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The Bill Hartman Podcast for The 16% - Season 11 - Number 3 Podcast
Bill:
SPEAKER_06 27:37–27:43
That's right. Because it's all motor learning. If you're sitting watching TV all day, that's motor behavior.
motor learningmotor behavior
The Bill Hartman Podcast for The 16% - Season 11 - Number 2 Podcast
Bill:
SPEAKER_01 39:16–39:35
But again, just recognize what you're looking at first and then you can start to determine the solution. Trial and error is acceptable. Okay. It's very scientific, but just have a reason to do what you're doing. Don't just randomly throw things at people.
problem-solvingevidence-based practiceclinical reasoning
The Bill Hartman Podcast for The 16% - Season 11 - Number 1 Podcast
Bill:
Bill Hartman 40:07–41:34
So let's go to the ringing out the towel concept. Okay, so I twist it all the way tight from both ends. Okay, so it's no longer expanded anywhere. So we're starting from this point of sort of like a max P representation where ER, IR, superimpose are the same thing. I'm fully compressed. There is no space, okay? And I got a hold of the towel at one end, right? On both ends. And I untwist it this way a little bit. Okay, that's going to create expansion in a very specific pattern from one end to the other. All right, I torque it back down, I tighten it back up and then I open this one and it opens in the other direction. So now I have an ER and an IR. And so that's the interplay of the musculature around the capsule that produces the fluid shift that creates all of these cool motions. Gotcha. Um, so hang on. So if you contracted the superior third of infraspinatus and subscapularis at the same time. Okay. Mm hmm. Bella so far.
synovial fluid mechanicsshoulder joint movementcapsular mobilitymuscular interplaybiotensegrity model
The Bill Hartman Podcast for The 16% - Season 10 - Number 10 Podcast
Bill:
SPEAKER_05 42:26–42:29
I don't remember. Do you know how long ago I did those? I was probably working off a scenario that I was actually working with someone in real life. And then they were just like, oh, we did this today. So I'm going to do this. Yeah, it's just options. But again, so here's what I would say is you understood right away, like, oh, this makes total sense if I do it, if this is the problem on this side. But if the problem is on this side, I have to look at it from a different perspective. That's the principle that you want to make sure that you pay attention to. And like I said, you do have that understanding. So that's a good thing. As far as, yeah, I'd have to go back. I literally would have to go back and look at the video as to why I chose that. Because what I was looking at, and the one that you're talking about, I do remember that one, is I was trying to get them to the end of middle propulsion where I have a little bit more direct influence on, like I'm stopping the tibia and then I'm influencing the femur. And so chances are I'm doing something similar in that regard in the other video is that I'm trying to influence a very specific aspect of the orientation. But again, I have looked at it and I think that was like, that was really like, wait, I think, was that pre?
exercise selectionbiomechanicsproprioceptiontibia femur relationship
The Bill Hartman Podcast for The 16% - Season 10 - Number 8 Podcast
Bill:
Bill Hartman 39:19–39:27
If I'm not falling, OK, if I'm not falling, am I still pushing against the weight?
motor recruitmentforce productionmuscle activation
The Bill Hartman Podcast for The 16% - Season 10 - Number 7 Podcast
Bill:
SPEAKER_01 1:01:52–1:01:54
Basically.
The Bill Hartman Podcast for The 16% - Season 10 - Number 6 Podcast
Bill:
SPEAKER_11 45:07–45:09
Where are you treating him? Out in the gym?
treatment locationclinical environmentoutpatient therapy
The Bill Hartman Podcast for The 16% - Season 10 - Number 5 Podcast
Bill:
Bill Hartman 43:31–44:55
To speak, it's not peel it back, it's pull it off. So when you lift the medial border of the scapula away from the thorax, the subscapularis has to eccentrically orient under those circumstances. So you ever had those people where you try to get your fingers underneath the scapula and you can't because it's pinned. Like it's literally pinned against the thorax and you just can't get your hands underneath there. So that is a subscapularis that is concentrically oriented under those circumstances that will not let that scapula move. So what you may need to do is you go in there and it's kind of like lazy rolling where you're doing like the scapular PNF part of it. Like maybe you need to do that to tone down all of that concentric muscle activity. The benefit of that is you can drive him towards early and late representations manually. He starts to let some of that stuff go naturally. You're going to get lower cervical rotation. Very important. You're going to get upper cervical rotation in the opposing direction, which is exactly what you wanted to get in the first place. So there's a lot of things you can do here, but based on your description, like I said, your strategy has been appropriate, but you're going to have to do something local. You're going to have to make a window of opportunity with your hands.
scapular mechanicssubscapularisPNFcervical rotation
The Bill Hartman Podcast for The 16% - Season 10 - Number 2 Podcast
Bill:
SPEAKER_05 40:41–40:42
Be more like the outside then.
foot orientationweight distributionforefoot loading
The Bill Hartman Podcast for The 16% - Season 9 - Number 9 Podcast
Bill:
Bill Hartman 46:39–47:15
So they need to be able to alter pressure. They're going to naturally hold their breath because the minute you start to bring their pelvis off the seat, they're going to hold their breath because of the amount of force that's going to be required. But do you see how you build this? It's literally the same process that you went through to learn how to walk. They have to learn the new constraints, whatever they have available to them. And then you substitute for whatever you need to substitute for. So maybe this becomes the AFO. What does an AFO do?
respirationpressure managementmovement rehabilitationassistive devicesgait mechanics
The Bill Hartman Podcast for The 16% Season 9 Number 5 Podcast
Bill:
SPEAKER_04 49:35–49:38
Okay, hang on, I literally just had a conversation about this on Sunday, go ahead.
hip mechanicsbaseball swinglower body rotation
The Bill Hartman Podcast for The 16% Season 9 Number 4 Podcast
Bill:
SPEAKER_05 57:53–58:19
Yeah, I'm processing. Okay. But you would still have to gain access to some other [ER space]. If you don't gain access to ER space at the pelvis, you'll probably just bring them straight back into the same position. So it's just symptomatic relief.
relative pelvic motioncompensatory strategysymptomatic relief
The Bill Hartman Podcast for The 16% Season 9 Number 3 Podcast
Bill:
SPEAKER_02 1:00:14–1:00:22
For sure. Do you ever have any issues with people that have had previous falls and they're just really uncomfortable just being on the ground?
fall riskpatient comfortground-level activities
The Bill Hartman Podcast for The 16% Season 9 Number 1 Podcast
Bill:
SPEAKER_08 58:08–58:20
Hello, Bill. How are you going? I'm awesome. Nice to hear. I've got the most difficult client that anybody could possibly have. It's my wife. You'll know what I'm a fair guy.
The Bill Hartman Podcast for The 16% Season 8 Number 5 Podcast
Bill:
SPEAKER_03 49:37–49:49
And would kind of be like an analogy to that exercise for the upper extremity be that like dorsal rostral band pull apart? Yes. Yes. How much time do I have?
exercise analogyupper extremityband resistance
The Bill Hartman Podcast for The 16% Season 8 Number 1 Podcast
Bill:
SPEAKER_05 54:44–56:47
It's okay. It's always end of one. Let's just take that aside. You're always going to have that situation. But you want to think about your first step. Let's say we have two end-game representations, one wide and one narrow. Due to superficial strategies and their influences, we have to alleviate that first if relative motion is the goal. Again, that's the question mark: is relative motion the goal? If it's performance-related and we're talking about force production, we know we're going to rely on those strategies. We have to use them. But step one would be to alleviate the superficial limitations if we're trying to restore relative motions. Then helical angles become essential because the greatest excursion in range of motion occurs on the helical plane. If I train against that, which is what powerlifting is, I'm going to be right in the middle, so to speak. I'll try to capture force production there. That's when helical angles become even more important. Under many circumstances, we can speak generally about increasing anterior-posterior expansion because ultimately, if we superimpose all possible superficial strategies, everyone uses the same ones. The sequencing might differ, but the intention is the same: create anterior-posterior expansion, otherwise there's no access to those helical angles. I have to take those limitations away first. Underneath all that is where the helices are represented.
superficial strategieshelical anglesrelative motionanterior-posterior expansionforce production
The Bill Hartman Podcast for The 16% Season 7 Number 10 Podcast
Bill:
SPEAKER_01 1:00:35–1:00:49
Yeah. Okay. Yeah. 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?
shoulder mechanicsscapular movementinternal rotationexternal rotation
The Bill Hartman Podcast for The 16% Season 7 Number 9 Podcast
Bill:
SPEAKER_01 1:04:33–1:04:39
That makes sense. Because like half the time sometimes it works, sometimes it doesn't. It's always like, I never understood why, but now I do.
shoulder girdle mechanicsrehabilitation strategiesrelative motion
The Bill Hartman Podcast for The 16% Season 7 Number 8 Podcast
Bill:
SPEAKER_02 1:02:12–1:02:12
Put her on the ground.
gravity reductionexercise modificationrehabilitation techniques
The Bill Hartman Podcast for The 16% Season 7 Number 7 Podcast
Bill:
SPEAKER_03 59:22–59:23
I appreciate it. I'll see you.
The Bill Hartman Podcast for The 16% Season 7 Number 6 Podcast
Bill:
SPEAKER_07 1:24:03–1:24:08
Yeah, so does that help? Yeah, absolutely. It's just for me.
hip mechanicsmuscle orientationbiomechanical reference points
The Bill Hartman Podcast for The 16% Season 7 Number 5 Podcast
Bill:
Bill Hartman 1:05:44–1:06:27
So 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, okay, so what positions are desired? What actions of the connective 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. Okay?
exercise selectionconnective tissue actionsstructural modelpropulsion phasesforce influences
The Bill Hartman Podcast for The 16% Season 7 Number 4 Podcast
Bill:
SPEAKER_05 56:40–56:50
Yeah. That breaks it down. That breaks it down. I'll definitely have to kind of swim in this train of thought for a while too to get it, but that does make sense.
connective tissue mechanicship rotationmotor learning
The Bill Hartman Podcast for The 16% Season 7 Number 3 Podcast
Bill:
SPEAKER_08 57:50–58:57
By putting a rep count in there, you're actually making it so their strategy is just to get to that rep number when the strategy might be more appropriately seen as they're trying to recapture range of motion or they're trying to feel X, Y, or Z. And so I have started in circumstances where I'm trying to recapture range of motion, just saying like, don't worry about the reps for now. We'll get to reps like next month, especially with remote clients like get, we'll get to reps next month. But this right now, this is all about breathing and like this one or two muscles that you're feeling or the position you're in. And so I'm wondering if I'm wondering how the impact of strategy influences your programming in that way. Like would you be the type of person to program reps in a very specific way? Or would it be more like here is kind of what we're going for in general, because we only want you to be thinking about one thing. And I guess I just want to hear about your thoughts in that regard.
training strategyrep countingrange of motionbreathingmuscle activation
The Bill Hartman Podcast for The 16% Season 7 Number 2 Podcast
Bill:
SPEAKER_08 1:03:06–1:03:13
I have it down, but just to my notes, it's max. So is that just incorrect, where at max propulsion, it isn't yielding on the posterior, it is overcoming? Okay, yeah.
gait mechanicspelvic floorpropulsion
The Bill Hartman Podcast for The 16% Season 7 Number 1 Podcast
Bill:
Bill Hartman 1:06:22–1:06:34
The farther forward the center of gravity, the more I start to get that little trickle down effect on the posterior aspect of the hip, where I start picking up more concentric orientation. You understand?
center of gravityhip mechanicsconcentric orientation
The Bill Hartman Podcast for The 16% Season 6 Number 10 Podcast
Bill:
SPEAKER_02 50:38–50:43
Okay. Then it's, if it's advancing, then the only strategy that I have there is to create the
The Bill Hartman Podcast for The 16% Season 6 Number 9 Podcast
Bill:
Bill Hartman 55:32–55:34
There's no way you hope. You hope so, yes.
The Bill Hartman Podcast for the 16% - Season 16 - Number 3 Podcast
Bill:
Bill Hartman 32:41–32:47
I'm going to see how quickly I can get you riled up this morning and ask you a question about court-sharing today.
court-sharing
The Bill Hartman Podcast for the 16% - Season 16 - Number 2 Podcast
Bill:
Bill Hartman 38:58–39:14
That's right. Possibly. So here's the advantage. Here's the advantage of the staggered stance stuff and chopping activities is that she can't drive the femur into IR relative to the tibia. Her knees are going to be bent.
staggered stancechopping activitiesfemoral internal rotation