I grew up in the Fort Wayne area.

Alright, so you've got a wide ISA, which again that's a bias towards force production, so that's probably why you are attracted to the strength sports to begin with. Now you've got to become a turning athlete, and so a wide ISA is designed to restrict that turning. So that's where we need to start to make a change; we need to restore the dynamics to that infersternal angle. And you're right that deadlifts and bench presses would most likely help to reinforce your ability to not turn, as you would in say powerlifting. However, the other exercise that you suggested, so presses, chins, etc., are also compressive activities. So anything that is bilateral where both arms are doing the same thing at the same time—a press, a row, a chin-up, a deadlift, a squat—are all going to be somewhat restrictive in regards to you recapturing your ability to turn. So if we were to pick a squatting activity that may actually enhance our ability to turn, we're probably looking at some form of heels-elevated squatting, working towards a front squat, which would probably be the top-end squat that you would probably want to use. Zerchers are on the table in that regard if you're going to do something bilateral. When you're working from somebody with a very, very wide ISA that's been biased that way through a lot of high-performance, high-force work, you're probably going to want to emphasize some sort of reciprocal, alternating activities as your primary focus to try to restore that. I just posted an Instagram video on a sled drag that will give you another strategy to help restore the dynamics to your ISA, which will actually enhance your ability to turn. But I think that we have to all be considerate of the fact that, especially with rotational athletes, we have to be very, very careful about our exercise selection. So again, anything that is bilateral and symmetrical—presses, rows, chins, deadlifts, back squats, etc.—they're all designed to not turn, and will create compressive strategies that will reduce your ability to turn. Now, up to a certain point, however, they may be performance-enhancing because they do help you produce more. So if I have a golfer, I might do some chin-ups to allow him to increase his force output, but I would have to be very, very careful to monitor all aspects of his ability to maintain his turning capabilities. And so again, I'm looking at shoulder rotation, hip rotation, the ankle-foot to make sure that I have full excursion of pronation and supination so I can make sure that I can capture my hip positions during a golf swing, during a tennis serve, or during a throw. So all of these things are considerations. So, Josh, good luck with the recapturing the turn and the rotation.

And again, if we understand how to reduce that compressive strategy and restore the open airway, which is as simple as a head tilt chin lift—all of CPR—then we can reinforce those positions during the activities that we have selected. So your second half of your question is: is there any case where you would try to cue a position or action from the neck up, along with biasing internal rotation, pronation, or external rotation, supination? Absolutely. And so what we have to understand is the entire system is behaving under every circumstance. So it may be as subtle as an orientation of the cranium on top of the cervical spine in regards to that last piece of an activity. It's like, how do I want you to manage your head and neck position as you're doing a half-kneeling cable chop or something under those circumstances that will reinforce the ability to restore that variability without having to create some sort of special exercise. So again, to do a quick review on this, it's like: yes, you do see those representations; yes, they do follow what the remainder of the system is doing; and yes, we can influence that under every circumstance of activities, whether we're trying to reinforce the capability or restore variability to that system. So hopefully that answers your question.

Oh, OK. I was going to say, I've seen a little one all the time.

Okay, so look at it from the foot perspective. If I step forward with my right foot, the sequence is early pronation, going through middle, maximum pronation, late external rotation. Then the other foot lands and that sequence is early, middle, maximum pronation, late. As I'm turning, I'm creating that strategy on one side, and as I turn in the other direction, I have to create that strategy on the other side.

Yeah.

So when you say what's going on, give me a frame of reference so we can be targeted in our conversation.

So what would be the difference with the white? Narrow and white on that left side?

All right, so. You're going to remember this, right? Okay, you got to stand up for me. Okay, because I want you to do this. Let's not overcomplicate. You know how to do your horse stance? Yeah, horse stance. Awesome. Yeah, get your horse stance. Okay, and get ready to punch. Get ready to punch. No, we're going to go the other way. We're going to go the other way. Hold it out there. Hold it out there. Awesome. Now, shift your weight from right to left. So the left knee is now bent and the right leg is now straighter, correct? Right. You've just lengthened the right side into an ER position.

Yeah. But what I would do is I would get a side view. Get a side view on video. Okay. Get a side view on video. And I would compare the two positions. And then I would look at like, and get a decent amount of weight on there. Don't hurt yourself. And then make the comparison as to which position gives you the best direction of pull. If you find that you have to lean over or your low back has to round in the conventional, it's probably not gonna be suitable for you from a long-term strategy. Like I said, your bias is to turn outward as a narrow ISA individual. You'll tend to be able to produce more force in that position.

But so I assume you can end up with some excessive yielding that allows the expansion while also some scarring down that prevents the movement.

Even if you went with a client sort of mentality, surely the notion that if you're going to test a hamstring in this case for its ability to reorient a pelvis to pull the ischium down, you would think that they would have to have some sort of measure to determine how strong that needs to be. And the second question that went along with that is if they don't have a measure or some sort of baseline indication to go, 'Well, this is determined to be weak in that specific position,' then how are they establishing that it's weak? It doesn't make sense.

Approximately one distal one.

Painful. Yeah, like five out of 10 pain, kind of like both sides.

Okay.

Are we there?

On the right.

How does this show the problem's effect with the vestibular system?

So if we were to do like a pause squat variation and narrow would almost do the same thing as a trap bar.

Absolutely, absolutely not.

Is it too early for you?

I'm just wondering if you would do the lower blix it, it would change because you would get more expansion on the right side, because it would be more of an early presentation.

Mm-hmm.

Okay, and like the medial heel, like foot contacts as in medial heel and first met head, right?

Facing the left, yeah.

And because this changes and turns in the spine are magnified, I'm just wondering that the patients I work with present as hypermobile. So I'm wondering that everything turns because the spine can't. Or is the spine turning that allows me that excessive motion?

And that's the IR twist.

Yeah. Okay.

I would agree too. I just don't know what it is.

Okay, I guess that's one of my many questions. Is there a difference between? Do that. Do that.