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The Bill Hartman Podcast for The 16% - Season 11 - Number 1 Podcast
Bill:
SPEAKER_06 39:52–40:04
Right. So all joints move on helical angles. Yes, sir. So how does the synovial fluid shift to accommodate that?
joint mechanicsfluid dynamicshelical movement
The Bill Hartman Podcast for The 16% - Season 10 - Number 10 Podcast
Bill:
SPEAKER_01 41:59–42:26
All right. So then I see it. I could still use the right cable pulling me forward. And I just have a follow up to that because I just want to hear your thought process on why you chose half kneeling in part one and staggered stance in part two.
exercise progressionstaggered stancehalf kneeling
The Bill Hartman Podcast for The 16% - Season 10 - Number 8 Podcast
Bill:
SPEAKER_06 39:18–39:18
Yes.
The Bill Hartman Podcast for The 16% - Season 10 - Number 6 Podcast
Bill:
SPEAKER_06 45:07–45:07
Yeah.
The Bill Hartman Podcast for The 16% - Season 10 - Number 5 Podcast
Bill:
SPEAKER_02 43:28–43:31
Yeah, just kind of like peel it back.
scapular decompressionmanual therapysubscapularis
The Bill Hartman Podcast for The 16% - Season 10 - Number 2 Podcast
Bill:
Bill Hartman 40:22–40:39
So what orientation do you think you're going to end up with at the knee under that circumstance? So if I don't have, if I can't drive a public orientation that can capture the IR, where are you going to land? Where's the weight on your foot under that circumstance?
knee mechanicsfoot orientationinternal rotationbiomechanics
The Bill Hartman Podcast for The 16% - Season 9 - Number 9 Podcast
Bill:
Bill Hartman 46:38–46:39
Exhale first.
The Bill Hartman Podcast for The 16% Season 9 Number 5 Podcast
Bill:
SPEAKER_02 49:21–49:35
But this time it's not a pitcher, it's a position player. So I have a wide, he's a right-handed hitter, and he's getting some crash in that back knee as he's kind of transitioning.
baseball mechanicshitting techniqueknee stability
The Bill Hartman Podcast for The 16% Season 9 Number 4 Podcast
Bill:
SPEAKER_09 57:43–57:52
There you go. You're thinking.
The Bill Hartman Podcast for The 16% Season 9 Number 3 Podcast
Bill:
SPEAKER_07 58:25–1:00:13
It's difficult, period, because you're battling a relatively unchangeable constraint. You have a small window of adaptability available to you. That doesn't mean you don't try to work on it. As you're rolling them, you're teaching them whatever shape they can assume and how to feel internal changes in position. If I roll you, your guts roll with you, and you might not be totally aware of that fact, but your brain knows. Your brain feels those shifts. That's how you teach people how to weight shift first. You don't stand them up in the parallel bars. You teach them in this simple, easy way where they're really safe, then bring them up. You're battling a limitation of shape change, but continue to work on it within their tolerance. When talking about fall risks, you can still use load, asymmetrical loads, different foot positions, and take the same thing you're working on the mat table and just stand it up. It's all turns. You're in a tough situation because you have limited adaptability, but you've got to create small windows that you can recognize.
shape changeadaptabilityweight shiftfall riskconstraint
The Bill Hartman Podcast for The 16% Season 8 Number 5 Podcast
Bill:
SPEAKER_06 47:11–49:35
You're not pushing out. Okay. You're trying to reduce the, okay, so the muscles above the trochanter, as the pelvis becomes anteriorly oriented, they become internal rotator muscles, right? They change their direction of pull. So for me to sit down into a deep squat, I'm trying to capture an ER representation, early propulsive representation of that pelvis. So that musculature is concentrically oriented. The chances of me capturing an early representation of the pelvis in the bottom of deep squat are slim to none. So what I'm doing is I'm fixing the femur with the force of external rotation against the band, but I don't want to push it apart because if I push it apart, all I'm doing is creating the posterior lower compression and I'm orienting the femurs into ER. I want to capture relative motions in the pelvis. So what I have is I have a stimulus that the band stimulus creates the ER moment that makes the musculature above the trochanter eccentrically orient as I descend into the deep squat. Then I superimpose the inhalation on top of that. And I get this nice little early representation at the bottom of the deep squat. That's what that's for. Because if you watch the sequence, if you watch the sequencing. So you start in a late propulsive representation at the top of the squat, you've got the foot elevated on a platform. Okay. With toes in line with the forefoot. Okay. So it's not, it's not the late representation. Just elevating the heels doesn't do it. You need the platform to do this. Okay. Yeah. Right. And so, um, as I descend, you descend with an exhale till you get through the sticking point where you would be biased more towards that internal rotation. Well, that's where the pelvis is going to start to pick up that IR representation. So the musculature above the trochanter is going to be more IR biased. Right. I have the band on there that's going to reduce the ability of those muscles to maintain their IR bias. And then I sit down below that level where I would typically recapture early representation. And I breathe in, sacrum can counter-neutrate. I have ilium that can ER under those circumstances. And I capture that early representation of propulsion at the bottom of the squat.
hip mechanicspelvic orientationrespirationband resisted exercisesquat biomechanics
The Bill Hartman Podcast for The 16% Season 8 Number 1 Podcast
Bill:
Bill Hartman 53:54–54:44
Luck of the draw. All right. We'll go with that. So my follow-up question to that initially was in regards to training strategies, because I know you've talked a lot about stance width and chopping angles relative to helical orientations and similar concepts. That all makes sense to me. But if we're taking into account the fact that both of these archetypes ultimately end up in a very similar place, do we just take that idea and not throw it out the window? At the same time, if both of these people are really being compressed, how significant are the differences at that point? Or is this really just the end of one situation?
stance widthchopping angleshelical orientationstraining strategies
The Bill Hartman Podcast for The 16% Season 7 Number 10 Podcast
Bill:
SPEAKER_02 1:00:30–1:00:35
I think she's squeezing her scapulae together. Pinch them together. That's her ER.
scapular mechanicsshoulder rotationcompensation strategies
The Bill Hartman Podcast for The 16% Season 7 Number 9 Podcast
Bill:
Bill Hartman 1:03:09–1:04:31
Your scapula could be friends, but they shouldn't meet. Seriously, unless that's what you want. If you're trying to create an anterior and posterior compressive strategy for force production, by all means pull your shoulder blades back. That's cool. If you're a power lifter and you're doing a heavy low bar back squat, pinch those shoulder blades together to get AP compression so you can lift more weight. If I'm trying to restore motion, so here you go. Let me offer you this: if you teach that rubber band exercise incorrectly and your goal is to restore shoulder girdle range of motion, you just created a superficial strategy that interferes with range of motion. And you wonder why you can't recapture your ERs and IRs. Well, it's because you're teaching it wrong. We become our own interference by not paying attention to the details of where this motion should occur and how it occurs. That's kind of important. So now we have to fall back on our representative model. If you're a lever and pulley person, maybe you can sneak away with it. If you execute it well by accident, but if you understand where the shape needs to be, now you have an advantage.
scapular movementshoulder girdle range of motionAP compressionrelative motionexercise technique
The Bill Hartman Podcast for The 16% Season 7 Number 8 Podcast
Bill:
SPEAKER_05 1:01:45–1:02:11
So like, crazy simple, right? So she's a reverse band box squatter. How else can I take the effect of gravity away? Like the downward force. What else can I do here? Frederick, huh? Put her in a pool. Hey, you know what? That's not bad. Frederick, go ahead and say it.
band assistancegravity reductionaquatic therapy
The Bill Hartman Podcast for The 16% Season 7 Number 7 Podcast
Bill:
SPEAKER_06 59:08–59:21
Yeah. Teaching everybody else to be a superhero. I don't think so. All right. I have to go. But it was good to talk to you again, and I hope this was useful for you. And keep kicking butt on your clinicals, man.
The Bill Hartman Podcast for The 16% Season 7 Number 6 Podcast
Bill:
SPEAKER_02 1:23:37–1:24:01
60 degrees of hip flexion has been one of these numbers that they'll throw out because they're talking about where performance starts to change its direction of pull more often than not. They'll say it's about 60 degrees, which happens to coincide very similarly to where the internal rotation moment at that hip starts to increase rather dramatically.
hip flexionbiomechanicsmuscle function
The Bill Hartman Podcast for The 16% Season 7 Number 5 Podcast
Bill:
SPEAKER_01 1:05:43–1:05:43
Right. I don't look at it. I don't look at it that way. I try to be a little bit more particular. And I think that's why my model becomes so important because it does guide that. It tells me, it says, okay, so what positions are desired? What actions of the connected tissues am I targeting? And then I have, so think about this from a structural standpoint, okay? I have four phases of propulsion. I have seven influences of force. So, and I have two archetypes, four configurations, all that stuff categorizes everybody and mixes them down into a, one second. Categorize them and mixes everything down so my exercise selection becomes exceptionally well targeted.
exercise selectionmechanical modelpropulsion phasesforce influencesarchetypes and configurations
The Bill Hartman Podcast for The 16% Season 7 Number 4 Podcast
Bill:
SPEAKER_04 53:36–56:39
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 Yeah. 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 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?
superposition of ER and IRyielding and overcoming actionsconnective tissue mechanicspelvis movement patternssegmental motion
The Bill Hartman Podcast for The 16% Season 7 Number 3 Podcast
Bill:
SPEAKER_05 57:18–57:50
Right? When it was like, oh, but what about the skeleton? What about all the other connective tissues that would be associated with this? What about the fluid change that creates the expansion and the compression that is producing this force? So you see how it kind of just falls a little short? But again, I think it would be very, very difficult to truly measure how that is distributed, but to not mention it as being included in this whole process I think is where it falls short.
connective tissue mechanicsbiomechanicsforce distributionstretch shortening cycle
The Bill Hartman Podcast for The 16% Season 7 Number 2 Podcast
Bill:
Bill Hartman 1:02:59–1:03:01
We're talking about middle propulsion, right?
gait mechanicspropulsionbiomechanics
The Bill Hartman Podcast for The 16% Season 7 Number 1 Podcast
Bill:
SPEAKER_07 1:06:21–1:06:22
Right.
The Bill Hartman Podcast for The 16% Season 6 Number 10 Podcast
Bill:
SPEAKER_04 50:38–50:38
No.
movement assessmentmuscle function
The Bill Hartman Podcast for The 16% Season 6 Number 9 Podcast
Bill:
SPEAKER_10 55:22–55:32
Cool? Yeah, and that doesn't happen independently, right? Like it happens in coordination with the rest of the quads, right?
quad coordinationmuscle function
The Bill Hartman Podcast for the 16% - Season 16 - Number 3 Podcast
Bill:
SPEAKER_02 30:40–32:41
Good morning. Happy Monday. I have neural coffee in hand and it is perfect. All right. Digging into a very busy Monday, quick housekeeping items: Reconsider podcast is up at your favorite podcast location. Also up on YouTube if you want to see the video. Chris is outstanding in regards to editing; it makes those videos actually really, really fun to watch. So please check out the Reconsider podcast. If you're not a member of iFAST University, go to iFASTUniversity.com and get yourself signed up. Please join us for that 1pm Eastern, Sam time call. Digging into today's Q&A, this was Zach. Zach actually starts this call off using one of the dirty words; I believe it's number three on the list if you're playing the home game and watching this video. He starts off that way as to where some of these activities may fit, but it brings up a good point as to how we need to think about exercise prescription. We don't want to do these things blindly, and that's what tends to happen—or in the unfortunate circumstance of group exercise where everybody's doing the same thing. Some people are getting a great workout, some are getting a lousy workout, and some are somewhere in the middle. We have to always consider what are the needs of the individual, what is our intention with the exercise, and is this the appropriate exercise for this context and for this person at this time? Then we have to consider how are they actually executing it—are they actually achieving the desired results? So all of these things are big issues when it comes to exercise prescription. This is actually a really good question to kind of lead us into all of these concepts. So thank you, Zach, for your question. I will see you at iFAST University people at 1pm. The rest of you, I will see you tomorrow.
exercise prescriptionindividualizationgroup exercise
The Bill Hartman Podcast for the 16% - Season 16 - Number 2 Podcast
Bill:
SPEAKER_04 38:48–38:58
Yeah, so she might go like these refined positions that we're talking about until like a chop or it's like more like a back stagger and then into that activity that I just described like that.
rehabilitation progressionchop exercisestaggered stance
The Bill Hartman Podcast for The 16% - Season 17 - Number 6 Podcast
Bill:
SPEAKER_00 26:45–26:45
I mean, okay.
The Bill Hartman Podcast for The 16% - Season 18 - Number 2 Podcast
Bill:
SPEAKER_03 26:54–27:00
Someone that's not. Okay.
The Bill Hartman Podcast for The 16% - Season 17 - Number 8 Podcast
Bill:
Bill Hartman 33:26–33:36
Okay. But you've got a couple of scenarios in it. You had an upright scenario on the ground, right? That was also producing the symptom, correct?
symptom reproductionupright loadingmovement scenarios
The Bill Hartman Podcast for The 16% - Season 15 - Number 7 Podcast
Bill:
SPEAKER_01 27:39–27:42
Right. Yeah. I try to use more staggered stances for them than split stances.
stance trainingpelvic orientationgait mechanics