Who had the bigger IR space, the girl with the ACL or the girl with the Achilles thing?

All right. How? OK, so I'm going to twist this. I'm turning it this way. OK, I'm going to keep turning it this way. Hang on. Is it a bend? Yes. OK, so I take all of the relative motion out of the towel. I twist it as hard as I can. All right, you ready? And then I twist it harder and it bends. That's what you're seeing in his back. Okay. Now, do you see my hand change its orientation? As I twist it, you see my hand move. You see it? See that? And I changed the orientation of my hand relative to the towel. No. The towel bent and it changes the orientation of my pelvis. So it looks like my pelvis changed direction. It looks like my hand changed direction. Not pelvis. I'm thinking about this squat guy. Okay. Do you see that I have not changed my relative position of my hand to the spine, but the spine bent. And so it looks like my hand moved up like that. It's just following the bend. It's like, if I do that, there's, there's the orientation of my hand, but there's the bend in the spine. You see it?

Yeah, that's when you'll see like the knee. The knee looks like it dripped. It's not the knee.

A hundred percent. Yeah. She's happy to share it. Anything you like. So that's fine.

OK, so you won't be able to see your feet, right? When you get home, take your shoes off, stand in front of a mirror, look down at your feet. Your feet.

So by putting them in a space that they have access to, they are there with less demand for them to increase your orientation, but what you're doing is you're making a gradual change, right? Yeah. Yeah. It won't have to anterior tilt as much. Like the minute you capture internal rotation and external rotation, the musculature that is holding the pelvis in its anterior orientation, holding it there, no longer has to work as hard. So output decreases, and then like I said, you're gradually going to gain internal rotation. It's just like any of the exercises that we use to capture relative motion is following that same principle. We're putting them in a space that they have access to. We're superimposing the internal rotation on top of that. That's what captures the relative motion. Where you start, as long as you're in the available space, as long as you're capturing cues that will produce relative motion internal rotation, you will be successful to whatever degree that they have the capacity to be.

Greetings.

So you've got two things happening at the same time. The muscle can change, and then you can also have the yield in the connective tissue behaviors at the same time.

That's cool. Yeah, it is cool. Thanks. That's usually Manuel's line. He goes, that's cool.

All right. So what I'm doing is I have to say, well, here's where it's expanded. I have to compress that space down so I can expand something else. Right? That's the rule. The rule is I have to have a gradient, so I can manipulate the volumes and the pressures. Otherwise nothing happens. Like if you take somebody that walks into your clinic and they've got five, five, and five—hip flexion, hip internal rotation, straight leg raise. Five, five, and five. No gradient. Didn't roll him. Couldn't. Wouldn't matter. It's like rolling a tootsie roll across the table. No change whatsoever. So that's where you got to lay hands and you got to start creating a gradient in that circumstance. So laying somebody on their side to start or doing an ISA roll is the exact same thing. It's just based on where the expansion is for me to allow them to manipulate the gradient.

They have back pain.

Bend your elbow, bend your elbow. All the way, all the way. Okay. What direction did your elbow move?

So then the femur and the tibia are both erring, but the tibia would be relatively more. So the femur and the tibia are erring at the bottom at the depth, but the tibia is relatively more erred.

So does that mean if we get better on the counter movement, that means we have better connective tissue behaviors, and it's better or good for range of motion. No. Connective tissue behavior: The reason that you have connective tissue behaviors in the first place is because you actually stopped the relative motion and the connective tissues keep moving. This is why static stretching does not improve range of motion to any significant degree because it's not supposed to. It's connective tissue behavior. Muscle orientation: the change in the concentric to eccentric orientation of a muscle is what changes a joint position. That improves range of motion. They're confusing things because they're not paying attention to what's actually happening during the stretching element, which would be the yield—stuff moves, no question about it, but it's not relative joint motion. When you're trying to train connective tissues, you don't want relative motion because you need the connective tissue behavior to be the stuff that moves joints.

It stays back a little bit, doesn't it?

Yes. The more difficult side, which would be the left side under this circumstance.

Okay.

Well, it's not like it comes back around. It's just a resultant, right? So actually, you're slowing the right side down, and then you're moving the center of gravity right to left all at the same time. So it's literally just, I just look at the expansion. Where's the expansion going to occur relative to the load? And then where does the center of gravity go relative to the load?

Good morning. Happy Tuesday. I have neuro coffee in hand and it is perfect. All right. Another busy Tuesday coming up. We're going to dig straight into today's Q&A. This is a two for Tuesday from Taya. Taya had two questions. First one was pretty straightforward. We're talking about some anti-orientation issues and how some of the hip measures might appear to be magnified. And this is, of course, the spinal rotation that is becoming the influence here. So this is spinal turning that is substituting for hip rotation. So we get magnification. For instance, see an individual with a narrow stance that comes in and they've got 50 plus degrees of hip internal rotation that is typically going to be spinal rotation that is producing that, that is not a hip influence. And so again, great question to start with, Taya. And then we go into ways to modify an oblique sit to get our desired outcome. In many cases, we're trying to restore an internally rotated representation, so with a low oblique sit, we're trying to get some early internal rotation. So we have to apply pressure to the bony contacts with the ground as appropriate to produce the central rotation. Let's use a foot representation and we'll move to a pelvis. So if I was looking at a rear foot that would be everted, I need to put pressure on the lateral aspect of the calcaneus to square the calcaneus to the ground. If we're looking at a pelvis orientation and had a similar representation in regards to the position of the ischial tuberosity, I need to be able to apply a lateral pressure through that ischial tuberosity to get the appropriate influence into the pelvis to promote the shape change to produce the internal rotation. So we break down those positions and influences as well as an accommodation on how we're going to accommodate those people that are having trouble capturing hip and knee contact on the ground. A nice, simple, and easy modification that is discussed in this video. So thank you, Taya. Everybody have an outstanding Tuesday, and I'll see you tomorrow.

I did kind of feel that. Like I conceptualized and visualized that I'm kind of being delayed or immobilized a bit here by my point of contact. And then at the axial skeleton, I'm turning towards it so necessarily there's unbiasing internal rotation here.

I don't mean to pick on you. I just thought we had this conversation.

No, he doesn't. That's why it's going up, because he's got to create it through the spine, because he doesn't have it in the hip anymore.

You cannot capture those new positions. That's when you might need to break up manual tasks, pretty much, or some type of hands-on twisting.

All right. So it would be internal rotation coming from bottom up on the right because they're pushing more forward.

Yeah, we do.

Yep.

You have someone lying on their back with their hip bent at 90 degrees. You measure internal rotation. What direction is the internal rotation going? Is it going from distal to proximal or proximal to distal? You have a 50-50 chance. Don't worry about getting it wrong because I'm going to give you the answer anyway as soon as you guess.

Yeah.

Yeah. When you're in the, when you're in the lead leg of the, of the split squat, the IRS coming from the ground up.

Right. So if you want the availability of the pump handle to move, if you want yielding dorsal rostral thorax, then you have to avoid the ability to, or you have to avoid their position of moving forward downward, obviously.