So my question is actually very similar to Ian's. So a lot of times what I'll do is I'll have clients lie on their right side and try to get them into a roll to the left while supporting their arm or something. My question is mostly about coaching cues. With the down arm, I often align it along the same angle as the roll. But sometimes I see the scapula get pinned underneath and retract backward. My question is, what's the best thing to do about that? Sometimes I'll place a towel under there to create more space. But if I'm trying to create the delay on the left as they roll, what should I do?

Okay.

Change the muscle activity. I changed the tuning of the connective tissues. I alter the access to space. I mean, the whole thing starts to change too much. But the perception is, the perception is, that I'm faster because the sensory input feels different.

Is that the same description, like through the cross-section, it feels tight? She hasn't used that word, but okay.

Thank you.

I'm starting.

I know. That's what I was worried about. Now, we can talk into your expansion a little bit. It might be similar, but I just want to hear your take on it. I know the inhalation representation is anterior to posterior expansion. So you're getting both, correct?

Okay. Yield and overcome are present at the same time. We just have to look at where. Okay. And then we're looking at this from the performance aspect of a power lifter. It's like they rely on skeletal yielding a great deal. Okay. How much force do you need? If you're Wily Coyote and you're trying to catch the road runner and you buy the big ACME rubber band, how much force do you need to stretch that rubber band? Yeah. Now, other connective tissues—that typically would be bouncy connective tissues that we just talked about with Alex, okay?—I need to make those really, really stiff because I gotta make bones absorb a lot of the force in regards to the yield, okay? So how do I get that bony yield? Well, everything else has to be stiffer. And then the bones become the soft part, if you will. Okay. So I can distribute the yield through those bones. But let me ask you a question. Do I have the same extensibility in the bone as I do in like a patellar tendon?

Okay. So now you've got inguinal ligament that's under tension and twisting. Do you understand? So as the pubis gets compressed backward in a narrow pelvis, the angle of the ligament is going to twist in opposition until it hits the constraint and then it goes with it. And so we always talk about twisting the towel. So you want to untwist that towel to whatever degree that you are capable of doing. So you need to bring the ASISs closer together. That takes tension off the towel and then you create the anterior posterior expansion, and that creates the untwist. Does that make sense? So the shape change is going to be your goal to start. But you've got an internal load that's potentially putting pressure directly on the area that you're trying to alleviate as well. So you're going to have to use positioning. Does he have different symptoms in different positions?

But I do see the varus presentation a lot, like they walk like the cowboys, you know, or the Harley-Davidson actors. And then, following up with what Zach was talking about with that differential, how would that be reflected in the gym? Would the solution still be similar? It seems kind of similar. In terms of when he was talking about looking at the knee, whether just going after the tibia first or the whole thing, based on how, I guess, eccentrically oriented the VMO is. It seems like in both cases, you would still want to just make sure that you know that it's stable, so you want the hip to be in a good position, you want the rest of you, and then maybe go into something like a split squat or something. Yeah, I mean so from a training standpoint, which is where I come from more, yeah, it seems like the treatment, but at least the experimentation would be the same or similar, very similar. I don't know if there's something to look out for.

Yeah.

Absolutely. Yeah, that makes full sense. And I was, I mean, you used the word malleable and that's what I'm looking at his bones, like bending. I mean, obviously not like a ton and I'm like, I imagine the muscles operate like you've used the term like as squeezers before. Like, and I imagine the muscles are still doing that, even though there's not a muscle.

Okay. So, let's stick with the squat pattern. What type of a squat do we want to give her to start to introduce that space to her? The way where we can control how far she's moving.

Okay.

So you basically want to, after you have that force production, you want to make your elastic band thicker?

Yeah.

Yeah. And again, use your data over time. Trust it. Trust your data over time. Small measurable changes consistently. Don't go for home runs.

What would be a good test?

Okay. So this would be like, you know, people that get accused of being sway back, right? So it's like your narrow representation that is end game pushed way forward. They tend to be your sway backs. These are the people that look like they have no butt muscles. And it looks like that their hip joint is ahead of their knee because it is.

Yeah. Now you know why you use those activities.

Makes sense. Yeah. Yeah. One more thing. Same thing. So if I talk about the block as well on the front side, do you feel a block would actually facilitate this motion? And if they are not blocking, can you address from internal pressure standpoint? The front foot doesn't block. If it blocks, then would it facilitate this relative motion of the pelvis? And if it doesn't block, then why is it blocking?

Exactly, because think about it, I need time to do that, don't I? I don't have time, so the excursions are smaller, but the rules don't change.

So think about them moving through time. From initiating the dip, they start from middle to maximum. As they split their legs front to back, they go from middle to a delay on the front leg and a late representation on the back leg. So I'm moving from internal rotation. Late has more internal rotation superimposed on it to begin with. The simple answer would be, you give them a left suitcase carry and a right waiter's carry, because that'll turn them as they walk in the same direction that you're trying to turn them in the bottom of the jerk.

If you're rolling in middle propulsion, so you have the elbow, the arm, and the hip at 90 degrees, you're rolling. Is there any relative motion happening? There'll still be some, but it'll be much closer to middle propulsion than if you have a dead center middle.

Awesome.

It would be a lousy hip hinge because they wouldn't have any space to orient the pelvis forward because in a true deadlift, pull from the floor, you're gonna create an orientation of the pelvis, right? So I'm using a middle propulsive representation of the pelvis in an ideal circumstance because it's gonna be a high pressure propulsive type of an action, right? And so if I have somebody that is on a flatter term because their helical angle is more vertical, so a narrower ISA, they're just not very good hinges because they don't have the ability to create the eccentric orientation that's coming off of the apex of the sacrum, Because I need that space. I need a new tated sacrum to do a great hinge, to do a deadlift or whatever it might be, anything that's in a true middle propulsive representation. That's the IR representation. But if I have a bias towards ER, I'm not very good at hinging. These are the people that struggle with things like kettlebell swings, deadlifts, RDLs, single-leg stuff that's very middle propulsive. Right? Got it. And so then your goal there is, if that's the goal is to try to capture that, then, you know, they might not be changeable enough to be great at it. So be careful with your selection, right?

So to build the first thing would be to get these athletes back, like shift their weight back.

It's going to be things that restore what would be traditional hip extension, which is actually internal rotation underneath the axial skeleton when you're upright. So you're going to try to access, again, it's got to be a turn inward. So everything is oriented into ER because of the anterior orientation. So the anterior orientation takes away my extra rotation in front of me, moves it out to the side. I bring you back posterior. That starts to bring the ER back in. And now I have more space to superimpose the internal rotation. You just got to figure out how much of that internal rotation that you need. So posterior orientation, it's not one muscle. It's multiple muscles, but you're going to be looking at the stuff that coordinates the pelvis orientation relative to the femur. So again, all you're trying to do, if you posterior-oriented pelvis, that's going to bring the ER space back inward. But this is where we're talking about things like capturing the first metatarsal head on the ground, medial heel is going to help you capture those positions. They're not going to use the medial heel when they're sprinting, but to capture the position, that's going to be something that you're going to want to utilize.

No. I'm sorry. I'm too busy.

Gotcha. Okay. I appreciate that one next. This is not a chessboard. I'm going to give you like general qualities of this person. I think I've seen videos of you provide solutions in those scenarios. So 70 year old male, wide ISA. He has pain around both sacral ala, like on the lateral aspect of both, worse on the left. He has a lumbar fusion from L3 to L5, absolutely zero hip interrotation, hip flexion stopped at maybe 80 degrees, SLR was at 45 degrees. Not much hip abduction or hip ER on both sides, actually wasn't too bad I like if I remember correctly between 60 and 70, but just like overall stiff and just pretty crippling pain in the sacrum. And I imagine that was just kind of his last compressive strategy in your line.