Well, he's coming more to the medial edge.

Zach, I'm really hoping you have a question and you're not going to sing to me.

So, yes. So let's take her back bend. And let's flip her over. So she's expanding the front side, compressing the backside. How can we compress the front side, expand the backside?

Exactly right. I tell you what, Matt, first thing I would do is have the most minimal of tension because they're used to high tension, thinking more tension is good and high pressure is good. The reality is, you're trying to recapture relative motions, which they have to be able to breathe, move through, and need available. So I would do this: do you ever see the yellow theraband or theratubing that's like spaghetti? Start there. Seriously, just start there. Just teach them the positions again. This is a straight plane representation problem.

Yeah.

I understand that part. The loading part is what I want, what I want to understand. When you say doing a loaded activity, what do you, what are you referring to?

We have four minutes and nine seconds. Go, go, go, go.

She's saying where I finished the movement. Yes. Okay.

So here's what I would recommend that you start to think about: you start to think about using your muscles to capture a position, and then connect the tissues to identify what activities you're going to use. The higher the force output that's required for that activity, the stiffer the connective tissue you're going to be utilizing. So if your time constraint is brief, you're going to use something that is easier to deform. So it's like a shorter amount of time at high velocity. So it's not like a high force kind of thing. Like sprinting is high force into the ground. But throwing a five ounce baseball is a little different.

I understand what you're saying. So we need to talk about weight distribution first. When we unweight one extremity, the degree of relative motion changes dramatically. Using a single-leg RDL as an example: when I pick one foot up, I essentially lock the pelvis into one piece under most circumstances, reducing relative motion within the pelvis. In a kickstand stance where the back foot has minimal weight, we immediately restrict the full excursion of the pelvic motion, compressing toward middle strategies that make us more internally rotated and nutated. We lose that element. Two-foot contact provides more rotational capabilities, allowing access to both ends of the spectrum. If my goal is to increase pelvic excursion, kickstand wouldn't be my first choice. Does that make sense? Now, regarding the kickstand you described: left foot forward with right foot back on toes. As you bend into this position, you're pushed forward on the loaded side. We're still working in this middle ground. The degree of rotation toward the loaded extremity is less, so you won't be able to turn the sacrum toward the loaded extremity as much regarding relative motion within the pelvis. The rotation that occurs is between the femur and the pelvis as a unit.

OK. Yielding action is the behavior of the connective tissues. So if I have an elastic tissue, it has to be able to lengthen and then release the energy and compress. So the yielding action creates delays. It slows things down, but it also is a position where I'm storing energy in the tissues for a release of that energy.

Right. And they lost the posterior lower, but they might, you might test them on the right side on hip abduction. And they've started to pick up an expansive strategy and posterior lower. because of the degree of the turn and they'll have more on the right than the left.

This is a very common presentation that I think gets misunderstood as to what is changeable. And I think a lot of people see this representation. They don't think that they can make a change on it, and you actually can. So I hope it's going to be useful for many people. So thank you, Johnny, for your participation. If you would like to participate in a 15-minute consultation, then just go to askbillhartman at gmail.com. We've got a few more questions to go through, so please be patient if you do request one, and we will see you next week. Johnny, what's your question?

Your traditional shoulder flexion seems to be probably the most painful for her, especially as we get into more active shoulder flexion.

Well, maybe it's like, you see somebody that's trying to hide the $100 bill in their butt crack. Right away, you know that. So here's what just happened: that's a, if it's a narrow ISA, that's a sway forward. That's a pubis that's moving towards the sternum. That's a sternum that's moving towards a pubis. And now you're hanging onto a cord-like rectus abdominis on the front side and you're bending the spine. So if you would like to set a world record for planking, that's how you do it: just hang on, bend your spine, compress it into one piece, and hold on. That would be a bad idea. It's like the exercise itself is not what is at fault here. It is the execution.

Entirely possible. Because when you're moving away from midline. The way we always talk about stuff that seems to be a really simple way to do it is we talk about going into the cut, out of the cut, kind of a frame of reference. If you think about when you're pushing out of a cut, and you think about like the last ground contacts that you would have as you're leaving the ground, your first met head would be there, your big toe would be there, right? That would be an extreme representation of any time that you're leaving the ground on one side.

Yeah. Yeah. So you probably see them more at the foot because.

That's one. OK. Keep going.

Okay.

Yeah.

But I'm probably someone who's on the verge of getting that regularly, I believe.

Okay. But point is you take credit for it, right? Okay. So sometimes when you're treating somebody, you make a suck shot. Okay. Take credit for it. Take credit for it. And then try to figure out what you just did. All right. No, it's like, I don't want you to think that that's the best course of action to take, but in certain circumstances, especially under a time constraint. So I had a soccer player come in yesterday and it's like, oh, game on Saturday and I don't get to see you again. Like this is it. This is a one and done. And it's just like, okay, I gotta come up with a sequence of events that I would typically probably not give somebody because I know that he's not gonna get the treatment that he needs. And so I gotta go way off the beaten path and say, okay, I'm literally gonna put you in a position where I'm twisting you. Like I'm intentionally creating a bony adaptation to put you in a position to allow you to be successful with something else. If I had time and process, I wouldn't have to do that. So you're correct. It's like, sometimes you got to go right after it. And then if you can alleviate a symptom, that gets you buy in. Then it's a matter of like, okay, now here's what I really want you to do. Like if you want, you got something that comes in with knee pain, you want to twist the knee, like do that first, like you would never do that first, right? But you do it first and they go, ah, that's so much better. You go, cool. Let's do these exercises now. Do the same thing with an elbow or a hand or a wrist. I'm cool with that. Okay. But, but if you want, if you want, you know, the end result, the ideal end result, you got to look at this from a much broader perspective. Cause what ends up, you don't want to be the guy that just treats symptoms.

Yes, sir. I'm talking all the time about left foot forward.

Okay.

I don't have to make you one.

Okay. So if they go into an end position, the sternum is pressed down, and the thorax will push forward. And it looks really straight on the thorax.

ERIR.

But they got a restriction on that right side correct.

Okay.

Yeah.