We'll wait.

I would be in the right hand.

It's my understanding of how we learn movement and its relationship to correcting postural issues. We have what we call, though not really normal, but 'normal' as an end game—a whole range that we go through. My understanding of learning movement is: let's take learning to ride a bike. My upper motor neurons and brain work together with lower motor neurons in my spine to create that pattern. Once created, central pattern generator neurons in the spine and lower motor neurons work together to repeat that motion. So we create a pattern, just like we would for squatting or anything else. Over time, that changes due to positions we assume as we approach the end game. My question is: when making corrections back, are those neurons involved in that change? This is why it takes so long to make changes. Everything we try—like sled dragging for external rotation or internal rotation—seems temporary even without true interference. I know there's always some interference, but I follow the 23-1 rule: one hour in the gym daily, and I try to maintain integrity through the other 23 hours. I'm wondering how this all works together in your model.

I got that.

Perfect question. You're working on the jerk today. Lead leg versus trail leg. There's the difference. Where are you having the greatest issue in capturing the internal rotation? So if you were seeing the ERD compensatory strategy on the lead leg, that would be somebody that's having trouble capturing the IR from the ground up. Under that circumstance, I've got to make sure that I got a femur that can direct the force from the ground to the center of the pelvis. Otherwise, as that force comes up, it misses the pelvis and it goes around the outside of the hip instead of going straight up into the pelvis, which is where you want it to be. So, again, under that circumstance, drop the belt a little bit lower and you want to emphasize trying to move the femur into the IR position to promote the shape change approximately. If I had a trail leg issue, let's just say you got a left foot lead, right foot back jerk. This is the person that is opening the pelvis too far to the right, or their knee is deviating away from a vertical position or their back foot is turned out like they pivot out on the ball of their foot to capture their jerk. Under those circumstances, slide the belt up and get the ileal shape change. That is gonna be a proximal shape that I gotta drive down into the ground. Do you see the difference between the two?

Yeah. But again, that gives you your big clue. It's like, okay, this is kind of a big deal. Lexa, what's the temperature? You might want to. It's 71 degrees. There we go. Thanks, Don. What is the temperature, Don? Listen up. Okay, so you've got to think about how you're going to reorient this person, right? To get the left side of the pelvis to reduce its ante-orientation. It's like, I got to bring them all the way over, right? I got to move them from right to left as the priority. Then I can bring the left side back. You see it?

What joints?

The closer you get to the floor, the less you're going to have full foot contact. However, you still have foot contact.

Well, again, but the thing that you have to be careful of is that you're not creating the orientation when you go straight into the right leg. I would take him backwards first because you're going to create the pubic rotation that gets him the internal rotation back.

You talking, but see, you talking yourself through this has just helped somebody else understand this a little bit better. Because they have the same thought, they have the same question, right?

And my assumption is I need to start trying to pull them back on the right because they're pushed forward.

Yeah.

No, I can demonstrate it. That's one of the best ways to figure it out.

I'm not passing judgment on your exercise selection because I wasn't in the room. She's already deadlifting 500 pounds and then you're going to have her deadlift more.

Okay. Yeah. Okay.

Yeah. I think that was the crux of the original question: just figuring out the transition from internal rotation on the table to how we put it in weight-bearing.

Got you. Okay, yeah, that was my hang-up because I was starting to see where there would be a bias towards anterior compression or posterior compression, but then I got lost when I thought about shrugging. Yeah, yeah, it was fairly simple, but I don't know if the rule is simple.

No, on the last day she didn't complain of any pain. We were able to get both of her hips to a negative Obers test. So we got all of that range. The lymph is starting to clear up. I was doing kettlebell carries; suitcase carries look a whole lot better when she holds it in the right hand versus the left. It's bad when she holds it on the left, like she'll swing her right arm to try to balance out, and it makes the limp worse. But when she holds it in the right hand, it almost looks normal. So I'm not sure if I should do more right-handed or find the weights. I want her to get good at both.

They would accelerate into the ground. So they're trying to slow down their descent on the way down if their knees are coming in. So their innards would drive them down into the box too fast. So they have to create more IR to slow down.

So yeah, talking about the leg spring, is it in early, as you move through middle, like you get the sequential like tick, tick, tick of the IRs as it goes up the leg,

Right. So that's why you have to sort of pay attention to what you're doing. Let me ask you a question. Do you think it's necessary for that knee to eventually be able to go through a late representation?

Well, okay. Again, go back to your starting conditions. So you see where they came from. And then you construct it, right? If they're in a late representation, that sequel base is getting pushed forward, my friend. It's like, you don't have a choice. You don't have a choice. Yeah. Yeah.

True.

Cool.

Okay. So you're going to have to take it away from her temporarily. Because here's what's going to happen. She'll have the surgery. They're going to fuse it. And then she's going to try to ride horses again. Now you're going to have an altered constraint where she doesn't have the adaptability to even get on the horse. The conversation that you have is we need to take the horse away from you for a while because it's the only chance that we'll have to do this without surgery. And then maybe you can get back on the horse. If they fuse your spine, the maybe window is smaller because she won't have the adaptability. But like I said, you're going to have to drive early, early, early, early, early, early, early. You're going to have to make a knee orientation. You're gonna have to make a knee orientation change. You're gonna have to make a foot orientation change. You gotta make, again, you gotta go boom, boom, boom. You gotta get them all. Because again, this is not a low back issue. It's not a low back problem. It's a low back result. It's like I took all of my early strategies away to get on the horse. You gotta get them all back.

Okay. So I need to be able to turn the scapula, don't I? That's what's going to get you your ER back. So it's not that you might have early scapular capture of hip range of motion, but you're not getting it at the shoulder. You're going to have to turn the scapula. You're going to have to get dorsal rostral expansion. So that side starts to delay. Under that circumstance, if the scapula is turning, it's going to be an inhaled representation, correct? What local musculature will prevent that scapula from actually turning?

You mean I go even with my rib cage as well? Yes, yes.

Right.

I like that. And then in the past, like when trying to teach this, before I kind of like started looking at things through this lens and the model, I used to kind of like take like bands over either shoulder. So it's like, again, probably increase the rate almost thinking like, all right, well, if I increase it beyond what gravity is normally, then maybe like once we put them back in just like a gravity environment without the bands, it'll be easier for them to resist that. So now what I'm thinking is, yes, I'm probably gonna increase the rate, which maybe they're not ready for, but I'm also starting to think like how the guts might play into that. And I guess I've conflicting thought processes on the guts, like why it might make it easier or tougher. So I guess the momentum of the guts is going to, I guess the momentum of the guts is going to make that tougher because it's going to get, it's going to increase the rate on it once it catches up. Without diaphragm.

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