Just be able to change it from one to the other and back.

To move them from right to left?

Yeah. And then you say, what if I'm walking, but what if I'm squatting? It's like, okay, what shape is the actual skeleton? Right? That's what we have to pay attention to. Cool. That's the rule. The rule is the actual skeletal shape.

Right. Right.

Yeah, because all you're doing is creating a relative timing between the two sides. So the downside's relatively fixed. So I can manipulate the top side to create whatever I want on the downside, or I can create it on the upside. Cause if you have somebody who comes in and they say, 'Alex, my right shoulder hurts,' and then you go, 'Well, does it hurt when you lay on your side?' And they go, 'Yes, it does.' It's like, 'Well, don't put them on that side to roll because it hurts.' But they're telling you that they don't have the capacity for the shape change. So that's when you would put it on the upside. And now you can start to manipulate and create the shape change. Then you flip them over on the other side and you go, 'How's that now?' And they go, 'Oh, it's so much better because you're the best therapist I've ever worked with.' Then you pat yourself on the back that day. And then there's the day where it doesn't work and you bang your head on the steering wheel all the way home.

There you go. Yes. Okay. Cool.

So yeah, they're just like, use your arm as sort of like the barometer. It's like, okay, for every element of elevation, I have to move volume up. I have to have the expansive capability to access that space without compensation.

I don't know if I can get this.

Not as much as I probably should, but yeah.

Yeah.

Well, it's not that there's no space in front of them—literally there's no space in front of them anymore because they get compressed this way. So space moves in around them and it moves their space out.

Probably not.

Okay. So, you have to consider starting conditions. This is the way that you'll be able to identify some things about someone without having to lay them on a table, without having to measure them, okay? So if you think about the behavior that would be associated with the more vertical helical axis, so this is the flatter turn, this is left side anterior orientation greater than right. That's going to actually push that side forward more. So it's going to be more of an ER orientation. So we're talking about left foot forward, right foot back, correct? In the case of the vertical helical axis, which means that you're going to see more often than not a compensatory ER representation. So this is where you're going to see somebody roll out to the outside edge of their foot. You're going to see the knee deviate away from midline. Okay. Something along those lines. You're going to see an ER compensatory strategy under those circumstances. Now, if we're on more of the oblique axis, the reason that that occurs in the first place is because our starting conditions are different. So we're starting towards more of a middle representation under those circumstances because this is going to be somebody that would be biased towards a wide ISA archetype because the starting conditions are going to be different. And because I've got the, I'm immediately on the oblique axis, you're going to see more of the IR compensatory strategy, which is the anterior orientation. Okay. That's not, doesn't mean you're never going to see an anterior orientation with the more vertical helical axis. We're just talking about sort of like a foundational representation. So, more often than not what you're gonna see then is you're gonna see a knee that wants to move medially, which would be associated with the increase in the anterior orientation of being on the oblique. Okay? Does that make sense?

But the muscle is staying the same. Like level of concentric orientation.

Okay.

And I'm going back and forth in my head and I'm thinking, you know, if I like, like obviously like step one on the, you know, progression or regression scale would be like, Hey, let's, I mean, I could be wrong by saying this too. Let's, you know, get in supine or quadruped and learn how to breathe. Right. And I'm like, Well if I skip that process, am I doing them a disservice? But if I try to do that, it's going to turn into like a logistical nightmare with middle schoolers.

I think just because I'm quite new to the model, I'm still struggling a bit with finding all of the activities because I'm doing a lot of theory work, but maybe I need to start doing all these different activities too.

The evolution of the hand makes it a little bit different from the foot on a couple of nuances. The behavior is basically the same, therefore the distal to proximal behavior is going to be the same. Like I said, it's just this opposable thumb thing that screws up a little bit of the mechanical element of it. It makes it look a little different, but it behaves the same.

Well, it doesn't change the tools that we use. It doesn't change the activities that we use. What it changes is the perspective that allows you to make a better decision under the circumstance. So the things that we have always seen, for instance, if I have a young athlete that's working on some form of agility like an outside foot cut or something to that effect. And I see them plant and instead of moving into and out of the cut on essentially the same angle, I see them move into the cut and then I see their center of gravity go up. Okay. So if you ever watch a wave crash against the rocks on a rocky shore, you see the water hit the rock and it goes up. Okay. Well, guess what? If you're a big bag of water, you got water inside of you that moves just like that wave slams into the side of your body and it hits the constraint and it goes up. So instead of being able to take that force and reorganize it and turn it in the other direction to our advantage, now we have a situation where we have somebody that's not managing the force the way we would want to. And so now we have to make a decision as to how that happens. So rather than picking on someone saying, 'Oh, you just have a weak something.' We have to say, okay, why is he unable to manage this big wave that's crashing into the rocks? And why is it going up? Instead of him learning how to capture it, use it in his turn and to reorganize and make the change in the other direction. So again, it just helps us select the best intervention under the circumstance by understanding that why do we have this observation in the first place?

Right. Right.

It's also beneficial in that this is not a guy that I'm concerned with like the deepest possible squat. The offensive lineman is always going to be performing in this position that keeps him really close to Max P.

Up or into the ground? Well, it's straight down to the ground so they go up, right?

Can we just talk about strategies to bring someone back, right? And maybe even some like training based strategies, not just like a Skywalker or, you know, like your cross connects and things like that. Okay. What? Did you have like something to relieve us energy as long as people randomly? Yeah. So I guess like, things that are heels elevated, right? Where you're having someone find like an early propulsive foot could be strategies that would bring someone backwards, right? Right. So think about, okay, just take the foot representation. Yep. How many exercises can you come up with that would use an early foot representation? Quite a few. Well, I mean, there's a fair amount. There's a fair amount. Anything that you put, that's why we have those incline boards all over the place that I fast, right? Because we have to capture those positions. You've got suspension trainers, right? So you've got the TRX kind of a thingy where you can lean somebody away, right? And so you drop, literally anything that you do leaning away is going to move you towards that representation. right you can do it you can do it in an offset position you can do it in a symmetrical position you can do it in a single leg stance right um you so Zach's sled drag that he was doing depending on how heavy it is right we'll take you to the earlier side of middle

Yes. So you're taking away a lateral foot contact. Okay, now, and again, maybe there's a benefit to this to allow them to capture middle more effectively, but understand what this potential secondary consequences are, right? So if I land, if I try to make a lateral heel contact, and I immediately get pushed to the medial aspect of the calcaneus, you just accelerated me in that direction very quickly. Here's what I want to do. Try landing on your medial foot, stepping forward, and not internally rotating the tibia.

So again, we've got some of those prone variations, but one of my favorite things to do in this situation is go to my Better Band Pull Apart video on YouTube or anything that couples the yielding strategy in the dorsal rostral area with shoulder extra rotation. What happens under these circumstances is you're actually turning the scapula into what would be, I believe, traditional internal rotation of the scapula, which actually that dorsal rostral space to even a greater degree. Love those exercises for this situation. So this would be your typical painful arc strategy. So there you go. You got three impingements, three strategies, three solutions. This is why you lay out a chessboard on every patient, right? So you can see the relationships and then the question becomes, it's like, okay, how can I possibly have this representation?

Yeah, that's why this is fun.

That is correct, sir.

Right.

You mentioned that you felt lost after a thing. Have you ever felt lost during your career path, and what helped you find your spot or your place in your career where you didn't feel lost anymore?

Yep.