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The Bill Hartman Podcast for The 16% Season 7 Number 8 Podcast
Bill:
SPEAKER_09 1:01:17–1:01:30
It's not too much like in normal standing, but as soon as you ask her to do something like, I don't know, get into a squat, she can't break parallel. In a split squat, she starts to dump in. Everything just wants to pull in.
squat mechanicssplit squatparallel squat
The Bill Hartman Podcast for The 16% Season 7 Number 7 Podcast
Bill:
SPEAKER_03 58:45–58:53
Isn't that right? I think Wim Hof actually preaches that, but Wim Hof the Iceman?
respirationcold exposuremind-body connection
The Bill Hartman Podcast for The 16% Season 7 Number 6 Podcast
Bill:
SPEAKER_07 1:22:17–1:22:24
Okay. I just wanted to really get into the nitty gritty because I just wanted to make sure I've been looking at like textbooks and just wanted to.
hip anatomymuscle orientationpiriformisgluteus mediusdead guy anatomy
The Bill Hartman Podcast for The 16% Season 7 Number 5 Podcast
Bill:
SPEAKER_04 1:00:52–1:01:34
Yeah, dude. I just, so whenever I think about things, I just kind of write them down on a note and then save them for either you or Pat and that's the way. All right. All right. So my question kind of relates to progression and progressing people through things and like working in a fitness world, I oftentimes find myself progressing people just through sets, through training volumes and things like that. But I also recognize that you can progress people through exercises and through progressions of exercises. I was just wondering if you have any like, I don't want to use the word volume landmarks. Cause that's like a very bodybuilding place to be, but like how much volume does somebody have to accrue at a given exercise before they move on to a more progressed exercise with less reference and more potential for loading and things of that nature?
exercise progressiontraining volumeexercise selection
The Bill Hartman Podcast for The 16% Season 7 Number 4 Podcast
Bill:
SPEAKER_04 47:19–49:27
You're welcome. So when we're talking about the backswing for a golfer, what that actually is is a representation of early propulsion. Early propulsion is external rotation, counter-neutation, but it's the sacrum moving back relative to the ilium. So what's creating this? It's actually a delay strategy. So if we talked about the left hip in the backswing, this side is actually going ahead of the right hip. So to create the delay on the backside hip, if we're talking about a right-handed golfer, we're talking about the right hip. So under this circumstance, to create the delay there, what I'm actually doing is creating a yielding action via the connective tissues. So I'm already in an ER representation, but to create the delay, so this side has to go slower than this side, otherwise there would be no turn. So to create a turn, both sides are in ER. One side is overcoming, which creates the turn away from this side. So on the left side, I have an overcoming action of those connective tissues, which moves that hip forward. This hip creates a delay and it moves back. That's what creates a turn. So as I take the club back, and again, I'm talking about right-handed golfers, and I take the club back, this side actually has to slow down relative to this side. So connective tissues behave based on rate of loading, okay? And so the position is ER. Then I create the delay and that creates the space for which I can turn into. Then that's where we superimpose the IR on top of it. If I don't have an ER space, if I don't create this delay strategy on this side, I can still orient the whole pelvis as a whole, but I'm using a compensatory strategy to do so because I don't have the relative motions available. So what I have to do then, Jason, is I have to create relative motions somewhere else. Sometimes I can just create it right there at the hip joint, but this is where you're going to start to see the foot change in the ground because the foot has an early propulsive representation. The pelvis has an early propulsive representation, that match. So if I don't have my true early representation where I have a yielding action here, on the backside of the pelvis, I don't have that representation in the foot anymore. So the foot's going to move as a single unit. The pelvis is going to move as a single unit. And so that's where you start to see people roll to the outside edge of their foot, right? Now I have to create internal rotation somewhere else. And I'm going to usually do that by an orientation where I'm going to tip the pelvis forward. But again, this just creates a cascade of compensations where instead of having relative motions to allow me to capture these positions, I'm using absolute orientations where I'm blocking multi-segmented areas into a single segment of motion. And now I actually reduce my ability to create turn. It's like I can orient myself so I can make myself right facing. But I'm not creating the segmental relative motions that I would use for a controlled segmental movement, which is what is desired when we're talking about these activities so I can acquire effective positions that allow performance to be consistent. Because what happens is, under the circumstances where I'm locking things into one piece, I get way too much signal, not enough noise. And so I can't make the small adjustments that I would normally make to smooth out movement. And so when you get like a golfer or a baseball pitcher that doesn't have these these little segmental movements, what you see is inconsistency with ball contact if I'm a golfer or inconsistencies with the release point of the baseball if I'm a baseball player. Okay? Because these little adjustments here, these little relative motions that I do have available to me is what makes sure that I am consistent because I can make these small adjustments and it doesn't, it doesn't require any thought. It's just the connective tissue behavior, allowing me to capture these consistencies. Okay? Does that make sense?
early propulsionexternal rotationinternal rotationsuperpositionconnective tissue behavior
The Bill Hartman Podcast for The 16% Season 7 Number 3 Podcast
Bill:
SPEAKER_05 54:10–54:15
That's funny. Was that a pun? Seriously? Everybody heard that. It was a short answer. OK, so I need this documented because this would be the second time I think I've gotten Manuel to get a full facial smile. He's usually a serious kind of dude. That was good. When we think about connective tissue behaviors, we have to look at it in a much broader scope in my opinion, because of the differences in stiffness and certainly the way things are loaded. So all connective tissues are viscoelastic in nature with different quantities—some have a bit more elastin, some are more collagenous. Bones have hydroxyapatite to make them stiffer, et cetera, right? I always use the rubber band example when talking about these things because it's useful. The really thick, wide rubber bands in the gym are hard to deform, but if you do deform them, there's a lot of force behind them. The skinny rubber bands are easy to deform, move very quickly, but don't produce nearly as much force. Do a banded squat sometime, and you'll get a sense of what I'm talking about. When we're talking about the stretch-shortening cycle, what they've done is they've been too focused on certain things. They'll say muscles are movers, so anything attached to the muscle and then to the bone must be how we produce this elastic kind of thing. To a great degree, I think they're correct, but it's short-sighted not to include all connective tissues because of how forces are distributed through the body. If we don't address that, I think it would be very difficult. That's probably one of the reasons why it's easier to look at tendon behavior than the entire distribution of connective tissues. Some studies do measure shape changes in bones, which gives us clues, but to say it's just the musculotendinous unit producing this force—first, it makes the math wrong. If I'm distributing loads and forces and elasticity throughout all tissues and don't measure the one that can store and release the most energy, I'm going to say that tendon has to absorb and release a whole lot of force. But what about the skeleton? What about all the other connective tissues? What about the fluid changes that create expansion and compression producing force? You see how it falls a little short? It would be very difficult to truly measure how that's distributed, but not mentioning it as part of this process is where it falls short.
stretch-shortening cycleconnective tissue behaviorviscoelasticitymusculotendinous unitforce distribution
The Bill Hartman Podcast for The 16% Season 7 Number 2 Podcast
Bill:
SPEAKER_02 1:02:26–1:02:28
Or is he just like a recreational?
goal settingexercise prescriptiontraining purpose
The Bill Hartman Podcast for The 16% Season 7 Number 1 Podcast
Bill:
Bill Hartman 1:05:59–1:06:09
Left side would initially have more external rotation. Initially. So again, there's not one oblique, there's not one axis that this would tilt on. And how far forward is the center of gravity?
hip mobilityexternal rotationoblique mechanicscenter of gravity
The Bill Hartman Podcast for The 16% Season 6 Number 10 Podcast
Bill:
SPEAKER_02 50:23–50:32
Okay. Is the left side, let's just say the left side's moving forward. Okay. Is it moving, is it moving forward faster than the other side?
gait mechanicsbiomechanical timingasymmetrical movement
The Bill Hartman Podcast for The 16% Season 6 Number 9 Podcast
Bill:
Bill Hartman 53:37–53:37
Yeah. So stick the foot to the ground first and foremost. Right. And now you, what you also need to understand is, okay, where does, does the, the VM attach to the femur? Okay. And then where does it attach to the tibia? Which it kind of doesn't, just for the record. Vastus medialis is a grossly misunderstood muscle. It's actually not one muscle. It's probably a minimum of three. But point being is based on where the attachment sites are, based on the direction of the pull that's created. So do you have an anatomy app, Manuel? To not. Okay, so here's what I would do is either either you got to have a book that shows the vastus medialis in isolation but anatomy apps do it really well because you can literally select out one muscle and see how it's attached to the to its bony attachments. If you look at if you look at the way it's attached to the femur and then you follow the attachment where the VM attaches to the quad tendon and the patella, and then that attaches to the tibia, you will see that if I anchor the foot to the ground and that muscle contracts, it actually twists the femur into ER. From the knee up, okay? It'll turn it from the knee up. And it turns it outward, which is external rotation. And if you wanna get really in depth, the VL would be opposing muscle. It would turn inward.
vastus medialis anatomyknee mechanicsmuscle functionexternal rotation
The Bill Hartman Podcast for the 16% - Season 16 - Number 3 Podcast
Bill:
SPEAKER_01 30:21–30:25
Okay. All right. I will report back next week.
The Bill Hartman Podcast for the 16% - Season 16 - Number 2 Podcast
Bill:
Bill Hartman 37:53–38:04
You did. Awesome. All right. So the inversion is to get the concentration of the outlet so she can push herself back up. So she compresses down. She's got to be able to push herself back up.
The Bill Hartman Podcast for The 16% - Season 17 - Number 6 Podcast
Bill:
SPEAKER_08 26:25–26:26
I think so.
The Bill Hartman Podcast for The 16% - Season 18 - Number 2 Podcast
Bill:
SPEAKER_02 25:55–26:01
So are you reinforcing something of value in regards to the change of direction?
change of directionmovement mechanicsreinforcement
The Bill Hartman Podcast for The 16% - Season 17 - Number 8 Podcast
Bill:
SPEAKER_07 32:49–33:02
I'm not. I know there are different things going on each side, but I feel OK. I guess in my head, I feel like that should be able to do and not have discomfort with, but then also figuring out it's potentially right. Okay.
asymmetrymovement mechanicssymptom management
The Bill Hartman Podcast for The 16% - Season 15 - Number 7 Podcast
Bill:
SPEAKER_07 26:45–26:55
Yeah. So, thinking about it, if you just use enough of the earlier representation activities, you usually do actually really, really well with them.
movement strategiespelvic orientationcompensatory mechanics
The Bill Hartman Podcast for The 16% - Season 15 - Number 5 Podcast
Bill:
SPEAKER_03 42:32–42:33
Some nonsense like that.
The Bill Hartman Podcast for The 16% - Season 15 - Number 4 Podcast
Bill:
SPEAKER_06 28:52–29:14
Okay. So like I said, you have a concentric orientation to deal with. You also have a concentric orientation on the bottom of the foot. That is going to be a part of the issue because if I have an ER foot, I have muscles that can't change the orientation on the bottom of the foot. So they're going to be concentrating. Now you might ask, what do I have up above? Well, I have all that musculature coming down from the hip and the femur. It's also going to be concentrically oriented. So you have an extremity position that is preventing you from dropping into that medial foot contact.
foot mechanicship musculatureextremity orientationmedial foot contactconcentric orientation
The Bill Hartman Podcast for The 16% - Season 15 - Number 2 Podcast
Bill:
SPEAKER_01 40:15–40:19
Yeah. Yeah. So you start thinking, you start thinking about them up, don't you?
thought processclinical reasoningpatient evaluation
The Bill Hartman Podcast for The 16% - Season 15 - Number 1 Podcast
Bill:
SPEAKER_00 26:32–26:38
So, okay. So the subtalar joint is where the motion is occurring. So you go from what would be traditional supination to traditional pronation. So that's an external rotation to internal rotation representation.
subtalar jointsupinationpronationjoint mechanics
The Bill Hartman Podcast for The 16% - Season 14 - Number 10 Podcast
Bill:
SPEAKER_08 33:30–33:30
Yeah.
The Bill Hartman Podcast for The 16% - Season 14 - Number 9 Podcast
Bill:
SPEAKER_01 32:27–32:36
Your goal is to create a leading resistance to have them emphasize the direction that you want. You don't want to push them into it because they will try to resist it naturally. Right.
resistance trainingmovement cuesclient resistance
The Bill Hartman Podcast for The 16% - Season 14 - Number 8 Podcast
Bill:
SPEAKER_02 36:48–36:48
You see it?
The Bill Hartman Podcast for The 16% - Season 14 - Number 7 Podcast
Bill:
SPEAKER_03 38:09–38:41
So comparing that to a wide diaphragm with just a greater surface area, that seems to me like the overall force in the system might be of greater magnitude to deal with for the pelvic floor, just due to the pressurization. I understand that it's pushing back up. Is that strictly why it has less of an issue dealing with that greater magnitude? As opposed to the narrow diaphragm, which the end of orientation allows it to fall?
diaphragm mechanicsintra-abdominal pressurepelvic floor function
The Bill Hartman Podcast for The 16% - Season 14 - Number 6 Podcast
Bill:
SPEAKER_04 31:48–32:12
Yeah. And again, I would, if I had to pick one with a gun in my head, Dale, for a power adapter, yeah, I'd probably do the seated version.
exercise selectionhamstring training
The Bill Hartman Podcast for The 16% - Season 14 - Number 5 Podcast
Bill:
Bill Hartman 37:53–40:11
And I think you're golden because you should have everything that you need. Then I would say like go early, middle, late. Good morning. Happy Friday. I have neuro coffee in hand and it is perfect. Man, we got a crazy busy Friday coming up. We got a dig straight in today's Q&A. This is with Dante. Dante presents a very interesting situation here. He's working virtually, which because of the way the world has become, became very popular very quickly for people to sort of have their businesses survive and to also serve their clientele. And virtual is tough. It's a very difficult situation because you don't have that immediate response. Measuring, assessing, things like that are always difficult under this circumstance. The more important thing about this clip though is it led to some language and a representation that is misleading that we have to be really careful of because if we have a misrepresentation of what we think that we see in these situations then our interventions fall way short. So in this case we were talking about rounded shoulders which is a pet peeve of mine. It's a misnomer. It's absolutely wrong. If we call things certain things, it becomes distracting. So if I say that somebody has rounded shoulders, then you think that this is a shoulder problem. And therefore, I need to do an intervention that involves that. And again, it's incorrect. It's actually one of the compressive strategies that we talk about very frequently, which we explained in the video. And therefore, now if we have that understanding, we can select a better intervention and have much better outcomes. So again, I challenge you to have a much more evolved representation, a better model versus the one that's based on or traditional representations like dead guy anatomy, which again, sometimes useful, but definitely falls short in many instances. So thank you Dante for leading us in this direction. You're gonna help a lot of people with this one. Everybody have been asking Friday podcast will be up on Sunday. I will see you next week.
virtual assessmentmisleading terminologycompressive strategiespostural assessmentintervention selection
The Bill Hartman Podcast for The 16% - Season 14 - Number 4 Podcast
Bill:
Bill Hartman 36:59–37:00
Okay.
The Bill Hartman Podcast for The 16% - Season 14 - Number 2 Podcast
Bill:
SPEAKER_05 25:00–25:08
That is an E orientation and tier orientation to access that space.
shoulder mechanicsjoint orientationrange of motion
The Bill Hartman Podcast for The 16% - Season 13 - Number 10 Podcast
Bill:
SPEAKER_03 46:23–46:24
Yeah.
The Bill Hartman Podcast for The 16% - Season 13 - Number 9 Podcast
Bill:
Bill Hartman 38:49–39:36
And then so follow up to that. Why did I say as it approaches closer to end game? I feel like a lot of times they get like a very excessively ER lower thorax, just like a bunch of space in there. And I feel like the space in there and the degree of ER orientation, like because they've tapped out that end range just makes it basically impossible to return. So do I spend most of my time in that situation pushing them, like that section of their thorax more forward on that oblique first rather than more trying to pull it back? Does that make sense? Okay. Trying to get the ribs strictly to IR.
rib mechanicsend range positioningthoracic rotationclinical reasoning