Bill Hartman 19:02–22:13
Okay. So I like the way you're thinking about this because you're looking at this person as an individual because everybody presents differently in regards to what their capabilities are. So let me give you a comparison. If I have a 45 year old accountant that has never played a sport in his life or I'm working with an NBA basketball player, they're not the same. Even if they had the same measures, I would have to approach this differently. But a couple of principles to keep in mind when you're trying to make some decisions as to how to approach this. If I have a situation where, excuse me, where I've identified the fact that there's an anterior orientation of the pelvis, that's where the pelvis is typically going to go, it would be extremely rare to see somebody in a compensatory strategy that went the other way, right? It just doesn't happen because our center of gravity will go forward, okay? If I have somebody that's dealing with an anti-orientation, that has to be addressed. Your exercise selection has to make sure that that is taken care of, if the goal is to restore relative motions. We're talking about movement between the sacrum and the ilium, not the pelvis moving as an entire unit. That's typically what the problem is, is that the whole pelvis is compressed together and moving as a single unit. Okay. So that's typically going to be step one when we start to see people that have these superficial strategies that get layered on. So like if I lose ERs and IRs, I know right away I've got that anterior post-ear compression. Okay. Does that make sense? Yes. Okay. So I have to do that. I have to do that first. Then it's just a matter of like, do I have enough space Do I have enough space to create the range of motions that I'm looking for? So if I have lost both ERs and IRs, I need to create that ER space first. So I have to try to recapture because that represents the space within which I can actually move. Internal rotation, is always superimposed on the field. I call it a field because that's what it is. It's basically a space. The field of external rotation that you move in, okay, internal rotation is superimposed upon that. So it doesn't exist separate from the external rotation. So if I squeeze my external rotations inward, okay, that's the maximum IR that I can produce. If I expand my ERs, now I have much more room to produce the IR. Okay. This is why we see people that when they are compressed, they start to turn their, their hip sockets and shoulder sockets outward because they're trying to create ER space. Now it's not, it's an orientation. So yes, it's external rotation. It is a representation of extra rotation, but they haven't expanded the space.
pelvic orientationhip joint mechanicsexercise selectionmovement restoration