It would be very, very high.

Yeah.

Velgas and various. Oh, yeah, yeah, yeah. I know, like I can picture and imagine what's going on in the knee. I just have a hard time picturing the reasons they occur. Why do they occur? And how do they affect the foot mechanics?

You would be surprised what you're capable of. Most people think that they need things that they don't need or they want things that they don't need. The thing you have to recognize is that the thing that drives people to spend on things is the desire to alleviate the discomfort of wanting it. Then once you have it, it just doesn't seem to be that big a deal anymore. It's like the dessert that you have after dinner that you regret. It's like prior to eating it, you're like oh man this is gonna be so good. And then after eating it, you go oh that was a bad idea. From a finance perspective it took me a long time. It took me a long long time. I am a late bloomer on every aspect of my life because I was an idiot for a long long time because I thought it was more important for me to like I deserve this. I should have this. What you learn by gaining maturity is that I need three things. I need my office space that I live in. What you see on camera is where I live. I need my wife and I need my dog. And if I got that I'm doing pretty good. I haven't wanted anything for a very long time. If you can get to that space very very quickly and recognize the fact that you really don't need anything then a lot of good things can happen financially because then you don't spend any money at all on anything other than those things that would be essential. Then next thing you know things are getting pretty good. But it's a long-term process. It's a regular behavior. When you have the urge to spend and if there's a moment where you're questioning should I get this or not it's a no. It's an absolute. It's like if there's a question in your mind as to whether you should be spending this money or not that's your brain saying don't do it. It took me a long time to learn rather than going well and then it's like ah right. That's the mistake. That's the mistake. And that goes for anything. Whenever there's a question in your mind of whether you should or shouldn't don't. If you can wait. Like if it's a life or death decision then you got to do stuff. But on most of the decisions where time is not the factor if there's the question mark in your head of whether you should or shouldn't it's a no.

Okay.

Oh, so we got flexion, a little bit of abduction, a little scaption, whatever you want to do.

So it's starting off with a wide infraternal angle. The axial skeleton is exhaled, with reductions in flexion, abduction, and external rotation across the limbs. Looking at the pelvis, we've also got a restriction in internal rotation. I think I understand that the common compensation is a concentric orientation of the posterior lower musculature at the pelvis. That's how I understand that.

What about the reverse of that? So, for example, if you're doing a lot of bilateral activities, then what's the utility of doing true single-legged work? Or at least some people could say, yeah, who cares about your one-legged squat when you squat with two legs? You know what I mean?

Where again you're going to have a situation where you're going to increase the compressive strategy of the patella against the femur. Under normal circumstances there is a higher pressure of the patella against the femur. The question is whether it's distributed enough that it's no longer symptomatic. So if you look at the patellofemoral pain research, they always talk about how, oh, the pressure of the patella increases as you go into a deep squat. It's like, well, yeah, it's supposed to, but it's usually very well distributed. But if you have a situation where you've got this rotation across the knee, now you have a focal load. That, number one, so to think about this, if you squeeze the blood out of a patella, it hurts. You get an ischemic response in the patella itself. So people come in, they say, oh, my knee feels cold. Or they feel, again, the focal loading strategy. If you've got any imaging, you'll see histories where the cartilage will start to thin in certain areas on the posterior patella. But the thing that I would encourage you to do is to try to give him enough relative motion so he can capture these positions and learn how to distribute load versus making it focal with the understanding that it's probably not going to be a normal situation. And again, when you're working with superheroes, it's not normal. You don't want normal because normal people don't run fast and jump high. And so you get to know this person over time by collecting data, you intervene to the best of your abilities, and then you monitor these things. But I would say that typically you're looking at some mechanical issues that may predispose some of this load to become more focal. And if you can distribute those, then that's great. You sent me some pictures of the hip internal rotation measures. So be aware as to where those measurements are taking place, okay? So if you do a prone hip internal rotation measurement, what is the position of the hip under those circumstances? So if you've got a pelvis that is anteriorly oriented on the table, I can guarantee you that you've got an orientation into external rotation as you're taking that measurement. It would be much like watching someone squat and having to move their knees apart and toe out. Okay, so they're capturing a position of external rotation space so they can move into that. And then they produce internal rotation from there. So if you're measuring under a similar circumstance, take that into consideration as to where you are capturing that internal rotation measure. Because if it's not in line with the axial skeleton as would be a standard measure, then you need to be as consistent as possible with how you're measuring so you know when you're making a favorable or an unfavorable change.

Usually it's just positionally. Do they feel what I'm talking about? Can I get them to move that way?

There you go.

Okay, so what we have to do is talk about the sequence of events that leads to the potential to create the yield strategy in the disc, okay? The way this works is you have to have a progressive weakening of the posterior elements of the disc first, okay? That would be associated with a reduction in blood flow to the vertebra, where the greatest pressure is in the spine, which is typically so what are the two most commonly herniated discs in the lumbar spine?

So we're talking about the twist inside the femur as a bone. Yes.

Okay, yeah, it's been a while.

That makes sense. So that's just teaching somebody how to move in middle propulsion.

Yes. So most likely, if someone cannot create that shape change, it will be somebody who is very late on both sides. So those are the people that you say you need to bring them back on the right side first. So those are the same people, yeah?

So you monitor him over time. So every time you see him warm up, do your jumps, make your comparison, and then see what happens over time. Because all you're doing is monitoring fatigue. That's if you've ever, do you ever have anybody on a regular basis work up to like a training maximum for the day kind of a thing to calculate percentages and things?

Okay yeah so you're getting more ER space and you're using up the IR space that you have.

Right.

Yeah, it helps me a lot. One of my concerns is that he's a wide ISA. When he does a split squat or anything like that, he immediately reinforces that pattern, so I'm worried about doing things that are just going to reinforce that.

Well, it doesn't change the tools that we use. It doesn't change the activities that we use. What it changes is the perspective that allows you to make a better decision under the circumstance. So the things that we have always seen, for instance, if I have a young athlete that's working on some form of agility, like an outside foot cut or something to that effect. And I see them plant and instead of moving into and out of the cut on essentially the same angle, I see them move into the cut and then I see their center of gravity go up. Okay. So if you ever watch a wave crash against the rocks on a rocky shore, you see the water hit the rock and it goes up. Okay. Well, guess what? If you're a big bag of water, you got water inside of you that moves just like that wave slams into the side of your body and it hits the constraint and it goes up. So instead of being able to take that force and reorganize it and turn it in the other direction to our advantage, now we have a situation where we have somebody that's not managing the force the way we would want to. And so now we have to make a decision as to how that happens. So rather than picking on someone saying, Oh, you just have a weak something, we have to say, okay, why is he unable to manage this big wave that's crashing into the rocks and why is it going up? Instead of him learning how to capture it, use it in his turn and to reorganize and make the change in the other direction. So again, it just helps us select the best intervention under the circumstance by understanding that why do we have this observation in the first place?

Got it. The trouble is, so he's a basketball player, trouble with getting into an athletic position with his feet facing forward. It's easier if he turns his toes out.

Okay. So if I'm coming down where I would be a sprinter when I'm coming down and basically a forefoot strength position where the heel never really touches the ground, but it gets really close. And it's the same place. Okay. If my heel was coming up off the ground where I loaded the heel. Okay. It's gonna be when the heel breaks from the ground as I'm coming down. It's the exact same place. Okay. So it's still mimicking the same action. Yeah, because the forefoot grounded force producing position. Okay, that's when the heel breaks from the ground that that actually takes place.

No, he's right.

to get more data, get better questions, different questions, different perspectives. It helps me.

Okay.

Absolutely. But understand that the sequence of events is a little bit different because with your wide ISAs, their first response to the compensatory strategy in regards to breathing is that they're going to get pushed backwards. So their response is to push back forward. Whereas with your narrow ISAs, because they trap air anteriorly, the expansion is forward. So they fall forward first. So their first superficial compensatory strategy is going to be to push back. So that's the differentiator between the two. And then, of course, then you've got this sort of ping pong effect of anterior to posterior compressive strategies to maintain center of gravity. And then whatever resulted wherever they are in space under those circumstances, that determines what we end up measuring or observing during movement.

Right.

Let's use a squat as an example.

Yeah, so the one thing I got confused with was you're saying that the force is highest at the lowest point on the box squat. How can you have that with the bands unless you're getting assistance with your hands?