The Bill Hartman Podcast for The 16% Season 5 Number 7 Podcast
Johnny, I'm loving the way you're thinking on two levels, the quotes around the hip flexion, yep, the imaginary sagittal plane, and then your thought about how the counter-neutation plays into this. So this is really, really good. What we want to do is we want to recognize that we've got two representations of extra rotation in the pelvis. The end position of this kind of looks the same, but how we get there is a little different. So let me show those first. And then we'll try to put this together piece by piece, okay? So when I talk about external rotation of the pelvis, I have an ER ilial position and a counter-neutated sacrum. But if you think about it, I've got two bones that move in a relative movement to one another. And so I could have the ilium moving in this direction into ER, and that puts me in a counter-neutated position relatively speaking here, or I could have the sacrum moving backwards. The thing I want you to recognize is that if I have the ilium sort of leading the show, I'm going to be turning that way. If I have the sacrum leading the show, I'm going to be turning that way. So this is kind of really important, because what we're going to do now is we're going to talk about how this plays into walking. So let's grab a foot and we're gonna talk about some propulsive phases here and then we'll relate it to the pelvis. So if I'm looking at say late propulsion, so this is when the heel breaks from the ground. And I'm gonna be pushing up and back in this direction. And so what this is going to be, this is a representation of extra rotation. So I'm re-supernating this foot in that late propulsive strategy. So what it's gonna look like in the pelvis is that I'm gonna have this ilium leading the ER show from this late propulsive position. So my leg is behind me, my heel comes up off the ground and I'm gonna be driving that ER from here. And so what that's gonna do it's gonna turn the sacrum away from that late propulsive foot position. And so now there's my ER and this is late propulsion. So I've got constant orientation posteriorly that's pushing me forward and turning me away. Now, let's go back to the foot. So if I was on the other side, and I'm landing and so now we're going to talk about the heel rocker position. So I come down to the ground and when I get that first metatarsal head down on the ground I'm in that position of ER in the foot. So this is also a supinated position of the foot which means that up above in the pelvis I'm going to have ER. But what I'm actually going to have now is I'm going to have a sacrum moving backwards on this ilium and so this is the turn towards. So so again this is still a representation of extra rotation because my relative positions are the same it's just that I'm turned toward. So now I have a representation in gate of where late is and where early is. Okay, now that's all well and good if we're upright and walking on two legs. But you asked about this hip flexion thing, and so now we have to look at it a little differently. So if I'm measuring somebody on the table, or if I'm performing a squat, I'm actually looking at this more as a quadrupedal type of a gait situation. So I'm going to look at this hip here. So if I was a quadruped and I was walking, as I step forward, my early representation is going to be here and my late representation is going to be here. And so now if I look at this in the later stages of ER in a squat, what I'm actually doing is I'm representing this early propulsive strategy, which means I've got the sacrum moving backwards on the ilium to make that turn. So as I step forward and right as I start to weight that that extremity I'm going to turn like that and so that becomes my early representation just like when I was at the end of the of the heel rocker in the foot I'm going to have that delay right there that creates the delay strategy that allows me to start to slow down that leg side so the other side can then step forward. Now the thing that I want you to recognize about this is that it looks like it's in this some imaginary straight plane that doesn't exist. It looks like it's an arc but it's not an arc. It's a series of shape changes in the pelvis that allows us to access spaces around us and to produce the turning that's associated with the shape change. If we start to think of the stuff in arcs like the imaginary sagittal plane and the imaginary frontal planes, it's going to limit our understanding about how the active strategies produce movement or interfere with movement and limit our movement options. So for instance, if I was an Olympic weightlifter and I had this posterior compressive strategy on the back of the pelvis, then I know I'm not going to be able to access this deeper range of external rotation that I would need from my squat. So what's going to happen is that instead of being able to squat here, I'm actually going to have to move the leg outward. And that's not even external rotation. That's actually an internal rotation strategy that's going to allow me to finish that deep squat. If I don't understand the fact that I'm producing shape changes that produce turns into ER and IR, I won't understand how I can apply load to a split squat to emphasize capturing more internal rotation or more external rotation. So to wrap all this up, what I want you to recognize is that when we're talking about about the the extra rotations that are moving through the pelvis via these shape changes in turns, this this initial phase of hip movement in ER is actually this late propulsive strategy and then as I get into this this deeper range of ER this is actually going to be represented by my early propulsive strategies. So hopefully that answers your question, Johnny. Great question. I really think that this is an important point to clarify for people because I think they're getting caught up in a lot of straight, plain thinking that we just have to start to eliminate because it's going to limit our ability to select the appropriate interventions. Everybody have a great Friday and I'll see you next week.
external rotationpelvic biomechanicspropulsive strategieship movementshape changes