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The Bill Hartman Podcast for The 16% - Season 11 - Number 10 Podcast
Bill:
SPEAKER_02 44:03–45:17
I'm trying to understand how that works with gait. If we look at an early phase of walking where the left leg moves forward, we might have an overcoming action on the posterior side of the hip. When this overcoming occurs from a certain direction in the connective tissue, there must be counterbalancing forces. The difficulty I'm having is that fascia spans so many areas and pulls in different directions, making it hard to see how these forces combine. Unlike a tendon where we can directly see its attachment and pull direction, fascia's multi-directional nature makes this unclear. I know there's no simple answer, but if you have any references that might help me understand this, I'd appreciate it.
fascia mechanicsconnective tissue behaviorbiomechanics of gaitfascial force transmission
The Bill Hartman Podcast for The 16% - Season 11 - Number 9 Podcast
Bill:
SPEAKER_07 40:47–40:57
You see it? Yes. And so I'll probably have to do, actually, some like pelvic floor, weighting type of exercises. Maybe.
pelvic floorrehabilitation exercisesmotor output
The Bill Hartman Podcast for The 16% - Season 11 - Number 8 Podcast
Bill:
SPEAKER_09 32:10–32:10
Yeah.
The Bill Hartman Podcast for The 16% - Season 11 - Number 7 Podcast
Bill:
Bill Hartman 38:26–38:38
Okay. So on one side of your body, if I'm stepping forward, let's just say I'm stepping forward with my right foot and my right foot lands on the ground. You understand the concept of early propulsion, right?
propulsionground reaction forcesbiomechanicsgolf swing mechanics
The Bill Hartman Podcast for The 16% - Season 11 - Number 5 Podcast
Bill:
Bill Hartman 25:43–26:01
Okay. Let's go back to Ivan's question about looking at this through time. Can both sides of the thorax be pushed forward but at different rates?
thorax mechanicsasymmetrical movementrespiration
The Bill Hartman Podcast for The 16% - Season 11 - Number 4 Podcast
Bill:
SPEAKER_05 34:52–35:31
Thousand percent, you got it. Understand, understand right now. At the other end, so down here, okay, so this is entropy. This is the change in entropy, which is also greater than zero, but it is a loss of adaptability that keeps me healthy, okay? And like I said, the assumption here is, again, because if you look at humans, so if you sleep and you eat, you restore what you gave up. That's why we appear to defy entropy. We don't.
entropyadaptabilityenergy balanceclosed systems
The Bill Hartman Podcast for The 16% - Season 11 - Number 3 Podcast
Bill:
Bill Hartman 27:45–28:08
Yes, there you go. And if you do it enough times, do you get better at it? Yes, there you go. Yeah, you're learning. It's just learning. It's just learning, right? If we just look at it from that perspective, it's like learning is the rule. We can put motor in front of it so we have a little bit better idea of what we're looking at from a frame of reference, but it's all the same.
motor learninglearning principlesbehavioral adaptation
The Bill Hartman Podcast for The 16% - Season 11 - Number 2 Podcast
Bill:
SPEAKER_09 39:36–39:45
Right. Yeah. Well, I'm getting there. It's hard to understand these things, you know, so. I understand. I guess so.
The Bill Hartman Podcast for The 16% - Season 11 - Number 1 Podcast
Bill:
SPEAKER_06 41:35–41:35
Yeah.
The Bill Hartman Podcast for The 16% - Season 10 - Number 10 Podcast
Bill:
SPEAKER_01 42:30–42:32
Yeah, I can imagine.
The Bill Hartman Podcast for The 16% - Season 10 - Number 8 Podcast
Bill:
SPEAKER_06 39:28–39:28
Yes.
The Bill Hartman Podcast for The 16% - Season 10 - Number 7 Podcast
Bill:
SPEAKER_03 1:01:55–1:03:20
No, I understand where you're going. So you're looking at it, you initially were seeing an ER compensatory strategy, okay? That's what that was. By your description, that's what that was. You did something and you made a change. So here's my question to you, Matt Hamilton. It looked different. It was more favorable in your eyes. But if you took that ER compensatory strategy and just put it somewhere else, is that the correct answer? And again, I'm not judging that because I might be totally okay with that because what may have had to happen though, is that you saw more ER orientation in the hip itself. And then by doing that, you made the lower back look different. That might be a great solution for somebody that has to produce force. So think about like a power lifter trying to squat with a narrow stance when they've never squatted with a narrow stance. That's kind of what you were describing. And then you put them in a wide stance with some toe out, and then you see a totally different representation of the squat. And maybe their force output goes up, which would be totally favorable in that circumstance.
compensatory strategieship mechanicssquat techniqueforce production
The Bill Hartman Podcast for The 16% - Season 10 - Number 6 Podcast
Bill:
SPEAKER_06 45:12–45:14
No, on the table, really on the table.
treatment settingclinical spacepatient positioning
The Bill Hartman Podcast for The 16% - Season 10 - Number 5 Podcast
Bill:
SPEAKER_02 44:56–44:57
Gotcha.
The Bill Hartman Podcast for The 16% - Season 10 - Number 2 Podcast
Bill:
Bill Hartman 40:42–40:47
So it's going to be more lateral and distal towards the forefoot, right?
knee mechanicsfoot pressure distributionbiomechanics
The Bill Hartman Podcast for The 16% - Season 9 - Number 9 Podcast
Bill:
Bill Hartman 47:16–47:17
I are for the ankle.
ankle orthosisbiomechanicsgait assistance
The Bill Hartman Podcast for The 16% Season 9 Number 5 Podcast
Bill:
SPEAKER_02 49:39–49:54
Okay, hopefully I'm on the right track here. So just representation of pelvis, right, IR 20, ER 30. Left IR-20, ER-45, SLR on the right, 45 SLR on the left.
hip internal rotationhip external rotationstraight leg raisepelvic mobility
The Bill Hartman Podcast for The 16% Season 9 Number 4 Podcast
Bill:
SPEAKER_09 58:21–59:17
Absolutely. Absolutely it is. So you get the temporary expansion of adaptability through the manually applied technique, but I didn't recapture enough relative motion systemically to get, as they say, the changes to stick. Right. So you do get temporary relief. So you're on the right track as far as the intention is concerned, which is adaptability. But did you recapture the adaptability? But this is why you intervene and then retest so you can tell what happened. Just feeling better is not the full resolution in some cases. Again, all you do is expand adaptability. If I expand adaptability, but it goes in the wrong direction, they might feel better. But did I really provide a solution if full relative motion is the goal? Outcomes are just outcomes. They're just telling you what happened under the circumstance. You try to take the emotion out of it, so to speak, where you get to pat yourself on the back for being successful. and just understand it's like, okay, I didn't get relative motion to pelvis, but maybe I expanded it in the lumbar spine. Well, how would you know? Well, that's why you measure your, your measures and just like you said, you get a lot of ER and OIR, you know, you get the spinal compensatory strategy still in play.
adaptabilitymanual therapyrelative motionretestingspinal compensatory strategy
The Bill Hartman Podcast for The 16% Season 9 Number 3 Podcast
Bill:
SPEAKER_07 1:00:22–1:00:23
They're scared.
patient psychologyfear managementrehabilitation barriers
The Bill Hartman Podcast for The 16% Season 8 Number 5 Podcast
Bill:
SPEAKER_06 49:50–49:52
One minute and 31 seconds.
The Bill Hartman Podcast for The 16% Season 8 Number 1 Podcast
Bill:
Bill Hartman 56:51–57:13
Yeah, that makes sense. So when you talk about, because I'm picturing whenever I think about narrow versus wide and the helical angles, I think about the tubes or the syringes. We're past that. So if we're thinking about this, this A to P compression, and we're picturing the wider tube versus the narrower tube, what do the tubes end up looking like?
helical anglesanterior posterior compressionstance widthbiomechanics
The Bill Hartman Podcast for The 16% Season 7 Number 10 Podcast
Bill:
SPEAKER_07 1:00:49–1:00:50
Yes, sir. Yes, sir.
The Bill Hartman Podcast for The 16% Season 7 Number 9 Podcast
Bill:
Bill Hartman 1:04:41–1:05:19
It does matter. So now you understand it's about choosing the right resistance band color that allows the relative motions to occur, if that's the goal, right? But if we just approximate it for strengthening and say, 'Oh, look, you can do your side-lying external rotations with 15 pounds today, and you only used 12 yesterday,' and they say, 'Well, then that's better.' Wrong KPI. If relative motion is the goal, and under most circumstances, that's why people have discomfort is because they don't have enough relative motion.
relative shoulder motionexercise selectionkey performance indicators
The Bill Hartman Podcast for The 16% Season 7 Number 8 Podcast
Bill:
SPEAKER_05 1:02:13–1:02:14
Yeah, put her on the ground.
The Bill Hartman Podcast for The 16% Season 7 Number 7 Podcast
Bill:
SPEAKER_06 59:28–59:40
Good morning. Happy Thursday. I have neuro coffee in hand and it is perfect.
The Bill Hartman Podcast for The 16% Season 7 Number 6 Podcast
Bill:
SPEAKER_02 1:24:08–1:24:37
I just like to have that reference just kind of like I'm okay with that but what I don't want you to do is get caught up in the number because it depends. It depends on the circumstance. It depends on the orientation of the pelvis. It's not an absolute. It's just that it's a frame of reference for comparison purposes. Yes, look at that stuff like don't don't don't like if you got a bit of $1,000 on whether it's 60 degrees or 59 and a half or 42 or whatever it is. Don't do that. Okay.
hip flexion range of motionbiomechanical reference pointsperformance thresholds
The Bill Hartman Podcast for The 16% Season 7 Number 5 Podcast
Bill:
SPEAKER_06 1:06:28–1:06:29
Right.
The Bill Hartman Podcast for The 16% Season 7 Number 4 Podcast
Bill:
SPEAKER_04 56:50–58:08
Yeah. So people think that muscles are doing everything. When the reality is, it's like we rely on connective tissues to do amazing things. When we're talking about force output, when we're talking about velocity, and especially when there's a time constraint, connective tissues are the monster that has been ignored in how we actually produce forces. So it's kind of a big deal. So the muscles are going to assure that we're in the right positions, but then it's the play of the connective tissues that are going to create the delays. And so when I talk about yielding actions, we're in an energy storing action of those connected tissues. And when we're in an overcoming situation, we're in an energy releasing situation. So yielding tissues are a little bit more expansive. They stretch. The overcoming tissues are a little bit stiffer. But again, that's where I'm really producing that high element of velocity. It's actually going faster in the overcoming situation and slower in the yielding. And that's how you turn. Right? You can use muscles to turn you, but it's going to be incredibly slow. Connective tissues can turn you very, very quickly.
connective tissuesforce productionbiomechanicsmovement efficiency
The Bill Hartman Podcast for The 16% Season 7 Number 3 Podcast
Bill:
SPEAKER_05 58:59–59:14
It makes people uncomfortable to not have an end. So here's what we're going to do, Andrew. We're going to go for a run and then we're just going to run until we're finished.
The Bill Hartman Podcast for The 16% Season 7 Number 2 Podcast
Bill:
Bill Hartman 1:03:13–1:03:17
So are you moving forward? Yes. Is one side moving forward faster than the other?
gait mechanicslocomotionasymmetrical movementpropulsion