What I want you to understand is that these are always systemic measures. It's about what are the contributors to the final measure. The minute you say, 'This is normal, this is full,' you're implying that this is the measure that you want. It's like you got the leg in a position that looks like the textbook measure, but how did you acquire it? And that's what's important.

Oh, yeah, yeah, yeah. You could do that. Yeah. If you have those skills, absolutely. Sure. Why not? Yeah. Because she has a positive Apple test. So this is like, do you just describe something that has a positive Apple test? So how can you constrain that foot? There's like any number of ways to constrain the foot. So she doesn't promote the orientation. So she's orienting into IR. You need to teach her the foot contact so she doesn't orient. So she's capturing relative motion IR superimposed on a position of ER. So she needs an early representation in that foot. She needs an early representation in that hand.

Short stocky just because the bar travels less.

Will, could you say high predictability gives you more chance of creating the overcoming? So as more times you played your sport, you can predict better and you can create those overcoming than just because.

So let's eliminate why the alternative sensations would not be helpful. So let's say you got the right foot on the wall. You want to move them from right to left. You capture your foot contacts. And then you say, get heavy on your right sacral base. What happens?

Right. And so then that's how you determine what you're going to do with that extremity. I'm using the extremity to move the axial skeleton through space and create a shape change.

Well, it'd be like standing on your feet, right? Try to stand on your feet in external rotation. Some people do and it hurts, right? But again, we go back to Andrew's question. When we were talking about single leg stance or bilateral stance, you're going to be biased more towards internal rotation at that point because you have to push into the ground. So if I'm inverted, like fully inverted, I'm pushing into the ground, you're going to get a lot of compression in the thoracic spine and upper ribs. Okay.

Yeah. If I'm trying to create the delay on the left, hold the scapula like tilted and okay.

Something like that.

Oh okay reverse engineering?

So I'm just resonating the calcaneus and then I can.

Really quickly, when you're doing an exercise, if you are biasing external rotation, that doesn't necessarily mean you're going to get relative motion. Is that an oversimplification?

Oh, yeah. Okay. Top of a push-up, you mean? Yeah.

Nice. So that's why. Okay. Someone that's compressed like A to P they would have almost zero internal/external rotation because they really don't have a space to compress.

Yes.

Sure. Yeah.

As you're dropping and the weight is free falling with you, essentially you're not really holding the weight. You're yielding and your muscles are eccentrically orienting until the moment that you catch it, at which point you immediately stop eccentric orientation and become isometric at that spot. The muscles no longer lengthen, but you do get connective tissue yielding at that point. If you hold it for a period of time, is that where you start to get some type of stress relaxation of the connective tissues or does that take longer?

Okay.

Yeah, absolutely.

But you might be able to teach her how to yield in a high box squat. And then that's going to get you a better representation of early. So she's already an ER individual. We want to move her from a late ER representation to an early ER representation, which is just a rate dependent issue. So as I sit her down to the box and she unloads onto the box, she's going to yield. That's going to teach her how to capture that early representation that I need to get her all the way down to the bottom of the squat.

You felt the difference, though, right?

Have an outstanding Tuesday and I'll see you tomorrow.

Right. Then we moved into a heavier loaded, but then we went on the ground and we did a high hex bar. So he was still his arms were low to the ground. He was good. But when we started loading a little bit more weight, then it became a problem. But the weight is not the problem. He moves it very fast. He moves the weight very well. And in the moment, in the gym, there's no problem. I don't feel anything a day after, two days after. It's like, oh, I'm tight. So it's like, I haven't been wanting to front squad him or back squad him or anything like that, because I just don't feel like that's going to be beneficial because it seems like he has the strength and power. It just doesn't seem to be put together.

So that takes away his turns. Now here's the thing that's going to happen here. Okay. So I want a big strong guy. I want a guy that produces a lot of force. And so, these are the guys where you go, okay, we're going to bench press you and we're going to back squat you and all that cool stuff. Is that useful to create that type of a physical structure?

Yeah. My JPI has been. Is your Achilles not hurting as much? Is your lower back not hurting as much? Because there are so many of them at the same time. And the time that I have is a constraint. So it's more like, are the pains going away a little bit? And what we talked about, are you jumping as high as before? So I'll take video of how high they'll be jumping and all that. But that has been the only two KPIs to make it simple.

Yes, you're a horrible, terrible person. So a couple of possibilities. With the limited straight leg raise, you have to consider your lower compressive strategy. Theoretically, you should not have anything that would approach a normal hip flexion measure because the limitation is at the hip. If you get what appears to be an exaggerated hip flexion measurement, you have a pelvis that is moving as a single unit in some way. Think about this: you have posterior lower compressive strategy, which means you have every other superficial strategy kind of tacked on there. So you have a pelvis that is orienting under almost all circumstances—turning towards you, turning away, or rolling straight back towards the table. In a one-at-a-time measurement, that would be a turn towards you. Chances are that's what you're seeing: you just turned them towards you as you were moving them up into hip flexion. This is very useful to distinguish between cases when you have curiosity and can't figure out what's going on because it becomes that outlier measure when you go, 'How could I possibly get that measure? It doesn't make sense that I have this really limited straight leg.' And I'm not going to say the shoulder too. When you get asymmetrical ones, where you get crazy deflection on one side and very limited on the other side, and you also see this with your ER measures—external rotation measures—it will help you distinguish that representation as well because the magnification of external rotation is definitely going to be the spinal rotation toward you. You get like a 25-30 degree ER on one side and 60-65 ER on the other. That's a spine that's turning. When you think about weight distribution of the measurements themselves, the straight leg raise displaces weight away from the center of gravity on the table. When you bend somebody's hip, you're shifting mass over top of the pelvis, which will allow it to turn, whereas in the straight leg raise it may not turn at all because the distribution of load is different. See the dip? See what I'm getting at? Again, the outlier—that's why I talk about coffee cups on the chessboard. Sometimes you get that one measure that's like, 'And but thankfully you get that one measure because that gives you the key to the whole thing.' You know, you see people that measure crazy symmetrical but limited, except for one thing. There are two reasons for that: you have a constraint that gave way, which would not be fun and you would know pretty much that it would be really uncomfortable when you do the measurement. Or you have somebody that, as I said, they're moving as units or they're orienting to create the magnification of the range of motion.

That's a big fit maybe. Yeah. I mean, from a concept standpoint, yes, but let me offer you this. If I give you a medial wedge, okay, what did I just take away from you? What are the consequences? So there might be a benefit to get the medial foot contact with a lateral wedge, okay? But what is the secondary consequence of giving somebody a lateral wedge?

For instance, if I had a posterior lower compressive strategy in the thorax, as I start to elevate my arm, where I would typically think that I have access to space. I'm probably moving into a place where I'm super imposing internal rotation against external rotation very, very quickly. And then I'm just running out of space. And so wherever that would show up would be the Hawkins Kennedy at about 90 degrees of shoulder elevation, whether you would see the painful arc or whether you would see the positive Neer test. So those three impingements that I've talked about in the past are all associated with different areas of compression in the thorax. So I think that's probably a better story to be able to use because as we alleviate those areas of compression, we see the restoration of ranges of motion and we see a reduction or elimination of those so-called impingement symptoms. So we probably need a new word for impingement because that's probably not really happening. We could just say pain if we wanted to. I suppose that might be the easiest way to do this, rather than trying to blame something on structure.

They don't feel anything. When you're going through the process and they don't feel anything anymore and you go, okay, that's what I wanted. I wanted the outcome without the focal sensation.

Correct. Now, reach up overhead. Stretch it up as high as you can. Which side got shorter? Which side got longer?