So we've got a few people that have lifted heavy things on the call and they can attest to this, is that as you get better at lifting heavy things, you get better at squeezing yourself. Okay, so these are the superficial strategies that we talk about that create the anterior posterior compression. Okay, so if I squeeze you front to back, your socket orientation—so shoulders and hips—becomes oriented into extra rotation so they face sideways more so than they used to. And so that biases you into a position of ER. So this is not relative motion ER as we would want throughout the pelvis and the thorax. This is just an orientation. So it's just a socket position that's biasing this. Because of the anterior compressive strategies that you've used and evolved through lifting heavy things, you now compress the front side of your body and that takes away your internal rotations. So you're biased into ER orientation, and then you lose your relative motion internal rotation. Anterior compression. And then any internal rotation that you do have is going to be an orientation towards the ground. So this is people that would typically have an anti-orientation to the pelvis or an anti-orientation to the thorax. Does that make sense?

1,000%.

Okay, so you're talking about like a right foot lead in this situation, correct?

Okay.

I'd be okay with that. But now you have to tell me where my contacts are to make sure that I'm not doing the wrong thing.

No, but maybe like one presentation that just popped into my mind is that a squat is considered a closed kinetic chain while the knee extension is considered the open kinetic chain.

And I was like, man, you're probably leaning your back a little bit too far. You know what I mean? They were just leaning backwards a little bit.

Absolutely.

Like they're standing in front of me and I go, that's a really small rib cage. That's a really big pelvis.

Okay. I was about to ask. So like throwing a baseball is like insanely high magnitude.

Are you creating the late representation, are you creating a delay, so the delay doesn't turn everything in the opposite direction it just slows it down it's like where's the expansion occurring under the circumstance, so you put your arm up I got news for you you just openly rotated your scapula. So right away, I have constrained the system to reduce the amount of rotation. So if I turn this way, I'm going to move more towards a late representation. If I delay, so I'm not turning, I'm not doing this. I'm just slowing this side down. So I'm not reorienting the thorax. See, that's the mistake. People are trying to, too many people when they're, so they think they're creating delay strategies and all they're doing is creating orientations. And that's why they get things like, wow, I got so much IR, but I didn't get an ER. It's like, guess what you did? You created an orientation. That's a dead giveaway for the orientation.

So, we use the wraparound strap sometimes to promote or actually restrict the shape change. Right. I can intentionally constrain the thorax but leave the upper thorax free to move while I constrain the lower thorax. I can promote any kind of- Could you do the same thing in the thorax then? Also, like if you wrap it around the- Yeah, so like I said, it comes down to what is the intention? Like what shape are you trying to create? And where do you create the constraint? So yeah, without question. You understand, it's like you're moving sideways, dragging a load, in middle. You're just playing on either side of middle in most circumstances. And then it's like, how middle do you want to make this? Like how close to max P are you going to get? So that's a heavier load, that's more constraint. So it's upper extremity constraint, it's thorax constraints, right? Because it makes you push down harder into the ground, right?

Maybe is that like a great answer?

Okay. Where is his first met head and where is his heel in the position that I just showed you? What would be in contact with the ground through the upper extremity?

I remember hearing you say something once and it really stuck with me, and I probably say some variation of it once a week: if you see where someone's trying to find their internal rotation, you solve a lot of problems. That summarizes a lot of it. Obviously, it's not always that simple, but I was like, wow, that really is it, isn't it? If you try to find where that's coming from, then a lot of the times you're going to address a lot of issues.

I didn't say bend it. I just said unlock. Okay. And to really orient as hard as you can above your pelvis. There, did you feel it go down to the floor?

You're not going to go very far, are you? Why? And don't say I'm because I'm not strong enough.

And then hang on, hang on. So is a split squat. So is a front foot elevated split squat.

Right. So there's like, yeah, there's just multiple factors that there.

Yeah, so for her, you want to teach her to elongate, yield, and then create the overcome in what would be—and it's not that she's not using her bony structure to do it, because I think she is, okay? But we have a much broader contribution in regards to the storage and release of energy. And all you have to do is look at the pain complaints and the diagnoses associated with those activities. Right. So basketball players, volleyball players, Achilles tendon, Patellar tendon, right? Shoulder, shoulder stuff, elbow stuff.

Right. So when I think of the right oblique, it turns inward. You're kind of buried in that IR on the right side already. So you have to probably see that right leg orient outward to compensate for the lack of hip extension.

Well, so you need time to make a change. Like, from the nervous system output to the muscle behavior, there is an element of time. That has to be learned. As you get better at that muscle behavior, it will take you less time to accomplish that task. Plus there's a time-related behavior regarding the connective tissue because there is a fluid content to that connective tissue that controls elements of that behavior. I need time for the position of that to change. Whether it's held within the connective tissues or being squeezed out of the connective tissues, takes time.

Good morning. Happy Wednesday. I have neuro coffee in hand and it is perfect. All right. A busy Wednesday coming up. But first, today's Wednesday, tomorrow's Thursday, 6 a.m., tomorrow morning, coffee and coaches conference call as usual. Bring your coffee, bring your questions. A great group of people. If you've missed out on these, you're missing out on a great time and great information, so please join us at 6 a.m. tomorrow. The link will be on my professional Facebook page. Going into today's Q&A. This is with Clancy, aka Colin. Colin had a series of questions, and this is just one segment. It's actually a relatively short segment, but it covers a lot of ground. So a couple of principles. We move by a shape change. That shape change allows us to access spaces around us. That's how we move. If we only had a proxy measure that would tell us how we can access that space, and we do, and it's right there at the bottom of the rib cage, we finally call that the infraternal angle, ISA, if you will. This allows us to identify some structural biases that predispose people to being able to access certain spaces, our ability to move that ISA, the aka dynamic ISA, then represents an early goal to allow us to access more spaces. And that's what this discussion is about. So those of you that are still confused about it for external angles and its use, this will hopefully clarify some element of that. So thank you Colin. If you would like to participate in a 15-minute consultation, please go to askbillhartman at gmail.com, askbillhartman at gmail.com, put 15-minute consultation in the subject line so I don't delete it. We'll arrange that at our mutual convenience. Everybody have an outstanding Wednesday. I will see you tomorrow, 6 a.m. coffee and coach a conference call. Have an outstanding day.

Okay, when you're expressing this idea, you're locking a lot of structure together in your description. Let's make an assumption that we've got a wide ISA with full relative motion. They don't exist, but let's just say. So you're saying that, okay, now let me give you perspective. If I hold this still and I do that, same orientation. It's just relative to a point of reference. A wide ISA would be biased towards a nutated sacrum, which would be a posterior orientation of the ilium, right? And so where's our perspective? So is it doing that? No, it's just doing that. So the relative motion would be that this is rotating posterior relative to the sacrum, okay? In standing, are you early, middle, or late if you're just standing upright against gravity?

I have a question about the spine, especially the spondylolysis. Because I have a client now, I've seen her yesterday for a short amount of time, 20 minutes. So I did some initial testing, and it's actually the second patient that I have in this age group. So the first one, I remember it was like seven or eight years ago, and she ended up having fusion surgery in her spine because the symptoms were always getting worse. And now this young lady, she's 21 years old, also got the recommendation to get surgery already. So I was thinking a lot about how the spondylolisthesis fits into the model because I was having quite some thoughts about that. And second, how to find a good way to treat it because she has symptoms for quite a long time and she's already like, I think, 50% in the thought process of going to the surgery. Because she's having this for a couple of years already, it's progressing and getting worse. And she was to, I don't know, 10 therapists or so, and nobody could actually help her.

I have a question about chopping and I looked at your videos, 'chops for end game wide' and 'end game narrow.' Some time ago you put it on Instagram, and I see you're always chopping toward the medial side of the knee. So I would like to know, because I see so many people chopping out. What's your thought process? Is it like when capturing more relative motion, should I chop inside? Because if I chop out, would I just orient on my lateral foot and I just orient it?

Okay. So hip flexion is an ER measure. Yes. So there are only internal rotations and external rotation. So again, the straight plane thinking is where we run into a little bit of an impasse. You have to understand that as I'm moving somebody through a measure that we would consider traditional flexion, that is an external rotation measure. Okay. Let's go to the spine now. What did they teach in school? What do they teach in school? If you've bent forward, they call that what? Oh, flexion. Cool. Is flexion an ER measure or an IR measure?

Right.

The biggest challenge that you have is not wanting to know the answer, but it's getting comfortable with the unpredictability and the uncertainty because if you can do that and just understand that this is process, and always be forthcoming and honest with your patient or client and say that we're going to do this and then we're going to test and we're going to see what the answer is because you can't compare them to average. We have to treat them like themselves. Even though they are human and they have certain constraints, we can't compare them to average and we have to compare them to themselves. And that's the hard part. That's why everybody likes numbers and straight planes and average measures because there's comfort in that, but it's also limiting in your outcomes. It's all a matter of where your head is: if I'm thinking nerves, you think nerves, and then you don't think about other stuff. If you're thinking muscles, you think muscles, and then you forget about the nerves.

So if you're not, if you don't have that space in front of you, then everything's moving to the side. So you're closing in on middle. Right. By the way, it's biased towards a middle and more middle representation. And again, you can play with it, know, slightly to the front, slightly to the back of that, but essentially you're going through middle P. That's where you that's why I like it. I like lateral sled drags when when you got the person that is a little bit ER on the right side and they can't recapture the dorsiflexion. It's a nice comfortable way to start to drive that middle representation again to recapture the ground contact, like the medial foot contact. Again, we would represent that like when you're coming out of a cut and you got to push off the inside edge of that foot. So anything along those lines would be more middle. And again, if I displace load anteriorly, I'm going to respond by moving backwards, correct?