It just seems that way sometimes.

Okay.

Like legitimate late internal rotation.

Thanks, Bill. So a quick follow up. I know a few weeks ago we went over those foot cues and that really set light bulbs off in my head. My question today is, what role does the fifth metatarsal head play in any positions?

It moves it away from midline. It's not like it's way out into ER, but it's going to promote some ER. So if I have a guy that can't acquire dead center straight down middle, and I want to start to promote a distal IR, so like a mobilization of IR, that might be a useful thing to do, to acquire a position.

Yes.

Right. Bigger, stronger guys. Yeah. It becomes an exercise in futility. You start to see all the internal rotation compensatory strategies and stuff show up because we just stick them in a space they don't have. But the recognition of that allows you to guide them into a position where you see a lot less of the compensatory stuff.

Right. So, like I said, there are ways to do it.

Well, you're creating an undesirable substitution. So the substitute is very well-designed to do what it does, right? It's a great adaptation. But if I take that away from you for any circumstance, you're gonna find a way to apply inter-orientation into the gram. It's just gonna happen somewhere else. Have you ever worked with anybody with a first metatarsal fracture?

OK. And then a quick follow-up, with regards to Alex's question, whether it be the positioning of the hand or the elbow versus the shoulder, maybe, I don't know, want to say specific to pitchers, but like for like the upper extremity athletes, do you feel that probably just for the buy-in case, like you're probably wanting to start more distally just because I feel like a lot of those symptoms are there or should I really be?

Yeah, facing away.

You ever do the seated metasembol slam?

Awesome. Okay. Stay up there.

Yeah. So, um, so again, that visual representation when you're doing something virtually is very helpful. Because at least you know that a narrow ISA is going to do that first.

Simplify it. Simplify it. Talk to yours and ours.

And is it that they cannot get the pelvis to turn left? Or they're keeping the right side open? Are those paired together?

Right hand golfer, right side, top of the backswing. Before you change direction, early ER. There has to be a stop at the top of the golf swing to change direction, correct?

So to simplify it, would you say you're tucking the wide rib cage into their pelvis and you're tucking the rib cage of the narrow up into itself again?

Good morning, Bill. I just wanted to follow up a little bit in respect to the iFast post I put up there with my little friend who's got that pretty significant left turn going on when he's on the bench press. Now, just to clarify, am I free to share that, Matt? Yeah, 100%.

You're welcome. Good morning. Happy Thursday. I have neural copy in hand and it is perfect.

Alternatively, I could, instead of just elevating the leg, what if I brought the left knee to my chest so that I'm in more representation on the left leg. So potentially, yeah.

Would they both be applying pressure to the dorsal rostrum and the sacral base?

That's the early representation. So if he's already got that and he can manage it really, really well, you might need to start moving him back towards a middle representation where he's actually pushing straight down into the ground first. You've got to get the knee orientation to where the femur is pushing straight down in the tibia. They're all pushing in the same direction versus the twist in the knee. Do you understand? Let me grab my knee. It's a left knee?

So he'll lift his knee up to try to externally rotate into that space, right? Instead of maintaining the internal rotation that you need, right? What else? Andrew, this is the important part. Remember you asked me about what to do with the other foot. ER the foot. Yep, exactly right. It's like, I can't hold an ER, I can't maintain the IR on the ER as I'm turning him, right? So what do I do? I just magnify more ER, right? So I start to use compensatory strategies. So the IR compensation is the anti-orientation. The ER compensatory strategies is ER at the hip, all the way down to the foot. So if I see the knees separate as he's trying to shift from, if I'm trying to turn him from right to left, right? I know he's starting to ER. If he picks up his foot, that's a pretty big ER. If the anterior orients, then I know that he doesn't have the capacity to maintain the ER as he's sliding back. You see it? Don't have to retest the tests at all. You just look for the compensatory stretch.

So I guess this is why the reverse engineering has to be different. That's why this is why so the cues may be similar in regards to what you need to capture to create the motion. But because of the design of the human because their helical axes are different, the behavior is different. We talk about the same foot cues, whether you're a wide or a narrow, but the direction that you're going to move is going to be different because you're designed differently.

Yeah.

Yeah. Because I'm not in a position and I'm not in a space where I have relative motions available to me. So I have to move the pelvis into a space where relative motions are available first. And you can hit a home run. You can pick spots that will move people into a place where they have relative motion, and you can get your normal mutation, and you can recapture your IR all at the same time. But if you, again, it's like, I think that one of the mistakes that people make is like they're, we talk about foot contacts and, and stuff like that. And then they, they get the foot contact, but they don't consider the orientation of the pelvis to start. Cause you, you get what appears to be a correct foot contact. And yet you have an anteriorly oriented pelvis. You just made the anterior orientation. You see it.

Yeah.

What would be an example of that?

Get them a pair of hokas.