Yeah, so essentially what I did to get down here was because I was working in Fort Wayne and wasn't loving anything about Fort Wayne, if we're being honest. I decided that I had to get out of that situation and get closer to my friends and my wife's family, so we moved down here. I started working at home, and a lot of people don't know this, but this shows how desperate I was: the first client I took, we were living in Pendleton at the time in my in-laws' place as our condo was being prepared. I had to take my first client at 4:55 a.m. at Wolf Run.

Otherwise, you're going to probably end up in a little bit of a lawsuit because that's really intrusive. You're getting into some very personal area there. So what we're going to do is we're going to make an estimation of what that IPA is by all other numbers. So now let's go to the first half of that question. Does an IPA mean a narrow ISA? In general, from a structural standpoint, yes, they will be similar, but they should move in opposition during normal breathing. And so that's what we're talking about when we're talking about making an estimation of the infrapubic angle. So if I measure the ISA, the infraternal angle, my assumption is that I actually have a narrow infrapubic angle as well. However, if I identify a limitation in extremity range of motion, that would be indicative of somebody that does not have the full breathing excursion, which means that they have a compensatory strategy. So this is where we get into the two archetypes of the inhaled axial skeleton versus the exhale axial skeleton. So if I have somebody that measures with a wide ISA with a limited breathing strategy, then I know that I have an axial skeleton that's biased towards exhalation with an inhalation compensatory strategy at the ISA or vice versa, where I have the inhaled axial skeleton with a compensatory strategy at the ISA, which would be your narrows. So structurally, yes, they would match mechanically during breathing. They should move in opposition. And under certain circumstances of compensatory strategy, they will be matched again. But this is due to the restriction of the compensatory strategy. So Josh, I hope I answered that question for you.

They encourage students not to ask the difficult questions or they're incapable of answering them just because of the environment that they're teaching in which is unfortunate because I think that when the student is paying an absorbent sum of money they deserve to get what they pay for. So what I would offer you though as a piece of advice is continue to educate yourself outside of your curriculum. So 10 continue education courses as you're allowed to and you get discounts, which is really nice. But I would also encourage you to try to learn as much as you can with the understanding that there will be information in conflict. And so What this does provide, though, is a very powerful concept called an earned opinion. So when you can argue multiple sides of anything, that allows you to have an informed and earned opinion which gives you the capacity to see things from multiple sides and allows you to problem solve much more effectively.

Yeah, well, I'm talking about my 22-year-old.

Yeah.

So we shifted focus from doing a lot of linear drills to now working through change of direction progressions. And basically what we realized is that we were just doing a lateral squat. Her initial strategy was to really not move her pelvis over that leg at all, which is essentially just a twist through her back, causing pain right where she gets it. But then as soon as we cued her to actually get the shift into that hip, there was no pain.

Ideally. Right.

That is the correct guess. Okay.

OK, awesome.

That sounds like a better strategy already, right? Because that's the goal when you're a powerlifter is to lift heavier weights, right? Yeah. But what I would do is I would get a side view. Right. Get a side view. Side view on video. Okay. Get a side view on video. And I would compare the two positions. And then I would look at like, and get a decent amount of weight on there. Don't hurt yourself. and then make the comparison as to which position gives you the best direction of pull. If you find that you have to lean over or your low back has to round in the conventional, it's probably not gonna be suitable for you from a long-term strategy. Like I said, your bias is to turn outward as a narrow ISA individual. You'll tend to be able to produce more force in that position.

I'm with you. Now I understand.

In the physio world, when testing a muscle like the glute medius, they use a straight plane representation. They think glute medius performs hip abduction because they're using an old school dead guy straight plane representation of what a muscle can do. Now, what we know is that if you move the extremity away from midline in a lateral representation, you're producing a late ER position of the hip. Under that circumstance, the muscle in question is oriented to produce force in IR, and we're asking them to produce force in ER. When they push down on the leg, it collapses, and they conclude the glute is weak. But it's not that the muscle is weak; it's in a position where it cannot produce force in the direction being tested due to its orientation. The test itself is fine, but the interpretation is wrong. They're looking at structural reductionist representations, viewing muscles as separate entities that behave separately. In reality, everything works together in a positional representation. They might say you have an unstable hip, pelvic instability, or weak hamstrings, but essentially it's about a muscle being incapable of producing force in a specific position. For example, if you anteriorly orient the pelvis sufficiently, it's difficult to put the hamstrings in a position to produce force. This derives from historical manual muscle testing approaches, like Florence Kendall's, which graded muscle activity on a five-point scale and used isolated representations of muscles in certain positions. Additionally, they often test in these ER-like weaker positions, making it inherently difficult to produce force regardless.

Okay. So all I gotta do is I gotta take the pressure off of it. There's two places where I can do that.

It was painful or just.

The medial patella ligament and all that kind of stuff stabilizes the patella there. It's going to be hot because everything's turning outward. Consider the orientation of the femur. Take the normal femoral representation and squish it down. Squishing the full length of the femur creates more of a bend, which turns it out into external rotation (ER). This takes vastus lateralis and moves its posterior attachment further posterior-medially, causing the VL to pull up and outward into ER. When he pushes into the ground, he doesn't get the normal internal rotation (IR) pushed down into the ground. Instead, the VL grabs the patella and pulls it superior laterally, pulling everything on the medial aspect of the knee with it. The retinaculum and all connected tissues on the medial knee get pulled into a lengthened position all the time.

Got it.

Okay, so you're going to be shooting for an early representation, right?

So I got like every other word. So, no, I just need you to repeat the part after the ear thing.

And therefore I have connective tissue behavior that is storing energy that will allow me to turn and go in the other direction as I release that connective tissue behavior to produce the energy upward, right?

He's twisting. He's got it. So he's creating an ER, like a twist in the low back. So his low back is twisting. So take a bamboo pole and bend it and twist it in your hands. That's what's going on. This is not comfortable segmental rotation. Compress the two ends of the bamboo pole, and it's got to bend in some direction. That's basically what he's doing. He's creating a downforce, anti-orientation. He's squeezing the spine together so it becomes one segment. So the low back, the lumbar spine has five segments in it with discs in between. Take that, jam it together so it behaves as one thing. Instead of having relative turns between segments, it's now one thing that's going to bend in different directions. What you're seeing is a bend in a twist. This is not what you would consider a turn that would have relative motions.

I have to get on a call.

Is that answer your question?

But point being, she didn't have the knee pain prior to running on the beach, right?

Because what you're doing, the orientation relative to the foot contact is that the center of gravity would be behind, and so then you're going to create the early representation by biasing the foot. You're going to make it easier to capture early. So you're going to be able to move the center of gravity back. So you're going to slow them down because they're usually getting pushed forward, right? So they're usually getting pushed in towards a later representation. You use the foot contact to move the center of gravity back where you can get the early ER representation easier.

It's going to be facing the left.

You know, just generally speaking on narrows, so the pressure through the axial skeleton is more distributed towards the outside of the axial skeleton. So that might be why we see more of this in the narrows because their turning capabilities are different, right?

Then turn the ilium into the ER position, take the sacral base with it. But don't let the apex turn. And then you start to see the twist through the sacrum.

Jim Marchello knows. She's going to say it out loud and embarrass you. Gotcha. Oh, I'm very embarrassed. It's side rib expansion, right? Yeah. This is a point of confusion for a lot of people who think that the rib cage is an angle measurement. They go, 'Angles 106 degrees,' and it's like, 'Okay, so what?' So, like, every time you have a narrow rib cage. And they're laying on their back, and you're going to do some activity, and they take their first breath in, and then their ribs just literally separate sideways like the Red Sea. It looks like they're about three inches deep front to back and then they just go crazy sideways.

Yes. That's my question. I would agree.

Reduced motor output. So it's not the orientation of the muscle, it's how many motor units are active.