When to Combine Pronation and External Rotation

Although external rotation and supination are paired, so too with internal rotation and pronation, sometimes you must drive pronation and external rotation. This need is especially common if you see a twist through the knee joint. In today’s post, we dive into when you have to do that. Steps for combining pronation with external rotation With these types of folks who present with hip external rotation loss and inability to pronate the foot, you have to untwist these folks. The first line of defense if you have manual skills is to perform manual therapy of the foot. I would look at restoring the following movements: Ankle dorsiflexion Calcaneal eversion First ray manipulations Cuboid manipulations If you don’t have manual skills, wedging the calcaneus laterally to drive eversion can work. You can also perform offset exercises, such as an offset wall squat, to drive rotation and further external rotation: Be mindful as you drive these motions, often people can cheat calcaneal eversion by plantarflexing the first ray even further!

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Improving Hip and Shoulder Internal Rotation WITHOUT STRETCHING!

Having shoulder and hip internal rotation is kind of a big deal. What if you could get it as quickly as possible without a single stretch? That’s exactly what we did in this case. I work with someone who is unfamiliar with my techniques, and in 3 moves (1 of them a failure), we were able to increase shoulder and hip internal rotation. Watch the video below to learn what we did. Case overview The “patient” is my nephew, Brad. He’s a football player and wrestler who is just a stiff bro. No pain. Objective findings Brad’s main initial findings were the following: Test Left Right Infrasternal angle narrow Shoulder flexion 155 155 Shoulder external rotation 95 95 Shoulder Internal rotation 90 50 Hip flexion 95 95 Hip external rotation 60 60 Hip internal rotation 10 10 Straight leg raise 65 65 Intervention selection Given the findings above, are major keys to focus on were making the infrasternal angle dynamic and restoring internal rotation. Brad appears to be a classic narrow infrasternal angle. Lewit tilt I chose this move because the 90 degree angle at the hips biases internal rotation. The supine position promotes lateral ribcage expansion, which is great for narrow infrasternal angles. If you want a super in-depth reasoning for this move, check out this post. After performing this move, B’s test results were as follows (improvements are bolded): Test Left Right Infrasternal angle narrow Shoulder flexion 155 155 Shoulder external rotation 95 95 Shoulder Internal rotation 90

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Split Squat Biomechanics

The split squat is incredibly versatile, but how can I most effectively use it to drive the range of motions I need. Or why in the heck is my person compensating in that way when they do the split squat?

We will answer that with this post, as the split squat can vary its rotational qualities depending on factors such as depth, arm positioning, and more!

If you are ready to absolutely crush all things split squat, then check out Movement Debrief Episode 152 below to find out!

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Hip Rotation Explained – Movement Debrief Episode 111

Movement Debrief Episode 111 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. Here is the setlist: What is the relationship of the infrasternal angle (ISA) to the compressive and expansive strategies at the pelvis? What would hip rotation limitations look like in these compensatory strategies? What does limited hip internal and external rotation signify? What interventions would need to be done to improve hip rotation? Do I have any favorite moves? Why would unilateral Sacroiliac (SI) joint pain occur? How does sacral rotation occur? What types of activities could improve sacral rotation capabilities? How can tensor fascia lata (TFL) cramping be reduced during the hip shift?

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October 2019 Links and Review

Every week, my newsletter subscribers get links to some of the goodies that I’ve come across on the internets. Here were the goodies that my peeps got their learn on in October. If you want to get a copy of my weekend learning goodies every Friday, fill out the form below.  That way you can brag to all your friends about the cool things you’ve learned over the weekend.

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Deadlift Stance, Measuring Hip Rotation, and Hemorrhoids – Movement Debrief Episode 102

Movement Debrief Episode 102 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. Here is the set list: How does the infrasternal angle (ISA) relate to deadlift stance? Which ISA presentation are typically better deadlifters? How can I select the most effective deadlift stance What’s the difference between measuring hip rotation in sitting, prone, and supine? What are hemorrhoids? What may be a mechanical cause for hemorrhoids? What movement limitations may be present? How can I go about improving hemorrhoids?

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Rib Rotation, Shoulder Issues, and Biomedical Education – Movement Debrief Episode 98

Movement Debrief Episode 98 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. Here is the set list: What does rib external and internal rotation look like? How do I approach improving shoulder mechanics? Any current training considerations for shoulder issues? Why do medical providers often educate in a manner that induces fear-avoidance and fragility? How, as movement professionals, can we deal with these issues?

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Voluntary Muscle Contractions, Building Fitness During Rehab, and Hip Pain During Squats – Movement Debrief Episode 96

Movement Debrief Episode 96 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. Here is the set list: Do I use voluntary muscle contractions during my exercises? When is it useful, and when is it not? Why is it useful to pursue fitness when rehabilitating an injury or with persistent pain? Why would hip pain occur during squats if the femurs fall into internal rotation? How could a bench press with a high arch negatively impact this?

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