Do you think so it would be more of like a mid-range block position.

Okay. So let's do a quick rundown of potential influences that would prevent it from happening. That's kind of where you want to start with your foot. It's like, okay, if I need the subtalar joint to move the foot into the mid-propulsive representation. So there's inversion bias, traditional pronation, that kind of thing. Okay. There's a big muscle right off the bat that's going to be problematic. That's going to prevent the calcaneus from moving in the appropriate direction.

So, that's endurance training, right?

OK. So if you were measuring in a traditional manner relative to the table and you're measuring a hip ER, do you think that she has that early representation of extra rotation on the left side based on this representation?

Yeah.

And it has before.

You're going to spend most of your time trying to get a true external rotation representation back in the hip. Okay. And then reducing the anti-orientation. And then she's probably going to be a pretty happy camper because I think not only will you alleviate symptoms, but most likely you'll get a bump in performance too. Good morning. Happy Wednesday. I have neural coffee in hand and it is perfect. All right, all wacky Wednesday. So yesterday I was attempting to post a 16% video and my Instagram account disappeared. We're not sure what happened. Might have got hacked. Instagram may have deleted it. Right now they're not being too kind in regards to any access for yours truly. So we're not going to worry about that. For now make sure you're subscribed here on the YouTube channel so you get notification when we post new content, and this will be the primary location for video for now. I would also get yourself signed up on the mentorship list. So go to any post on billhartmanpt.com and get signed up on the mentorship list. We're going to try to pump that a little bit more. So maybe this is a really good thing for everybody involved here that we'll get a little more direct contact through the YouTube channel and the mentorship newsletter. Digging into this Q&A, this is a combination of Dale and Matt. It starts off with concerns over some elbow related issues, and we made a comparison here between how we'd address hip, knee, foot relationships and now we have to address that in the same manner in the shoulder, elbow, hand. We were talking about lateral elbow pain specifically, and typically what you're going to have under that circumstance is an orientation where you're going to have a little bit too much proximal external rotation in the forearm. We have to address that first. This is concerned about hand, shoulder, and elbow position as we're executing activities to address recapturing the internal rotation at the proximal forearm. This led into a discussion about hand position and grip that we also brought Matt in on near the end of the call. It's going to be useful for anybody that's dealing with some elbow related issues, especially lateral elbow pain. I would also point you in the direction of some of the simple solutions here on the YouTube channel that will also help you select some activities that may be useful. So thank you, Dale. Thank you, Matt. Hang in there, we'll kind of see how this all plays out. Don't forget tomorrow morning at 6 a.m. for the Coffee and Coaches Conference call as usual. I will see you tomorrow morning for that call as well. Have an outstanding Wednesday and I'll see you tomorrow.

Good morning. Happy Thursday. I have neuro coffee in hand and it is perfect.

Yeah. If only.

You are?

You ever do a biceps curl?

Yeah, yeah, that's an oldie. That's an oldie.

Okay, so hang on. This is real simple. This is like crazy simple. Look at the orientation that you started in. If he was just taking a straight old step forward with the right leg, you got energy that's coming up from the ground through the right foot into the lower extremity, towards the hip. Where's it landing? Like it's following. So look straight down through the femur. Straight down, like from above in your head, look straight down through the femur and then straight down through the tibia. Do you see the corkscrew?

Good morning. Happy Wednesday. I have neuro coffee in hand and it is perfect. All right. Coming up on a busy Wednesday, quick reminder: 6 a.m. tomorrow morning, coffee and coaches conference call as usual. Grab yourself a cup of coffee, join us for some Q&A, great people, great questions, learn a little something, get your Thursday off to a great start. So again, coffee and coaches conference call 6 a.m. tomorrow on Zoom. Link will be on my professional Facebook page just prior to the call. Digging into today's Q&A, this was Matt. Matt had a great question on pushups. I think it did. Pushups are one of those exercises that is prolific but done poorly in many situations. Number one, I think it's misunderstood as to what a good pushup should be. And number two, I don't think there's a strong recognition of the compensatory strategies. They're a little bit more difficult to see in the upper body than they are in lower body, especially when we're talking about orientations of the thorax. It's usually easy to see the orientation of the pelvis because we've got a much more limited representation of what is possible because the pelvis is just a little bit stiffer than the thorax. So again, some of these things are difficult to identify, but we break those down pretty good as far as what we think should be happening in the pushup. So thank you, Matt. Great question. Appreciate it very much. Everybody have an outstanding Wednesday. I will see you tomorrow morning, 6 a.m. Coffee and Coaches Conference call.

There's a change of angle as to how the internal rotation propagates. Very good. Good morning. Happy Friday. I have neuro coffee in hand and it is perfect. For those of you on the two-week sprint, this is your recovery and reflection weekend. Make sure you are on point with all your goals and aspirations, and you are making progress towards them as appropriate. Digging into today's Q&A, this is with Robbie. Robbie was questioning some of the approaches on how to alleviate some of the concentric orientation that we talk about. All of these superficial muscle strategies tend to be biased towards exhalation. We're trying to create expansion where we've had compression. But there are some issues associated with that, that if you don't have a practitioner that can help you with manual therapies and such, then we have to come up with strategies that will allow you to do this yourself. And so this is why we use ground contacts. And then some of the associated tools, such as foam rollers, lacrosse balls, et cetera, using some of these techniques, we can actually reduce some of this concentric orientation and then allow us to promote the expansion, create a gradient, which then allows us to restore relative motion. And there's a little kicker at the very, very end—a very, very important point. So make sure you watch this video all the way through. Thank you, Robbie, for leading us in this direction. Podcasts will be up on Sunday. Everybody have an outstanding Friday. I'll see you next week.

Just took me an extra question to get there.

Okay. So it's slightly ER relative to the femur in that. Yes.

That's why I call it exercise empathy. It's because the number of times that you have seen it and done it, you know exactly what they're feeling under the circumstance and that's how you communicate with them. And so you can tell, right before they apply that impulse to the ground at the second pull, that position is going to determine your exercise selection.

It's a concern because again, she's got to create a delay strategy, doesn't she?

They're creating a delay of very- 1,000%. Because they don't have the muscle activity to control, absorb.

You see the same compensatory strategies, right? So the force is too high. Quadruped is a leading resistance just like everything else is, right? But it could be the wrong choice. But if I take you from all fours and put you in a sideline position, maybe I can actually produce the yielding behavior. I can start to produce a turn that I couldn't produce when I had you in all fours just because the intensity of the activity is sometimes just too difficult for a lot of people because they have to support themselves through their upper extremities, which they've probably never ever done.

OK. So if you maintain, take two fists and put them between your knees. Okay, and then just gently squeeze and you'll feel like your inner thigh activity increased, right? Okay, now I want you to drop your pelvis back into a posterior orientation, right? And it's gonna feel like you took some pressure off your fists to do that, okay? OK, now squeeze your knees together and you're gonna feel more butt activity as you're squeezing your knees together at the same time. So approximately you're increasing the ER. Even though you're squeezing your knees together, you're ER-ing and then pulling your knees together. And so you've got way too much extra orientation represented. So you cannot produce the early representation of intro rotation. You're actually creating a late strategy in the posterior lower, which is not what you want.

Pops up? Yes. That indicates a lot of external rotation, my friend.

You're trying to teach the late representation on the right side. On the right side, I'm trying to capture the early representation on the left by going right to left.

Do they breathe?

Sure. You want to do it?

So her lead side is the side that is absorbing energy from the ground. So the internal rotation is going up. If we're in a right foot lead, it's coming up through the right side. Rear leg, IR is going down. Yeah. Because that's the more propulsive oriented leg. They're both they're both propulsive. One is early, one is late, the distinguishing characteristic being the absorption of energy on one side, the production of energy on the other side. Okay. So again, so this is the connective tissue behavior in play, right? Because we've got ER representations on both sides. At the beginning, IR representation in the descent, if you will, if we're still talking about a split stance, just to be clear.

Gotcha. So maybe it's even going higher than the one March one. So presumably if I've got a narrow ISA that's showing a decent gradient of more IR on the left than the right, you could say they're just further into compensation land.

Now take your rib cage and your pelvis and turn it towards the floor. There you go. So now you got in, you got internal rotation on external rotation. Do you see that? There you go. That's where you need to get people. That's where you need to probably, probably get Dante.

Okay, I had one of those yesterday.