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The Bill Hartman Podcast for The 16% Season 8 Number 3 Podcast
Bill:
SPEAKER_03 58:31–58:51
And I guess I can structure in a way, because there are obviously times where our pitchers are shut down, they're not throwing. So we don't have the KPI of velocity. So it's more about recapturing position. We can isolate and we can work on that side of things. And then, once we get back into throwing, we can kind of see where we are because we'll have time to make adjustments at that point.
KPI trackingposition recapturepitcher rehabilitationisolation trainingadjustment period
The Bill Hartman Podcast for The 16% Season 8 Number 1 Podcast
Bill:
Bill Hartman 53:48–53:50
I do. Last call of the day, dude.
The Bill Hartman Podcast for The 16% Season 7 Number 10 Podcast
Bill:
SPEAKER_02 1:00:20–1:00:27
But do you see what I'm getting at as far as the strategy to create this shape? Yes. No. I think she's squeezing her scapulae together, pinching them together. That's her ER. Yeah. Okay. So that's the reason why she has like no IR at the shoulder, right? Sure. Her ER is magnified by the fact that she is just turning her scapula backwards, right?
scapular mechanicsshoulder rotationkinetic chain
The Bill Hartman Podcast for The 16% Season 7 Number 9 Podcast
Bill:
Bill Hartman 1:02:28–1:02:56
And it always matters. Right. The scapula has to move, but it has to move in the right way. I have to have the right starting conditions. Otherwise I've immediately eliminated my ability to turn. Right? I have to have the posterior lower expansive capabilities. Otherwise I can't create the relative motion in the scapula relative to the humerus relative to the thorax. Right?
scapular movementstarting conditionsthoracic mechanicsshoulder mobility
The Bill Hartman Podcast for The 16% Season 7 Number 8 Podcast
Bill:
SPEAKER_05 1:01:31–1:01:39
Yeah. Okay. So, she's, again, how do I make her lighter? Give me two ways to make her lighter.
resistance trainingbiomechanicsexercise modification
The Bill Hartman Podcast for The 16% Season 7 Number 7 Podcast
Bill:
SPEAKER_06 58:54–59:07
I saw him running in the snow on TV once. Is that the guy? That's the guy. Yes, where they buried him in ice up to his neck. He's crazy. So there you go. He's a superhero.
wim hofcold exposureextreme endurance
The Bill Hartman Podcast for The 16% Season 7 Number 6 Podcast
Bill:
SPEAKER_02 1:22:26–1:23:28
It doesn't mean it's not useful. You just have to have an understanding that when they're teaching you in dead guy anatomy position, they're not talking about the change of the orientation. So they'll call glute max an external rotator. Not all the time. They'll say glute medius is an external rotator. Not all the time. And they would say, and piriformis is internal. And then the piriformis aspect of is the actual, well in dead guy position. Yes. But as soon as I do that, no longer. And so the thing that I don't want you to get caught up in is like there's not an exact measurement of this. So think about how many fibers you have that just slowly change their angle of orientation. And so as I move this forward, more and more of that gluteus medius changes its orientation. More and more of piriformis changes its orientation. More and more of glute max changes its orientation. It's a gradient. So if I go really, really slowly, you see it? It's like, it goes, don't, don't, don't, don't, don't, don't, right? And then it changes. Yeah. Yeah.
hip muscle anatomymuscle orientation changeexternal rotatorsinternal rotatorsfiber angle gradient
The Bill Hartman Podcast for The 16% Season 7 Number 5 Podcast
Bill:
Bill Hartman 1:01:35–1:04:44
Exercise one with like more reference before they move on to exercise two which is a progression with like let's say less reference and more potential for loading and things of that nature. So I don't look at it that way. Because I wouldn't say that there's—you're looking kind of at apples and oranges when you're looking at saying oh, you can do a certain volume of this exercise and so now I need to put you on a different exercise. That doesn't make sense to me because the exercise selection is based on what their capabilities are and what their needs may be. So when you're programming, the program is to close the gap between point A where they are and point B where you want to take them or where they want to go or what their potential is or what their sport needs may be or whatever you want to look at. And so exercise selection for me is an outcome-based selection. So it's like, what do I want? What do I need to close gaps? So let me give you an example. I have a volleyball player. When she jumps off of a box and she lands, her knees slam together. So that means that she's accelerating towards the ground rather rapidly. If she is of a narrow ISA structure, I can make a few assumptions about why she does that. And so what I want to do then is I want to give her a movement-based strategy to give her greater control and her ability to decelerate that landing. The selection that would be was like, well, what do I want her to do? Well, I need her to be able to stop. Okay. So I'm going to teach her how to stop. And so I'm going to give her a way to do that, which might be like I started with a high box squat. And I teach her to stop the dissension of the, of the anterior pelvic outlet. So the box will teach her to do that. And then I load her appropriately so I can create a much stronger concentric orientation. And then I add rate to it. So I can create an overcoming action of the connective tissues that she would need to improve her ability to decelerate quicker. And so right there, I've just given you a series of activities that basically fulfill what her mechanical needs might be versus saying this exercise follows, this exercise follows, this exercise follows, this exercise because it doesn't. What do I need to see happen?
exercise selectionoutcome-based programmingmovement-based strategydeceleration trainingmechanical needs
The Bill Hartman Podcast for The 16% Season 7 Number 4 Podcast
Bill:
SPEAKER_05 49:28–50:22
My question is based off what I've learned from your model so far in my reading and everything I've gathered. When you talk about an ER hip shift or something equivalent to loading into a cut—or the examples I used in my email question, like a pitcher loading up on their trail leg before throwing a baseball or a golfer at the top of their backswing—based on what I've learned, you've considered that an ER hip shift involves certain musculature lengthening and other musculature shortening to load the movement. Now I'm really having a hard time understanding what muscles are doing what job. It's put me in a little bit of a confusing spot because, based on previous information I've learned, those concepts don't mix. So I just want to learn.
hip mechanicsexternal rotationsuperpositiongolf swingpitching mechanics
The Bill Hartman Podcast for The 16% Season 7 Number 3 Podcast
Bill:
SPEAKER_06 54:16–54:18
It was a short answer.
The Bill Hartman Podcast for The 16% Season 7 Number 2 Podcast
Bill:
Bill Hartman 1:02:28–1:02:35
OK, then you want to make sure that you maintain some measure of that relative movement then.
exercise programmingmovement selection
The Bill Hartman Podcast for The 16% Season 7 Number 1 Podcast
Bill:
SPEAKER_07 1:06:09–1:06:09
Initially.
The Bill Hartman Podcast for The 16% Season 6 Number 10 Podcast
Bill:
SPEAKER_04 50:33–50:34
Yes, it is.
gait mechanicsbiomechanicsmovement patterns
The Bill Hartman Podcast for The 16% Season 6 Number 9 Podcast
Bill:
SPEAKER_11 53:39–53:39
So 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. Bassist media houses, I think, is a grossly understood 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 the vastis mealis 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 BL would be opposing muscle. It would turn inward.
quadriceps anatomymuscle attachment sitesfemoral external rotation
The Bill Hartman Podcast for the 16% - Season 16 - Number 3 Podcast
Bill:
SPEAKER_02 30:26–30:32
Yeah. So keep working on the shape. But again, it's the transition. Your transition is too fast.
shape changetransition speedrib mechanics
The Bill Hartman Podcast for the 16% - Season 16 - Number 2 Podcast
Bill:
SPEAKER_04 38:05–38:09
That's like that's in her home program at this point, as she gets a lot of exposures to it.
home programrehabilitation progressionexposure therapy
The Bill Hartman Podcast for The 16% - Season 17 - Number 6 Podcast
Bill:
SPEAKER_00 26:26–26:40
Yeah, yeah, yeah. I mean, it's look at the sequence that you described on the table. Right. And look at the end position. So you said you finished in a prone position?
movement sequencingpositioningprone position
The Bill Hartman Podcast for The 16% - Season 18 - Number 2 Podcast
Bill:
SPEAKER_03 26:04–26:08
Not really, unless it's not the most beneficial way, I guess.
change of directionreinforcementmobilization
The Bill Hartman Podcast for The 16% - Season 17 - Number 8 Podcast
Bill:
Bill Hartman 33:02–33:21
All right. So what's different? Come on, man. You kind of answered it as you were explaining it. It's like, oh, he's going to answer some questions just by talking out loud. Talk me through it. No. Okay.
clinical reasoningdifferential diagnosispatient assessment
The Bill Hartman Podcast for The 16% - Season 15 - Number 7 Podcast
Bill:
SPEAKER_01 26:56–26:57
In early activities?
movement strategysquat mechanics
The Bill Hartman Podcast for The 16% - Season 15 - Number 5 Podcast
Bill:
SPEAKER_02 42:34–43:13
It's all about them trying hard, man. These are all strategies to create this high pressure position of the pelvis. It's a shape change in the pelvis. It's a positional muscle orientation of the outlet to create the concentric orientation that you need to keep the pressure going in the right direction. But you'll also see them trying to internally rotate their hips, kick their hips back, bite their lower lip, and push their head forward. You'll see all of these things to try to get internal rotation in the system.
pelvic positionmuscle orientationinternal rotationpressure management
The Bill Hartman Podcast for The 16% - Season 15 - Number 4 Podcast
Bill:
SPEAKER_05 29:14–29:14
Yeah.
The Bill Hartman Podcast for The 16% - Season 15 - Number 2 Podcast
Bill:
SPEAKER_03 40:21–40:21
Right? Yeah.
The Bill Hartman Podcast for The 16% - Season 15 - Number 1 Podcast
Bill:
SPEAKER_04 26:40–26:40
Yeah. Okay.
The Bill Hartman Podcast for The 16% - Season 14 - Number 10 Podcast
Bill:
SPEAKER_05 33:30–35:42
Okay. If I pronate, that means that the radius is now on a diagonal. Can you appreciate the fact that the radius is now shorter relative to the position of the wrist? Because it has to cover, it's on a diagonal now. So if it was here, as it turns on the diagonal, it has to do this, right? It's turning on a helix, basically is what it is. So it's going to fall back, right? Okay. So then my resting position on my hand is that. Okay. Got it. It means that the ulna now looks longer than the radius. Okay. If I have a radius that twists farther into intranotation, that means that this is more ER, this is more IR. I've already positioned my hand here. And then that means I can't radially deviate, which means I can't make a pistol. They do this. Okay. Okay. So what this test is, is a test for the position of the distal radius. And then that tells you what the proximal radius is doing. So for this to have more internal rotation in it, the only way that I can do that is to make this more ERG. Okay. Okay. The forum is going to look short. Okay, because it is technically speaking, it's short. If I twist the radius, it's like when you twist a towel, the two ends of the towel get closer together, right? So if I twist the radius, the radius actually gets shorter, okay? But I can't open my thumb up into ER because radial deviation is actually a turn of the hand into ER. So I can't do this without compensating. So you see, if you supinate your hand as hard as you can. Look at your, look at, you see your pistol? You see the pistol show up? So you got to twist the radius. Can you appreciate that?
forearm pronation/supinationradius mechanicsradial deviationinternal rotationhelical motion
The Bill Hartman Podcast for The 16% - Season 14 - Number 9 Podcast
Bill:
SPEAKER_05 32:37–32:37
Yeah.
The Bill Hartman Podcast for The 16% - Season 14 - Number 8 Podcast
Bill:
Bill Hartman 36:49–38:43
Yeah, we usually put a pillow or two in between. Okay, and if that's comfortable, then he's telling you, he's like, I'm in my ER space, I'm comfortable here. But now you gotta start to superimpose the ER and IR representations. Right. So this is the same thing we just did on his back. We where we built it up to create the position. Now we're going to sign his knees are open into ER space. And now I'm just going to do that. Right. So these are the short arc rolls. Okay. And just just like rolling out dough on the table. He's starting to get the AP expansion. So now you take advantage of the table pushing up. He's got to expand front to back. All of his innards are falling towards the table, right? That creates some of the expansion. Sequence a little bit of the breathing on top of that. So he starts to drive airflow towards the path of least resistance. This is going to start to induce some of your turning. The big limitation that you have here is an age-related change in how much water you have. Okay. So the bony representation has a lower adaptability. You're going to try to take advantage of anything that he's got left. And that will be your best case scenario. Okay. Everything is gradual. Everything is slow. Okay. And everything is comfortable. Low muscle tension. Okay. Don't ignore your manual skills to reduce concentric orientation because chances are he'll have a tough time. Right? So you might have to lay hands a little bit to get stuff to calm down or any other tool that reduces muscle orientation. Like you can, you know, throw darts is back with needles or something like that. You know, that's perfectly acceptable. You know, anything that's going to reduce that.
hip mechanicsbreathingsoft tissue adaptationmanual therapy
The Bill Hartman Podcast for The 16% - Season 14 - Number 7 Podcast
Bill:
Bill Hartman 38:44–38:56
Generally speaking, yes, because again, if I don't expand, so if I produce a downward force, but I also apply an upward resistance, I do have an advantage, right?
respiration mechanicsforce productiondiaphragm function
The Bill Hartman Podcast for The 16% - Season 14 - Number 6 Podcast
Bill:
Bill Hartman 32:16–33:19
So, I'm thinking about the two-dimensional representation I've seen you draw, like the starting point and then moving forward, and then wide forward. How would I think about this differently for narrow stances? For a narrow stance, when they're trying to move left versus a wide stance that has come back and is now trying to move right, I'm conceptually trying to understand the difference. If the wide stance has already come back, I have a sacrum and thorax truly ready to face left, whereas the narrow stance will start turning left but isn't actually at that point yet until they move right. Regarding the girl with the ACL and knee pain I mentioned last week, I've been thinking about this, but the general conceptual question is how to think about these differences.
stance mechanicsmovement sequencingcenter of gravityarchetype differencesfoot cues
The Bill Hartman Podcast for The 16% - Season 14 - Number 5 Podcast
Bill:
SPEAKER_04 40:14–41:10
Several weeks ago, I asked you about one of my clients—actually a friend. She's not in the same city as me, so I can only teach her online. At that time, you told me to never trust others' measurements, right? So you only trust your hands and can determine if someone has anterior or posterior compression. So today my question is: how can I determine if someone has anterior and posterior compression on the thorax? What can I observe from the shape? I mean, other than a visual. And is there any difference between wide and narrow?
virtual coachingthoracic compressionassessment techniquescompensatory strategiesmeasurement reliability