Okay, yay.

Oh, OK.

All right. So, push the whole shoulder girdle forward like I just showed you. Now, all I want you to do is externally rotate your shoulder from that position. Oh, hello. What happened? Well, the whole extremity moved backwards. Okay. Did it move backwards or did it just ER and you turned your scapula relative to your humerus? Oh yeah. Okay. So you moved the scapula, the medial border of the scapula away from the thorax, didn't you?

It's 80 over 120 or something.

You understand?

Right.

Right. So why do we look at that and go, 'oh, yeah, your knee's going to be stiff and you're going to be in a limited range of motion because it's full of water.' And then we look at somebody else's shoulder and go, 'oh, it's a muscle problem.' No, it's the fluid shift. You see? It's the same rule. Good morning. Happy Friday. I have neuro-comfy in hand and it is perfect. All right. A very busy Friday. So we're going to dig straight into today's Q&A. This is with Andrew. Andrew is working with a tough case here. He's got an end game wide ISA individual with some other potential health issues that can create interference. The big takeaway from this though is how you're going to start to manage this individual, what their initial needs are, and where they have space around them to move comfortably and safely. That's one of the biggest issues you're going to run into when you get into these end game strategies is that space just disappears. They have a very limited area where you can take them with great confidence. And so that's the important thing to walk away from this with. If you still have questions in regards to say a wide ISA end game representation—so this is somebody who has a similar gravity that is so far forward—they really don't have a lot of space to move in—go to the YouTube channel. There are several videos on wide ISAs and the end game strategies. So please look for those and then while you're there, hey go ahead and subscribe. Everybody have an outstanding Friday. The podcast will be up on Sunday, and I will see you next week. Mr. Green, the return of Andrew Green to the morning calls.

It was very nice of her.

It depends on where you're looking in regards to that description. So if I, if I counter new tech, that's going to go in that direction right there. Correct. Okay. Concentric or concentric orientation here.

And if somebody like, let's say, in Ian's case where he has the client with a little higher arch, would that just mean the twist is occurring further up into the hip, so it'd be like a higher point of the femur where the twist occurs? And then in terms of the foot with that.

The back knee, anterior knee pain in a split stance is always somebody that cannot capture the IR representation. Good morning. Happy Friday. I have neural coffee in hand and it is perfect. All right. Wrapping up a great week, digging right into today's Q&A. This was a discussion with Colin who's doing an online assessment. So we get a lot of questions about online assessments as to what tests to use and such. And it really doesn't matter what you're using as long as you understand the representations of your internal and external rotation. So we need spaces to move into. We need to be able to produce forces. And then what are those representations represented in movement, in structure? And so that's kind of what we talked about with Colin. Colin did a great job of determining what the needs of this individual were. And then he produced an intervention, which was actually the right thing to do, just wasn't entirely sure as to why it was effective. And so we kind of talk him through that. So I think this is going to be useful to see how this process works when you are working with people where you're not actually directly interacting. We don't need to throw people down on the table to do table tests, but we just need to understand the representations of what those tests tell us. And then we move that into the gym and we can use that in a dynamic atmosphere. So this is a really, really good representation, like I said, for a lot of people. I think that there's a lot of people that are working with online clients at this point. It will probably continue to be such. And so, again, very, very useful for many people. If you'd like to participate in a 15-minute consultation, please go to askbillhartman at gmail.com and put 15 minute consultation in the subject line, and we'll arrange that at our mutual convenience. Everybody have an outstanding Friday. Make sure you go to the YouTube channel and subscribe so you get all the videos. Podcasts will be up on Sunday as usual, and I'll see you all next week.

There definitely should.

No.

Yeah. So you're like setting the stage to start.

Yeah, yeah. In both cases, you get the twist of the distal femur before you really start to shove the pelvis towards.

If you're trying to lengthen, if you're trying to gain eccentric orientation or yielding with connective tissue and you're not getting a stretch sensation, what sensation am I looking for? That seems hard.

It's a related decline. I can't help it.

No.

That makes a ton of sense. And the more that you say, you keep saying some things, and I'm like that, I mean that's just like a game changer, right? Especially the way when it comes to just being time. Because I feel like for a quarterback there has to be so much learned over a, let's say a 10 year period from about 8 to 18, you have to learn a ton. The time, if you think about all the buckets you need to spend time, time in the weight room is a big bucket, but you could actually be making yourself a worse quarterback. And then potentially, by spending more time in the weight room doing some of these things, which is kind of, it's very frustrating thinking about that, you know, in hindsight, but that's the truth.

I feel like it's a rhetorical question.

Why can't turtles applaud? Because they go to the concert. They love the band, but they just kind of sit there and go, right?

So my question is, if the goal is to increase dorsiflexion pronation, how, I guess, my first question should be, what exactly is going on so I can understand how to address it.

So I get expansion on the side that I'm trying to get it in the first place. So don't forget about the influence of the left side mechanics affecting the right side of the axial skeleton. Huge, right? Take every opportunity to create the orientations and the muscle activity on the other side. That's, like I said, tremendous value in that. Yeah, you got a lot of stuff you got a lot of stuff you can do here. Okay. Yeah, don't—just don't—don't let your protocols interfere with your ability to be creative in the clinic because, as I said, there's so much you can do. You don't have to drive that shoulder to create the expansions that you want. Yeah, it'll come.

Okay.

Alto means up, Baja means down. The reason I like this is because Cabo San Lucas is one of my favorite vacation spots. And it's on the Baja of California, which is the lower hook. It's that lower piece of California that's Mexico, not the United States. And so that's always how I remember it. Since I was a student, it's like Baja. Oh, it's the lower part. So Baja is down, Alto is up. Patellae that look like they're looking at each other indicate patella alta.

Step behind the bowler's lunge, crossover step ups. There are some step through type activities. If you have less weight bearing, you can do activities laying on your side, using the foot grounded on the wall.

An extreme example for making a point. Somebody that's an above-knee amputation.

Cause the best you've got in that position is you can get the sacrum square to whatever the front would be, whatever front facing would be, which would probably be in line with the extremity, right? Cause you can't turn past it. You can't turn past it. It becomes an orientation at that point.

OK, so we're exaggerating the position of the center of gravity. Because it was exaggerated in the other direction. So what I'm trying to do is give you both capabilities to go from one side to the other. In doing so, I establish a middle.

Sweet.