One more clarification point if you don't mind: I want to ask questions slightly differently to maybe get a different answer. If I'm trying to create a delay on a certain side, does the activity that I choose have to have an early propulsive bias, or does the activity just have to be earlier relative to where they are in space?

I think when we have our call.

Do you think that maybe I could reduce some of that IR and maybe pick up some ER in the process?

You know what I'm talking about?

No.

Exactly.

And again, that's going to help us start to capture this little bit of rotation. And again, we're going to sort of move them through a gait cycle. We're going to go from one chop to the other in a reciprocal fashion to recapture this eccentric orientation. Once we start to gain some hip abduction, we gain a little bit of hip rotation back. Now we can move to a bit of a staggered stance, chopping activity, and then we can move into like a high low cable press. One of the things that I like to do at this point is I'll just call it sneaky arm training. So we'll actually have them do biceps and triceps activities, if you will. But what we're going to do is going to be very particular about what stance they're performing these in. And so again, we get to reinforce what we're chasing with this concentric eccentric orientation in the posterior lower aspect, while they get to do fun stuff, if you will. As you start to gain hip motion, obviously, now we can move into split stance activities. And ultimately, what we want to be able to do is move into a deeper side split stance. And this would be indicative of the fact that we've got plenty of eccentric orientation at this point. And then ultimately what you may want to be able to do then is move to some form of toe touching, some kind of progression in that manner. And then ultimately that might be what you use as a maintenance strategy. So again, this is a really, really difficult scenario because of the degree of concentric orientation and the compressive strategy that goes on, take your time, be patient. You have to be very, very patient in these scenarios. But again, work with what you have, work within the constraints, don't force, don't drive compensatory strategies too hard, because it just becomes a point of frustration.

Right. Well, the whole experience of watching your YouTube videos and struggling to apply it with my clients over the past year has been illuminating in terms of what learning actually is. Because it's not just reading things. Especially for this, there's no way that you could possibly learn everything just by reading something. And I guess that's kind of the cookbook analogy. It's like there is no cookbook because you have to take that and then make something.

Right.

Like my question is how exactly does all of that work its way up the chain in terms of getting those early propulsion mechanics at the pelvis and the pelvic diaphragm to get those expansive qualities.

Yeah, and you wouldn't do the same thing for Della because, again, those strategies create expansion, which is creating space for movement, not force into the ground. So any expansion that you create is movement away from the ground. Movement away from the ground doesn't allow me to push into the ground. So when you're bench pressing, your back is pushing into the bench. When you're squatting or deadlifting, your feet are pushing into the ground. Anything that I do from an external rotation perspective is to acquire a position to allow me to complete the activity as desired. You ever notice that the longer somebody lifts, the more they shift towards a sumo presentation? Yeah, there's a reason for that because that's where extra rotation is because I got to get down and get the bar. I got to start from somewhere. So there's a certain technique that I have to use to perform the lift. So there's a tendency, not for everyone by any stretch of the imagination, but there's a tendency for guys to slowly move their feet out farther and farther because they're compressing more and more, and extra rotation gets farther and farther out that way, and it becomes smaller and smaller for me to acquire. So the principle is applied across the board because the end goal is force production. How do you produce force? You squeeze. Based on what we would call bench, squat, and deadlift, right? There are certain positions that you have to acquire to make it an official lift, if you will. And so that's the shape I need to be able to acquire. But the principle's the same.

So the thorax is still anteriorly oriented, but because of the position they're in. I took you from an upright position to lying down and there's enough motion for it to just fall, literally. You're resting on the shape of a thorax that is sort of V-shaped and you're balancing on that point with two choices: either you tip one way or the other. If I create an arch, which is internal rotation, I magnify the internal rotation, but because of the constraint of the table, I can lay it back like that. You're still anteriorly oriented relative to the axial skeleton, but relative to the surface you're tipped backwards. Does that make sense?

So that is always the hardest part. It's always the hardest part once they get this sensation. Now you have the vocabulary where you can have this conversation. You can say, I need you to let this tension go, because they don't even know they have the tension. They don't feel it. You just have to give her that sensation. Okay.

Right. Just to work with that. Yeah.

That does work to a degree. So it's not a useless model. It's just probably not close enough to reality. It runs out of usefulness too soon, if you will, as far as providing a solution. Because the minute you expand that space back there that you just compressed with your latissimus dorsi, your motion comes back and you eliminate what would be diagnosed as an impingement.

Okay. And then I posted a video, a link to one of your videos about a right oblique pelvis. So I was wondering if the strategies from that video apply to a left oblique orientation or if they would be different.

It's tipped up like this. So if this is straight, it's up and over like that. OK. So this is how you get into rotation. So you push into rotation downward in this direction. OK.

Okay. There you go.

Do you think that I experiment with my clients? Yes. Absolutely, I do. Because I don't know what the answer is going to be. This is one of the things people have to get comfortable with. So this is a byproduct of working in the complex domain. The complex domain means that there is a cause and effect, but we just don't know what it is. And we can sometimes figure that out after the fact. That's why I always say, test, figure out what you're looking at from your perspective, and then do something safe, and then see what happens. Because I don't know what 'see what happens' is. You don't either. That is a byproduct of working in complexity. Because I don't know what anyone's experience is up to the point that they start working with me. It's like they've lived a life. They have perceptions. They have beliefs. They have behaviors. I have no idea how that's going to influence the outcome. If somebody doesn't like the color of my room, I'll fail. I might not know it's the color of my room, ever. But what if it's that? I don't know. Trial and error exists because it's very scientific. Over time, though, instead of having only two possibilities of influence, you're going to say, I have 12 possibilities of influence. My experience tells me that these three over here are more likely to get the outcome that I want. But what if those three don't work? Then I've got nine other possibilities that I might be able to influence that I can slowly superimpose and say, I'm going to do this one and see what happens. I go back and I wait and I go, 'Oh, that's exactly what I wanted. I'm going to do more of that.' Or it doesn't work. Okay, take that one out. What's the next one? That's when you know what you're doing. That's how you work with a complex system. I'm narrowing probabilities and I have to try to understand as many possible influences as I can. 27 years from now, when you're on your Zoom call with your people, they're going to have the same problem because they've been looking at the cookbook and the recipe said do this, and then the recipe didn't work. You're going to say, 'Oh, well, there's 37 things now.' These six will be the ones that you're probably going to want to do under this circumstance because, based on my experience, it's more likely that those six are going to be providing the outcome that you're looking for. You're starting at a higher level. That's why I gave you 37 instead of 12.

No.

For example, under normal relative motion circumstances, it's not [the midfoot that produces IR]. Under these compensatory circumstances, well, I mean, both it's, I mean, the IR is the downward force. The resultant behavior is going to be, in this circumstance, non-relative motion, which means you've got to bend stuff. You've got to bend tissues.

Put the right foot forward.

Second question. Can we go over utilizing elevating the forefoot or the toes versus using a ramp for a lateral lunge? In my mind, both are strategies you can use to acquire an IR representation, but can you give two examples of why you might use one versus the other?

Okay, do you think you can take a normal breath under the circumstance? That would be an easy way to do it, right? The other would be it's like, okay, I have a KPI that I'm going to utilize to determine my success with the intervention, like what is the influence on the KPI? So if my goal was to gain ER in this activity, right? And I don't or I see a decrement, right? Then I created the interference, right? I went too long. I gave them too much medicine, right? It's like, well, how much time do I have? What's the most important thing? If I got a kid for a year, I got lots of time. I can start to spread this stuff out to a certain degree, but you always have something that would be primary, something that might be on maintenance, and then something that you're trying to prevent the decline of.

So just run the experiment in clinic.

Okay. Do you have a do you have a water bag to work out with?

Yeah, like somewhere. It's a technical term for those of you that don't understand. It's the funny spot. Yeah, no, but it is. It is. It's absolute. So think about this, Cameron. Here's the rules: There has to be a place that absorbs the energy. There has to be a place that it's released. The shapes determine what direction everything goes. And so that's always been the goal is like, I got to make sure I get the shapes right so that the energy goes in the right direction. It goes to the right places where I can distribute it, utilize it, and then redirect it. I'm still going to do that under almost every circumstance. The unfortunate thing is I might be having to lock certain segments together. So that is my loss of relative motion. So now I have a substitution for that relative motion, which means that something else has to move that may be less than ideal. So let's just say that I take five segments of the lumbar spine and I jam them together with an orientation and then they start to behave as one. And instead of having relative motion between the segments, they bend.

Got it. That's cool. I'll do that.

Soleus attaches a little bit more medial on the calcaneus to the gastroc. And so if you have concentric orientation of posterior lowers, right? So thorax, pelvis.

So, does he need more frequency than a starter that would pitch every five days? Gotcha.