That's what the pistol test is for.

So that's probably where I need to use manual skills.

Have you ever held a water balloon in your hands? Yes. Okay. So when you squeeze the water balloon at one area, the rest of it gets bigger. Yes. Okay. That fascia does the same thing. Fascia would be the water balloon itself. Anything inside of that fascial compartment would be the water that's inside the water balloon. And you have muscle activity that's going to alter the compressive strategies and the tension through the connective tissues itself. That's going to create the yields and the overcomes based on rate of load. The fascia is no different than any other tissue other than the fact that it's a little bit more irregular in its design. It is all encompassing of everything's wrapped in it. That's for sensory purposes. But the point is, it's like as far as the connective tissue behaviors, it's no different than anything else. You got to look at it as like a sheet of connective tissue versus like a strand of connective tissue, like comparing a tendon to fascia. They're the same stuff. If you had a bed sheet, say made out of rubber, and you got four people in the corners and they're all pulling it taut, and then you take a bowling ball and you drop the bowling ball into the middle, you would see it deform and it would deform more around the bowling ball than it would at your hands, but it would all deform. So there's always tension through the system. When you increase tension in one area, another area is going to have to stretch and allow that area to take up the tension. You would have movement through the connected tissues in that manner based on shape change. We're still talking about shape change, just looking at these broader areas.

Do they still do bridging and stroke rehab? I'm sure they do. Okay, why? Because you need strong glutes, right? No. It weights the pelvic floor.

Okay. Through an arthritic change. So you have a great change that you are not going to be able to alter. You have to create a substitution for that motion. Otherwise she's going to keep walking like Frankensteiner. What did you say? A cooked chicken?

Yes.

Yeah.

Maintenance. Yeah.

So the other things I tried to do as far as shifting her into the side and doing some throws with the rebounder, just trying to keep good alignment. So that way it's like a distraction, but she's still also loading that, you know, both sides.

Okay. This is not easy. That's why not everybody gets to do it. It's not easy and it takes time and struggle and frustration and miserable, horrible failures and you know, replacing steering wheels when you break through the old one with your forehead.

What direction would your arm move? Not the fluid. What was your arm move up? It would move up because you push the fluid underneath the shoulder joint and it lifts your arm up, right?

I was probably working off a scenario that I was actually working with someone in real life. Then they were just like, 'We did this today. So I'm going to do this.' Yeah, it's just options. But again, here's what I would say: you understood right away that this makes total sense if the problem is on this side. But if the problem is on the other side, I have to look at it from a different perspective. That's the principle you want to make sure that you pay attention to. And like I said, you do have that understanding, which is a good thing. As far as why I chose those specific exercises, I'd have to go back and look at the video. I literally would have to go back and look at it as to why I chose that. What I was looking at, and the one that you're talking about, I do remember that one—I was trying to get them to the end of mid-propulsion where I have a little more direct influence, like I'm stopping the tibia and then I'm influencing the femur. So chances are I'm doing something similar in the other video: I'm trying to influence a very specific aspect of the orientation. But again, I'd have to look at it, and I think that was pre-pandemic.

OK. So that means that there are some motor units that are concentrically oriented trying to lift the weight, but there's not enough of them to hold it up. So it keeps going down. So I turn off just enough so that I can sit down into the squat, right?

Okay, so the flow on from this would be in respect to say reducing the anterior orientation that we're seeing of the pelvis itself as a whole. If you go after that, what sort of like in anything that I've done up to this point where we might be using things like a hills elevated goblet squat, for instance, or some cross connects or anything of that nature. I'm trying to get someone back into an earlier representation. The issue that I was seeing is from a visual observation to reduce that seems to be a very, in my eyes anyway, to this point, a long drawn out process. Do you just use like the R measures as your KPIs in respect to that reduction?

Is it a big space or a little space?

Right.

It holds the ankle in a neutral position, plus or minus a couple of degrees. It stores a little bit of energy while keeping you in a neutral position for propulsion. That's why they don't keep an ankle-foot orthosis in plantarflexion; you can't walk like that. You must be able to apply force into the ground. I position the foot in neutral so the neutral position travels up through the pelvis and into the thorax. You must recreate this for them. Does that make sense?

On the left, 50, hip flexion on the right, 90, hip flexion on the left, 95. Gotcha.

Right.

Yeah, right? I don't know, do you have any neat tricks to be like, 'don't worry, it's safe'? Because it's hard to convince someone in that population. Hey, I need you to get on the table where you were injured last.

So let's say it's been a session, they've regained some semblance of internal rotation at that point. Let's say for our younger population, or it doesn't have to be younger, but just anyone that wants to be active in that case. So if I want to use that range, would that be now, let's say if I want to start to use a change in tempo, would that be more of like, so now I want to be able to drop quick and have that heavy exhale to grab that concentric orientation and use what they just got?

So at the end? Take a toilet paper roll. Okay. And smush it. Just take it between your hands and slowly close it up. Okay. That's it, right? So again, it's like that pressure, that pressure goes directly against the helical orientation. So again, so instead of having this nice roll that will go back and forth between your hands, you go like this and it turns like this. And that's orientation, which means that everything's moving together. So I no longer have the ability. So when helices move, relative to one another. They twist and they compress and then they open and they expand. That's what relative motion looks like. If I squeeze it and I can't twist it anymore, now they do this. So we make a little joke. It's like rolling a refrigerator. That gives you that nice little representation. It's like, literally, that's what you've created. You've created two flat sides that you're just flipping it over. Okay.

So I guess that's why she regained some range of motion when I stole that from you, the sidelying technique to mobilize the dorsal rostral area. And this has worked really wonders in several clients. Yeah, it's a great one. Yeah, but it's still based off of orientation and not like regaining a whole lot of relative motion and expansion. Yeah. Okay. So from an intervention standpoint, I was thinking I'll give her some expansion and space back there so she can actually have some movement and some relative motions. You mentioned the areas where she is releasing. So it's the strategy to expand somewhere where she is compressed first and then try to see somewhere else and do some other stuff like with the I mean, there's a chance that she's compressed somewhere else, correct?

Thank you. That was really helpful. I have a follow-up to that. That's okay. I know we got a few people. I'll wait around. Put me to the back. I'm good.

Okay.

That is really good too, by the way.

I'll save that money. Gotcha. So you were talking about pulling on the inside, correct? Are you going to change the direction of the pole? Yeah, what about can we talk about the outside?

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. And then it's a monitoring process. And that comes down. It's like, OK, now we're talking about what are my key performance indicators for this individual. That's going to tell me when to make a change. And then what that change should be would be based on the new outcome, whatever it may be, whether I made a mistake and chose the wrong path and I need to make a course correction there, or I do make a favorable change and now I got to figure out what next is. You see the difference?

When you are referring to connective tissue, is fascia part of that?

Right.