Perfect. Is that internal rotation?

What would happen in that case with the stance, so the right foot that's on the ground? And with the left arm, would they sort of have to ER? Sorry, ER and that relative to the other.

I did.

Yeah. And the effect on connected tissue.

How do you go about working with, when you've got like six weeks or 10 weeks, a minimum amount of time with someone, like you can have a young kid versus like a geriatric patient, they might have the same measurements. How do I go about like, okay, I'm going to load that person versus I'm going to work on relative motions. Maybe they're elite athlete. Is it, cause my, I don't want to broaden make up population. I want to treat it like n equals one, but like when you only have that limited amount of time, how do you differentiate and go about that?

So I guess staying on that topic then, let's say for an instance type situation or have someone present where they're on that sort of right oblique angle and then they've been pushed forward far enough at that point. So now they've got a loss of early hip flexion here, IR, much greater on like, let's say the right side than the left side.

Here's some professional athletes. There's nothing average about them. They were gifted by the gods to do what they do and so we can't use averages to represent them. We can use it as a comparator when you and I are working clinically with normal human beings. We can use it as a comparator when we want to identify someone that has moved towards a position that allows them the greatest adaptability. We're talking about performance and things like that. We want reduced adaptability because if we have full adaptability, we've just extended their needs to produce energy or whatever they might need to do that takes away from their superpowers. So when you measure somebody that is skewed towards one end of the spectrum, so to speak, all you're doing is looking at somebody that is gifted in some way, shape, or form to have that representation. Right? Like I said before, it's like, okay, maybe I don't get this person back to average, but I should be able to make them changeable enough. If we're dealing with pain related issues, that's going to be the best way for you to allow them to figure out the best way to alleviate those symptoms.

Yes. That is absolutely correct. So, the sacrum tilts forward and the tibia goes forward. When I hit the bottom of the squat, the sacrum counter-nutates. The tibia follows it back. That's how you know when you're watching somebody squat whether they have relative motion in the sacrum.

So there are many pieces and parts.

OK.

Oh, I don't, I'm going to say I teach it. well, just out of my ego.

Right. Absolutely. Absolutely. Yep.

Yeah. Yeah.

So at its core, this is like biasing a different phase of gait, just about like manipulating the center of mass relative to the extraordinary positions.

Yes, I am. Well, as long as you keep paying me, I will keep giving you the last call of the day.

Okay. I just want to make sure that you're understanding.

So we will try to formulate something that is useful and then maybe even entertaining for somebody else that there's probably going to be like six people that are going to be interested in this call. You know or it's going to be like really cool. You know what I mean? It's going to fall into one of those extremes.

It was back squat and it was coming into a cut.

So, if we look at, if anatomically speaking, if we look at piriformis being right, kind of like right there. Okay, so I'm going to do it on this side, because I'm a better look righty than I lefty here. All right, piriformis is right there. It's actually on the front side here. So if piriformis runs roughly, like if you were trying to find piriformis on a human being, you would say, where's the greater trochanter and then where's the PSIS and you draw the line in between them. So if I contract piriformis, what's going to happen?

Cool.

Well, again, so anytime you feel what you would perceive as that side bend to the right, that's internal rotation. That's an attempt to acquire internal rotation because you don't have access to it at the hip joint where you would probably want it. So you have to acquire it somewhere else. So you have to create a downward force under those circumstances.

What they seek is understanding and they want to know that they're going to be safe. So calling something a diagnosis tends to put it into this clear, obvious category for a lot of people from a thought standpoint and that's comforting because obviously if it's clear and obvious then there's a way to get rid of it or a way to resolve the problem. The goal then is to explain what the possible outcomes may be and how your findings and interventions may actually influence all of these possible outcomes. So again, I've actually had situations where people will come in and we kind of chuckle about this but they may have sprained their ankle. And they might be 40 years old. They've never done anything physical in their life. They've never had a painful situation. So they don't know that the ankle sprain is actually resolved and you can walk normally again. And so in that situation, their reality was like, I've never felt this before. What does it mean? I don't understand it. And we give them that understanding and we can immediately put them in these saying, oh yeah, this thing usually resolves in about six to eight weeks. And in many cases, you go back to normal life and you'll forget about it. So again, keeping them safe and maintaining a continuous narrative as you go through the process is very comforting for them. So we'll do this with how you execute and provide instructions. So whenever possible, you have them, you give them a situation of cues to provide internal awareness or an external reference so they can have an element of control and that provides them an element of that sense of safety as you go through the process and you just keep them aware of what's happening. And so again, Tim, I think that you've got a lot of great questions here. Hopefully, I touched on something that is useful for you so you can kind of see how this process works and how we would differentiate the different ways that we would look at these situations because I think that this is one of those things that doesn't get expressed enough. It's a very complex situation. We're working with humans. There's different presentations that are going to come into play. There's different ways of looking at things. But again, this is where falling back on an effective model, useful heuristics, good rules of thumb, because we're working in so many possible unknown situations that I think the decision making process and process in general as you're working through these situations is so important. So Tim, thanks for the question. If you guys have any other questions, go to askbillhartman at gmail.com, askbillhartman at gmail.com, and I'll see you guys next week.

That's awesome.

So chances are she's not even accepting it very well at all. She doesn't have energy storage and release. She has to capture it first. She doesn't have anything to use. How do you push down into the ground? You set up your center of gravity so that passively it goes down into the ground to hold you up.

Right.

In my mind, I thought of utilizing it as a before-like activity for athletes going into change-of-direction drills. I'm like, okay, let's do this lateral lunge into the ramp and out of the ramp as a bottom-up primer. I guess I don't love using that word, but I guess it's a warm-up because in my mind it's a little more dynamic versus doing just a four-foot elevated, toe-elevated RDL, split squat, et cetera. That's in my mind where I was going with that.

Not good, none of them leads into a high quality.

Yeah.

Where do you think the guts are?

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?