So I started working with a soccer player. Well, congratulations. He rolled his left ankle. He had like a left ankle sprain about a couple of years ago. And after that, he developed bilateral knee pain. So I evaluated him and I'm somewhat confused about his pelvis position and shape. I think I figured it out. So on the left side, his hip external rotation is about 20 degrees. You say 20? 20 on the left. And about 20 internal. And he stands there with a little bit of a left side bend. So it's not a side bend. It's not a side bend.

Yes. What's the difference?

Yeah, yeah, that's exactly what I'm thinking.

That's why you see the destruction of this. That's why you see the cellular destruction that's associated with that type of training. It's useful. It's useful because you can train to increase the recruitment of the number of motor units in a certain phase of the lift, which is useful like weight releasers and things like that.

So for the front rack versus behind the neck, is that just she's starting from a relatively more internally rotated position. So she runs out of room sooner.

He's in here. Right.

because I also like to picture or at least just have a memorization of the big toe being the knee, but I suppose that would be.

Okay. So what is a knee moving medially, okay? What is he actually trying to produce with that? So this is an active, it's not collapsing inward. He's pushing it in. What is he trying to do? What is that inward movement producing? Think about it. Think about it. Okay. It's his right knee that's moving medially. Okay. What is the right foot then able to do?

I'll go practice my dancing.

Yeah, well, because I noticed that with people who seem to have trouble with the internal rotation and overcoming that through the middle of the squat, that's when they deviate the knees outward. That's when they get traditional extension of the lumbar spine and all of that. My thought process was at least for the lighter sets, I guess I should clarify that an exhale could at least limit the volume that is being presented internally and then lead to maybe using a breath hold strategy when there's some weight involved. Because then it's

Good morning. Happy Thursday. I have neuro coffee in hand. Oh, ladies and gentlemen, it is perfect.

Prone position.

Baseball players pre-throwing routine is basically impossible from a standpoint. So it's like, as long as we're going to do it, let's do it as technically as possible.

So there you go. So what is going to be her representation of her ability to absorb? So we're talking about a distributed yielding behavior, right? Because my guess is that when she jumps off of a box, she hits the ground pretty hard. Okay, so if I ever jump off of a 12-inch box and I hear this big thud and I see her knees slam together as she's trying to land, would a better representation of that after doing some training, being a landing where it's a softer landing and the knees don't collapse towards each other? You see the difference? So now you're showing that she's actually learning how to manage the forces as she's landing. Her squat would potentially improve.

Um, all right. So if you just had them cross-connecting and breathing, um, you wouldn't be able to achieve the desired effect.

Yes, it's just get better or understand that feeling. Okay, how much time do you have left? Four minutes?

Okay. That's perfect. It's perfect. Okay. So you're doing the drop and the catch, right? And so you do one where you're actually all the way down at the catch. Okay. And then you do one that's about halfway between the drop and the catch. Is there a difference between the two?

Yeah, that changes. It gives me enough to think about for the next week.

So with the first one, the kickstand RDL where the left foot is forward, that will be going from early towards mid and then the campo deadlift, they'll be going from late towards mid. Is that even different because of the balance position?

Yeah.

And this is why if you're doing traditional measures, like initially you get this crazy extra rotation representations where you get like 70 degrees of hip abduction, which doesn't even exist. But it measures that way. And then you get the next person that comes in, and you go, 'Oh, they're on an oblique axis. I should expect to see all this crazy hip abduction,' and you get 15. And then you go, 'How is that even possible? They're on an oblique. I know they're on an oblique.' And it's like, 'Oh, they got shoved forward so far that the muscle orientations changed again.'

In concept, you have to put yourself in reality sometimes. Conceptually, yes. If you know what your target is and what context you're trying to create, that's the easy part. When we talk about the evaluation process of a client or patient, that's the easy part. Once you become reliable enough and start taking good measurements or your coach's eye is refined enough to see things, you know exactly what you want to do. That's the easy part. Then you have to work with a human who doesn't understand anything you're saying and has no feel for what you want them to do. That's the biggest challenge. Because everyone worries so much about understanding, which is important. I want people to understand and have a model and frame of reference to work from. But the bottom line is: how well can I communicate what's in my head to someone with absolutely no frame of reference to start with? There's the challenge. So it makes perfect sense conceptually—knowing how to keep the head organized and move everything below is perfect sense. Now try to get someone to execute it. That's your challenge. That will be the difference-maker for your success, because you could be the smartest person in the room, but if you can't communicate with that individual and get them to understand enough—because they're not going to fully understand—you just have to get them to understand enough to execute and do enough of the right things to achieve the outcome you know they're capable of. That's the hardest thing.

Okay. So let's talk about some deficits. What are we still looking at from a deficit perspective with her?

So it's just getting like a massive posterior orientation like that, like close your tail to fly with like a ton of that.

Right. Well guys, my thought was that when Mike makes his first move to the right and we lose that medial arch on the left, we're probably also losing some of the fifth met head on the left.

Yes. But I'm also creating some interference. So again, it becomes a localized event. You see it?

And in part, it's the proximal ER choice to the tibia.

That is actually the solution. That is correct, sir. It's like the only reason, the only reason somebody uses a compensation. Okay. And so when we're talking about compensation, let's be really clear about this. What we're doing is we're locking body parts together that would typically have motions between them that can move in opposition, we're locking them together and moving them as one. So when we talk about like the pelvis orienting anteriorly, it's like we've got the innominate, we've got the sacrum and the other innominate that would typically move in relative to one another, slam them together, tip them into the anterior orientation. Right. And so you're just trying to, you're just trying to reduce that. So they move back into the space where those relative motions still exist to whatever degree that you need them.

That may help as well. From a mobility perspective. Then it just comes down to exercise selection. So you have to select activities that are going to load the rear foot and not allow the center of gravity to translate forward.

Okay. Well, let's think about this for a sec.