So I have a perfect example of that. I was working with my dad who had right shoulder pain from racquetball for the last 20 years, with super limited shoulder range of motion on that side. I performed tractioning of the scapula, turned his head towards me, and facilitated big breaths to expand the upper back. His external rotation improved. Then I worked to get his ribcage more flat on the table by bringing it from a posterior orientation. This made his external rotation worse. The old me would have been confused about why it worsened in that moment. Then I realized what you just said—it was a whole reorientation. We didn't actually get the expansion; you have to get the whole orientation first, then get the expansion.

So you have to think about where we are in space because they're not in the same place. When I'm in hook lying and you look at the amount of hip bending, it's totally different from the squat. So what we're doing with the band in the deep squat is: as I gain depth and if I have the anti-orientation, all that musculature above the trochanter is going to be biased towards internal rotation. If I'm trying to improve the descent to increase the depth of my squat to capture that early representation, I have to eliminate the influence of that internal rotation. Otherwise, I won't capture the depth that I want, and I won't get the diaphragm position that I want. By fixing the femurs—so I'm not pushing out against the resistance; I'm holding my position against the resistance—what that does is it's an external rotation force. That means as I descend and that anti-orientation becomes an internal rotation influence, if I'm resisting, I reduce the internal rotation influence. So the musculature is less likely to produce internal rotation at that point, which allows me to eccentrically orient and descend. I'm going to capture the representation where the musculature that's pushing me forward, compressing the base of the sacrum, will release its concentric orientation, because I've got the external rotation force. That's going to allow the sacrum to tilt backward in the depth of the squat so it can actually capture the early representation of the deep squat.

Correct. So now that you have the two extremes in your head, the thing that you have to recognize is how many possibilities are in between the two.

Are you talking about a band that's pulling downward?

Gotcha. Okay.

Right?

So the second half is, if we are treating someone with multiple layers of compensation, because if we assume normal compensatory strategies, you're going to say a wide ISA is losing ER measures and should have IR measures. Now, based on what you just said, those IR measures still need to exist within those ER measures. That is correct, sir. Now, if that wide ISA, for example, is also losing those internal rotation measures, is the play to get those IR measures back, or do we need to restore ER measures first and then get IR measures back?

Exactly.

Yeah. It's on the left side. The right side's fine at this point.

Yeah, so I think one of the mistakes are at least the lens I was looking at in the past. I thought I was recapturing some range of motion that was maybe eccentric orientation when I was doing unilateral work, but I was just getting better at yielding.

That is correct. There you go. So the thing that I want you to realize, and you're actually helping a lot of other people understand this by asking this question, the thing that I want you to realize is it's how you execute activity. It's not the activity that is fixed. Like there's not one way for me to perform a split stance activity. There's not one way for me to perform a bilateral symmetrical activity. I need to understand the mechanics of the axial skeleton as to how I'm queuing it to achieve the desired result.

Yes. And then discuss table tests, the importance of reliability, their constraints, and how they can give you a bigger picture. So I would like to discuss that and have three or four good table tests that I can share with my team that they can use. Then discuss tips on how to queue for effective axial skeleton compression and expansion during respiration, so queuing techniques for the patients. And then the sixth objective would be choosing appropriate interventions and retesting.

So this is going to be one of those things, right? If we imply a press, our intention is high force production. High force production implies that I'm going to create a rather significant compressive strategy. If you think about it, if you were sitting up like a bilateral symmetrical kind of press, you would want to be as fixed as possible and as stable as possible, which would imply that you're going to squeeze. So if I'm pressing on my back and in a supine position, I'm going to press my scaps into whatever surface that I'm on. I'm going to try to compress dorsal rostral. The load if I'm pressing is going to compress me anteriorly, and so I'm going to minimize turn. Even if I do that with one arm, if I up the load sufficiently, I will still compress.

I did.

There you go. So there you go.

When you're overhead, your IR should be IR. But isn't that shoulder flexion? It is. Yeah, so this is the flexion plus.

I got an answer.

That's maybe one of the main driving mechanisms of pelvic floor dysfunction.

No, I just for some reason golf came into mind as rotation loading.

When you say you lose ER, do you lose it in the measurement or you lose it in the structure? In the measurement. What's the difference? You're losing ER spaces. Do you understand the reorientation? Joe? I think I do, but maybe not. Let me just talk about it. So if you buy a kinesiology book and they look at the stuff back here and they say that oh these are the external rotators right until you start to do this. Or if I do this. So as the stuff that's attached to the femur from the pelvis if I move towards any degree of traditional hip flexion if you will they change direction of pull. They become internal rotators. So if I do this and they become internal rotators they're going to bring this along for the ride. And so the more anterior orientation I have the more extra rotation I'm going to lose. That's why the anti-orientation or that's why the ER measure is such a useful measure for the anti-orientations. And then you compare the two sides and right away you start to get this beautiful picture of like oh the left side's more forward that means he's pushing more from the backside which means I'm going to have this kind of a flatter orientation in turn. Whereas if the right side's more forward that's going to be tipping me up on an oblique. Now keep in mind that there's a lot of straight aheads and then there's a lot of obliques. I could literally go like that and I can create an infinite number of directions between those two orientations. That's why you'll get some varying degrees of ERs on IRs throughout. Does that make sense?

Absolutely not. I was on a roll, dude. You interrupted my training. No, go ahead. Of course you can.

Teach to learn on that note. It is a question. Is there anywhere like a flow chart about this? Because I always put little pieces together, like what you said about the split squat and modifying the weight, but other times we talked about modifying the foot position. It's just little pieces. For me, it's nice, even if it's like a complicated system, to see what the variables are that I can modify. So for each client, I could choose the most appropriate one or think about all of those things. It just seems very helpful.

OK. Why is your leg up? You had one leg up. I think it was the opposite leg.

Yeah.

I'm assuming that if there is change and movement, the longer that change lasts, the better. And with that assumption, do you find anything particularly helpful with having a longer change?

So you don't want that lumbar flexion moment. Okay.

That makes sense. It just looked funny to me and I didn't even feel like, and I've kind of played around with it and I've seen people like, hey, if I'm trying to get quad hypertrophy for, with like a cyclist squat, like I've seen people justify that. But to me for like the goal of like movement restoration that didn't seem to like make a lot of sense.

I thought you were just capable. Some examples and what you find on the table.

Like I made a mistake and I did the wrong thing.

Do you want to know what the difference is?