This weeks topics: 1. Late ER of the Upper Extremity 2. Cutting Mechanics/Pelvic outlet 3. Cutting Mechanics/slant board use
Don’t forget to check out the latest RECONsider Podcast episode.Hope you had a great week!Link in bio.SIG#exercise #fitness #podcast #movement #stretching #workout #billhartmanpt #DPTstudent #physicaltherapist #strengthcoach #personaltrainer #movement #constraints #wideISA #narrowISA #infrasternalangle #movement #posture #cutting #changeofdirection #agilitydrills #reaching #propulsion SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/0:00 This Q&A is with Anat who had a foundational question in regard to working with Narrow ISA individuals and capturing the late ER representation on the right side. She had a martial arts background, so we use this as an example. This led to discussion of how the relative movement in the upper extremity changes with position.7:04 This Q&A is with Thanasis who wanted to review the mechanics of cutting in regard to the pelvic outlet and connective tissue behaviors. This also gave us an opportunity to understand the necessity of our intentions with exercise selection and the importance of secondary consequences.19:31 This Q&A is with Jordan who had a question about some change of direction activity the involves manipulation of the foot position as we move into and out of a cut. Recognition of the actual foot position for change of direction will matter as will recognition of foot position for the activity in question in regard to transfer of one activity to another. There are also secondary consequences that influence systemic movement that may be undesirable.
This weeks topics: 1. Programming Training/Specialization 2. Conventional vs. Sumo Deadlift 3. Trendelenburg gait cause-solution 4. Structural differences/pronated feet
SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/0:00 This Q&A is part 2 with Greg discussing programming and organization of training. We get into the high specialized athletes like baseball pitchers, training elements throughout the year, and recapturing your KPI’s on a predictable schedule. Really good discussion.4:57 This Q&A is with Shan who is a powerlifter with a Narrow ISA archetype. His question pertains as to why he would choose a conventional vs. Sumo stance in his deadlift. Here’s some reasoning as to why one may be better than the other.11:11 Today’s Q&A is with Anat who had a question regarding Trendelenburg gait causes and solutions. We discuss what you’ll find and what you’ll need to achieve to resolve it.23:57 This Q&A is with Matt who asked a question regarding the influence of idiosyncratic structural differences on how someone may compensate. When we understand what the options are, we can see how individual differences may produce the magnitude of movement limitation or allow movement and adaptation to occur. The “pronated foot” takes on greater meaning when we deepen our understanding.
The Bill Hartman Podcast for The 16%Season 17 Number 10This weeks topics: 1. Cuing abdominal muscles for breathing 2. Sleeping position fix 3. Connective tissue yield and timing 4. Programming and superimposing capabilities
Don’t forget to check out the latest RECONsider Podcast episode.Hope you had a great week!0:00 This Q&A is with Alex who has a situation where a physical constraint may be interfering with effective breathing. In many cases, the solution to the problem will be determined in real time as you coach them through an activity. This video offers coaching cues and recommendations for techniques as you work through the process.10:23 This Q&A is with Anat who initially had a question about head and neck positioning during activity, but then shifted discussion toward sleeping positions. While there may be some accommodation for comfort required at times, as with movement, sleep position is about recapturing options during the day.24:43 This Q&A is with Alex who asked a foundational question regarding connective tissue yielding behaviors. This allowed us to dig into some specific representations about how this behavior influences the elements of timing and energy transfer during activities. Some great stuff here.38:49 This Q&A is Part 1 of a discussion of programming and organization of training with Greg. Looking at how you can superimpose movement with other qualities such as force production without interfering or minimizing the decline of capabilities is one of the great challenges of how you organize training. This was a long discussion that covers a lot of ground.SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics: 1. Oscillatory techniques to reduce muscle activity 2. Hip, knee, and foot/knee pain 3. 500 pounds deadlift/weak hamstrings part 1 4. 500 pounds deadlift/weak hamstrings part 2
0:00 This Q&A is with Bori, Cameron, and Anat as we discuss application of oscillatory methods to reduce or optimize muscle tension. We can apply them to patients/clients and even to ourselves. You’ll often see athletes use them pre-event to help them feel prepared for their event.07:24 This Q&A is with Bori who is working with a client who has some knee issues and some very telling signs that will lead treatment. This gives us an opportunity to review some of the relationships between the foot and rest of the lower extremity.13:32 This Q&A is part 1 of a conversation with Matt who is recognizing the limited perspective of a structural-reductionist model in regard to determining ideal positions for specific activity. Branding a muscle as weak requires a much deeper explanation than making an assumption that there is just something limiting at the actual muscle level. Position always matters.22:15 This Q&A is Part 2 with Matt as we continue talking about the influence of pelvis, joint, and muscle position as an influence on what is perceived as isolated muscle weakness. Positional testing provides us with perspective on why some may believe that the problem lies within an individual muscle rather than understanding the systemic influence. This also provides an understanding of the coordinative strategy to execute a lift like a heavy deadlift. SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics:0:00 This Q&A is with Alex who had a question regarding bony adaptations and using techniques to reduce compressed representation resulting in the late propulsive external rotation. This allowed us to talk through the reasoning as to why a mobilization may or may not be effective as the starting conditions will matter.07:52 This Q&A is with Thenasis who asked me about how I manage information and learning. I do it the hard way with notecards, paper, and fireboxes. I also use apps to a degree as so much information is electronic.15:01 This Q&A is with Alex who is work on improving a patient’s foot shape and had some questions about the results. This led us to discussing some strategies that may be helpful or hindering especially when it comes to using heel lifts at the wrong time when the leg appears to be short.29:12 This Q&A is with Zach who is making great progress on an athlete after an ACL surgery. She’s having some intermittent knee symptoms with specific activities. Cues and specific exercises are helpful, but we breakdown remaining compensations that may resolve the ongoing symptoms.SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics: 1. Baseball pitcher with elbow pain 2. Experience matters 3. Hip range of motion/Dirty table tests 4. Swinging a baseball bat/back pain
0:00 This Q&A is with Zach who is working with a baseball player with lateral elbow pain (aka tennis elbow). Zach is doing great work to resolve symptoms but his patient is still lacking full traditional elbow extension and feels weakness in his hand. We walk through how to address each element including how to visualize the position at the elbow. BTW, got an update from Zach and he nailed it with treatment and got back the elbow range of motion!13:03 This Q&A is with Cameron that ended up with an explanation of why you must be patient and recognize that you’re playing a long game in regard to your meaningful work. Consistency with your efforts over a long time to acquire knowledge and then applying it to produce quality experience is how you will improve.16:49 This Q&A is with Alexsander (hope I’m spelling that correctly!) who had a great foundational question about hip measures. This allowed us to review how we can identify what our measures actually represent in regard to what is producing the movement we observe.24:27 This Q&A is with Zach who is working with a baseball player showing some back pain when he swings a bat. The pain is difficult to reproduce otherwise, but Zach has already done a great job in cleaning up the symptoms. This discussion looks at why the pain may have been present in the first place.SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPT
This weeks topics: 0:00 Early vs. Late Hip External Rotation - Q&A is with Thenasis who had a question about hip external rotation measures. We lose and gain movement depending on context and pelvis orientation. This is a great review to help you understand hip ER.4:33 Clawed Toes - Q&A is with Manuel who is identifying a representation of a late propulsive foot behavior while the foot is on the ground. The result is often seen in the clawing of the toes. Here’s a description of how that happens.9:53 Turning a Right Oblique Orientation - Q&A is with Cameron who is working through the processs of promoting the left turn toward starting conditions for a Wide ISA archetype. Positioning, process, and foot cues will all provide an influence for a favorable outcome.22:32 Understanding Foot Contacts - Q&A is part 2 with Cameron with an assist from Dale. We discuss how we use foot contacts to direct changes in sacral orientation and shift the center of gravity depending on archetype. Why do we spend less time talking about the 5th metatarsal head vs the 1st?SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics: 1. Posterior shoulder impingement - This Q&A is with Ian who had a question regarding posterior shoulder pain/impingement (aka internal impingement). We discuss how this evolves relative to each of the Wide or Narrow ISA archetypes. 2. Elbow pain and exercise selection - This Q&A is with Thanasis who is working with a client with some broad pain complaints but some very focal symptoms in her elbows. This gave us an opportunity to break down the low oblique and prone activities as well as discuss common compensations we’ll see as we attempt to put clients in optimal positions for exercise. 3. Shin splints - 2 presentations - This Q&A is with Jordan who is working with two patients both with diagnoses of shin splint but with differing symptoms. Not all shin splints are created equal. Different symptoms are often associated with differing behaviors. The better our understanding of contributing factors, the better our solutions. 4. Patellar tendinitis and joint orientation - This Q&A is with Stewart who is working with an athlete with patellar tendon pain. Extremity and muscle orientation will play a strong role in producing the resultant symptoms. Stewart gives us a great representation of what to look for with these anterior knee diagnoses.
Don’t forget to check out the RECONsider Podcast episode on Breathing as well!SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
The Bill Hartman Podcast for The 16%Season 17 Number 4This weeks topics: 1. Self-test Hip ER 2. Knee pain 3. Pelvic outlet structure/influences
The step-by-step Hooklying Cross Connect video is quite visual an up on my YouTube channel.0:00 This Q&A is with Anat who is working through the concept of reverse engineering movement in a Narrow ISA individual and is uncertain of which measures to attend to as changes take place. We also discuss how to self-test using a split squat.5:45 This Q&A is with Zach who is working with an offensive lineman in America football. Zach made a great call on an activity to restore knee movement that was lacking and most likely contributing to the athlete’s knee pain. We break down the knee orientation via some reproduction of symptoms and why he most likely got a good result.18:19 This Q&A is with Alex who had a great foundational question regarding the mechanics of the diaphragm that led us to compare it to the pelvic outlet. I think terminology creates confusion as to how the thorax and pelvis change shape. Maybe this will help.SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics:0:00 This is a short one with Dante who had a foundational question on pelvis shape and position between the Narrow ISA and wide ISA archetypes. Structure is different, so tendencies and behavior follows.2:38 This Q&A is with Thenasis who had a question about how to reverse engineer the wide and narrow ISA archetype position. To know where to take them, you need to understand where they came from and how they got there.8:26 This Q&A is with Jake concerning the contributing factors of what appears to be a left or a right hip shift in a squat. We break down right and left in regard to Narrow ISA vs. Wide ISA as well.16:35 This Q&A is with Kevin who had a question about the common finding on x-ray of a straightened cervical spine. Discussion covers a bit about how it will arise on a wide ISA individual and how we want to address thorax influences to assist with recapturing useful positions and movement.SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics: 0:00 Gravity Reduced vs. Upright Activities - Today’s Q&A is with Zach who is making good changes with one of his athletes but recognized the loss of relative movement in upright activities vs. gravity reduced positions. The influence of gravity will alter strategy even though one may seem to demonstrate full relative movement in table tests. This will require further progression of your interventions and maybe some assistance from orthoses.7:02 Anterior-Posterior expansion in side lying - Today’s Q&A is with Misha who is working with a client strongly compressed anterior-posterior. He has tried using a rolling behavior that showed less than desired improvement. We talked through strategies to progressively promote the expansion in side lying via positioning and extremity movement.Hope you had a great week!Link in bio.SIG#exercise #fitness #podcast #movement #stretching #workout #billhartmanpt #DPTstudent #physicaltherapist #strengthcoach #personaltrainer #movement #constraints #wideISA #narrowISA #infrasternalangle #movement #posture #shoulderpain #impingement SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
0:00 This is Part 1 with Alex who had a question on how movement is sequenced in an extremity depending on the activity in question. Joint position will influence muscle behavior, and therefore, influences direction of energy and movement.6:42 This Q&A is Part 2 of Alex’s question regarding muscle behavior, muscle position, and the influences that may result in what we observe structurally. Much to consider.15:38 This Q&A is with David as part of a discussion about a client with shoulder impingement. During discussion we reviewed what an inhale looks like and how the shoulder would be influenced. This allows us to determine the process that resulted in symptoms, and how to reverse engineer the process to resolve them.20:55 This Q&A builds on David’s question from yesterday in regard to a client with shoulder impingement. In talking about lower cervical spine mechanics that are needed in this situation, conversation turned toward execution of a hook lying cross connect exercise and proper cuing to get the desired result. Ian stepped in near the end to give the assist.SUBSCRIBE for even more helpful content:YT: https://www.youtube.com/@BillHartmanPTIG: https://www.instagram.com/bill_hartman_pt/FB: https://www.facebook.com/BillHartmanPTWEB: https://billhartmanpt.com/
This weeks topics: 1. Hand mobilization with arm bars 2. Anterior knee pain and hip ROM influence 3. Anterior knee pain and pelvis shape
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0:00 Today’s Q&A is with Anat who had a questions about how we can perceive the spine moving in internal and external rotation which led to a discussion of distinguishing relative movement from orientation. Great foundational questions.
11:34 Today’s Q&A is with Zach who is working with a Wide ISA athlete who is having difficulty managing her center of gravity and demonstrating a very strong IR compensatory strategy to maintain control. This is a really good discussion to understand just how far the center of gravity can move, and how to intervene.
23:06 Today’s Q&A is with Max who is working with a client in need of an upper extremity positional change. This discussion hits on some key elelments of why, when and how you’d use a low oblique sit.
36:20 Today’s Q&A is with Alex who understands how air flow fill the lung on inhalation but wanted clarification on how the lung empties. This is influenced by strategy and structure. Narrow vs. Wide ISA’s will use different strategies and require different cues.
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This weeks topics:
0:00 Today’s Q&A is with Matt who got permission to share client photos that offer opportunities to identify movement strategies used to manage center of gravity. While photos don’t tell you everything, they expand your ability to determine how and why someone moves the way they do. Be sure to check out my IG account for the visual.
11:13 Today’s Q&A is part 2 with Matt who is sharing posture photos of the client. We can use these photos to provide clues as to what type of movement strategies that someone may be using to control their center of gravity and how they interact by using their internal and external rotations. Be sure to check out my IG account for the visual.
22:44 Today’s Q&A is with Teja who is working with a Narrow ISA individual who is using a strong compressive strategy to stay inside of their base of support. In most cases, we just need to move them toward an early propulsive representation to resolve the issue. However, in some cases, reverse engineering requires capturing the ER shape change first. This discussion gives you the understanding with a demo as well.
32:07 Today’s Q&A is with Dante who had a question regarding training young kids, posture, and how their connective tissue behavior may influence how we work with them in their activities. Kids are not little adults. You must speak their language.
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Anterior pelvic orientation
Upper Dorsal-Rostral Compression
Lower Leg Mechanics
Archetype/Configuration Shape
Early Rehab Considerations/RTP
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Archetypes, propulsion, and shape change
Improve you knee mobilization
Knee mechanics for strength coaches
Foot contact rules of thumb
Center of gravity and feet
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Baseball Player Case Study
thorax shape change/pump handle
Success in the Fitness Industry
Center of Gravity in a Squat
Fascia/Feeling a stretch
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Decision-Making and Self-regulation
Training a 13-year-old athlete
Pelvis Orientation and Relative Movement
Squat Compensations
Weightlifter with Shoulder Pain
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The Bill Hartman Podcast for The 16%
Season 4 Number 8
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This week was Squat Week!
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The Bill Hartman Podcast for The 16%
Season 3 Number 10
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Season 3 Number 8
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Get the whole week in one podcast.
This weeks topics:
Medial or Lateral Knee pain?
Golfer's hip shift ER or IR?
Knee hyperextension explained and strategies provided
Coffee 'n' Coaches Conference Call
Strategies to recapture lost shoulder external and internal rotation
Recapturing ankle mobility
Resolving right groin pain
Powerlifting squat vs. Body Weight Squat
Coffee 'n' Coaches Conference Call
Testing and recapturing hip extension without hip flexor stretching
This week’s topics:
Breathing at rest vs performance
Knee valgus strategies
Bench Press arching strategies
Coffee 'n' Coaches Conference Call
performance neck training
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Understanding Shoulder Impingement
Managing Forward Head Posture
Wide Infrasternal Angle End Game Strategies
Coffee 'n' Coaches Conference Call
Effects of Upper Dorsal-Rostral Compression
Podcast for The 16% - topics this week:
Here’s this week’s topics:
The Camporini Deadlift Explained
How to determine the shape change of hip range of motion and understanding end feels
How do sled drags work to improve ankle range of motion
Yielding and Overcoming actions Explained
How to treat an fully compressed Narrow ISA individual
Why being skeptical is a good thing
Infrasternal angles and young athletes
Overhead pressing shoulder pain Vs. Reaching
Body weight squatting vs. loaded squatting
Coffee ‘n’ Coaches Conference Call
Pelvic orientation in single leg stance
Here’s This Week’s Podcast for The 16%
Shoulder IR limitations and influence on the golf swing
Low bar squat shoulder position and lunge compensations
Influences on neck rotation
6 am Coffee and Coaches Conference Call
Interpretation of table tests and position
Breathing at rest/Groin Pain Strategy
TFL problems/Arm bar explained
Compression Strategy explained
Coffee 'n' Coaches Conference Call
My Model Limitations
Wide ISA ... side planks or inversion?
Compression strategies and Center of Gravity
Why do you shift to one side when you squat
6am Coffee and Coaches Conference Call
Quarantine workouts for a Wide ISA
Knee and foot mechanics
Getting the dynamic ISA; push-ups and shoulder ER/IR
Expanding the posterior rib cage
Wide Infrasternal Angle Treatment Strategies
Relative Motion Vs. Orientation of the Pelvis
Half-Kneeling from the Inside-Out
Foot and Knee Mechanics - Pronation, Knee Valgus and Performance
Q & A for The 16% - The Complex Client - Circle of Competence and Behavior Change
Q & A for The 16% - How and Why? - Heels-Elevated Squat
Q & A for The 16% - Eccentric Emphasis Training - Flywheel training
Q & A for The 16% - Improving Your Overhead Press with a Landmine press
Q & A for The 16% - Deep Squat Mechanics and Cues for Breathing
Box Squat Solutions - Variations and Versatility
Q & A for The 16% - What do you do with a "normal" ISA? A right pelvic anterior tilt?
Bill Hartman’s Weekly Q & A for The 16% - December 29,2019
This week on BillHartmanPT.com: What words are meaningful to your client: https://billhartmanpt.com/question-what-words-are-meaningful-to-your-clients/
This week on YouTube:
Bill Hartman’s Weekly Q & A for The 16% - December 22, 2019: https://youtu.be/IE0mjTb1z7g
Why you should individualize exercise prescription: https://youtu.be/WOvkZ36Fmys
This week on Instagram (@billhartmanpt):
Finding your solution to your pain
The importance and value of teaching to learn
The evolution of your continuing education
Videos for The 16%
This week’s Questions:
Could you explain what’s going in the pelvic floor when someone is doing a goblet squat in the rack with a band attatched to the J hooks so when they squat down it’s almost as if they are bouncing off of it! I’m curious on the intent behind it, when it’s appropriate, and why?
With your help to date my ‘hingey’ squat is looking more squatty (thanks!). To date I have been using light front bar squats (circa 50kg including the bar). When the SSB arrives I am looking to increasingly load my squatty squat. My understanding is that targeting a squatty squat will help improve my movement variability by helping me become less exhale biased & compressed. But I also understand that improving force production may re-enforce my compressed exhale biased axial skeleton. In light of this – using the SSQ bar is there a limit to how much I should progress the loading of a squatty squat?
Does the ability to abduct the femur = pelvic diaphragm eccentrically orienting and the pelvic outlet closing. And the ability to adduct the femur = pelvic diaphragm concentrically orienting and pelvic outlet widening. Are these useful tests to figure out where someone is limited in the propulsion arc?
What typically is the underlying driver in an individual that presents with excessive femoral IR in standing static posture and excessive bilateral “leg whip“ when running ? Is it typically an excessive anterior orientation of the entire pelvis vs a sacral nutation with Ilial ER ?
What tests do you use to determine if you have a compressive strategy?
-what is being compressed?
-what is the result?
Do you believe the entire human body is a literal tensegrity structure? Or are there just some elements of tensegrity within the system. Read something interesting about how the spine can’t be a literal tensegrity structure because the compression elements do not actually cross each other.
I am very fascinated with pelvic mechanics at the moment and was hoping you could offer some good resources to learn from as well.
https://billhartmanpt.com/ https://infastonline.com/ Bill Hartman’s Weekly Q & A for The 16% - December 22, 2019 This week on YouTube: Bill Hartman’s Weekly Q & A for The 16% - December 15, 2019: https://youtu.be/t3obO9J0IJ8 The IFAST Podcast #7 – The what, why and how of continuing education: https://youtu.be/ltw_swOprj4 Understanding the Influence of Orientation on Range of Motion: https://youtu.be/mpmS5ubWjVw This week on Instagram: A clip from The IFAST Podcast about why I do The Intensive the way I do A clip from my Cutting Mechanics video as to how the pelvic diaphragm behaves I introduced Cartoon Bill this week about eliminating unnecessary jargon A clip from the Influence of Orietation video A Terry Project update Videos for The 16%... This week’s questions: 2:07 Riddle me this Batman...How can 2 individuals who both present with table test of limited left Hip IR (has 10 degrees), limited right ER (30 degrees), and limited hp extension in side lying (-5) Both have limited shoulder IR bilaterally Right (10 degrees) Left (30 degrees), but have at least 90 degrees of shoulder ER Left (90) and Right (97), yet 1 individual was presents as a Narrow ISA while the other presents as a wide? How can this be? 4:46 Looking at the wear pattern of their shoes, both clients bias towards the outside edge of their feet. My thought is that their femur is biased in internal rotation but their foot is biased towards external rotation, putting torque on the knee. Am I on the right track? 6:53 I was hoping you could offer more insight about helices and how it pertains to the body. I am open to and agree that all movements are rotations, but I am getting lost when you start talking about helices and would greatly appreciate some clarification or at least a starting point from which I can start to learn from. 9:30 What drives an anterior compressive strategy at the pelvis, thus limiting hip IR due to increased fluid in the anterior pelvis ? You have explained that a concentric orientation of posterior pelvic musculature occurs due to “elongation” and shape change of posterior pelvis with an anterior compressive strategy 13:29 I was looking at the pump handle as being similar to hip extensions. If I can’t depress the pump handle the my neck will substitute the remainder by extending? 14:48 How does grip variance affect elbow and shoulder function? Index vs pinky dominant grips? 17:11 Can you break down the shape change of the pelvis and behavior or the pelvic floor during acceleration and max velocity sprinting? #infrasternalangle #billhartman #pelvictilt
Bub’s Burger Eating Challege – I am now 3-0 in eating contests. This week on YouTube: Bill Hartman’s Weekly Q & A for the 16% - December 8, 2019: https://youtu.be/dvAufow_1Fg The QB Docs Podcast with Drew Kiel and Bill Hartman: https://youtu.be/hNmwdAo-k-E The IFAST Podcast #6 with Mike Robertson and Bill Hartman – Our Client Foundation: https://youtu.be/Y4kmtvla6ZM Manual Therapy – Mobilization to Increase Shoulder Flexion and Cervical Rotation: https://youtu.be/WgfF-EfEPsM This week on Instagram (@billhartmanpt): Treatment sequencing The Terry Project Thorax shape and shoulder external rotation/shoulder internal rotation The QB Doc Podcast Highlights Videos for The 16% This week’s questions: When squatting, what do you believe the risk/reward is for oly shoes or some sort of heel lift. I know the obvious benefits/risks but in you’re opinion, which outweighs the other? Does it put that much more stress on your knees? Does it allow you to stack your pelvis better? Hip IR? How would you approach working with a patient that was diagnosed with a condition related to central sensitization such as fibromyalgia or complex regional pain syndrome? Are there any specific compensatory strategies you have found to drive central sensitization (or what we may perceive to be central sensitization)? For a wide ISA individual trying to regain his/her squat pattern, what progressions do you use after goblet/kettlebell/zercher squats? In light of Mike Robertson’s complete coach course I think the safety squat bar will be a good squat progression – allowing you to load the squat pattern and keep posterior thorax open for expansion. Do you use the safety squat bar much to load/progress the squat pattern? How do you determine if a proxy measure of the extremity is pathological (ex. ligamentous laxity, capsular instability)? On the opposite end, how would you determine a true tissue extensibility limitation assuming you’ve maximized axial position and respiratory variability? How would you treat these two presentations differently? Piggy-backing off last week’s question, what tests or measures do you apply to determine whether the elbow is oriented towards ER/pronation or IR/supination? From a practical standpoint, what would be do with a narrow campo angle vs. a wide campo angle? I understand that it is a representation of the superficial helical angle that compresses the underlying axial helices, but how does it actually change our approach to gaining more variability or more performance? Why might we use rolling activities for a wide infrasternal angle and quadruped activities for a narrow infrasternal angle ? Can you give an example of an activity for both scenarios? So with respect to internal pressure of the guts and diaphragm with high rate of force production in say a high box jump. You’d want a diaphragm that can concentrically yield and concentrically overcome very quickly? Please, please, please elaborate on how getting into a cut is “ER” and out of a cut is “IR”. In my myopic, acetabulum on femur way of looking at things, it seems as if “loading” should be acetabulum on femur IR and “exploding” should be the reverse. Thanks for all the content! #billhartmanpt #infrastrernalangle #squatting https://billhartmanpt.com/ https://www.instagram.com/ https://www.facebook.com/BillHartmanPT/ https://twitter.com/BillHartmanpt https://www.linkedin.com/in/bill-hartman-501458a/
Bill Hartman’s Weekly Q & A for The 16% - December 8, 2019
Links to this week on YouTube: Bill Hartman’s Weekly Q & A for the 16% - December 1, 2019: https://youtu.be/U_qdZevvS9U The IFAST Podcast #5 with Mike Robertson and Bill Hartman – How we train the pros: https://youtu.be/Onnpa5gsfa8 A Simple Self-Test to Assess Your Breathing: https://youtu.be/djkJmqL1di0 Simplifying Lower Cervical Mechanics: https://youtu.be/jGzj__fcYn8 Power Output from The Inside-Out: https://youtu.be/pHBok2Iht2o
This week’s topics on Instagram (@billhartmapt): Thoracic outlet syndrome and breathing When to prescribe the prone Y exercise Get Client Buy-in Who can you help get better? Simple self-test for breathing Understanding secondary consequences of programming Is there such a thing as muscle weakness? Simple cervical mechanics For The 16% videos
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This week on YouTube:
Bill Hartman’s Weekly Q & A for the 16% - November 24, 2019: https://youtu.be/aLo5oSUJVrY How to Use Lifting Belts as a Teaching Tool: https://youtu.be/vec1-JgSR_k The IFAST Podcast #4 with Mike Robertson and Bill Hartman - Incentives and Word of Mouth Marketing: https://youtu.be/p4AMnsWyLpQ Before you prescribe I,T,Y exercises, consider the consequences: https://youtu.be/12J8RFt7zaA
This week on Instagram (@billhartmanpt): How to use lifting belts as a teaching tool Emphasize a cascade of health The Terry Project manual techniques to expand the upper thorax Videos for The 16% This week’s questions for the Q & A: • If I’m looking at an asymmetrical ISA am I just looking at someone who is constantly turning right? Should I get them turning Left or focus uniform expansion first? • Do you assess ISA in people with TOS? Usually their scapulae are depressed and they have decreased thoracic kyphosis (from what I've seen) which would be indicative of a wide ISA. I've never heard anyone assessing it as a part of the treatment so it would be nice if you could expand on that a little bit. • What's the origin of 16%? • Why is the posterior pelvis, which “starts” in an inhaled orientation, exhaled? Why does the entire pelvis orient anteriorly secondary to compression in the thorax? If an anterior pelvis orientation yields a “mess” of hip IR, what’s the situation with the wide/powerlifting type folk that very much live in anterior orientation yet often have IR of 0. Sincerely appreciate all that you do, and hoping to make an intensive one of these rounds! • In a perfect world, do we start at the “first” compensation? I.e. teach the wides to exhale the ISA and teach the narrows to inhale the ISA, and see what changes? • I think you link concentric exhale biased strategies with weightlifters/strength/hypertrophy. But I also thought training the eccentric improved strength. I think my question is - can you bias your training towards eccentric/inhalation based exercises to improve movement variability and still improve strength/hypertrophy? • Re your box squat video. I think you mentioned that you would dive deeper into this exercise. If you do I am definitely very keen to learn more about how you bias it for your wide ISA clients. • Do fascial lines even matter when it comes to assessing an individual and/or programming? • Could you please go over in more detail how anterior to posterior compression of the pelvis restricts hip motion?
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I had to miss the Q & A last week because of The Intensive IX, so here are the links to this week’s YouTube videos:
The IFAST Podcast #2 – The IFAST Internship: https://youtu.be/kvCH0TtVak8How to Introduce Rolling into Assessments, Breathing, and Training: https://youtu.be/YNvyF8BSMWAThe IFAST Podcast #3 – How We Hire at IFAST (and when to fire!): https://youtu.be/FXquBOCG04AA Better Way to Measure Shoulder Flexion: https://youtu.be/jw1CmVIedB4How to Measure the Infrasternal Angle: https://youtu.be/9WbPR4KIsQoHow to Mobilize the Ankle to Increase Propulsion: https://youtu.be/0LUNtUVL4Ow
Topics on Instagram this week (@billhartmanpt):
Mixed grip deadlifts and body orientationHow synovial joints work and development of arthritisTraining to bias inhalation and early propulsionDaily videos for The 16%
I was interviewed on The QB docs podcast with Drew Keil this week so be looking for that coming up in a few weeks.
This week’s questions for the Q & A:
Could you elaborate on the “chessboard” which would result in a ton of hip IR with limitations in hip ER? It seems that most compensations result in some brand of anterior pelvic orientation which ought to bias the acetabulum into allowing for much more ER than IR (as in the case of a typical compressed wide ISA individual).
How does the anteriorly rotated innominate bias the femur into IR?
Question referring to ISA:After establishing wide/narrow what will be your next step.Also what is done with individuals who do not have wide nor narrow. You can say your 108.8. What strategies would be used there?
So if the ribs and can open and close as the arms go overhead, would that be an optimal ISA? And what would that mean movement-wise for the person?
In your shoulder flexion video, you had Nicki demonstrate a self-test. Is there a cluster of self-tests that would provide the most information for what needs restoration prior to or during training?
You have previously mentioned how you are keen to avoid treating clients like rehab clients if you can avoid it. You mentioned that if warm-ups were better this could address a lot of issues. I think you like the bear crawl - could you talk more about your warm-up exercise program?
Asymmetrical ribcage? Or am I just always turning right?
Would you subscribe to the idea that individual limbs move in a spiral movement trajectory only, or are there some straight line and diagonal influences as well as seems to be evidenced by Collagen lay down? How do internal fluid pressures influence this? Would it be incorrect to consider a concept of spiral muscular/Fascial loops that work like compression and tension-type fluid-filled springs?
You stated that although early and late propulsion look similar, the hip position varies between the two, how does the hip position change from early to late propulsion?
#billhartmanpt #infrasternalangle #pelvicorientation
This week’s Q & A questions:
• Should I use the box squat at 90 degrees and coach and explode off the box with strong exhalation (exhalation/concentric strategy ) ... Shoulde I use a deeper box squat to promote more yielding and descended pelvic diaphragm ( inhalation strategy - more ER , flexion )
• Is a compensatory inhalation strategy a strategy someone uses when they are biased towards exhalation ( compression)??
• Do you think you could breakdown and explain in more detail what the exercise is doing to improve the shape of the thorax and pelvis? Would you perform on both sides?
• I think you indicated that the current set up was suitable for a wide ISA. How would you change the exercise if you had a narrow ISA/inhalation bias?
• I am also confused with foot position. If your feet supinate are you using an inhalation strategy? If you pronate are you using and exhalation strategy?
• Can you also relate pelvic diaphragm mechanics to the cue "pretend like you are holding in gas" and when to use that cue?
• If you cue " hold in gas on the inhale does it activate pelvic floor? Shouldn't you want pelvic floor to activate on the exhale...moving up like a piston with the thoracic diaphragm?
• I was wondering what fields and areas of science would you recommend an entry-level PT to study and read. Additionally, do you have an advice for a new PT about to embark on this epic journey of starting in the field?
• In your opinion should arm care be aimed at increasing dorsal rostral space? Instead of the typical I, T, Y’s. I liked your KB arm bar Video. Other ways you like to challenge the RTC for a baseball player.
• From your last video, what does eccentrically yield the sternum mean? (Your talk on pronating the glove arm)
• Training thoracic spine movement and is it worth doing in isolation?
• What is the specific shape change of the pelvis you were attempting to create with the lateral drag video?
• Can you clarify the shape change of the thorax associated with rotation and where we need yielding/overcoming contractions in order to have the most efficient strategy for something like a change of direction or pitch in baseball.
• I heard you discussing on a video about catching a medicine ball throw, and how that teaches us to “catch our guts”? Could you go a little more into this? Where could someone read more about the forces produced by the ’guts’ or internal organs during movement?
• Could you please talk about the relationship between the ability to expand the upper thorax and neck movement. I can't figure out the exact relationship between thorax expansion and the ability to rotate the neck. thank you
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Find Jon Herting:https://thetrainingroompt.com/our-team/jon-herting/
Jon has evolved his treatment with the addition of concepts learned all the way back at The Intensive I with great success.
In this case study, Jon and I talk about how you can treat the person vs. trying to treat a diagnosis with a successful outcome. Even when the client has been treated by several other practitioners and methods or given a specific diagnosis it is recognizing what the patient needs and providing that through a more effective treatment model.
Jon's Bio:
Jon Herting, PT, DPT, CSCS, ACSM CE-P, USAW is a dynamic clinician who has been involved in rehabilitation and strength and conditioning for 10 years and has built a reputation among athletes as a clinician who promotes quick results and optimal outcomes. As a Doctor of Physical Therapy and Certified Strength and Conditioning coach he has worked with athletes of all levels from adolescent to Olympic level and is a part of USA Weightlifting’s Medical staff. Jon believes in a holistic approach to rehab and believes that the ultimate goal of the rehab process is patient autonomy. He believes that there is not a distinct line between rehab and the training process.
Jon currently serves as adjunct faculty at Widener University and has developed several continuing education courses for clinicians and certified strength and conditioning professional based around assessment and rehabilitation techniques.
Jon is the author of The Bodyweight Encyclopedia.
Instagram: https://www.instagram.com/billhartmanpt/Facebook: https://www.facebook.com/BillHartmanPT/Twitter: https://twitter.com/BillHartmanptLinkedIn: https://www.linkedin.com/in/bill-hartman-501458a/
https://indianapolisfitnessandsportstraining.com/
In their first podcast, Mike Robertson and Bill Hartman discuss the origins of the nationally-renown Indianapolis Fitness and Sports Training.
How did they join forces in the first place?Where was the original IFAST located?Was the original IFAST location really an illegal casino?How did they create the start-up?Where did they acquire finances to open IFAST 1.0?How did they develop the relationships required for building IFAST over the last 11 years?
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Weekly Q & A for November 3, 2019
Intensive 9 is 11 days away!
YouTube this week:
Last Weeks Q & A: https://youtu.be/YV39d2DV7bc
The How, When, and Why To Do a Suboccipital Release: https://youtu.be/y7F9EKh1iS0
How to Perform a Scapular Decompression Mobilization for Dorsal-Rostral Expansion: https://youtu.be/dIAzWK6qaeI
Padawan Lesson: Propulsion Concepts Applied to Cutting and Baseball: https://youtu.be/3radVFZXYMU
Kettlebell Arm Bar - Breathing and Movement to Increase Shoulder Rotation: https://youtu.be/-veDcISFbBA
Topics this week on Instagram:
The 16% Videos
Squat vs. Hinge and the SAID Principle
Delaying propulsion with pushes and pulls
Should you have surgery for meniscus injuries?
Narrow infra-pubic angle and squatting
Kettlebell arm bar to increase shoulder rotation
Would love to hear you muse on heel/forefoot striking for distance running as it pertains to early/late propulsion. I.e. heel striking is typically labeled as “bad”, but seems to be a reasonable strategy to ensure we capture appropriate orientation of the hammy and pelvis. Midfoot striking seems to be “good”, but may lead to an overly concentric “push dominant” strategy.
What would I want to check/work on for R) handed pitchers that have a problem with missing the plate up and In or those that have a tendency to cut the ball glove side? Would this change as a lefty?
The pronation of glove hand let’s the front thorax compress, allowing the backside trunk to expand and rotate (in righty’s)? Also, how would you train optimal delay in pronation of back foot to keep as much of the stored energy as possible?
Does Narrow IPA mean a narrow ISA? Or how is the IPA measured?
Thank you for all the information you’ve been posting lately. I spent most of my of 20’s and 30’s training and competing in various strength sports. Now I’ve done a complete 180 and have been focusing on becoming the best golfer I can be. As someone with a wide ISA I think I understand that I need to focus on reestablishing eccentric orientation. Do you recommend doing this with exercises that can be loaded significantly like squats, presses, and chins while avoiding compressive exercises like deadlifts and bench press or should I focus more on low intensity reset type exercises? Thanks again
I saw on Instagram some has asked about footstrike in distance running. Can you talk about how the model and propulsive phases apply to sprinting? Do you have a info on a breathing pattern for Squats & Deadlifts (Sumo) - I’ve been dealing with SIJ instability for about a year now
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Videos on youtube this week:
Last week’s Q & A: https://youtu.be/IEoZmlJ2UUI
Padawan Lesson: Ankle mobility, weightlifting shoes & squatting, Chuck Taylors for Powerlifting: https://youtu.be/uM3r4nQFQ4o
How to measure hip flexion the right way: https://youtu.be/wcjpO6SmbJ4
Think Differently... How to Perform Knee Special Tests More Effectively in Seconds: https://youtu.be/42AiFbT9eo0
Bill Hartman's Coaching Conversation with Andy McCloy: https://youtu.be/DeDdNxhePo0
Instagram: https://www.instagram.com/
Evaluate in context
Dorsal-rostral expansion
How to measure hip flexion
Peterson step-ups and low back RFESS
Eccentric orientation activities IG story saved.
This week’s Q & A Topics:
Bill can you give a quick overview about the propulsion phases?
Can you explain eccentric/concentric orientation? Is it different than short or long
How do you approach rehabbing a core muscle injury/sports hernia?
Advice on handling current DPT education knowing that much of it is no longer best practices.
Bill, are you seeing any differences in typical presentations from the neck up (e.g. c-spine, jaw, palate) in people with an inhalation bias vs exhalation bias?
Is there any case where you would try to cue a position or action from the neck up along with biasing IR/pronation/extension/dorsiflexion or ER/supination/flexion/plantar flexion?
If squat is an expansion pattern and deadlift is a compressive pattern, does that mean someone with a narrow infrasternal angle would generally be better at a squat since they have more space to expand into, or would they generally be better at a deadlift since they are already in an exhaled/compressed position.
Can you expand a bit more on what is going on in the suitcase carry you posted on your recent video? I tried it myself with a test retest of internal and external rotation of my shoulders and there was a significant improvement.
why a squat is a eccentric/expansive/inhale biased movement pattern?
why a hinge/press/pull are concentric/compressive/exhale biased movement patterns?
Apart from the squat what are the other (if any) key expansive movement patterns - single leg/single arm movements?
if someone has an anteriorly rotated pelvis that is in an exhaled position with limited hip mobility, what will be the first step/exercise that you would use?
What is the most impactful philosophical book you have read?
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Find Andy McCloy:
http://andymccloy.com/about-andy-mccloy/
Topics of Conversation:
My benefits from drinking from The Fountain of Youth
The secondary consequences of hard, intense training
Intrathoracic, intraabdominal, and intramuscular pressure
Muscle hypertrophy and gym strength
Genetic influences on adaptation and muscle hypertrophy
Self-assessment of movement and adaptability in the gym
The difference between a deadlift and the squat for compression and expansion
How heavy lifting creates compressive, concentric strategy
The limitations of breathing exercises for big, strong humans
Are leg extensions okay for muscle hypertrophy?
A mature mindset for training
The importance of KPI’s (key performance indicators) for self-assessment
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