Yeah. So in that case, let's have someone who would be there in space. I would want to recapture first met head and heel on right first and then that's going to move you back to the left. Okay, cool. And in order to do that real quick, one thing I started to do sometimes is have people have their right foot on a higher surface than the left when they are in a hook line or something like that. Is that a good way to have them go back into the left? Okay, cool, cool, cool. Okay, cool. And so now let's say, now I'm Dale.

Well, as I said, that is the correct answer. It's like, 'big fat maybe' in fact. Yeah. It's like, you don't know whether they can do this or not, but at least you understand the concept. You understand? They say, 'Oh, so here you go.' Ian, pay attention. Hang on. So Ian and Zach. So this is for you guys. So every vertebra is just a little man. It's got two arms and two legs. Or is Taeha still on the call? There you go. Okay, so anatomical position. Boom, right? Okay, so Zach, here's the spine that you just talked about. You see it? Okay, so I'm going to do a right-to-left cable lift. There it is. You see the turn? But do you see that I'm turning on a helical angle? So as I turn this way, Ian, I'm going to do that. See it as I hit the constraint. So I have to go to the end. So I can turn like this and then I start to hit the constraint and then I go down and then like that. That's the magnified internal rotation. You see it, Zach?

That's a good question.

Okay. So, let's see. I'd say probably turning to my right.

Okay, so obviously the hands involved. It's a test for the position of the distal radius.

Right.

Yeah, because I think it has to do with where the center of gravity was resting has to do with literally the distance from the ground that she started in. If you move her back, here's what happens. You ready? Narrow ISA, ER bias. Is ER up or is ER down? Awesome. So she went forward on the left. She got pulled down on the left hand side. Got it? You follow me so far. She went to the right. She got pulled down on the right. She got closer to the ground on the right. If I move her back, I pulled her down on the right. She was already down on the right. You just took everything and went like that. So you got to move her back to the left. So she starts to go up on the right where she came from. Then you move her back on the left. So she moves back up on the left where she came from. You have to see these things in multi-dimensions.

Well, they can't walk around with the table on.

OK, understood. But again, I'm not concerned about the exactness per se. We're looking at the orientations. We're looking at directions. We're looking at positions. And then we're looking at structure. OK.

ER to ER.

I wanted to go over something that has been a bit confusing regarding the winged scapula presentation. As I observe with most of my clients, the right one is more winged than the left one. In my understanding, I see that due to the right thoracic rotation, the tissue and musculature on the right side is concentrically yielding, so it's winged a bit. But in one of your videos, you say that the winged scapula is a compressed thorax. This doesn't align with my understanding of how or why a winged scapula is connected to a compressed thorax.

OK, so we're operating from a false premise to figure something out.

That is, yes.

What? Say what?

Awesome. What is the chance that a pec can squeeze that water into another position inside of that synovial joint?

People get a little too, you know, zeroed in on, oh, you have a knee problem when the reality is you have a knee result.

Correct.

No, of course not. So the question would be, I guess, as I'm just thinking this through, if I've reduced that lumbar, I don't want to use the word flexion.

Yeah. So let's take gravity out of the equation. Okay. Take gravity out of the equation. Put him in positions that start to move him closer to middle, gradually. Turn him gradually, start at the top and get him to turn and roll this way and get him to turn and roll this way and then have him start to reach across but hold his head still so he understands what the terms mean. Okay. Pronation, internal rotation in the foot is a turn. It's not jamming him into a straight plane. Right? Yeah. Create the turn. You understand?

Because I'm sure if he's a rugby player, he's probably tough as nails and wants to work really, really hard, but he's still going to have not only a constraint change due to the surgery, but like I said, the protective response.

Yeah. So for people like me who want to fire to get, um, femur on the table and have very little internal rotation available to them, are they then just sort of doing mini vaults over their feet and getting the twists through the knee to make sure they don't keep falling down the mountain.

You got to put them in a force producing position. Right. So that's internal rotation of the spine. Right. That's nutation of the sacrum. So you assist them into that position. They push on you to borrow, to borrow a phrase from my buddy Jay Chung. He says, tell them to push you away like every other woman in your life. Right. Right. So, so, so you teach them to push. So this position right here, 90 degrees, is, is middle P for the thorax. Okay. I'm assisting them into a position of middle P for the pelvis. And I teach them to pressurize.

He's trying to drive force down into the ground, because his orientation is going to pull him away from the medial foot contact. So what he's got to do is translate some measure of mass over the inside edge of the foot to drive internal rotation into the ground.

Does that save me from using the word posture?

Yeah.

So there was one exercise that you had put up quite a while ago. I saw my Campanani execute this exercise, which was more for a wide-stance individual. They're trying to regain hip internal rotation with bands around the knees while moving into a deep squat. For my interpretation, it was that you're attempting to force internal rotation to create that concentric action. You're not pushing out, so even in that wide stance, it's still not a push out—it's still just...

So when they end out, add a constraint that challenges you to come up with the best possible solution in the shortest period of time. Okay. So rather than thinking like, 'Oh, I have six months,' granted, you do have six months. We want to think we always want to have that in the background. But let's just say I got two weeks to make the change. How much change can I induce in a favorable direction in that shorter period of time? And then, you know, you've got that marker where you say, 'I gotta get to the best possible situation.' And then that two weeks is now gone. Now I got a new initial condition. Now I got two more weeks. What's the best change that I could possibly make in the next two weeks? Boom. I do that. That two weeks is now out of the way. Now I got a new initial condition. You see how you just keep moving them closer and closer. And so in this early phase of the sprint, it's like the absolute measure that I'm going after is the recovery of whatever it is you're trying to recover. But by the end of that sprint, I want to make sure that I haven't lost my performance. You see, it's just a much tighter wave of activity. So you go iteration, iteration, iteration, iteration. So if you go August to January, so what is that? August, September, October, November, December. If I got five months, I've got 10 sprints available to me. Each sprint, each sprint, is similar in basic structure. The earlier sprints are biased more towards the recapture of something, the later sprints are gonna be biased more towards performance, but they're still gonna have the wave in it. You see it from a physical structure, you're gonna see it. It's like in the end of with that, right?

You're very welcome. Do you have anything else? You've got a little bit of time.

Okay. So let's just look at an extreme representation of that. Okay. So, right away, she's in a little bit of a pickle based on the diaphragm shape that does not allow a lot of, we're talking about internal rotation now. Okay. So the compensatory strategy of the diaphragm does not create a posterior lower expansion in the lung because of the diaphragm shape. So she's going to be anteriorly expanded. It's going to shove her forward. She shoves herself back. Okay. So she chest backwards and then she falls backwards and then she pushes herself forwards and then she pushes backwards and she pushes herself forwards, right? So she just goes boom, boom, boom, boom, boom. And every one of these strategies is an exhalation compressive strategy. But the advantage of that is that she creates this orientation so that she's turning her glenoid laterally. Right? So that creates an external rotation space. Okay? It's not going to allow a whole lot of relative motion to occur. So chances are she's going to get for every element of external rotation that she gains, she gives up some internal rotation. Right? And so where she's probably doing this back bend is she's got this orientation, like crazy orientation into external rotation, right? And then that gives her just enough so she creates internal rotation through the extremity so she can balance on her hands. Right? But I think you're correct that her ability to do that may very well have led to the fact that she ended up with this so-called shoulder impingement because it requires a tremendous amount of posterior compression to achieve that position. So think about it. It's like, if she's in a back bend with her hands on the ground and her feet on the ground. So she's in this inverted U-shape, right? Okay. If she was a tube, which she is, she was a tube and I bend the tube and the underside of the tube is fully compressed here and then there's expansion on the other side, right? You see it? And so all of her external rotation measures in a relative sense should be limited. Now she's creating an orientation, but there's Misha thinking again because she's creating an orientation to capture the external rotation position. She's literally pinning her scapulae together and pushing it forward. Well, if I push it forward, it makes this look like it's not really expanded. She's pushing it forward to create AC joint anterior tilt. So she created a shape in a very compressed state, but that's how much compression she has relative to the anterior. So chances are you got somebody that's gonna have like a low pressure abdominal strategy, because she's gotta let it go somewhere to make the U shape, right? She's probably not doing it through her sternum. She's squeezing in her sternum, so she's gonna push stuff towards her gut. So her abdomen is gonna probably be where she's gonna give way the most.

Yeah.