I have neuro coffee in hand and it is perfect. I have a question.

Cause they're not moving. They're just pressure build up on the same spot.

I think that the one consistency within our clientele is that they come in with purpose. At every level. So you think about an athlete, and I think the athlete is the obvious one, right? Because they come in and say, well, I want to run fast, jump high, whatever. And so it's a little bit easier to identify that. But I think that if you go into the gym at any time of the day, whether it be the morning crew or the afternoon kids or the evening, even the adult people that come in, they're all coming in with purpose. And so as we have a tendency to say if you want to get there, you've got to come here. And so Rick, big Rick, he's a mountain climber. Yeah, it's like so he comes into train to be better at that. And so it doesn't matter whether we're talking about our early morning retirees that would come in, and they come in and they're coming in with purpose. They say, I need to be able to do this. I want to play with my grandkids. I want to be able to get up and down off the floor forever. I want to be able to garden. I want to be able to do whatever they want to do. And so they come in with purpose. And so while they get excited about a personal record on their trap bar deadlift, ultimately it becomes like, oh, guess what? So that. It's like everything else in my life is now effortless. Yeah. And so we've been very lucky in that respect.

So this is where you might have them in a sideline position over a pillow. What that does is create compression on one side to get expanded representation on the other side. By creating a short arc of movement in a long axis roll over the pillow, you establish a subtle gradient across the thorax. However, you have to account for how they will stick with the path of least resistance, which appears to be the expanded area of that thorax, such as anterior or lower. That's why you must drive shoulder girdle and lower cervical work to alleviate muscle activity and restore the gradient. The same principle applies to the pelvis. Spending more time on the thorax can lead to reduced muscle tension and improved airflow. Consider the significant compression on the neck in these patients—they're essentially living in a state similar to a rear naked choke. Alleviating this muscle tension is crucial, and head position becomes important.

Yes.

Yeah, so you evert the rear foot and then dorsiflex and then take them into the straight leg raise and you can bias the medial plantar nerve to clear that. And then you might be able to just mobilize it like that. OK, so if you do like a middle P footmob, OK, it's the same thing as the bias. It's the same thing as the bias for the straight leg. It's in the same position, basically.

Good morning. Happy Thursday. I have neurocopy in hand and it is perfect.

You really need to do something better with your time, young man, but okay, I appreciate it.

Yeah, so you could have someone with equally as poor hip measures, say for instance, and as limited range of motion, equal between two people that present quite differently in the way that they've managed to use their compensatory strategies to get them there. So the notion that you can't really go by the notion that a pronated foot is at x-point on the on the system, and then if they move to a supernated foot, that is further along and so on and so forth. It doesn't quite work as simplistically as that.

I thought maybe, when there is a very strong turn in the spine to the right, and someone is missing the rotation in the right and the early rotation in the left, wouldn't it be wise to put a pillow under the right pelvis to not do it aggressively, but to share the load and something to uplift here to create more opportunity. Is that comfortable?

So here's where she's trying to move, right? Yes. Okay. But it's not. So she's doing like one of those deals, right? It looks like that. Yes. Okay. So that's not a normal motion. That's a broken constraint, if you will. She's messed with the constraint. Okay. But that doesn't change the orientation. So what needs to be able to move? So yet a femur that was oriented into ER and then you got you recaptured some space, allowed it to turn inward. Makes sense. Yes. So I gotta get that to move, don't I? Okay. You see the similarity. It's like this joint won't move, but it's not moving because this isn't changing its shape. You change the shape and the femur favorable, cool, but I didn't change this. So you got like a hip that should allow the knee to move, but I got a foot that says, nope, not going to let it move.

Where is the cable relative to their person? Is it in front of them? Okay, gotcha. Right foot forward, chopping to the right heel.

Yes.

Okay, that makes sense. Can I ask one more follow up to that? Just like an experiment I was doing, say we're doing a kettlebell cleaning catch and I put a light amount of band resistance on the kettlebell that's pulling the kettlebell back down to earth faster. And they do that. Is that, and let's say he sticks that landing, is that light amount of band tension continually pulling down going to stiffen up the connective tissues more or if he's holding it and there's more of a downforce going to promote even more yield?

Got it.

I'm just saying there's a time that you have to do something for a certain amount of time to reach your peak velocity.

Yeah.

Yeah. All right. That makes more sense with a lot of my patients than I look at their foot and I'm like, I don't understand why there's limited internal rotation as they are, but because they're, I don't know, their foot's not like pointing it way out on me, but yet they are on their table measurements or when they move. Okay.

You just have to be more reliable with yourself. Okay. Good morning. Happy Tuesday. I have neuro coffee in hand and it is perfect. All right. Well, as usual, a very busy Tuesday coming up. We're going to take you straight into today's Q&A. This is with Alec. Again, I believe we had a question from Alec yesterday, so Alec's been off the coffee calls for a while, so apparently he stored up some really good questions. This one was in a discussion as to the application of the superficial compressor strategies. I think we used a narrow ISA in this case. But what it led us to was how the anti-orientation of the pelvis occurs as these strategies are applied because what we're going to see is we're just going to see this progressive shift forward of the center of gravity. We're going to see an increase in the anti-orientation of the pelvis under these circumstances to help maintain the downforce inside of the base of support. But a lot of people don't grasp the concept as to how this anti-orientation is actually occurring. So we literally go through it step by step. I actually grabbed the big plastic pelvis and walked everybody through that on the call. So you're going to get to see that as well. So thank you, Alec, for your questions. I do believe it's going to help a lot of people. Everybody have an outstanding Tuesday and I will see you tomorrow.

OK. And are you going to deadlift on your tippy toes? No. You're gonna deadlift on your heels, right? Okay, that's back. That's the center of gravity that can move backwards.

If you look at her head position here, this is a head whip. If we were talking about baseball pitching and stuff like that, this would be a head whip. This is the DR compression showing up. This is why she's got a snapper head so far away from the jowling. What I want you to see here though, Matt, you see the indentation at the top of the hips and then you see this expansion. Yes. So this, this, um, obviously is concentric orientation of the musculature that's above the trochanter. And then what you, so that create, that holds the anti-orientation. So she's got a lot of downforce going through the pelvis onto the femur. And then this is your femur, um, orienting out into ER.

Okay. So, think about that. She can't stand up on the trampoline yet. And I'm talking about a real trampoline to get the yield, right? Okay. So how can you keep her in the seated weight-bearing position and magnify the yielding capabilities? What can you do?

Yeah. Yeah. So yeah, more thoughts were just, DR expansion was the first thing that came to mind. So, um, that sounds, you'll be on the right track, right?

It went up on the left side and forward.

Yes, I understand. So it's eccentric yield on the right front and concentric overcome on the back of the right. And I can also understand when you touch the ground, it's eccentric overcome of the right front because the gut should start to move back. So it should be the overcome on the right front, but it's still eccentric. And then when you go to the max P, it's a concentric overcome on the right front. So that is the question, because when you come back or come out of the ground, when you're here, it's back to eccentric or calm on the red front. I don't understand this. In my opinion, why not concentrate here on the red front?

Yeah, yeah. Yeah, that makes sense.

Yeah, I had a question about that. Given that wide ISA individuals orient from the bottom up and narrow archetypes from the top down, I was thinking about strategies for when these individuals have a hard time getting past the sticking point in a deep squat. So for wide ISA types, would it be better to use an unweighted approach, like holding onto a cable, to help them access space from the bottom up? Whereas for narrow types, you might do something like a Zercher squat on a ramp, starting from the top down and building it that way.

And.

Well, there's more comfort in certainty. Of course there is, but there is no certainty.

Increase magnitude will shrink the space.