So because you do that with a white.

Let me describe a few things and then I think it'll fall into place for you, okay? If I'm standing on my left leg and I've got my right foot on the platform, okay? Am I standing in a proximal position? So pelvis, femur, am I standing in a position of IR?

She's saying it's not the same exact feeling to her, like sensation wise, but it's in the same location.

Yeah.

It's trying to lift you up all the time away from the ground. And then you just have to find a strategy that allows you to push down. And you do. You do. It's just not distributed.

Yes. I mean, you think about like, not just this person, but patients in general, it's like you're looking for a sequence of events. So you can reverse engineer it. And sometimes you just get lucky, you do pretty well. But if you can understand the process here, you're going to be a lot more successful.

Okay. Now I'm going to fuse that joint. I'm going to take away your ability to internally rotate the rear foot.

Yeah.

Good morning. Happy Friday. I have neuro coffee in hand and it is perfect. All right. Well, this is the busy Friday of the two week sprint. So we're going to dig straight into this Q&A. This was Zach. So Zach had a question in comparison to some bending activities. More specifically, can't read that left in a rear foot elevated single leg activity that are not the same. One is going to require an earlier representation of internal rotation was going to prevent that early representation of internal rotation, which we'll see in the discussion. The thing that I want you to take away from this is the reasoning behind an activity. So all activities are good for certain things and for certain structures. So this is one of the reasons why you want to fall back on my foundational archetypes of the wide ISA, narrow ISA. Their physical structure makes them better at certain things. Not every exercise is transferable from one archetype to the other with equal success. For instance, your narrow ISAs, the people that are more extreme towards that representation will be lousy deadlifters. By common vernacular, they will not be good hinges. No matter what it looks like, they will be using compensatory strategies to access those positions. So these are the things that you have to kind of keep in mind when you're designing your programs. Number one, you want to be very, very specific with your intentions and you want to be coherent. And so that's why you have to take structure into consideration. So thank you, Zach, for bringing this up. Truly appreciated. Everybody have an Outstanding Friday podcast will be up on Sunday and I'll see you next week.

Okay.

So that's what this video is about perspective as to what's actually going on with the system. So thank you, Zach. Great question. And again, I so rudely interrupted him because I wanted to talk about this on the coffee call. So again, thank you for your patience. Everybody have an outstanding Friday. I'll try to get the podcast up from last week and this week this weekend. So we'll give that a shot. Everybody have a great weekend. I'll see you next week.

Well, that's always the case. It's going to be, regardless of archetype, you're going to do that. But when you go to the left side, you want to go left first met head, left heel, that's going to produce the turn. Because what's going to happen as you do that, you're also going to feel a load shift towards the right first met head. And if anybody would like to do this, you're welcome to stand up and actually feel your foot cues. So. Are you okay to stand up in the dark?

Stop right there.

For movement to occur, there has to be a gradient. The setup establishes space. The movement is going to compress that space until everything is superimposed.

As you descend, you should be absorbing the internal rotation, right? So that would be an early representation in the descent of a dip until you hit the end of what you have available. Then you have to create orientations to finish it if you go farther.

Back in school, you're an orthopedic student and they're teaching you how to do a knee exam. Right. What's the rule in regards to, uh, when you're doing any specific joint exam, what is the simple rule that they give you? Like if you're looking at an elbow, they say check the, and then check the.

You see it. Yeah. It's just way open.

Hey, Michael, can you mute please?

So if the spine turns, like if I'm measuring left hip and the spine turns towards me, that's going to magnify the ERs. If it doesn't turn, then it magnifies the IR representation potentially, depending on how far they turn. So then we're back to Zach's question about the field hockey coach.

You're going to create that that is not relative motion.

Okay, go ahead and ask your follow up. And while you do that, I'm gonna try to get to that picture so everybody can see what we're talking about.

Okay. So, you have a distal femur that is twisting into internal rotation and a proximal tibia that is still in too much external rotation. Let's think about the mechanism of injury here. How do you partially tear an ACL? Like what position would I be in to partially tear the ACL? That orientation still exists. If he's got a partial tear, then his sensation may be such that he's still trying to use a late representation in the knee. Which means that if you put him in an earlier representation—for example, if I have him hold something in front and he goes down into a squat—that's an earlier representation. Then if I put his back against the wall, and he's pushing himself up and down, he tries to use a late representation. He gets uncomfortable. If you keep him in early representation, he's seemingly fine. If you can compress his heel to his butt in supine, that's how you're measuring the knee.

Well, you need so it's a simultaneous kind of thing it's like I need the bony representation to be more middle representation, otherwise you can't get the concentration like this is where like the old school representation of the weak VMO being the cause of knee pain. This is why they said that because it's not that the VMO can't produce force it's in the wrong position to produce force right so so again it's like they're using what I would consider just ineffective terminology. It's a misrepresentation. They say, oh, just keep making that muscle stronger and stronger and stronger. It's like, no, it's like you've got to change the orientation so the muscle can produce force in the right position. Good morning. Happy Friday. I have neurocoffee in hand and It is perfect. All right. Man, very busy Friday. Got to dig straight into today's Q&A. This is a sequence of questions from Andrew, Zach, and Taya, all associated with some of the short arc rolling that we talk about. Very useful, especially for your wide ISA individuals that are compressed into your posterior. We put them on their side. We immediately get some of the anterior posterior expansion that we're going to need to capture some relative motions. But a lot of times, people have a lot of difficulty creating the shape change, inducing some of the rolling. And so we talk through some cues that you can use manually to help people acquire this effective roll and in what direction you're going to roll, how to cue pelvis orientation. And so if you watch this all the way through, there's just a nice little sequence of recommendations here that I think will help a lot of people get through some of this rolling behavior. So thank you to Andrew, Zach, and Teya for this. Gotta make it quick bolt. Gotta get out of here. So everybody have an Outstanding Friday podcast Should be up on Sunday. And I will see you all next week. So the role is starting from middle right? It's starting from middle representation, and then it goes late on the top, early in the bottom, back to middle, and back and forth. You see it?

So do this for me. Hold your arms straight out to the sides. So this is your horizontal axis.

So then like for that cable chop, wide versus narrow, Like maybe for a wide, you don't have the cable like starting as low and they're not chopping as high versus the narrow starts lower come a little bit like more over the shoulder.

Yes, sir.

Yeah. So powerlifters come in and they always have this neck restriction where they say they can turn their head one way but not the other. The quickest fix is to take them to the deadlift platform, put around 50% of their one-rep max weight on it, and have them perform the opposing strategy of their deadlift. Then they go, 'Oh, there it is.' They get freed up. This is because you're creating an upper turn, causing the entire system to turn in response to the load and the strategy—similar to how foot contacts on the ground create a turn. Let's go back to Alex's and Andrew's questions: we talk about how foot contacts make the turn. The way you grip and hold things influences upstream into the thorax. So, regarding the issue raised, you can use these strategies to help influence the axial shape while producing load. While you're still managing the magnitude of force and hypertrophy responses, you're potentially minimizing risk.

Yeah.

It's the orientation that's creating the problem.

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.