Yes, the left side is.

Yeah. Oh yeah. You will, but I have to push you farther forward. You see it? So I'm tipped up on this oblique and it's like, 'Oh, hey, you know what? You don't lose interrotation right away either.'

Okay.

Yeah. All right, Paul, you win the last question of the day.

Wow. You're going to get canceled.

Okay, there you go. Because her center of gravity is going to be able to stay back. So she's less likely to go into the orientation. You see it?

You know it's like putting them in prone was also going to be I mean I guess I just see so many people like they don't have the strategy to get in prone because they're just so end-game. They're so wide.

Look at everything relative to everything else first.

The upright symptoms have resolved. The bridge symptom resolved with the modification over in the middle. But if she goes back out, then she still feels it.

Exactly. You do, you do a little bit more, uh, the foot elevation stuff.

I'm sorry, your friend does. Yeah. Okay. So address the concentric orientation. All right.

I mean, you think about 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.

I'm going to take away your ability to internally rotate the rear foot.

Yeah.

Left foot forward.

Why not?

Awesome. Okay. So go right first met head, right heel first. Okay. Got it. Yes.

OK. Let's all raise your right hand. I promise to never ever refer to anyone as rounded-shouldered ever again.

Good morning. Happy Friday. I have neural coffee in hand and it is perfect. We're going to dig straight into today's Q&A. This was Matt. Matt had a question about one of the mobilizations that we do to produce a middle propulsive lower extremity. This would be a banded representation of an exercise that we would utilize to produce middle propulsion straight into the ground. This is not a terminology extension, as many people are calling it, which is actually wrong. If you were using terminal extension, that would be the exact wrong thing to try to do because terminal on the extension is a force reduced position, not a force producing position. So Matt was utilizing this with a number of clients, but he was looking for situations where this activity might be contraindicated. The situation that we would probably not want to use this in is when we have too much top-down extra rotation orientation, because we're teaching people to produce force in a force-reduced position. Extra rotation is where we demonstrate movement and velocity, whereas internal rotation is where we produce higher levels of force and reduced movement. This activity ends in a situation where we have very little, if any, relative motion because it's a high force producing position. Thank you, Matt for this question. It's probably going to guide a lot of people in the right direction in regards to this activity as it gains in popularity and people are reproducing this in multiple videos with bad information. Again, thank you, Matt. Everybody have an outstanding Friday. The podcast will be up on Sunday. As usual, everybody have an outstanding weekend. I'll see you next week.

Again, you have to define behind the line of the body because I wouldn't respectfully disagree that it's not.

I forget what it's called, but yes, it's joint above and joint below. So they say, oh, make sure you check the hip and check the foot, but then they never tell you why. So the reason you check is because you want them to match. So if I'm trying to get IR at the knee, I better have a foot that can capture the IR. I better have a pelvis that can capture the IR. See it? But see, they don't tell you that. They stop short because they don't know.

Yeah. I guess my question is, is it like a sequential process? Because I feel like I can't.

So if you get a profile view, you can see the position of the load. So what you have to have is an ideal situation where the mass of the load is positioned so that you have an equal distribution of expansion on either side of the load. There's an equal distribution of expansion on either side of the load. And again, I always default to Lu Jiaxuan because it's easy to see it. He's got a—I think he's at the bottom of a snatch. Yes, he's at the bottom of a snatch—and you can see the shape of the spine so you can see the expansion on one side, the expansion on the other, and then the two compressive strategies in this alternating fashion. So he can hold the mass like an equal distribution of mass and an equal distribution of pressures. If we were looking at profile, we'd say both sides, like the front and the back. And so they're going to try to do the same thing based on their physical structure. And so you're right, you're going to see that if you were to just use a neck representation, you'll see those that would be biased more towards a narrow representation tend to drive a lot more forward head, whereas the Ys will tend to push the thorax forward more, which takes their head backwards and then they end up doing something like that, right? They do like a military posture where they're pulling their chin in. So they're getting the compression here, whereas the narrows will tend to kind of push their head through the window, so to speak.

So the spine, if the lower back can turn towards me, I'm standing on somebody's left side and I'm measuring left hip. If the spine turned towards me as I move the hip, it's going to turn the whole system towards me as I turn the hip, and it will magnify the external rotation representation of the hip because I'm not just moving the hip. I'm actually moving the spine.

But don't confuse.

If you're on all fours, okay. And you were stepping forward with your right hand.

Awesome. Okay. And then he gets that posterior pain. So here's the space that he gets knee expansion, anterior medial. Okay. All right. So the fluid pressure is anterior medial and posterior lateral at the same time. Okay. So that's where the volume inside the knee is going. Okay. So when you put pressure on it, that's the two sensations that he's describing. He gets anterior medial knee pain when he tries to use a late representation to produce force. He gets posterior lateral pain when you're compressing the fluid volume inside the knee, when you're measuring the knee.

Presumably, could like a sequence of events work for this? I don't think it's going to work because you'll need more, but theoretically in terms of sequencing events for someone with a wide intersegmental abdominal gap, could it be what we just described where you start from the middle, go forward, reset, and then just reverse it—middle and go back—if they are mobile enough?

So you're closer to that one than you are the vertical.

So then the varying degrees of limitation in the pistol test would tell you how much of a prop someone's probably going to need beneath their hand to actually get the internal rotation without an orientation of the whole hand.