When you're a wide, intersternal angle individual that lacks full breathing excursion, we have to be very specific about what we are talking about. Because everybody has a physical structure. We're talking about people that lose extremity movement due to compensations they're using. We must be specific about this. When I mention wide ISAs or narrow ISAs and the things I discuss, I'm referring very specifically to individuals who have lost ranges of motion, meaning they use a compensatory breathing strategy that requires superficial musculature to create breathing, which prevents motion. So if I'm squeezing or concentrically contracting muscle to create a breathing strategy, it will restrict motion in that affected joint. For a wide ISA individual, my axial skeleton is biased toward exhalation. By structure, they're better exhalers and better force producers—they're better squeezers in general. If my bias is to be a better exhaler, I must find a way to compensate and breathe in.

Right?

So what she has is a bend in the thoracic spine that will probably have the apex really close to the inferior angle of the scapula, because she's compressing the scaps against the upper thorax. And so she creates that little bit of space. So she pulls her sternum down in the front. And she creates a little bit of space in that posterior aspect of the thorax. And that's actually your inhalation strategy. So you're still gonna try to drive dorsal rostral expansion and you're gonna try to drive up pump handles. So the amount of manual work on the rib cage is now gonna come in really, really handy. Okay, so you can use upper extremity positions to help create some of the expansion so you think about like an overhead reach and and if you can think about a scapular position and how pec minor would attach to the rib cage. So you got ribs three, four, and five that pec minor should attach to. So if I can move the scapula into that, what would traditionally be considered like a posterior tilted kind of a position, it's gonna help hold those upper ribs up, which is gonna bring the pump handle with me. Okay, so that's gonna get me some of the anterior expansion that I need to bring her up out of this pulled down position. Then I drive traditional dorsal rostral stuff.

I did glute medius and iliacus on that side in that order, so higher up. Then check the left upper quarter after you do that. Check the left upper quarter and see if you get a change there too. Okay, you got stuff.

Yeah. So if there ain't no water, guess what? You're choking, right?

So in a seated position, the load was the first thing that came to mind.

No, but I'm okay with it.

Yes, sir. Well, don't pull your right shoulder back. Just kind of let it hang there for a second. Just there you go. Did you just have a light bulb moment?

So if you want to help them, you have to add ER to the system somehow.

There was no, I just wanted to see the ER orientation.

I already do stagger to see.

Well, they're going to lose IR as they go forward.

Usually to a box.

All right. So that sort of brings me to the point of my main question: I have a feeling your answer is going to be like, 'It doesn't matter, do it your way.' Am I that?

Give her the spectrum so you can move her through it.

Start from laying on your side, okay? If I initiate a step, if I was standing up instead of laying on your side, picture that. If I step forward with my right foot, so you're laying on your left side. The foot ahead of the body is the foot ahead of the bottom. Okay. So that would look like you're initiating a step, which would be like an early representation. So you're initiating the roll from the bottom up, you would have an early representation where, and again, same thing they were just talking about with Brian, it would be representative of the energy coming up from the foot. So if I keep rolling in that direction, I'll get late because you have to change shape to move through space. You understand that? So initiating a roll. Okay. If I'm laying on my back and I'm initiating a roll to my left, I'm going to have to create an early representation of my axial skeleton in cross-section. I have to create a wave that goes that way across me so I can initiate the roll in that direction. Then I'm going to create an overload on the right. Then I'm going to go to my side. And if I step forward with my right foot instead of leading with my arm, then it would be, again, it's an early representation. You just have to be able to see the shape changes as it occurs.

Greetings. Is that your own hat? Is that your logo?

So we can never be empty.

Chair, we don't have a mat table, but.

If you think of it as a turn.

So I guess the only big loose end right now, this is good, this is giving me some direction, is like she has, by measurements, she has pretty good shoulder motion. Like, same with the hips. And so I feel like I'm not just looking at spinal movement, but I could be wrong.

Okay.

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Yeah.

Yeah. But literally it's like you just put a barbell on their shoulders and teach them how to do that under resistance and then superimpose that representation onto the dip for the jerk or a push press. Cool.

What you want to do is put them in situations where they can problem solve themselves as much as possible. So trying to chase perfect is a bad idea. Keep them safe, but let them make safe to fail experiments themselves so they can make their own error corrections. And then maybe you see one thing and you say, 'Hey, did you sense that?' And they go, 'No.' And they go, 'Okay, let's just do that again and let them do stuff and let them figure it out versus you trying to go, 'hey, do this, do this, do that, do this, do this, right?' And now they've got 17 thoughts in their head and now they know nothing again. So they're back to square one. So the way that you want to do this is just to slowly move them in a direction. So have them start. You make it real simple. You never get more than three cues at a time. And you show them, if you can, you show them, you say, 'do this.' Done. Be quiet. Let them do it. Let them problem solve. Communicate with them. Ask them questions. What did you notice the most? And go from there. Problem solve what if they don't know what they're solving or what they're moving towards they saw what you did and they have an understanding of what you told them okay. And so you're observing you're the coach you're observing and you make a comparison between what they just did and to what you want. What's the next thing that closes that gap between what you want and what they think they should do or what they're capable of? Next thing, next thing, next thing, right? The problem that you went into as a younger coach is you think you know what you want and you might be right. I mean, I'm not taking that away from you. You think you know what you want and you want to get everything all at once because you want so desperately for your client to be successful, right? But you got to redefine what successful is. Successful is getting better. Successful is not a perfect execution of a split squat. Right. You have to move them towards better. That's the goal.

If you, it depends on how far forward you are. So stick your butt out behind you. And then do the same shift over. So which one do you think, do you feel how you can shift farther into that hip?

Okay. So now here's the really cool part is when I push on the wall with my right foot. Okay. And I drive the right elbow, I'm going to actually be able to capture more of the turn, aren't I?

That is correct. Where the internal rotation begins will depend on the individual's architecture. So if I have a narrow individual with an interspinous angle, due to the counter-nutation and lumbar representation, the internal rotation is higher, farther up the spine than it would be for a wide individual, which would be at the lumbar-sacral angle. But in both circumstances, if there's internal rotation representation of the distal femur, you have an anterior orientation. You would have to, because I need to create the downforce. It's just like, again, we're talking about space-time—how far into the movement are they? That's what you measure. When you do measurements on the table, you're measuring their current position. The greater the loss of early flexion, the greater the loss of straight leg raise, the greater the loss of internal rotation by traditional measures tells you how far into the propulsive phase they are.

Expansion and compression.