ryan also mentioned that they have a greater loss of extra rotation on the left side versus the right. So we know the right side is leaning. So we got a little bit more of a compressive study that's pushing this left side forward, which means that everything's going to be turned to the right. Now, If we look at the upper thorax, he says I've got a right anterior thorax compression, which means that I'm going to lose some shoulder internal rotation on this side. And guess what? We have a loss of hip internal rotation on that right side too. So Ryan, you've got a little bit of an anterior compressive strategy going on here in this right pelvis as well. So again, we've got this great match. Now, let's talk about the forearm and the foot because this is really cool. So, Ryan was smart enough to check all the way down into the forum and the wrist to identify what he's actually looking at, which is an awesome thing to do. Remember, we're treating the whole person here. And so, he identified the fact that this person does not have normal pronation in that right upper extremity. And then he says, well, we got an early propulsive foot, too, so let's take a look at that. So, my early propulsive foot is an ER tibia. The tibia is behind the malleolus here. And I'm going to have a decent arch in the foot. So that's my early propulsive strategy in the foot, which means that I have a foot that's going to be biased towards extra rotation slash supination. And so they can't pronate the foot either. So we have this beautiful, beautiful iteration from all the way from the ground all the way up to the upper extremity, which means that if we really want to clean this thing up, we may have to go into the upper extremities. to make sure that we have a full restoration of movement capabilities throughout the axial skeleton and throughout the extremities so this person does not have a recurrence of this strategy during their running. What are we going to do? A couple of strategies. If you want to go manual, if you're a manual guy, you might want to use the right lower extremity manipulation that I show on YouTube to try to recapture that middle propulsive strategy from the foot on up. That's a nice little video for you to watch. When we talk about the upper extremity situation, we also have manipulations up there too. I would probably look at something that utilizes the radius at the elbow where you can drive pronation from distal to proximal through the wrist. We get a nice little manipulate at the elbow and that's going to drive shoulder internal rotation as well. But there's a number of strategies that you can do up there as well. We've got scap decompression that we could use. Also, I have a video of that on YouTube as well. That's going to get you that dorsal rostral expansion and get you the restoration of some of your external rotations. If you're a soft tissue guy, identify your concentric orientations and that's where you're going to want to spend your time reducing that. So if you've done all of that, Now we wanna think about, well, I need this person to actually learn how to manage this thing themselves. So when we teach them how to reduce this anterior orientation situation, so we're gonna use some form of hip extension. The question mark is, is how much hip flexion do you have available to work with under this situation? If you do not have 90 degrees, so if I don't have hip internal rotations, then chances are I don't have 90 degrees of hip flexion to work with. So I can't use anything in that range. So I might have to drop them down into hook lying. I might have to work on some posterior orientation activities. in the pelvis so I can work through an excursion of that hip that I do have available. Once I do that, I have to create a delay strategy on the left side. So we're going to do some form of hip shifting. We got to push back on that left side to create some yielding strategy on the left to create the delay of the propulsion because that's what's pushing everything forward. So what it's going to look like, it's going to look like that picture right there. If my technology is friendly today, you're going to see a picture of a before situation that's probably going to look a lot like Ryan's patient here. And then what we're going to do is we're going to teach them how to expand posteriorly on the left with the yielding strategy. And then it's going to look like that picture right there. So again, hopefully my technology is working and you've just seen a before and an after of this situation. Now, once you recover pelvic orientation, yielding strategy, now we got to flip flop our strategy. We got to get the right leg ahead of the left and push back into the left. We've got to train the right side through middle propulsion. So in a lot of situations what I'll do is I'll take people out of their shoes, get their foot on the ground so we can translate that tibia over the foot actively to start to drive through that middle propulsive phase. So those of you that are thinking heel rocker, ankle rocker, toe rocker, this is your ankle rocker as well. If you need to go into the upper extremity, you're going to want to try to drive something very, very similar in the upper extremity that we just talked about with the right lower extremity lead. But in this situation, it's going to become like a right oblique sit with the form and pronation. It's going to progress into some form of side plank in the gym. If we continue on into the gym, You might not be able to use 90 degrees right up the bat because if I put somebody in half kneeling, they can't recapture their internal rotation right away in an upright position because I've got an external rotation on both sides of the pelvis which tilts the pelvis on on a bit of an oblique axis. However, I can bring them up into a staggered stance situation and so now I can get my cable chops. I can do a high low cable press and I can work some backwards sled drags and so now I can be effective in the gym. I can maintain my posterior expansion, the yielding strategy on the backside. I can push off that right foot into into the backside, and now I have just reoriented everything and I'm maintaining all of my changes. So Ryan, I hope that gives you a few ideas on how to approach this so you can go manual. You gotta recapture the positions and then reinforce that stuff in the gym, but it's a great representation of the iterations. Thank you so much for the question. If you have any questions yourselves, ask billhartman at gmail.com. Ask billhartman at gmail.com. Have an outstanding weekend, and I will see you guys later.

So we got a little bit more of a compressive strategy that's pushing this left side forward, which means that everything's going to be turned to the right. Now, if we look at the upper thorax, he says I've got a right anterior thorax compression, which means that I'm going to lose some shoulder internal rotation on this side. And guess what? We have a loss of hip internal rotation on that right side too. So Ryan, you've got a little bit of an anterior compressive strategy going on here in this right pelvis as well. So again, we've got this great match. Now, let's talk about the forearm and the foot because this is really cool. So, Ryan was smart enough to check all the way down into the forearm and the wrist to identify what he's actually looking at, which is an awesome thing to do. Remember, we're treating the whole person here. And so, he identified the fact that this person does not have normal pronation in that right upper extremity. And then he says, well, we got an early propulsive foot, too, so let's take a look at that. So, my early propulsive foot is an ER tibia. The tibia is behind the malleolus here. And I'm going to have a decent arch in the foot. So that's my early propulsive strategy in the foot, which means that I have a foot that's going to be biased towards external rotation slash supination. And so they can't pronate the foot either. So we have this beautiful, beautiful iteration from all the way from the ground all the way up to the upper extremity, which means that if we really want to clean this thing up, we may have to go into the upper extremities to make sure that we have a full restoration of movement capabilities throughout the axial skeleton and throughout the extremities so this person does not have a recurrence of this strategy during their running. What are we going to do? A couple of strategies. If you want to go manual, if you're a manual guy, you might want to use the right lower extremity manipulation that I show on YouTube to try to recapture that middle propulsive strategy from the foot on up. That's a nice little video for you to watch. When we talk about the upper extremity situation, we also have manipulations up there too. I would probably look at something that utilizes the radius at the elbow where you can drive pronation from distal to proximal through the wrist. We get a nice little manipulate at the elbow and that's going to drive shoulder internal rotation as well. But there's a number of strategies that you can do up there as well. We've got scap decompression that we could use. Also, I have a video of that on YouTube as well. That's going to get you that dorsal rostral expansion and get you the restoration of some of your external rotations.

That's going to get you that dorsal rostral expansion and get you the restoration of some of your external rotations. If you're a soft tissue guy, identify your concentric orientations and that's where you're going to want to spend your time reducing that. So if you've done all of that, now we want to think about, well, I need this person to actually learn how to manage this thing themselves. So when we teach them how to reduce this anterior orientation situation, we're going to use some form of hip extension. The question is, how much hip flexion do you have available to work with under this situation? If you do not have 90 degrees, so if I don't have hip internal rotations, then chances are I don't have 90 degrees of hip flexion to work with. So I can't use anything in that range. So I might have to drop them down into hook lying. I might have to work on some posterior orientation activities in the pelvis so I can work through an excursion of that hip that I do have available. Once I do that, I have to create a delay strategy on the left side. So we're going to do some form of hip shifting. We got to push back on that left side to create some yielding strategy on the left to create the delay of the propulsion because that's what's pushing everything forward. So what it's going to look like, it's going to look like that picture right there. If my technology is friendly today, you're going to see a picture of a before situation that's probably going to look a lot like Ryan's patient here. And then what we're going to do is we're going to teach them how to expand posteriorly on the left with the yielding strategy. And then it's going to look like that picture right there. So again, hopefully my technology is working and you've just seen a before and an after of this situation. Now, once you recover pelvic orientation, yielding strategy, now we got to flip flop our strategy. We got to get the right leg ahead of the left and push back into the left. We've got to train the right side through middle propulsion. So in a lot of situations what I'll do is I'll take people out of their shoes, get their foot on the ground so we can translate that tibia over the foot actively to start to drive through that middle propulsive phase. So those of you that are thinking heel rocker, ankle rocker, toe rocker, this is your ankle rocker as well. If you need to go into the upper extremity, you're going to want to try to drive something very, very similar in the upper extremity that we just talked about with the right lower extremity lead. But in this situation, it's going to become like a right oblique sit with the form and pronation. It's going to progress into some form of side plank in the gym. If we continue on into the gym, you might not be able to use 90 degrees right up the bat because if I put somebody in half kneeling, they can't recapture their internal rotation right away in an upright position because I've got an external rotation on both sides of the pelvis which tilts the pelvis on on a bit of an oblique axis. However, I can bring them up into a staggered stance situation and so now I can get my cable chops. I can do a high low cable press and I can work some backwards sled drags and so now I can be effective in the gym. I can maintain my posterior expansion, the yielding strategy on the backside. I can push off that right foot into into the backside, and now I have just reoriented everything and I'm maintaining all of my changes. So Ryan, I hope that gives you a few ideas on how to approach this so you can go manual. You gotta recapture the positions and then reinforce that stuff in the gym, but it's a great representation of the iterations. Thank you so much for the question. If you have any questions yourselves, ask billhartman at gmail.com. Ask billhartman at gmail.com. Have an outstanding weekend, and I will see you guys later.

It's going to progress into some form of side plank in the gym. If we continue on into the gym, you might not be able to use 90 degrees right up the bat because if I put somebody in half kneeling, they can't recapture their internal rotation right away in an upright position because I've got an external rotation on both sides of the pelvis which tilts the pelvis on a bit of an oblique axis. However, I can bring them up into a staggered stance situation and so now I can get my cable chops. I can do a high low cable press and I can work some backwards sled drags and so now I can be effective in the gym. I can maintain my posterior expansion, the yielding strategy on the backside. I can push off that right foot into the backside, and now I have just reoriented everything and I'm maintaining all of my changes. So Ryan, I hope that gives you a few ideas on how to approach this so you can go manual. You gotta recapture the positions and then reinforce that stuff in the gym, but it's a great representation of the iterations.