Take a tube of toothpaste. Squeeze the top of it instead of the bottom. Which way does the toothpaste go? Down. So if I keep squeezing and squeezing, you're gonna go down. The harder I squeeze that space, the more down I gotta go. That's basically what Terry was doing—he was doing activities that were squeezing that space. The harder and harder I squeeze, I gotta find a way to breathe in. Cause those are all exhalation strategies. Are they not? You got an older brother?

Okay. So number one, no gradient, no movement. You understand that? Okay. So I want you to think about creating pressure in two directions. I can squeeze your front to back and that would push down. Like reversing a tube of toothpaste. So when I squeeze you from the top of the tube of toothpaste, toothpaste goes down. That's an outlet that's expanding towards the ground, which makes it harder for you to stand up and lift weight. The outlet has to be able to push up for you to stand up with a weight. Start with the compressed representation. You are already at deficit. It's very difficult to push up against that. If that is the strategy you're going to use coming up out of the bottom of a squat or pulling off the floor, it will be very, very difficult because you have to overcome the inertia of the weight and then you have to reverse the pressure that's trying to stick you into the ground at the same time. Now, take the pressure away. Take the AP compression away. I now have expansion. With my first move is the upward pressure of the outlet into the expanded representation. Now I push up with the outlet. Now I squeeze. The outlet won't go back down, and guess what happens to the outlet? It keeps pushing upward, and now I am stronger. Gotcha. So it's like what moves first? Did I squeeze myself front to back first and push myself down? Or did I push up first with the outlet into the expanded representation and then squeeze to push up? So it's like what direction is my outlet going as I squeeze? Because you have to squeeze to stand up with a heavy load, but I want to make sure that everything's going in the right direction under the circumstance. So in both cases, I have AP expansion. Under one circumstance, the outlet is giving way and it's sticking me down into the bottom of a squat or sticking me into the ground. The other instance is helping me push upward. You see the difference?

Right. So, post your lower expansion, always an issue that gives you the potential for middle propulsion and standing because that musculature has to change its orientation from concentric to eccentric for you to even access the foot position. So right off of that, you got some place to start.

Right. She can't turn inward with internal rotational relative motions to push into the ground. She's got to do it with the lumbar spine or like, so she's twisting your lumbar spine to get the external rotation that she does not have in the hip. Okay. And then she's orienting forward to push down. But in doing so, those two moves take a lot of time. And we're talking about relative motion here. It's like she's incredibly fast. If she was running past you, you wouldn't even be able to see this difference, probably. You might be able to hear it. I don't think you'd see it.

It was the perfect segue, Teya. Thank you. So I guess my question is about Bunyan. Now that you guys were talking about how the toe is where it is because it's grabbing, now I'm trying to understand: is that literally why? If I remember correctly, that's what a bunion is, right? It's like a toe that's trying to grab the ground.

Yeah.

Okay. Early internal rotation. So if your arms are at your side, you're chopping off your legs. You're going to walk on your hands. Okay.

Hello. Okay. One is 95. So that's a side question on.

I like that term. I'll take that. It manages the position, right? So it helps control the amount of rotation because think about this. If you get too much internal rotation, you shouldn't have to think about that representation. What if I get too much? Now what happens?

You stole my joke. I was going to say you probably just think it is, right?

Well, I, for, in, based on the circumstances that you're describing, I would think you would want to put her in an early representation to start, which would be a split stance or a stagger or something like that.

There's a stopping point.

All right, cool. Thank you.

Stop right there. You're describing anterior orientation of the thorax.

Hang on, boss. Hang on. In your mind, put yourself on your back and then have somebody pull on your leg. Okay. What will be, where will the movement be distributed? The whole right leg. Is it attached to anything? the whole body. Okay, so if I'm trying to create a focal shape change, like a very targeted shape change, I have to put you in a position that has limited motion where I don't want the motion to take place if I'm trying to emphasize an element. So I was talking about the femur. Okay. I'm trying to promote a shape change in the proximal femur. And I put you in a position where the load would be distributed. What's the difference between prone and supine? In regards to like the posterior elements of the hip and the actual skeleton.

Because the connective tissue stiffness will be one of those constraints.

Cause it's the wrong place to expand. Yeah, it doesn't mean that that that I might have to work on the sacred base expansion on a wide is a right because they have it to it's just a smaller representation than it would be on somebody that would be like a narrow is a that has a much stronger bias under that circumstance.

Okay, so what I'm saying is that you're going to have normal mechanics that will last longer. I will have that normal representation that will last a little bit longer. So if it was a wide ISA with a bunion, it's going to be the superposition of the late representation that's going to create the bunion because they have a middle representation where this twist is taking place under normal circumstances. They're going to be driven so much harder into the late representation to create the bunion. All right. Are you following? It's because they're going to go through middle under normal circumstances, so they get a normal rotation, but as they get pushed further and further into late and that heel starts to break from the ground more, they get the ER coming from heel to toe. But the toe is going to stay down longer. That's what's going to create the bunion representation there.

Got it. And what I've seen is with the AFO and starting with just a step two pattern, instead of a step through, they're able to manage that extensor thrust. I've done where, all right, take a little bit bigger step now and just pass your toe with it.

So you're pulling the knee outward?

It's to create a fixed femur representation so the pelvis can move. When you put something between somebody's knees, it's so they don't pull their knees apart and do what I just said. So they don't push your leg oriented. So they don't increase the concentric orientation. It's not about magnifying the muscle activity. It's about reducing the muscle activity.

Let me give you a hint. Greater trochanters to heal the lateral knee in contact with the surface is the first met head. If I was going to do heels elevated, what would it look like? You know, no obliques.

Correct. Early interrotation on that left side. This is the lead leg on a split squat. That's an early representation of internal rotation as I descend. So we're talking about left leg early.

Well, so some of this is just straight up biology. You've got structural biases that create limits on what is possible, and other influences that alter those things that are changeable. I use dirty words because this is how it's worded in the literature. So this is not me saying this out loud, because I'm going to get a little sick to my stomach. There are structural constraints—that's what you're made of. And then there are functional constraints that change to different degrees and at different rates. A functional constraint changes very, very quickly; in some cases, instantaneously. Case in point: you're walking through the house, somebody jumps out from behind the corner and goes, 'ah,' and you go, 'ah,' right? And then your heart is immediately going really, really fast. You might break a sweat. You might react and punch somebody in the face by accident. So that was an instantaneous physiological change. Those are the ones we mess with a lot because they are changeable that quickly—that's as fast as electricity can go. Those are the things we see that when we alter muscle position, that can be very quick. Joint position can be very quick. Sensory influences can be very, very quick. Structural constraints can take a very long time or not change because there's a limit to how much they can change. So you have to look at the influences of both. The neurologic phenomenon you're talking about is relatively, and I honestly, relatively fast-changing. So if you were to try to learn to play piano, do you play piano?

Okay. So, you're just a little bit heavier on your forefoot. Okay.

Yes.

Yeah. So, so I know in the past we've talked like, let's say you've got a significant bilateral and your orientation, um, before like we even think like not even saying wider narrow, but before we think about moving this like back, right? Whatever it's right. Correct. You have no public relative motion. You have to specify it to a narrow now or their center of gravity is over the right side. But they've got a fairly significant anterior orientation on the left. Is there a scenario where you might have to just reduce that anterior orientation on the left first to just before you move them back to the left, like push from right to left because they had no space? Does that question make sense?

Um, okay. Let me, let me, let me cut to the chase. Sure. Was that a knee emphasis activity?

Right.

Okay, and do I want the sled to be pulled from the hip or should I hold it in hands?