Correct. Yeah.

So the answer to your question is when would I not utilize this drill effectively? What's the interference? The interference is the inability to produce the internal rotation, which means I've got too much external rotation represented. This might be a pelvic orientation. This might be a bony adaptation that is preventing me from capturing the internal rotation position. The nice thing about the drill itself is that it's going to help you promote some internal rotation. There's no question about that. But again, it's like what I don't want to do is train people to try to produce this downforce in the external rotation representation. So there may be something that you have to do prior to improve the position versus just relying on the drill itself. Even though, like I said, you can have a pretty decent outcome. But again, I would caution you, so if you have somebody that, here you go, I'll give you an example. Wide ISA individual, 60 degrees of right hip external rotation, 20 degrees of left hip external rotation. And you're going to try to do this drill on the right side. This person probably doesn't have access to internal rotation on the right side without a compensation. Probably not the best choice yet, okay? Do you see why? Because they really wouldn't be able to bring their center of gravity towards the center, right? It'll be too far to the outside edge of the base of support. So you might need to do something ahead of that to bring them back towards so they can capture the medial foot contacts without a compensatory stretch.

OK.

That is a lay-down representation. So when you look at the follow through on the right side, great representation of lay-down.

Come over with the left.

Yes.

And then.

That you might orient.

It never hurts, right? To have a nice demo on a Thursday morning. I thought we had a gym. I saw the podium back there. Okay, I gotcha. I thought we had a place for the dumbbells over there. So can you move forward so we can see all of your all fours? Maybe the cat can actually help us out here because he's like a quadruped. So all I want you to do is actually just step forward with the right hand. And make it a pretty decent step. Just exaggerate it. Yeah, you go. There you go. OK, so what position is that right hip in now? Right here. Yes, sir.

Okay, so he's using a compensation to produce internal rotation, right? That's what the pinky toe coming up indicates. So he doesn't have internal rotation wherever he expresses that foot. The foot is a demonstration of his attempt to get the internal rotation. You have to get the internal rotation. Okay. Let's look at this. You've got a tibia that is staying in external rotation. If he's trying to put pressure through the ground in that position, he might be using a compensation relative to that knee position. And/or you don't have enough at the hip. Maybe the low obliques, so maybe from a strategy standpoint that's going to be kind of up to you. I would be looking very strongly at the knee position. I would probably go there first to make sure you can get the orientation at the knee. But also my best guess because of the orientation that he came from is that he's probably still trying to use the anterior orientation in the pelvis to produce his internal rotation, especially when moving him into a higher force-producing position. Because think about this: when you've got him leaning back against the wall to do a squat and he's still experiencing discomfort, that's not even full body weight. It's the weight split between the two legs, and he's still having pain with force production. You've got to get this internal rotation back because that's his force-producing position.

Bill, sorry. If that happens, you know, they still have some ER superimposed from top down on the left. So you might as well use the, something like a foam roller or something like that to.

I think you asked a good question.

What is the thought process between picking one or the other staggered stance activities, more of like a hinge-based one that is more of a middle P representation or a split squat where you have a lot of room to work with, you could even go halfway and it's like almost more EI representation?

I understand that fascia remodels relatively quickly, as far as a change in position is concerned. It can remodel to accommodate the new position. When we undo the sling after, let's say six weeks or whatever, albeit that the muscles, change position of the joints, if that is that one of the reasons that they're chasing range of motion sort of relatively vigorously. In other words, trying to return it to as much range of motion as possible as early as they can in order to make those changes to the fascia so they don't remain as a permanent restriction in movement or there's not.

Driving IR from the top down.

From the ground up, I guess you have her find her heels and kind of squat down and just push the hips.

Yes, sir.

Well, it would turn to the other side. If you push my right side forward.

Or I'm in the hospital.

I was wondering, we were talking about the hands and it made me think of a patient I had. He had a left occluded artery and presented with symptoms similar to a stroke. I was wondering, is finger flexion considered ER or IR in your model? This was his issue with finger opposition.

So he doesn't have internal or external rotation on the left side? Okay. So here's how he compensates. He's going to try to turn his whole spine and pelvis. The hip measurements on the table aren't hip measurements; they're actually his spine turning. The problem with that is he doesn't have the relative motions to achieve internal or external rotation at the ground level. So he's literally adjusting his foot and ankle from way up into the lumbar spine. That does not allow him to fine-tune the relative motions from the top down. He's got a three and a half foot space that he's trying to coordinate his foot position with, and if he's off by just a little bit,

Yeah, sure.

You see how we're just writing a program now? We understand the principles about where we want to keep somebody and the exercises just sort of fall into place. And then you go, oh, wait a minute, this exercise now becomes interference. I'm going to hold off on that until it's time for him to push his way through this. Right now, I'm teaching him to gradually come forward so he can control the rate at which he goes forward. That's a whole different influence. So again, it's like, that's how you decide which carry to do or which type of split squad to do. If I'm trying to hold somebody back, do I elevate the front foot or do I elevate the back foot? You see the difference? That's how you write the program. But as long as you understand what your intentions are, the exercises just fall into place because each exercise is going to fall into a position somewhere along this continuum.

She's starting from a more ER position. So, let's use the split jerk for a table test real quick. What's your confirmation for hip orientation if you're running table tests on the right hip? When measuring the right hip, what's your confirmation to let you know where your right hip is oriented?

No, but I was going to say he's growing out his hair, like this, down to here. His mom has been like, 'You've got to cut your hair.' And I was like, 'You should cut your hair.' But now I'm like, 'I probably shouldn't be saying that.'

But I have to answer the orient to get that to go.

He's trying to pronate. He's trying to produce that internal rotation.

I don't know what activities you're talking about, boss.

Yes, very simple. It will be like a big slam dunk for you because if she's effective and you're the world's greatest coach—which I believe you are—you will notice that you will pick up on that early shoulder flexion. That will be your first measure of improvement that tells you you're being effective. Because if you can do that, the cool thing about quadruped is not only are you going to get posterior lower expansion, you've got a really good chance of achieving an up pump handle. Right there, you just took her from arm at the side to getting above shoulder level. So quadruped is really powerful for her, assuming it's not painful and she's able to achieve the positions you want. Got it?

Okay.