Okay. Perfect. Thank you so much.

Okay.

Well, I think you put a towel under the left side.

Yeah.

Let's change gears to what I originally wanted to discuss so I don't get shamed on the call. Could you describe the screw hole mechanism for the elbow? I'm not clear on that. Extend your elbow—there you go, done. What's happening at the, like, the radio proximal radius?

When I see two middle feet.

When they were taking a step forward, which foot would be stepping forward and which one would be back towards you?

Yeah, I think so.

Oh, totally.

Yeah, yeah.

In one direction. Yes, sir. OK, so in a left rack carry, I'm going to get posterior left expansion on the torso.

And not do the low propulsion test?

With a visual. Okay. Which side do you want to do? Left side. And we're going to do anterior outlet.

Yeah, so the suitcase carry might have a better outcome of getting the medial heel down, but you're not coming back. You're already superimposed on the thing, right?

Thank you. Yeah, I just also wanted to quickly ask when we were talking about the oblique sit and putting like the towel so that you give them a little bit of ER space. I was wondering where to put the towel. So if you want to put it, so he sits between the ischium and the femur, where do you want to put the towel?

Hello Bill. I'd like to start a discussion that's probably in line with what Zach was just talking about except with the knee, funny enough. So we'll run through this. I have an older gentleman who really should give up lifting. He's not too smart, but he decides that he keeps doing it anyway. He's got a bung right knee—well, both truth be known—both of his knees are screwed up. When I do a split squat, if I move down and put my right leg back, then when I get to the bottom of the split squat, I get anterior knee pain, which we've discussed before. I've been having a discussion with a couple of physios at the gym about your explanation based on the model of what might be occurring there, and comparing it to the traditional knee tracking model with one muscle pulling relative to another. Just to make sure I'm clear on my explanation to them, because I've said, 'Please bear with me and I'll explain it as best I can.' I've explained that essentially I'm trying to achieve an 'eye on a yard structure' for lack of a better explanation. My feet are really out on the outside edges, and I have a lot of difficulty getting the medial first met head down and medial foot contact. The foot is in an ER representation, the tibia is ER out, and I've even got maybe a slight hint of bowing—not a lot, but a little bit. When I go to move down, I reach a point just below what might be the max IR moment at the bottom, and that's where the pain kicks in. I did a little self-test where I really oriented my lumbar spine or pelvis and took up some of the IR in the lumbar spine to see whether that would affect the descent. It did—I could get down much further without pain. So I thought, 'I'm on track; I need to pull myself into an early representation and then superimpose some IR on that to clear this up.' I did this with a ramped fake med ball throw: a staggered stand, initially to adjust with a fake med ball throw for a few sets, which gave me some relief. Then I added a ramp to the lead leg and knocked out about four sets of five, and retested—fantastic, it cleared right up. Now, for the explanation to the physios, they were obviously looking at patella tracking and talking about muscle imbalances. They manipulated my knee during some of this to see whether that reduced the pain; it didn't change the patella at all. Once I went through the sequence and cleared it up, they asked me about it. I had the thought that while I'm in a lead leg split squat, I'm not super strong, but I'm strong enough to know that when my rear foot is back in a split squat, I should be able to push up without the quad muscles needing to work hard enough for a muscular imbalance to affect patella tracking. It occurred to me that if the muscles are under very low load or at rest, how could a muscular imbalance even make sense? Do you know what I mean?

Which direction does the chop again?

Got it. And I wouldn't, why would I do something like lower than 90 degrees or like deeper in, like more than 60 degrees of friction on the knee. Why would I do front foot elevated?

Well, you have a limit. So you have a limited representation in the nervous system, right?

This one doesn't move, but it looks like it's going this way, right? Everybody says, 'Oh, you're turning left.' It's like, everything is going to the same place. If I do this, they look the same. If I do this, they look the same. So which one? It's this going on. Everybody says, 'Oh, you're starting to turn left.' I understand what you're saying, but you're going to create a massive amount of confusion. If you think it's this, that would be wrong.

You know, it's not cool still because we used to just have different sized tires. You know, the seed man. So that's what we used to pull.

It kind of is. Now, here's the thing. Don't turn it into a cookbook because it's not a cookbook. What I did is I just gave representations of what you may need. And so if you can consistently get her relative motions available to her, then you're capturing this early representation. Now you got to teach her how to produce force. My other concern is the fact that she's a swimmer, and that she's a really good swimmer that might make her less of a runner.

I was just thinking, as I got a new client who is really compressed anteriorly and has a traditional flat turn. I was wondering when you see restrictions in the hip measurements. When I measured the shoulder, he seemed to have full external rotation and a lot of internal rotation. I'm wondering whether this is just the orientation of the glenoid that allows for full external rotation and a lot of internal rotation, or if the thorax isn't as compressed as the pelvis. But I'm guessing both are being compressed.

Not my point, boss. The minute you say she's got full hip IR on the right, you are misjudging the representation that is producing the measure.

Okay. Well, first of all, you don't want to post your orientation. I knew what you meant, but I just wanted to say that out loud since the words were said. Okay. So when you're talking about proximal hamstring, what do you mean? It's a big area. There's a lot of stuff there. So what are you not capturing?

Yeah.

Okay, so predictability would be something like: has it happened before? And I would ask here, how many times has it happened before in that particular representation? Or no?

Why do you do that? What's it for? It's to see how fast they can pressurize, get up, and go across the room. That's a power test for old folks. It's their vertical jump. That's why you do a get up and go. Right. So now you have a field test air quotes grace. You have a field test to tell you what their power output is. Right. So I do the get up and go. I put the stopwatch on them. Right. Or an hourglass depending on how old they are. Right. Okay, and then then you train the power output and then you teach them to go, so then you have them, they're in front of like a two inch step and you go tap the step, tap the step, tap the step, tap the step, tap the step. So you're teaching them to push it into the ground with their other foot so they can unweight the other side. But you might have to start with a box squat back to box squats. You see it? Because you got to train the outlet to be quick and to get them to push into the ground. That has nothing to do with increasing the width of their base of support per se. I'm just trying to create the outlet behavior that is the limiting factor. Got it. Got it.

Okay, so you just compressed dorsal rostral, did you not?

Yeah, so you take your inverted activities. That will cause a flip-flopping of the airflow, right? So it makes it easier for me to put air in the upper part of the rib cage, which is now the lower part of the rib cage when you kick somebody's behind up in the air, right? But you might need other activities to transition you into that position. You can't just go diving right into it because if you don't have the original expansion, you get there with a compensatory strategy to start with. And now you're behind the eight ball already, okay.