Do you see the difference? It almost sounds like what I said initially with the exception of the fact that I think at the last phase, I wasn't looking at the relative position of the foot to the tibia.

That brings me to my next question.

More like the left advancing presentation versus the right oblique presentation. My current heuristic understanding of identifying it is typically individuals who are on the right oblique will have that drop off and right hip external rotation relative to left. And I identified that as the right side being more anterior than the left side. But then something that Christian said was that the left pushes forward in front of the right and that set me for a mental loop.

A homestand left me.

Okay, hang on. Stay right there. Oh, okay. Yeah, it's not the most accurate, but well, but, but yeah, you don't have, you don't have a whole lot of anything, do you? Yeah, it's like a range of motion. Yes. Yes. Okay. All right. So. You don't have any ER or IR. So you know you've got an anterior posterior compression. You know you've got an anterior orientation. And then anything that does appear to be even remotely close to normal is being measured away from midline. So how do you get hip flexion when there's no external rotation? Well, because you're measuring it off to the side. So let me show you what I mean. So this would be, you know, in early hip motions, there's a space where extra rotation occurs. But if I compress you front to back and I tip you forward, ER space goes that way. So it goes out to the side. And so anything that you have that's magnified. So if you got, would you have like 100 degrees of hip flexion on there? Did I say that right? Yeah, about 105, 120.

No, no, just watch it.

As you're shifting, if he's able to actually roll through the pelvis, you're rolling him on a helical angle. You're okay. It's just that you're starting him from midline. So you're starting him at midline and then you're rolling him in and out. So he's actually doing this as he shifts, okay? So you're probably okay there. The problem that you're going to run into though is that you don't have enough pressure laterally to create the anterior expansion. So you're going to expand the available turn. It's just not going to be big enough. So you've got to go up into the thorax. You've got a thorax that's not moving either. You've heard me talk about dynamic ISAs, right?

I wouldn't worry about concepts like that. What I would do is worry about getting the positions correct more than anything else. Because chances are you won't recognize those things by yourself. It's very difficult to feel those concepts; you'll feel the result because the comfort of your movement will improve. But trying to chase a concept like that is not something I would worry about. I would worry about making sure you capture the appropriate positions during the exercise. That's where you want to put your focus.

Yeah.

Got it. Okay, so now kind of going back to the date and phases of propulsion. So I've heard you, I've watched your videos and I've heard you talk about how to set up a split squat to bias ER and IR and infamers. So I was curious, so could you kind of walk me through like a right foot forward split squat and what you're biasing and what phases of propulsion you're biasing?

Got it.

I don't know if that's, well, talk me through it first and then let's see what we need here.

No, sir.

Okay. And as far as catching the ball. So maybe if your goal is to emphasize more of a yielding strategy, more external rotation versus more of an internal rotation compression strategy, would you catch it differently?

My question is, could you please explain the mechanics of the foot and the hip from the penultimate stride into the final step during cricket bowling? So you're talking about, are you right-handed? Yes. Okay. So you're talking about your left foot. Yes. And we take that turn. So you take your—I don't know what you call it in cricket—the right foot, your last right foot step and then land on the left foot. And we take that turn. So you take your right foot, your last right foot step and then land on the left foot.

Yes. Yes. Absolutely. Absolutely. Because again, we understand that we have a process ahead of us. The patient doesn't because they feel it every day. So their recognition is it's either hurting or it's not. And they need to see that they are making progress as well. People always get concerned about how do I get my patient to buy into this? It's like, hey, how about being successful, right? But being successful doesn't necessarily mean full resolution of all the symptoms that they came in. Being successful is let me show you a measure that's limited that's interfering with your ability to do what I think you need to do. So you show them, so you measure them and you show it to them. You do an intervention and then you improve them, you go, great job, that's exactly what we needed to happen first. Now we can do the next thing. And now we can do the next thing. And now we can do the next thing. And so again, make sure that they stay process oriented. So they understand certain types of the higher intensity methods of exercise in certain gyms. You understand what I'm saying? Okay, they changed the rules. That's why they became so popular. The goal was no longer the result of a long-term training program. The goal became try to finish this workout. And if you do, congratulations, pat on the back, little dopamine hit, see you tomorrow. We'll do this again, right? You have to kind of create a little bit of that yourself. You have to say, yes, I understand that you want to resolve this. Yes, I understand you want to come back to play your sport, but here's what has to happen. So you set the expectations. For them, you say, this has to happen, then this, then this, then this. And I know you want the one way over here, but we have six things that we have to acquire first. Get the first one. That's your goal. Nothing else. Focus entirely on that. Accomplish that task. Then we can go to the next one.

It's not fun. But see, this is a really good question because, again, as soon as I read your email, I knew exactly where we were going to go with this because it's difficult to visualize. But again, the representation of the lever system is okay because it guides us and it creates an analogy for comparison. So now you're in your head, you can have a discussion with a guy that says, you have this lever, this lever, this lever, and you go, it's kind of like that, but, right? That's the goal. The goal is to be able to speak both languages because traditionally speaking, that's where we have to come from. Right? But it doesn't provide us the solution that we want. That's the limit of that model. And then it becomes interference. Because when we start talking about levers, then we start talking about the math that's associated with it. We get these ridiculous force outputs. They have to go, well, you have, oh, here you go. Don't quote me on the math on this one, but it's an example from Graham Scar. If you had like a two kilogram fish on the end of a three meter fishing pole, I believe that there's like a 600 kilogram load on the lumbar spine, but the tissue tolerance is only 400 kilograms. It's like, so how is that even possible? Right? That's the kind of map that you get is like, well, the forces exceed the tissue tolerance, and they, well, why doesn't your back explode? Well, because that's not how it works. Like the model is okay for us to kind of visualize and kind of guide us on certain things. But again, it doesn't, pardon the pun, it doesn't hold water.

Yeah, of course. We'll see you.

Getting into that, which range of motion measurements would be magnified or diminished if the lumbar spine is facing one way versus the other in that scenario.

Okay, so let's talk about where his presentation is now. From the strategy standpoint, I think there are a couple of things that we could probably do based on that. So you said it was left side? If I am in a late propulsive strategy on this side of the pelvis, what that means is that I'm going to be turning the sacrum away. So it's going to try to turn the sacrum to the right. So I'm going to push from behind here and it's going to turn the sacrum this way.

Yeah. How about that?

Yes. I would like to help them. It was one of my therapists who saw the different interventions I was using and they asked me if I could do an in-service.

Mom and dad.

But the point is we want to think about being as progressive as possible, being as creative as possible, make it as challenging to their appropriate level. So one of the things we want to do eventually is to allow them to absorb more force. This is eventually going to be some of our step down progressions. We can make it as coordinative as we want and challenging as we want with changes of direction and such. Eventually what this is all going to turn into is some form of progressive step up. Progress them into medicine ball work. And like I said, we're eventually just going to treat them like an athlete. The thing I want you to recognize is like I said, your only limitation is your creativity. And then a little bit of understanding about how we're going to move from compression to expansion to compression strategies. So we don't have to treat these folks any differently than anyone else. We just have to grade the activities to the appropriate level. So Austin, I hope that's helpful for you. I hope the examples are useful. If not, and you got more questions, please go to askbillhartman at gmail.com, askbillhartman at gmail.com, and I will see you guys tomorrow morning on the Coffee and Coaches Conference call. Good morning. Happy Thursday. I have neuro coffee in hand and Michelle, it is perfect. So the thing you want to recognize is that as a human, you produce your own forces inside. So inside of you is stuff. And that moves. And it moves very specifically depending on what you're doing. So when I breathe in, it moves in one direction. When I breathe out, it moves in another direction and it moves in accelerations, if you will. It spins, there's momentum. So there's a lot of force going on inside. And then there's forces that you have to manage outside that are imposed upon you. So you produce your own, and then there's forces that are imposed upon you. And what we see in movement, so someone's movement capabilities as we're measuring them or as we're observing them do something, what we're seeing is the resultant behavior of the movement system within that context, right? So when you see a turn like that, what you're seeing is a strategy that someone is using to manage all of those combined forces. It moves and then it can be magnified based on what you're doing, right? So think about how hard you might breathe or how hard you might hold your breath or any other strategy. If I'm lifting a heavier weight, I am magnifying those forces, which means that the strategy must be magnified as well. And so depending on my physical structure, depending on my capabilities, then that's what they're demonstrating. So their turn that you're seeing is a strategy to create a result, right? So their goal, if they're doing a press, their goal is to say, Manuel said, I got to press this overhead, I'm going to press it overhead. And so then they use that strategy to the best of their ability. So it's always going to be there. Remember when we were talking about Sulaimanaloo coming up out of the clean at the Olympics? And you see his hips kick to the right and he goes into this harsh hardcore kind of a side bendy kind of thing, right? You got the lift done. So what he was doing is he had all of these combined forces, internal and external, and you saw the result of how he had to manage all of those forces at that moment in time. And so that's what he did. That was his solution to the problem. So when you see the turn, it's a solution. And you might not like it because it's not pretty, but they don't have a choice at that moment in time. So if you don't like it and you want to make a change, then that's why you have to impose activities upon them to give them alternatives or better management strategies in your mind. So it's, and again, it's kind of like the same thing we're talking about on the IFAS you call. It's like, you know, when you see the knees coming in, that's a solution to the problem. And again, you might not like it, but it's a solution nonetheless. Here's about somebody that is doing a PR bench press. You ever see it come up unevenly?

If I still can't get the shoulder to where I want it to go, if you look at the chess board, we did have access to about 90 degrees of shoulder flexion. So I actually start to create this middle propulsive strategy in a prone activity by driving it from the pelvis upwards. So again, I'm going to get my left turn. I'm pushing with the right, right lower extremity to help create that right oblique axis. As I'm working through this middle propulsive range, I could do an offset pushup, which creates a very, very similar representation as it would to the high low press. But again, I'm moving closer and closer to that 90 degrees of shoulder elevation. So again, as to when you're going to implement this, it's going to depend on where the symptoms are and how much shoulder flexion that you're gaining. This can now actually be done in the gym to some degree as well. So I can use my old school tricep kickback. If I use my left arm support as I kick the dumbbell back in this triceps activity, what I'm actually doing is I'm compressing that right scapula against the thorax, which is, again, my turn back and to the left on the oblique axis. Eventually, of course, I want to get you standing up, so I got to account for that. I love my chops. Under these circumstances, I can start in a staggered stance. I might be able to do this right away. I can make it kind of look like a triceps activity at first, so I don't take the shoulder into that provocative position. But I'm going to create the posterior left oblique shift by pushing through that right foot. And eventually, I just expand outward in my chopping activities. I turn that into more of like a side split or a side split squat. And then ultimately what I want to be able to do is I want to get my arm above shoulder level. So this is going to progress to a landmine situation. So what I want to do here is probably start with my right arm. Again, it's going to help me create this backward left oblique axis position that I'm trying to drive to offset the right anterior oblique. Jason, I hope that gives you a couple of ideas to work with at least to get you started and for all of you that might be dealing with this same issue. What you got here is a left compressive strategy and tier and posterior. This is going to be one of the easier ways for you to address these kind of things. Hope that's helpful. I apologize for being rushed today, but I am short on time. Everybody have a great Wednesday. Remember coffee and coach's conference call tomorrow morning, 6 a.m. Hope to see you there. Have a great day and I'll see you tomorrow. Happy Thursday.

Why do you get those?

Here's the one thing that people talk a lot about now, but I don't think it was being talked about as much then, which was just an unparalleled focus on quality. Nobody gave more time and attention to writing programs or coaching clients. Now it's like, you have to put yourself at a higher price point and do this or that, but we naturally did that because we were a more specialized service. That alone makes you more recession-proof. The second point is, if your lowest price is on Groupon for 20 bucks, you put yourself in that bin of catering to the consumer who wants deals. When the deal's done, they'll go to the next place offering a deal. There's no brand loyalty. With us, at a higher price point, you get a more educated consumer. They're more recession-proof. So when the bottom falls out—like it literally did when we opened our business in 2008, the worst time to open a business—we catered to a more affluent, educated clientele looking for a higher-level service. I don't know if it's anything we did amazingly well; it was just that we were different. We agreed early on that we didn't want to do the same thing as the $59-a-month Gold's gym model. When we opened, we had a $59-a-month open gym thing, and that was the first contract or membership agreement we got rid of because it didn't fit. We didn't want the person just doing curls for an hour; we wanted to have some level of influence on their program.

So for homework, would I give them essentially like a lazy rolling exercise for just the shoulder work on this? Yes. Sometimes I feel like one of the problems I run into as well is, I mean, this is mostly a queuing thing, but when they try and breathe in, they'll end up taking a big breath in or even on a smaller scale, a big breath, and they'll just get tense. Do you ever apply just a little bit of gentle pressure to that area, to the lower thorax, as they're rolling?

Yes, ma'am. If the left, let's just say you're stepping forward with the left leg. If the left leg is out in front of you, it's not really in front of you. It's over there. It's actually a way for midline. I'm just turning this way and then the leg goes apparently forward. But it's actually stepping out that way.

That's external rotation of the leg dorsiflexion of the foot.