This is a trick question.

Correct.

That's how you know you're doing the right stuff. Right. Gotcha. That's right.

That shoulder blade would be wrapped around away from the spine, just a little bit, right? So it's going to be a little bit this way, and then it kind of does this upward rotation. And so the abduction test would be measuring a little bit more in the center, right? Because the shoulder blade is wrapping around this way towards my center.

Okay, so do those nightguards that the dentist give people to stop them from clenching? Do those help them?

You're just going to scare people away.

I get this high rate of loading into the connective tissues. They become very, very stiff. Now, if you have somebody that is any later propulsive foot, just as a reminder, if their heel is still on the ground, what you're going to see is you're going to see a decent arch, but you're going to see the toes curl under. So we're going to see the distal phalanges there are going to get pulled under. So we're going to see a flexed toe representation under those circumstances. So you can differentiate between somebody that is biased towards their max propulsion versus the later because we're going to change the strategies a little bit in regards to which presentation you're seeing. Let's go back to center of gravity real quick. If I am anteriorly oriented, I'm going to see those people that are going to have a center of gravity that is biased forward. If I have, say, a narrow ISA and I have that posterior lower compression, I'm also going to see somebody with that center of gravity forward. And in both cases, I'm going to be pushing that tibia forward. So what we want to talk about now is this rate of tibial translation across the foot. So if I see somebody with a lower arch, what I have is a situation where the arch is low. So that allows the tibia to translate very, very quickly. That increases my rate of loading. So under those situations, my first layer of strategy is number one, I got to reorient the pelvis and not need to recapture my non-compensatory hip. external rotation and internal rotation. That's going to help me manage this center of gravity situation. Number two, I got to restore the arch. So in this case, there may be an orthotic solution that we need to utilize or perhaps a shoe selection that's going to allow us to manage this arch. If I can bring the arch a little, I can slow the translation of the tibia and then that reduces the rate of loading on the connective tissues on the bottom of my foot. So again, we want to slow the tibia from moving forward.

Yeah.

No, it's not a tough question. You know who it is.

Yeah. If I'm exhaling, what does my pelvis look like? Do you know?

That is the most logical thing to do because it is the most specific. It's the easiest thing to do from an experimental standpoint, and it doesn't require a tremendous amount of process. It's like, hey, let's work on that lockout. Now, let me offer you this. So you do the lockout, and it's not going. It doesn't help. They can't access the position. Because you know what I need at the end. I need an element of intermentation. I need an element of yielding strategy to allow that to happen. I need to be able to fully extend the elbow in a pronated position. What if I can't do that? That means I don't have access to that range of motion. There's too much pressure to allow that motion to occur. This is your first call. So constant orientation creates pressure. Okay, pressure in certain places limits motion, because that's what it's supposed to do, right? So once again, it's like, okay, so I might have too much load in a certain place that does not allow the motion to occur. If I can't capture the rotation in the shoulder, I need to find an activity that's gonna allow that to happen so I can get the lockout. And then you work backwards towards the primary movement.

Yeah, everybody thinks they're in the 16%.

So this is a faulty model that misguides decision making, because if you look at the iterations, it's important to recognize what's going on. You need to have this compressive expansion trait. If we compare a bone to a muscle and think about constructing them as rubber bands, it would be really hard to deform the bony rubber band versus the velcro rubber band. But if you could deform it, the amount of energy that it would release relative to the muscle rubber band would be huge. When you run and bounce across the ground, that's your skeleton producing a lot of that force.

And then the sequence basically looks the same. So if I have something that's pushing me forward, eventually I'm going to need something that pushes me back.

Well, again, if the foot is actively pressed down, you'll have concentric orientation above on the backside of the hip. If it's passive, it's because the pelvis has already passed over the foot, which will result in a mutated sacrum. The posterior lower aspect of the sacrum will be tipped forward, shoulder flexion will be minimally limited, hip flexion will be minimally limited, and you'll have the straight ligaments. The pelvis must be oriented this way to have a straight leg raised in hip flexion. This would be representative of the ankle as well, with the ankle in an eccentric orientation posteriorly. This gives you a tibia that is forward over the foot, which passively puts the first ray into the ground.

You can use light, light suitcase carries and such to help you promote some of this eccentric orientation that you're missing. You're somewhat correct when you're talking about a bottom-up strategy. Inversion strategies under these circumstances are going to be very, very helpful because they're going to flip-flop the airflow as far as the way that the lungs are going to fill. We want to expand this upper part of the thorax. If I flip the upside down, it's a little bit easier to get that upper part of the lung to fill up. I would start with a supine inversion, since you're a wide ISA because of the shape of the diaphragm, you're gonna get a better posterior expansion under those circumstances, because you're gonna have to build the expansion. Chances are from below the level of scapula first, then worry about dorsal rostrum, then you can flip yourself over and go face down inversions to recapture that. I would also encourage you, since it's kind of summery now and hopefully you've got access to a pool, is just get in the pool and hang out. Get the water level up to your neck, move around, start working on your turning capabilities. Again, gentle inhales and exhales and just start to move in a lower gravity situation so you can actually relearn to expand yourself. So there's a lot of things that you can do. But this is not something that you typically can force your way through. So working harder is usually not the best case scenario. You typically need some additional assistance through the manual therapies. So I think if you put a combination of factors together here, Thomas, I think you've got a shot at this. But again, I would say that if you're going to try to force your way out of this, probably not going to work. You're going to have to go kinder and gentler. a little bit and you're going to have to modify what you're doing. Take away some of the intensive activities to allow this expansion to occur.

So, you know, what I would do is I would just have a game. In all seriousness, I would just, like, two weeks of play. You know, nothing terribly structured. Pick sides, pick a game, play some ultimate, throw the football around, shoot the basketball. I mean, seriously, I would just get them used to being, you know, in an interactive environment. Like I said, a little bit of structure, but mostly just fun before you try to get too structured and organized, because everybody wants to get, everybody thinks that this time, that they're under a time constraint that, and if they don't push it hard and fast now, they're gonna just destroy, or they're gonna fail. And the reality is, it's like, we got time, you know, and they're kids. So let's not forget that part. Does she have access to movement at each segment? under any circumstance, so non weight bearing, take gravity out of the equation. And she recaptured those things. I don't think I would be training her in a weight bearing situation yet. Can she walk in a pool? So that reduces gravity. That might actually help her restore some of her segmental movement with her foot on the ground as it were at the bottom of the pool. So you unweight her. and see how that goes. So that gives her an opportunity to start moving segmentally, right? You make sure that she can restore those things, and then you make sure that she can restore her ability to turn. But, so your chessboard is gonna, the tell of your chessboard is gonna say, where is she not turning, right? Where does she not have it? And then that's where you gotta go. But if it's too painful to do through her hips, do it through a thorax. Because maybe you can drive it down from the thorax. That's the nice thing about the thorax and the pelvis being the same is that because they both behave the same in most circumstances of performance, so walking, such, like that, you can utilize those influences to help you capture motion elsewhere.

Probably not.

But like I said, I don't know if there's like one resource. I've got maybe three or four books that try to break it down. And there's a fair amount of agreement. And then there's some little things that are nuanced that might be associated with the stuff that we were talking about before when we were talking about the rest. It's like some people will say that, no, you don't lose only deviation and pronation. Because what they're seeing though is this relationship that we talked about before with the eccentrically oriented. So if I see more of that, then that becomes my perspective. You know, it's like, it's like, if you see a very specific patient population, your bias becomes very, very strong in certain directions because that's all you see. I think that you'd be the good coach and you say, this is the position I want you to try to recapture. Okay. If I can't get it all today, I will find a way to work towards that. So let me give you, for instance, so let's just say the guy can't go into half kneeling. Can you split his feet, you know, that distance? So now I can stagger him, and I can do this, and I can do this, and I can do this, and I can do this. So I can start to move things, right, gradually. You don't have to go diving right into, you know, the end position of an activity.

So I think it's going to be very interesting just to become more principle based and instead of kind of like what you said, it's like, you know, it's a lot of people do things just because we've always done it that way or because when they came up their mentor did it this way. And so now they do it this way.

Okay. Are there any other connective tissues that are getting loaded? So, right away you give me what three or four different perspectives as to what's going on. So, right now your filtering system for what happened on that depth jump is now different because you have more perspectives that you've brought into play. Right, okay. So I have to use the observations that I have available to me. I have to be able to measure the things that I can measure that are useful. So just being able to measure stuff doesn't make it useful.

Excellent. Yeah, excellent. And so again, so a lot of the things that you would do under certain circumstances based on a diagnosis that a lot of therapists would immediately default to, you sort of, you know, I don't want to say that you're contradicting, but the reality is, like I said, you're just treating the person, you're not treating the diagnosis. And then you get the favorable outcome. It sounds like everybody else was chasing a diagnosis.

Yeah, we just made it work. We got some matting, some horse matting and things like that. And we actually used to do our assessments out in the open. So we actually had an open space. Unfortunately, because of the way that we were doing things way back then, we had people that were, you know, taking off shirts and stuff like that and literally working out in the open and we had one bathroom for the whole place. And it worked. It worked for almost three years. Then once again, we sort of hit a critical mass and started looking for another place. I don't know if I'd say lucky because it's unfortunate. Where we are now used to be a very large dance studio and the owner passed away and our landlord said hey I got a space. So we literally moved into what is now almost 5,000 square feet, but it was initially peach.

Yeah, you know, it's funny you brought up identity because I feel like I am having an identity shift, or maybe it's that identity is the same, but I'm not tied to the behaviors that made me feel secure in that identity.

So the best strategies to maintain yielding capabilities is to move a lot. Okay, so all right, here you go. When you were when you were studying type, are you still studying taekwondo?

Yeah. Because eventually you can't fix your face, right?

So think about, it's wave behavior, basically, is what I'm getting at. It's like you're going to have this expansion, and then there's going to be compression above it. And then that's going to slowly expand, and slowly expand, and slowly expand. So we can use a picture, take a skeleton that's breathing and you would see like segmental rib cage motion as they take a breath in.

Yeah. I need to start thinking differently about it. It will take some time.

Exhaled. I.R. All day, every day, right? In fact, you'd be holding your breath most likely.

Okay. Yeah. Yeah. That part of pretty firm on, I guess, just the relationship between maintaining movement capabilities and introducing higher outlook, trying to raise adaptive outputs. Right.