Thank you. Have a great day. Happy Thursday. I have my coffee in hand and it is perfect. By the way, strong batch today. Very strong. So I'm ready.

Right.

Right.

The difference between the implicit knowledge that you have versus what you're showing everyone else, like, and then what you're also showing yourself, what you write down, because if it didn't click initially, you probably wouldn't have brought it on board, like included it in the model.

Okay. There's like one dude that has a flight phase. And I think you ran an 18-second hundred.

I just jumped, even though I got the early representation on the table, I just jumped into a middle activity too quickly and wasted.

Well, again, it's like, who are we messing with here? It's like, okay, I had a professional baseball player in yesterday and then also had a female client that had never played a sport in her life. It's like, which one do you think I put their foot up on a box? I mean, clearly the baseball player had no coordination whatsoever. I mean, he's only played at the professional level for a few years. Right, yeah. No, it's just, you got to make it easier. You got to make it like that's how you make it easier for people to find these contacts and cues. It's like, where was the weight before? Well, the weight was way back on the right heel, so they don't know what the left heel feels like.

Okay, so pay attention to the knee position, pay attention to your pelvis, and pay attention to your foot. Got it? Okay, step away from the wall, put your foot on the ground. Simulate going into and out of the cut and tell me if you ever get into that position when you're going into and out of a cut.

Completely.

Which goes towards my kind of where I'm going with this is so for a wide ISA individual, would you just sort of need to bias them towards activities that go more towards that counter-nutation and elevation type strategy as a means of starting to alleviate that? Yes. All right, that's all right.

Yes, that was implemented on Tuesday. A big, tall guy was squeezing intensely. When we did that, everything improved very quickly. So yes.

Well, you just did that and I felt where the IR goes.

Right?

Yes. Yes. I understand.

That is external rotation of your hand. Okay. So I'm going to use PT school terminology just for you. I'll probably get some horrible disease from it, but I will express it to the best of my capabilities.

Hey Bill just chiming in on that. Yes, sir. Could you do a reverse, you know the one that you do where you hold the dumbbell, thumb side up over the preacher bench? Could you basically flip that completely so that you're doing like a reverse curl with the dumbbell on the pinky side? Reverse curl over preacher bench with the dumbbell on the pinky side.

Absolutely he does, because that's the shape of everything. So there's actual skeletons compressed at the peak, but so is his spine. Gotcha. Okay. So you're going to have to figure out how to gradually reintroduce some form of AP expansion via some sort of lateral compression. Okay. So how do you do that? Well, you can build up one side. Is he comfortable on his back? Okay. Do you have towels where you work? Yep. Awesome. Okay. You can start to induce the AP. So I take towels and I put it under one side of his pelvis and I put it under one side of his thorax and that creates this gentle little turn that's probably still within his helical orientation. Okay. And I start to do this one side at a time. So if I can create that shape and it doesn't bother him, I'm creating the same shape inside the spinal canal. Okay. So he starts like this. You see this? Okay. And I build up one side. And so this, so this is the side that's going down to the table. This is the side that, that is, built up.

Increase. There you go. So you're in a little bit of a pickle, right? You don't have like any one great trait within that archetype and configuration that lends itself to high pressure going upward, like to be able to push into the ground so I can move upward. They are getting driven into the ground. Their downward velocity is biased. Their velocity is downward biased. So again, it tends to be the greatest challenge in regards to overcoming gravity.

Okay.

Gotcha.

Now is it just creating like an ER orientation?

When the arm is behind the body in an exercise such as a dip, for instance, how would you describe that arm position relative to the body? Is that just really an external rotation (ER) position?

Straight leg.

So I guess another way of saying it could be, if I just apply needle lateral pressure, having them breathe into it and kind of wrap my hand around, is that sufficient? Or would I also need to pull back a little bit anteriorly, try and get a shape change?

OK. Yeah. So then I've been trying to move away from the retraction, depression, upward and downward rotation. Yeah. Well, or at least trying to, you know, superimpose the model onto onto those kinds of movements.

It's when I go from the square to the front knee, and when I get the initial, like the eccentric overcome of the connective tissues, I get the foot that starts releasing energy up, and I get the proximal tibia that starts ER-ing again relative to the distal femur.

So essentially what you're doing is creating the top down on one side and the bottom up on the other side. The elevated side in the upper extremity would be the delayed representation. So that's going to be bottom up. It's just going to be hand to shoulder. The other side that's got the hand on the ground is going to be shoulder to hand. You see it?

Well, based on my population, I almost never prescribe that because it's always the same.

When I put him on a goblet squat with the roller against the wall, he feels no pain at 90 degrees of knee flexion, but around 40 degrees on the way up, he experiences pain again. However, when I have him perform a squat while holding a barbell and moving from 90 degrees up and down, he feels no pain at all.

Yeah. Clear. Thank you.