Now you're thinking. I like that. I like that. So you just walked yourself through the process, right? You're identifying basically where the center of gravity is going to fall based on where you position the load. And that's exactly right. That's exactly right. And so you think about it. So if everything was moving up and away from the middle of the base of support, right? So the center of gravity is up. And again, it's on those lateral aspects, and you want to bring it down and in into IR. You do something that would bias one side potentially into that space. But because of the load being outside the base of support, you are running the risk of exaggerating. You're absolutely right. You need to do something that's inside of the base of support. We can take this concept and we can write a whole program for this person, based on that principle. We can do explosive work. What would be considered explosive work? We can do medicine ball stuff with that. We can do carries with that. We can do any number of activities on your feet for that, right? We can get them on the ground. We can roll them around. We can do all this kind of stuff as long as you understand that principle.

That means the first one, right?

OK. Let's pick a spot first.

If you can't turn the lower cervical spine to the left, that's the limitation. So you go, 'Oh, it hurts.' And people come in, they're really good at that too. They go, 'Yeah, it's right there.' It's the one finger test. So under that circumstance, the inability to turn in that direction would be a lack of expansion.

Of course.

Okay. What I want you to do is just slowly drop your left knee out to the side. No, no, just the left knee. Awesome. Is that more ER?

What's the last thing on the ground when you're walking? Is it your big toe or your little toe?

Oh, so there's the yield.

Okay, so they go forward on the left, and as they're moving this way to the right, they're also going forward, right? And so as they go forward, they're gonna push back, and so you have, this is happening as they move to the right. You understand that, correct? Like at what point does that happen? As soon as they start moving from left to right. It has to, because the space is going to have to close. Cause if the space was open, they wouldn't have to move any farther. They would already be expanded. They would be taking up that space.

That makes sense. So you can find a corner. If you just got a wall on in two big spaces on either side, you're on one space and then they still have that big open space. So if you can create an isolated area, that might be helpful. That might be helpful.

Technically, you're going in the opposite direction.

Yep. So basically where I started with her was just trying to get center of gravity off the right side. It was actually relatively easy in terms of just like her adaptability that she pretty much got her relative motions back within the course of one session. I was a bit surprised in a positive way about like the trajectory of her symptoms in that within a few days she was completely pain-free like walking around no pain at night. I guess for the sake of my ego I'll attribute that to the restoration of relative motion but there's a million other things that why that could have happened then. So I guess where I'm hoping to get your opinion and guidance and this is definitely the part that I get more stuck with for a lot of my patients is now like the training part of it. As far as she's trying to get back to track and then she's got soccer in the fall. So there's a lot of running intensive stuff. I'm trying to figure out in terms of like balancing the rates of loading and early verse late and magnitudes of like What's my starting point? How do I know when she's ready to transition from one to the next? Is it based off of symptoms? Is it like a demonstration of competency? Whatever we deem kind of like, she needs to be with the movement. So I kind of like want to start that conversation a little.

Okay, the traditional measure of hip abduction. What is that measuring in regards to early, middle, or late representations of external rotation?

Okay, so we have to decide what the intention is. And when I say that, the intention would be based on what is the limiting factor for you, okay? Under most circumstances, most circumstances, because you carry more concentric orientation, because of the shape of your pelvis being biased towards exhalation, which means that the pelvic outlet, the anterior outlet, so the bottom of the pelvis pushes up really, really well. And your connected tissue behavior would be biased towards overcoming under most circumstances. To make you more overcoming probably won't help. Okay. And again, not knowing you, I would say probably, okay. So this is why, you got a powerlifting background, Dale?

Okay, so if you had a twist in the knee, so let's use a little bit of Camilla's question. If you had a twist in the knee, so you had distal femoral IR and proximal tibia ER. If you had a similar orientation at the elbow and you put something in a high oblique set, did you help yourself if you're trying to capture like a middle representation?

Yeah.

Same thing. Absolutely. That's why you can't lock out. And it doesn't matter what exercise we're talking about where we would see the elbow having to go from a bent position to a straight position. It doesn't matter. If you can't finish a bench press, it stops because you are out of room. Like you're squeezing as hard as you possibly can. You can't squeeze yourself anymore. There's no more orientation, ER, to create a space to move into. There's no more IR that I can superimpose. It stops.

Period.

Do you see the pet monkey pulling down on his left shoulder? Do you see it?

Because their window by their physical structure alone. So this is a physical structure thing. It's like, you look at the best high jumpers in the world, they all kind of look the same. Like, what the Olympics are like one of the greatest representations of the influence of physical structure. You take the best high jumper and then have him stand next to the best shot putter. Totally different worlds. Both human, both same body parts, different physical structures, and therefore the way that they apply forces into the ground are going to be different. The outcomes are obviously going to be different. Their connective tissue behaviors are going to be different and so then you have to account for this. It's like, so I got a high jumper that has a need for a tremendous amount of internal rotation into the ground over a very short period of time, but he needs to access that internal rotation directly, well, slightly in front of his center of gravity. Now take the center of gravity of the shot putter. He's going to use a lot more orientation to apply that force into the ground because he's got a longer period of time that he can apply that force to the ground. His peak force is going to be probably very, very high because he's got to move and implement. You see the differences. When you say how do you progress somebody with a black and white answer, unfortunately, it's rarely that, but it is principle based. You just have to recognize what the principles are. Again, this is why the generic program concept doesn't work. You apply the same program to two different people, why do you get two different outcomes? Because the starting conditions were different, and therefore the outcomes will be different. And that's the thing you have to kind of recognize. So you fall back on basic principles. We could use the two extremes. So what kind of an archetype are we looking at? What kind of configuration do they have in the relationships between the thorax and the pelvis in regards to circumference because that determines how easily they're able to move their center of gravity upward and downward? It's going to tell you how long they spend on the ground. It's going to tell you how big their middle propulsive representation is. A wide ISA individual has a much broader duration and physical space to apply forces to the ground, and Nero does not. That's why when you see the tall slender folks that come into the clinic with painful situations, they're trying to apply forces into the ground in an ER representation because they spend more time in that space because their physical structure says you're going to spend more time in that space no matter what you do. And so that becomes the difficulty.

Okay, because now you're going to have to look at your hand orientation as well because the issue might be the differential between the hand and the wrist, right? Where the nerve runs through the tunnel of Guyon. Okay, so the tunnel of Guyon is through here. And as it goes through there, there might be a curve that it has to go around, which can cause some compressive forces that would cause numbness and things, or is it pain?

OK, so step one. I'm going to speak in old terms. You have a patient that's minus 30 degrees of hip extension. Then they've got 75 degrees of hip flexion. That means they have a very limited space that you can actually access. If you do any exercise outside of that range, you have to assume a compensatory strategy to get there. So I have to select an activity that is in that space. When I take an effective breath, not a compensatory breath, that's going to promote the expansive strategy throughout the axial skeleton and into the extremity based on the contact of the distal aspect of that extremity. So I'm putting them in a space where they can expand, where they do have, they don't have to use a compensation to find ER. So it's just giving them, they have the ability to expand there because there's no superficial compensatory strategy layered on top.

Right. Okay. So if we're looking at, just to make sure I kind of understand the base of support, the distributed versus local. So if I'm doing a squat with two legs, then because I have two feet on the ground, I'm going to get an automatic yielding bias of the connective tissues just because I have a wider base of support and I don't need to orient my body as much compared to a single leg squat where I would have to produce a pretty strong orientation towards that leg because I only have one base of support. Or is that too simplified?

Longitudinally or horizontally?

Okay. What if there's no space? Have you ever seen somebody try to do a toe touch and they get to their hands just below their knees and then they stop?

Because the arm bar fixes the hand relatively speaking, fixes the hand in space, right? And then you just promote the turn. So it's the direction that the mechanics are going that is the determining factor. Am I driving this from the center of my body outward? Okay. Which is starting from the IR representation and reducing the IR representation as I move distally, or am I bringing the IR towards me from distal to proximal? Okay.

So have you seen the scapular decompression video on my YouTube channel?

Hang on. I've got somebody that's moving out towards an ER representation. Okay. I'm sticking them out there and I'm going to pull them in against it and then release it. Okay. So where is force and where is velocity?

It would be very, very high. That is correct. So this is a strategy that they're using and that at a moment's notice they have access to because they have learned and they have practiced over time, either intentionally or unintentionally. And so we have a very high rate situation here. Now, let's talk about connective tissue behaviors in general as to how it would behave. If we were training somebody and we did a very, very high rate activity over time. So let's take a power lifter as a representation. We're going to use near maximal loads. We're going to do it with a high degree of frequency. And so what is going to happen to the number one muscle activity capabilities and number two, what is the connected tissue behavior going to be?

But you're going to get the same representation at the pelvis. It's a little bit easier to see the thorax because it's bigger.