OK, so Alex, what do you think the rate of muscle behavior would be in the circumstance that Temus is describing? It would be very, very high. That is correct. So this is a strategy that they're using and that at a moment's notice they have access to because they have learned and they have practiced over time, either intentionally or unintentionally. And so we have a very high rate situation here. Now, let's talk about connective tissue behaviors in general as to how it would behave. If we were training somebody and we did a very, very high rate activity over time. So let's take a power lifter as a representation. We're going to use near maximal loads. We're going to do it with a high degree of frequency. And so what is going to happen to the number one muscle activity capabilities and number two, what is the connected tissue behavior going to be?

There you go. Now do the same thing at the pelvis. You don't have to actually do it, but you're gonna get the same representation at the pelvis. It's a little bit easier to see the thorax because it's bigger.

So the knee, what?

Don't spend money. Don't buy things.

And then here's the maybe. How much load are you applying downward?

So what three things is it?

Yeah, let's go.

And you can tell because you can breathe, right? So we can go back to Andrew's question, you know, where we're talking about context, it's like, okay, let's just, let's just put, you know, 60 kilos on the bar versus, you know, 200. It's like your behavior has to change because the amount of pressure that you're creating is significantly different. Sure. So here, let me throw out a little bit of context, okay? When you're talking about cutting activities, like agility, a lot of people will say that you shouldn't use bilateral symmetrical lifts because you're pushing off of one leg when you're making a cut. And they say therefore single leg work is more specific. And I would argue that bilateral symmetrical activities magnify the pressure that's associated with your ability to hold a position, right? So that as you change direction, there's a point where you got to stop motion, right? Just like everything else. The bilateral symmetrical stuff allows you to ramp up that force and that pressure, because from an axial skeletal standpoint, same position. So there's value, there's tremendous value in high force bilateral symmetrical activities with less relative motion. Because when I got to stop motion under any circumstances, whether it's through a single leg or through two legs, I can take advantage of my shape changing capabilities to produce higher levels of force.

And those are handy. But again, they're certainly not a measurement of symptoms, right? So we always have to take that into consideration as well. So let's think about what you've got going on here. You've got a guy that's got to produce a lot of force. So he's going to live near or in internal rotation all the time. The question is, how does he produce that? Chances are, the higher the force production, the less relative motion you're actually going to utilize. And so that would be normal under his circumstances. So you should expect to see anti-rotation in the pelvis. You should expect to see changes at the ankle and foot. You should expect to see concentric orientation of musculature that produces internal rotation, especially at the knee. Vastus lateralis is going to be concentrically oriented. Short head of biceps femoris is going to be concentrically oriented. What you want to make sure though is that you've got enough, and again, enough is the question mark when you're looking at performance, that you've got enough of the external rotation to capture positions and enough of the internal rotation to reduce force, and that becomes the question mark. So when you start looking at the knee itself, how close to a heel-to-butt measurement do you have? So that's going to give you an idea of how much tibiofemoral internal rotation you have. So you have normal knee bending. So if you have a situation where say you have a femur that is internally rotating to produce force into the ground and you've got a tibia that is remaining in external rotation, you have a mechanical disconnect, so to speak, as far as where you want those knee mechanics to be to produce force. So if I have a tibia that's going external rotation and a femur going internal rotation, you've got a patella that's going to get pulled laterally, which it loves to do, because that's where it came from. So if you have those circumstances, you have a mechanical circumstance that can produce aberrant mechanics during force production. Whether it becomes symptomatic or not, that is duration of symptoms, how severe are the pressures and tensions that are related, and then what is the perception. So again, those are all in play. But from a mechanical standpoint, you want to make sure that you've captured enough of the tibiofemoral internal rotation so that when it does come time to put force into the ground, he's doing it with, I don't want to say balance of forces because balance is variable, but sufficient downward force through the joint versus say a situation where you've got more load on the medial aspect of the femur. And you've got again the concentric orientation of say vastus lateralis that's pulling patella off center. And again, you're going to have a situation where you're going to increase the compressive load of the patella against the femur. Under normal circumstances, there is a higher pressure of the patella against the femur. The question is, is it distributed enough that that's no longer symptomatic? So if you look at the patellofemoral pain research and they always talk about how, oh, the pressure of the patella increases as you go into a deep squat. It's like, well, yeah, it's supposed to, but it's usually very well distributed. But if you have a situation where you've got this rotation across the knee, now you have a focal load that number one, if you think about this, squeeze the blood out of a patella, it hurts. You get an ischemic response in the patella itself. So people come in, they say, oh, my knee feels cold. Or they feel, again, the focal loading strategy. If you've got any imaging, you'll see histories where the cartilage will start to thin in certain areas on the posterior patella. But the thing that I would encourage you to do is to try to give him enough relative motion so he can capture these positions and learn how to distribute load versus making it focal with the understanding that it's probably not going to be a normal situation. Right, and again when you're working with superheroes, it's not normal. Right, you don't want normal because normal people don't run fast and jump high, right? And so you get to know this person over time by collecting data, you intervene to the best of your abilities, and then you monitor these things. But I would say that typically you're looking at some mechanical issues that may predispose some of this load to become more focal. And if you can distribute those, then that's great. You sent me some pictures of the hip internal rotation measures. So be aware as to where those measurements are taking place, okay? So if you do a prone hip internal rotation measurement, what is the position of the hip under those circumstances? So if you've got a pelvis that is anteriorly tilted on the table, I can guarantee you that you've got an orientation into external rotation as you're taking that measurement. So it would be much like watching someone squat and having to move their knees apart and toe out. Okay, so they're capturing a position of external rotation space so they can move into that. And then they produce internal rotation from there. So if you're measuring under a similar circumstance, take that into consideration as to where you are capturing that internal rotation measure. Because if it's not in line with the axial skeleton as would be a standard measure, then you need to be as consistent as possible with how you're measuring. So you know when you're making a favorable or an unfavorable change.

Let me back up. What measurement are you using? So you put something in the right sideline. How do you know you're successful?

Exactly. Exactly right.

So in one of your videos, you spoke about disc prolapses being a yield in the disc. So you're trying to pick up the yield somewhere and then somehow you get the disk and then you get the yield through it. Yes, sir. And I was wondering what, so theoretically speaking, there are people that have the superficial compressive strategy of the lumbar spine, right? And there are people that create that flexion orientation, let's say through lumbar spine, right? Yes. Which ones are more likely to get that prolapse through the disk? Are the ones that allow the yield to go all the way through and sort of yield even to a superficial musculature or those who yield until the disk but hit the constraint of the superficial mass culture?

Okay. Proximal tibia turns outwards. So there's a twist right there. And we're talking about a bony change.

So I was rewatching the video you did on Lee's plyo step in the video where like, like the different quadrants of the pelvic outlet drawn up.

What if I don't want relative motion?

So that creates the shape, right? And as you would be reaching forward with your left side, the left shoulder is moving away from the floor, but the shape that creates is the shape that falls back down to the floor and initiates the roll to the left. Does that make sense?

Right, because I can't really determine if he's also fatigued in any way from the amount of playing that he does.

That's going to limit the early flexion measures. It's actually representative of the posterior lower compression limits the ER and the flexion in front of you. It moves extra rotation from in front of you out to the side. That's what that posterior lower represents.

Not my question. So what is a herniated disc? A herniated disc is a connective tissue delay strategy to slow that side down. I created an expansion in the connective tissues, which is a yielding action just happened to be the disc because nothing else could yield to create the delay. So I had to use my spinal disc to do it. So that slows them down, right? That's a yielding action, just like I would want in a relative motion situation. It just happens to be an isolated one, and then it alters the structure, which can be risky, right? But that's how you get it. So people with an asymptomatic, like the stuff just shows up on MRIs all the time.

Yeah, so he's a wide guy. When you see this degree of forward center of gravity and this degree of compressive strategy where you're losing a ton of ER and IR, I roll these people quite a bit on their sides because the ground expands them anterior to posterior. It makes life really easy, especially when you're not like a manual therapist that typically can lay hands. It's a lot easier to do this stuff. Just roll them on their side. Right away, you're probably going to pick up some ER and IR because of the expansion that you're going to capture. Then it's going to be a lot easier to move them backwards. Then you can do, like I said, your armbar series. You can do cable chops in a staggered stance, things like that, things that unweight him. You want to think about that kind of thing. What you don't want to do right away would be like a side split squat or anything like that where the load is pulling him down. You want to think about unweighting him. So the cable activities tend to be a better choice under these circumstances because they reduce gravity rather than adding to it. And so then he won't be so overwhelming. You'll capture the yielding actions a lot more easily under those circumstances. Then once you recapture that, you make your turn and now you're in splits dance, probably going to be doing some form of front foot elevated kind of thing, again to create the delays. And then same thing, his thorax is the same orientation as his pelvis. So heavy presses, heavy pulls, bilateral symmetrical activities, not going to be the best choice for him right now. It doesn't mean you can't train, it just means you got to be really selective with your activities, making sure that you're capturing turns and not just orientation. So that space between his scapulae, you got to move that back too, just like you're doing with the pelvis. But thankfully, as you're using the extremities in the cable activities, you're going to get some of that expansion. But you're probably going to be looking at something like a high low cable press in a staggered stance, things like that. Things that, like I said, you got to turn them in a very small radius first. Another reason why I like the rolling because it is a very small radius turn, but we're getting the expansion with the floor. Does that help you at all?

And so when talking about those internal dynamics and forces that we have to manage, what are the primary strategies that we as coaches and maybe therapists for you and others have access to in order to try and influence what's going on at that level?

Okay. So if I'm coming down where I would be a sprinter when I'm coming down and basically a four foot strength where the heel never really touches the ground, but it gets really close. And it's the same place. Okay. If I was if my heel was coming up off the ground where I loaded the the heel. Okay. It's gonna be when I hit the heel breaks from the ground as I'm coming down. It's the exact same place. Okay. So it's still mimicking the same action. Yeah, because the forefoot grounded force producing position. Okay, that's when the heel breaks from the ground that that actually takes place.

Is he really tall? Yeah. Yeah. Okay. So he should, so he should, he should appear to be more linear in his delivery because he's got more rotational capability than somebody that's wider. He's still turning, he's still turning, he turns. So, here's the thing: when you have a taller, narrower human being, their turn is much tighter. So they're delivery is definitely more straight line. Is he a left-hander?

So it's just this continuous loop of question, test, outcome, based on this, what is the next step? So you're always, hopefully, refining and evolving. So I don't know if everybody knows this, but you're coming to the next intensive. And so I can assure you with great confidence that your intensive is going to be totally different than the previous one, because there's different people in the room and the model has evolved a great deal since the last one because it's always changing because everything is refined. Everybody thinks that there's one answer and it's like, no, we just keep getting better and we draw it through more filters and we have a better process. And we've had another, so I've had another year of teaching, talking, answering questions.

Correct. Let me give you an example. Okay, so you're measuring traditional shoulder flexion on somebody. The person that doesn't tilt back has a very significant degree of shoulder flexion limitation. So let's just say they have 100 degrees of traditional shoulder flexion, okay? And then you have the person that tilts backwards. So let's just say they have 100 degrees of traditional shoulder flexion. They have about 70 degrees of traditional shoulder external rotation as you would measure on the table, okay? Take the other person, the person that hits the table, rolls backwards, they now have a magnification of those two measures. So even though shoulder flexion may be limited to a significant degree, they might show like 150 to 180 degrees of shoulder flexion, and they'll show you 120 degrees of shoulder external rotation by traditional measures. And so what happens, incorrectly, is these people get branded with that so-called concept of laxity, and that doesn't happen, right? It's just an orientation on the table in this circumstance. It's not looseness anywhere. But if that's the model that I've used, because it is the structural reductionist way, they say, oh, anytime you get an excessive measure because their concept is like, I'm looking through this singular lens, I'm just looking at your shoulder and I'm not considering the fact that ER and IR are systemic measures. They're not isolated to an area until you have the superficial compressive strategies, then they are isolated to that area. That's why the measures suck. So when I have limitation in a joint range of motion of significant degree, that's pretty indicative of that superficial compression, right? Because when I move a shoulder, everything has to move.

Okay. That, okay. And so then the domino effect of what will happen with their ADL and their training will typically follow that superficial musculature pattern.

Okay. So you're taller than me. So it stands to reason that my strategy in your strategy would be somewhat different just because of our physical structure, correct?

Say again.

So under those circumstances, we've got something very, very useful. If I flip flop that, I have somebody that's kind of, you know, those people that look like they're stuck to the ground, they got the two inch vertical jumps, right? Or they have trouble managing gravity, right? They just can't overcome. Now I've reversed the elasticity, so the force is greatest at the level of the box. Now I enhance their ability to accelerate off the box and I teach them to throw their internal organs up in the air. Right. So there's a little bit of delay. So as they get up off the box, now the guts pushed down. So I'm still using the trampoline concept. The bands are helping me get the body ahead of the, of the guts. The guts get thrown up in the air. The longer I can keep my, my guts in the air, the longer I can get off the ground or the faster I can, I can cycle my leg. I have more time to cycle my feet for quickness purposes. So again, I can take advantage of these points where the force is the highest because it's going to provide me an advantage as to what's moving at what rate. Does that make sense?

Well, if you can get to foundational principles or first principles, however you want to state that, then that is the answer. That's how you figure things out because we are behaving and interacting in an uncertain situation, especially like humans are complex, everybody while similar has their differences. And so we have to apply a principle and then that's how we make the next decision because we are dealing with uncertainty and we're playing probabilities at all times. All the time. Cause you don't know what the outcome is going to be because every outcome is possible at any time. Okay? All of them are possible. Different percentages are in play. Your job as you evolve as a professional or as a practitioner is to learn how to narrow the probabilities in your favor. But let's just say you've got an 82% chance of being successful with what you have decided is the appropriate action. And then there's an 18% probability against you. And guess what? It didn't work. So it fell into the 18. That's not your fault. And that doesn't mean that you made a bad decision because you made a principle based decision. It's just that something else that you can control or didn't account for interfered and shifted you into the low end of the probability scale. That's all. And that's a tough one to take because we emotionally invest in everything that we do. We want to help someone or we want to be successful too. Let's not take that off the table. It's like we have emotions too that we invest in these things and we want to be right. Everybody likes to be right because it feels good. But you have to understand that every time I interact with somebody, there are things that you don't account for. And we call that luck. And so luck really does exist. There was a long period of time where I said, where I was in denial about that, right? It's like, ah, ah, there can't be, there is luck, there is luck, but luck is just those things that either we can't see, we can't account for or just totally ignore that does interfere with the interaction.