Bill Hartman 39:02–41:46
There it is, that's your answer, right there, 1,000%, okay? So this is the difference between rolling from prone or supine to prone and prone to supine, okay? Prone to supine requires that I drive the spine towards internal rotation. You see it? Yeah, so now let's take your neurologically insulted individual, okay? We've got a change in constraints. But the rule doesn't change. So I start you in a position where I know you can be successful. So maybe I put you directly inside line, and then I'm teaching you to roll towards the mat from in the posterior direction. Do you see it? Okay. You can drive upper extremity that way. You can drive lower extremity that way. And so you're starting to teach them how to reorient the spine in a low gravity situation first, capture the position, then teach them how to produce force. So same rules that we were just talking with Zach with an ACL. It's like, okay, do they even have the position where they can produce force first? So when you talk about strengthening things, it's like, yeah, force production is important, but can they even acquire the position? Do I want to try to teach them to produce force in an ER representation? Probably not going to work too well, right? Exactly. You start there, you can apply manual resistance into that rotation. So this is PNF. So PNF will be a wonderful way for you to drive that stuff because it's based on helical orientations. So you apply the resistance in the helical orientation. So you can leave them with resistance or you can have them push into resistance. And so then you start to develop the force production within a narrow range and then you just expand that range to the best of whatever capabilities they have available based on the remaining constraints. You drive head, you drive thorax, you drive pelvis.
spinal internal rotationneurological constraintsproprioceptive neuromuscular facilitation (PNF)rolling mechanicsforce production