Yeah, so that's what pushes you on that. And if you look at it like this, and you appreciate the fact that piriformis is not a flat muscle, it is in this diagonal helical orientation. So if I shorten it, it's gonna go like that. It's gonna pull this closer to this, and it's gonna do that.

Take a shot. You got it. You got it.

You're very welcome. All right, so let's go through some of the clues that Gerardo gave us, because he did a really good job of laying this out as to why we think that he's on this right oblique axis. So let me grab the pelvis, and then we'll talk a little bit about the foot as well. And so right off the bat, he kind of mentioned that he had this right side bend thing going. And the obvious place that you're going to see this is through the trunk or through the rib cage. And what this typically is, is somebody that's looking for a way to get forced down into the ground. We know that forced down into the ground is internal rotation. So that's step one, which means that we know that he's getting pushed over to the right side in some way, shape, or form. He also mentioned reduced dorsiflexion. So this would be a typical reaction to somebody that's getting pushed on this oblique axis. So typically what they're gonna show first is they're gonna show an early propulsive foot strategy. And so for those of you that have been living in the dark, what we're going to see is we're going to see an ER tibia. We're going to see an arch in the foot. The first metatarsal head's going to be on the ground. So we're going to see a foot that looks like that. Now, something else that he mentioned as we were going through this discussion is that he toes out when he squats. So what that is is someone that's trying to make some external rotation space so that they can then apply force into the ground and internal rotation. So I have to have ER first to superimpose my IR. So he's actually towing out with this foot. And so in this case, what that would tell us is that he may have started with this early propulsive foot, but now he's getting, he's still getting pushed forward and over, over the right foot. And what that's going to do, it's going to move him into this middle propulsive strategy. So the arch is going to probably start to go down. So he's going to have to compensate by turning the foot outward to create the extra rotation because we've got a loss of extra rotation in the right oblique axis to begin with. He also mentioned that he had a reduced straight leg raise. So again, this tells us that he's pushed even farther forward. So what he's doing, he's picking up some concentric activity, even lower in the pelvis on the right side, which is going to reduce that straight leg raise on the right. He mentioned left adductor pain. This is really, really common. So when I get pushed over to the right, I'm going to pick up concentric orientation. In the right adductors I'll get eccentrically rounded in the left adductors so I can get a strain type of sensation there and then he mentioned limited yielding on this right side. So if I get a compressive strategy. So it'll be just through this middle portion of the sacrum. It's going to get pushed forward and that's going to drive me up and over the top of this right leg. And so again, typically what I'm going to see is I'm going to see a gain of internal rotation on this right side and the loss of external rotation. But if I keep getting pushed further forward, I'm going to pick up some concept of orientation on this right side. And so again, this shows us the limitations that Gerardo is talking about.

OK, keep that impulse fast. Got you. Yes.

What would you do on the ground, my friend? If you were teaching her to go through middle P on the ground, right? So what would middle P look like on the ground? You're warming her up for sprints and accelerations today. What drills would you give her for middle P?

Right.

Are you talking about a pronated mid-foot position?

Okay. So are you using an exaggerated position of the foot?

I hope so.

We did a bunch of stuff, but can everybody see that? So there's the caveman on the left there, and then there's this fish. So this is over about six months, I think. Give or take. How do you take a dent out of a fender? Do you bang on it from the outside and make it harder? Like make the dent deeper? So how do I pop a dent out from the inside on a human being? Yeah, so we got to push him from the inside out. It's like the only way you're going to do that, short of like a gigantic suction cup on his dorsal rostral thorax and pulling it out. I thought about that at one point. But no, it's like, yeah, you have to use airflow.

So by shifting the pelvis backwards, you proportionally deweight the outlet and that change in force production requirement help shift leverage favorably?

I don't believe I have. No. For some reason, it always shows up in Polynesian environments. Like you'll see in Hawaii, they do these. It's a canoe that has an extra component to balance out the canoe. You have this little outrigger.

Okay, go ahead, sir.

It's an indication of where you're applying IR to the ground.

Yes.

Well, you need to be in this position, right? Because I need this to turn in. If I do something that's supinated too soon, I reinforce the proximal representation of the radius that I don't want under the circumstance. Your job is to make sure that you're coherent with what you're trying to reacquire. So again, it's like, if you have somebody that has an elbow, so somebody comes in and they're complaining about lateral elbow pain, they go, Dale, every time I grip the bar, it hurts right there, somewhere in there, right? Okay, so that's a magnification of the normal representation of the elbow, which means that the radius is twisted too far into ER relative to the humerus. That means you gotta turn it inward, okay? giving them a supinated variation of a curl with the arm at their side is probably not the place to be. See it? Because what that would do is reinforce that relationship.

Yeah, sure.

All right. So I know wides are, because they're helical angles, they're more compressive by nature, so they're higher pressure. But we always talk about how like the narrow pylon is the worst case scenario. Just in terms of end game dealing with pressure strategies, the reason the narrow is a harder system to deal with pressure-wise is because there's just a taller stack of fluid working on the pelvic floor. And so there'll be more pressure down to deal with in that situation.

Right. So when you descend in the squat, you need tibial femoral IR.

If her center of gravity is way over the right leg, then she's going to be pushing down the whole time, which means that she's compressing straight into the ground. Right? But she's losing the battle; gravity's winning. It's compressing her into the ground. She's not pushing away, right? So you captured the early representation of her internal rotation, that alleviates the symptom. But if she can't push away from the ground, so she can't go from the late internal rotation representation that we just talked about all the way into a late external rotation representation. Okay. Then that, then she's not pushing away from the ground. She's still compressing into the ground. So she's losing the battle to gravity on the right side.

They're getting closer and closer together until they become one. That's the superposition, right? So I have an external rotation representation to initiate the movement, but because I'm actually producing more force as I'm pulling, I'm pulling it into a position where I'm going to superpose and then movement's going to stop.

Yeah. Right. Yeah. I might say.

Okay, so yes, I'm using a late representation for a very specific purpose to limit where the shape change can take place, okay? Did you disarticulate the hip in your cadaver in your anatomy class?

Can I please make your highlight clip? That would be great. Which one? That whole last 10 minutes. The whole 10 minutes. Yeah, just starting from Alex's question. I don't know if we're allowed to make requests.

Good morning, happy Thursday. I have neuro coffee in hand and it is perfect. That's Manuel is up first.

In an IR pelvis, I don't want any rotation. Do I want that in my force producing pelvis? Okay. In an IR representation into the ground through a knee, do I want rotation? No. See, it's coherent, right? So that knee, if I look at the knee as half of what the pelvis is doing, I need the IR to go straight down into the ground. I don't want the differentials. The storage and release of energy, though, is creating that differential. So the timing of it has to be that when I'm pushing hardest into the ground, that's where I want that knee to be as square as humanly possible.

So, I was thinking about a push-up and offset push-up, either offsetting with the arm or offsetting with the leg. And I was wondering, would you be trying to promote a shift to the left or a left-handed turn in those two cases? So one of them is more of a top-down approach—you're creating external rotation from the top down with the arm elevated versus the leg. When the leg is elevated, that would be from the bottom-up. That's a good way of thinking about it.

Yes, sir. And so if you physically pull the knee out, what are you doing? Are you magnifying the ER orientation, or are you taking it away?

Good morning. Happy Thursday. I have neural coffee in hand and it is perfect.

So you accommodate, you put him in a space that he has available. And again, you get to be the great therapist here and decide what that is. So maybe it's sideline and you put a foam roller between his knees and that's enough. And then you can start to roll him under those circumstances. Maybe you have to go to an oblique sit with a much wider representation of ER first. Maybe you put him in a half prone situation, right? Where he can really orient into ER, but still apply IR on top of it.