Yeah. It's that. Okay.

That's internal rotation. Yes. Okay. That's internal rotation. Do you understand?

Yeah. Okay. And then one more question, the standing resets. As far as I know, I use a couple of different tools to unweight. I'll use like a side cable load. I'll use a high box just to have them support themselves from. I was just wondering if there are any other ideas on ways to unweight, any kind of special circumstances where you might want to avoid those and do something else for a standing reset. Are there any other ideas that you might have?

But you need both. You need both of those representations because I could accidentally push myself into a position that I don't want to use. So if I push myself too far in one direction, I can promote more bend because it becomes more and more difficult for me to create the internal pressure in the right direction. So if you're too saggy, so if I'm too saggy, so if I sag into the oblique this way, then I create an expansion through the axial skeleton in that direction, which means that when I try to create internal pressure, guts move in that direction, which is probably what I don't want to do because I'm trying to get the guts to go straight down through into the pelvis to create the internal pressure to create the shape change from the inside out. Okay, I get it. Good morning. Happy Friday. I have neuro-coffee in hand and it is perfect. All right. For those of you on the two-week sprint, this is your recovery and reflection weekend. So please make sure you attend to that. Kind of busier Friday than normal. We're going to dig straight into today's Q&A. This is initially from Lalo. Lalo's working with a power lifter that has a little bit of right anterior hip pain associated with certain activities, big deficits in hip internal rotation. Started to use a sled drag as a potential solution, which is actually not a bad, bad selection but did have some symptomatic reproduction. And so we went through a couple of sequences that might be a little more viable under the circumstances and based on the findings that we had with this individual. So a lot of times it's just the direction of the sled drag that we're going to have to use initially to recapture some of that missing intro rotation. Then we can apply it in other directions if we're going to use sled drags as the solution. So it was a really good question and then that led to a follow-up from Zach that led us to understanding a little bit more about the archetype, a little bit about If we group power lefters into a group, we could say that, okay, they're going to drive high force, always under load, very middle propulsive biased. And so when we talk about like, okay, what is the potential of this individual? Where are we going to be working mostly in regards to the propulsive phases? and what is our potential outcome. So again, two really good influential questions for common issues that many people are addressing in the gym. So thank you guys for those. If you'd like to participate in a 15-minute consultation, please go to askbillhartman at gmail.com, askbillhartman at gmail.com. please put 15 minute consultation in the subject line so I don't delete it. Include your question in the email. We'll arrange that at our mutual convenience. Don't forget, go to the YouTube channel and subscribe so you can get all of these videos anytime that you want. The podcast will be up on Sunday and I will see you all next week. What's up?

In my response. Okay. So I'm onto something. Okay. Cool. And the bar seems to work better with narrow, with wide, sorry.

That's one of the key elements in understanding this. It's like they are managing the potential and kinetic energy that we use to move through space.

That's probably a bad thing. But it's a tell. I mean, it's a test, right? I mean, your treatment becomes the test. As you're performing this, you've got the foot oriented into the middle propulsive representation. And then you're kind of moving them around a little bit because you want them to let go and relax anyway. And so you've got to feel like before you do it, you're going to make some small oscillations to make sure that they're relaxed. And as you do that, you'll be able to tell if the knee is free to move. Because again, if you had a screw-homed knee, and you try to do that manipulation, you'll reproduce pain. Yeah, because that's what they're doing when they reproduce a pain in many cases.

Do you have any advice on figuring out your strengths?

It's something like that.

You are so close. Because the muscles compress the sternum down.

What's the same orientation of the lower extreme?

Yeah. Like I said, they're always there, right?

So if you were to grab her ankle and just go like that, would that square the foot back to the ground?

You know what? Hey, here you go though. Same question that we've been talking about the whole time. We're just putting it in context. That's all.

OK. What is a limp for?

Yeah. Have a good day. I'll see you on the coffee and coaches.

Shorter ground contact time, higher jump. That's better storage and release, isn't it?

Right. And so if they're dropping like that, I can expect to see them turn out a bit so that they don't keep turning. They kind of create that space and create the IR to prevent the turn.

Like I'm not pulling you. You're not moving forward under that circumstance. I'm tipping. That's tipping the pelvis backwards, right? So the pelvis doesn't tilt backwards under that circumstance. You're just sliding more forward, right? So the anti orientation has already taken place. As soon as you start to get the sacrum, the base of the sacrum starts to get compressed, as soon as the DR starts to get compressed, you're going forward. You are moving into an anti-orientation. Don't let the visual screw you up.

Get it. Do you see how it's 4D? So you could technically draw multiple representations like different angles and then throw the helices on top of it. And that allows you to identify the spaces within which you have available to you without the capacity to move those helical angles. The goal is to be able to move the helical angles to allow more movements to be available. You're drawing a fixed representation of starting conditions. Do you understand that? That's why when we talk about ISAs and such, I don't give a rat's patootie about what that angle is. What I care about is whether it is capable of moving because that represents my ability to reorient those little lines that you drew on your paper so I can access different spaces.

Hang on. When you're saying back, I need you to clarify what you mean by back. Are you talking about like a mutated sacrum where the apex is moving relatively to the ilium? Or are you talking about trying to recapture a counter-mutated representation?

Yeah.

Morning. Greetings. So I have a specific patient in mind that I'm thinking of and asking this question, but it's something that I've seen with some other people as well. To give context with this patient: a rugby player, very tall and narrow, post-op, labral tear on his left shoulder. He's still early in recovery with significant precautions on what I can do with the left shoulder. From an overall standpoint, he's trending toward end game and subjectively feels healed, but reports a lot of tightness on his right side when moving through range of motion. The main limitation with the left shoulder is external rotation—he's allowed to go to 70 degrees but can only achieve about 40-45 degrees, limited by tightness or pinching in the back of the shoulder. From a range of motion recapture standpoint, I've been queuing the lower body to avoid incorporating the shoulder. I feel like I'm recapturing motion at the hips but not getting the expected response at the shoulder and thorax. So I'm wondering if either I'm not getting the motion I think I am, or if his compensatory strategy in the thorax is preventing the wave from propagating from the foot, lower extremity, and pelvis upward. Those are the two scenarios I'm considering to determine next steps.

So you see where the turn comes from? Yeah. Yeah. So it goes spine, rib, space, then the scapula is going to get dragged with it. Don't push the scap back because you're going to block the turn. Oh, yes. It's going to push you forward.

Right.

Hypothetically, like if I was like... Well, if they have that symptom, then you have a much bigger representation to work with here as far as what symptoms you want to alleviate. It's not just... granted you want the full excursion back, so like if you're doing a median nerve bias neurodynamic test and you get a limitation like you get the limitation at the elbow or you get the limitation at the wrist, right? Number one, you've got an excursion problem there. But if it reproduces a specific symptom, now it becomes a much more useful test because I need to alleviate that symptom and capture the movement or positional representation.

Got it. And then what would you do? I'm assuming that just putting the block between the knees is not always enough to get rid of the posterior lower compression. I've seen some people, it seems like they have to crunch to get there. Sometimes. Is there a way that you could manipulate the position to access a better representation, manipulate the queuing, or is that simply a case where it's like, all right, let's find something else to do? So even like a block between the knees, like they're still kind of doing the thing.

I guess, movement to expand so that you can get into those spaces.

Well, I suppose tibialis anterior potentially.

I see, okay.