A couple of questions. One of which being, if I have a wide ISA with posterior lower compression, is it sufficient to lie them on their side and have them roll over their posterior lower ribs? Or is there an additional shape change of the ribs that I might need to take account of?

No, I was talking about like trying to pull my shoulders back and down. Oh, that's something else is moving. You know, so I felt that, you know, when we're pulling back, you know, you have DR compression in that area and that's what's orienting the scapula back. But to go down, it felt more like it was more orientation probably at T5, T6 area, so it was more spine rather than the actual scapula moving down. And I was wondering what your thoughts about R that Q, and if that's what I'm feeling is correct.

Got it. From you don't want to push into the ground and screw home. Yeah, from the I'm doing that. So you can.

Reverse your gears for a second. So here you go. Do this instead. Okay. Offset your hands. Let's just say that you've got left hand elevated. Okay. So left hand elevated. And if you were going to try to create the same representation in the pelvis and lower extremity, one of the easiest ways to do that is just pick up your right foot and you would have, you would have the yielding action on the left side in both the upper extremity and the lower extremity.

Yeah. And I've seen it also prescribed for squats. So if like, if you're squatting and you have one leg that comes inward, you know, sometimes. Yeah. Go ahead, pull the band, get the band out and pull the knee in whatever direction.

But the thing is that he still feels pain. He describes it as being on the medial side under the patella, and it occurs in different situations. If I put him in a left wedding march position, he feels pain on the left. When I tried to put him also on a goblet squat with the roller on the wall, when he goes to 90 degrees it's fine, but when he starts going up around 40 degrees he starts feeling the pain again. However, if I do a squat with him holding the bar and going to 90 degrees up and down, he doesn't feel any pain.

All right.

No, you did. It's basically where I was thinking. I mean, it's never easy. It's like taking somebody at 300 pounds and trying to bring them down to 200. You gotta be willing to make the time to make the change. I mean, all verticals seem to be the same.

Yeah.

You're going to get the thorax a little bit more. Look at where I finish.

Yup.

Right.

So would you stick with, once you went with like that wedding one, right foot only, and then you said potentially start going right and left? You do that as opposed to just going straight to like a left lateral sidetrack after the right only to try to keep them more towards middle. This is a powerlifter and just see if you can get them enough. And if it doesn't get them enough, then you gotta send them left.

Like a wide ISA guy.

Right.

And then, okay, stop right there. Stop right there. Okay. So she went forward on the left and then shifted to the right.

Yes, you do. What I don't have is the motor output to change the check. Okay. All right. Does this person have an AFO on their ankle? No. Do they have normal ankle movement available to them? Do they have normal ankle force production? Okay, hang on. So why aren't you putting that ankle and foot in a middle propulsive representation to drive middle up from the ground? So this is how you have to start to think about this. It's like, okay, so I don't have a motor output to change the shape, but I know that they can change the shape they're still human right, so now I have to figure out where do they lack the ability to capture position they can't capture an IR representation, this is an ER representation on the right side of the pelvis at all times. How can I create the best representation of IR force production into the ground? So if I got a foot that is floppy, so to speak, right? So it does not have enough muscle activity to capture a middle propulsive representation. But guess what? I can add a constraint. I can put them in an AFO. Now with the ground up, the information from the ground up is middle propulsion. Okay. Do you follow me so far?

The feet that you're looking at are somebody that is fighting gravity and pushing so hard into the ground that she cannot change shape. You have to get her away from the ground. So her toes are kind of like this.

No. What are you going to do? Okay, yeah. What are you going to do? I'm just spread Monica.

Yeah.

Yeah.

Right? Got it. So focus on that cross-sectional.

Yeah, because think about this. So if they're eccentrically orienting, that's an expansive strategy. ER is an expansive strategy. You give them more ER, you may take away the strategy that they're using. Right? So let's just say that you have a great client. You give them the cue and you say, 'Hey, I don't want your knees to come inward like that.' And for some reason that they are able to keep their knees out, chances are, as Alex said, you're going to see the acceleration downward because they're falling into their ER space without enough IR superimposed.

Cool. Does that help you? Yeah, for sure. Yeah. Cool. Good morning, happy Thursday. I have neuro coffee in hand and it is perfect.

And so if I can control the foot position, if I can control the hip position, I have a much better chance of accessing the knee orientation that I'm after. All right. And so the degree of knee bend is an influence because the closer I get to that imaginary 90 degrees of knee bend, that's where you're going to see this really the maximum on twisting. Yeah. So that's where I have the greatest amount of rotation across the knee. And so if I'm trying to manage hip and foot position first, then it would behoove me to not use as much bending of the knee in that activity.

Eccentric orientation does not have tension. Let's discuss this. We'll take Andrew's 100 kilogram squat. When lowering the weight down versus standing up with it, which movement recruits more motor units? Standing up recruits more motor units. Therefore, when concentrically orienting, I increase the number of motor units to go up and use fewer to go down.

Yeah.

Why does he look down at the ground? Because so he can push into the ground, right? Okay, so he is probably like an end game representation. So you got posterior lower stuff, okay? But he can't turn his head. Okay, so what happens when you try to stretch a concentrically oriented muscle? What happens? You're inflicting pain unnecessarily, or you're lifting a very, very heavy weight, right? I'm at the bottom of the bench press. I'm at the bottom of the standing calf raise. You're stretching a muscle that does not want to eccentrically orient. So now you got to start thinking it's like, okay, you stretch and stretch and stretch and nothing good happens from this. Stop. That's not the solution. It's never going to be the solution because it doesn't work. Period. You could stretch him for six minutes straight. You know what's going to happen? Nothing. Other than the fact he's not going to like you very much. Okay. So you got to start thinking strategy here. So if I have somebody that is in an ER representation in the ankle and the foot, I need an IR representation there. Okay. And if you can't manually achieve that, then you got to start thinking up. Right. Getting his head to turn is going to start to reduce the concentric orientation. You're going to create a wave that starts at his head and it's going to move towards his feet. Okay, the rolling activities that we always talk about are going to come in really handy here, but you're going to have to teach him how to do that and then. that, understand?

Yes, sir. Where else do you want it measured? Where else will you be able to demonstrate the ER representation? What do you need? Let's go to the pelvis, for instance. Let's just say, what do you need at the pelvis to make sure that I have the same representation in the pelvis as I do up in the shoulder?

Yesterday I was going for a walk and I was thinking about walking downhill as if you were like, if you were like hiking coming down like a fairly steep grade. So when you land, you go to, cause you almost kind of quickly land on it because it's not much of like a heel strike, cause you're almost like coming down. So almost a flat foot. So you have enough traction on like on a rock or the surface that you're on. If you're doing one of those like scoots sort of walking down the hill things. Yeah. Uh, in that case, but cause you're still like in almost like a plantar flex position, are you, So for people to have like a lot of like anterior knee pain when they come down a hill like that. Yeah. Is it. He's trying to dance. So like in an ideal to make sure you don't fall down the mountain. Like you have to like land pretty quick into like an early mid-propulsive situation.