重新思考……编程不是练习：而是在约束下进行推理——与比尔·哈特曼对话

唯一的问题是，是的，这确实有用。

The only, yeah, it's like, it's useful.

问号在于，在那个空间里，你能让脊柱足够慢下来吗？

The question mark is, is, is can you slow the spine down enough in that, in that space?

因为你这里有很多，有一个巨大的铅IR赤字。

Cause you've got a lot of, you got a huge lead IR deficit here.

好的。

Okay.

好的。

Yeah.

明白了。

All right.

谢谢你，比尔。

Thank you, Bill.

不客气，先生。

You're welcome, sir.

酷。

Cool.

好的。

Alright.

希望下周再见。

See you next week, hopefully.

再见。

Bye.

等一下。

Hang on.

我找不到刚才的位置了。

I lost my place.

好了。

There we are.

汤米。

Tommy.

晚上好。

Good evening.

不是办公室。

Not the office.

你不是在工作吗？

Aren't you working?

好问题。

Good question.

如你所见，我家里有几个小艺术家，他们

As you can see, have little artists at home that

需要

need to

太棒了。

That's awesome.

我喜欢这样。

I love that.

有什么值得放进冰箱的吗？

There anything refrigerator worthy?

还没有。

Not yet.

我？没有。

Me, no.

但我妻子也是一名法官。

But I also have a wife who is also a judge.

是的。

Yes.

所以我有个干扰性的问题

So I have an interference question

在

in

方面

terms of the

你之前展示的那个推进脚部动作序列，就是那种同侧交叉后摆的动作，对吧？

earlier propulsive foot sequence that you put up, right, where you're doing the ipsilateral, like, cross behind swing.

是的。

Yes.

如果我只是保持这个交叉后弓步的姿势，嗯，

If I just hold that cross behind, like, lunge position Uh-huh.

并改善脚跟的接触，再进一步放慢动作。

And get a better heel contact and kind of slow them down even further.

如果是在右腿上，我这样会不会造成干扰，反而让身体过度向右转动？

Am I creating an interference and just turning them too hard to the right then if it's on the right leg potentially?

所以，有可能是的。

So so potentially, yes.

所以，你可以想象一下，我用一个弯曲腿部的姿势来表示。

So, you think about like I'm going to use a representation like a bowed leg.

对。

Yeah.

所以，是的。

So, yeah.

比如说，你可能需要处理一些肌肉活动。

Say, it's like so, you might have some muscle activity to address.

关键是，我实际上是通过摆动来放大ER方向，对吧？

The idea is is that I'm actually, I'm magnifying the the that ER direction with the swing, right?

所以，这样做会让我必须维持内侧接触，因为想想看，如果我跟着摆动，脚就会被拽离地面，对吧？

So, what it does is it challenges me to hold that that medial contact because think about it, if I went with the swing, I'm going to rip that foot up off the floor, right?

而这会把我拉向

And that's going to pull me into

所以，如果我只是尝试制造一个后期外旋的腿型，然后试图重新捕捉早期推进的脚部动作并保持太久，我就把他往回拉进了那个空间。

So if I just tried to basically create an ER, late ER shaped leg, and then I try to recapture an early propulsive foot and I hold it for too long, I basically just pulled him back in that space.

我的意思是，这可能是一个很大的可能性。

I mean, it's a big fat maybe.

就像，除非我们能捕捉到节段之间的关系，否则我不会维持某个姿势。

It's like, it's like, I don't hold positions unless we can capture like the the segmental relationship.

好的。

Okay.

对吧？

Right?

想想看一种松动技术。

So, think about like a mobilization.

每次我做摆动时，不停地摆、摆、摆、摆，而不是静态地保持然后让它们逐渐自然摆动。

It's like every time I do a swing, mow, mow, mow, mow versus trying to hold it statically and then let them gradually kind of swing away.

好的。

Okay.

是的。

Yeah.

对。

Yeah.

除了这个之外，你还会考虑其他方法吗？因为在我遇到的情况中，有时这种动作对某些人群来说可能过于动态了。

Is there another option besides that that you would think about that would be because just because in my scenarios, a it's just like it's a sometimes it could be like almost too dynamic for some of the population we're dealing with.

明白了。

Understood.

好的。

Okay.

是的。

Yeah.

等等，老板。

So, hang on, boss.

等等。

Hang on.

所以，假设我具备段落关系的容量，对吧？

So, let's say that I have the capacity for the segmental relationship, right?

我已经表示出来了。

I've represented that.

你只需要考虑脚部早期位置相对于重心的位置。

All you got to do, so think about where the early foot is relative to the center of gravity.

那正是对的。

That was right.

就是这样。

There you go.

好的。

Okay.

所以，任何让重心位于脚后方且脚掌着地的情况，都可能让我接触到早期的脚部动作。

So, anything that would have the center of gravity behind that foot with the foot grounded potentially gives me access to the the the early yard foot.

好的。

Okay.

所以，这可以是任何动作，比如TRX深蹲、靠墙活动，或者类似的动作，让我能把重心移到脚后方，同时保持脚掌着地。

So, that could be anything from, you know, like a like a TRX squat or a wall supported activity or something like that where I can bring the center of gravity behind the foot and still still ground it.

这个序列是一系列的激活动作。

Like that sequence is a series of mobilizations.

你能理解吗？

Can you appreciate that?

是的。

Yeah.

我也在使用它。

I'm also using it.

就像外侧那种方式也起到约束作用，对吧？

Like the way on the outside that also acts as a constraint, correct?

是的，它确实是。

Well, it's it it it is.

但它确实如此，但你要想想，我试图建立一种策略，让对方维持住这些接触点，而不是仅仅完成初次接触。

It is but but but consider like what I'm trying to do is I'm trying to create a strategy that challenges someone to hold on to those contacts versus the first acquisition.

你会不会把前脚抬高、早期内旋的绳索劈砍动作归入同一类，也就是强迫他们维持初始脚跟接触？

Would you put like a a front foot elevated, early IR, like rope chop in that same category where you're trying to force them to hold on to that initial heel contact?

是的，因为你要想想缆绳的作用，它是在试图把脚往上拉，对吧？

Yeah, because like, so think about what the cable's trying to do, it's trying to pull the foot up, right?

所以你是在挑战他们保持内旋，以维持脚部接地。

And so then you're challenging them to maintain that internal rotation to hold the foot grounded.

是的。

Yeah.

好的。

Okay.

是的。

Yeah.

好吧。

All right.

有人在强化训练时认真听了，非常好，很不错。

Somebody was paying attention at the intensive, that's very good, very nice.

听好了，如果我要成为你所有视频的模特，我

Listen, if I'm going to be the model for all your videos, I

什么？

What?

因为你动作最标准。

Because you got the best movement.

对。

Right.

比尔，快速跟进一下。

Bill, quick follow-up.

是的，先生。

Yes, sir.

好的。

Okay.

在这个动作序列中，第二个是交叉步。

In that sequence, the second one, the crossover step.

是的，先生。

Yes, sir.

全部

All

对。

right.

如果你从顶部开始往下，轻轻一触再抬起来，这有什么不同，对吧？

What's the difference if you start from the top and come down and like barely touch and come up, right?

试图抓住它。

Trying to hold on to it.

嗯，你确实是在往回退一步，对吧？

Well you are I mean you are stepping back down right?

对，没错，你确实是在退步。

Right yeah you are Yes

先生。

sir.

好的，老板，等一下。

Okay hang on boss.

那么，你记得下步时脚跟接触的口令吗？

So do you remember the cue for the for stepping down as far as like the heel contact?

哦，是的。

Oh, yeah.

保持内侧。

Keeping the medial.

好的。

Okay.

所以，你希望尽可能长时间地保持这种状态。

So, you want to hold on to that as long as possible.

原因在于，当你刚开始踩下时，胫骨需要稍微向前移动，而这正是形成中足模式的原因。

The reason being is like when you initially step down, that tibia has to translate forward a little bit and that's what creates the midfoot mode.

对。

Right.

不，我明白这部分。

No, I I get that part.

所以，对于一些难以完成抬脚动作的学员，我觉得踩下的动作对他们更有帮助，因此我就想到了这一点。

So, the stepping down seemed to make sense to me for some of my guys that were having a hard time trying to get well I guess getting up they were having a hard time so I thought you know.

是的。

Yeah.

不，人们总是只关注运动的前半部分，却忽略了真正发生的事情。

No it's like people always they always look at like the first half of the exercise and then they they they neglect what's actually happening.

是的。

Yeah.

是的。

Yeah.

对。

Yeah.

不。

No.

当然。

So, absolutely.

很好。

Cool.

好的，我喜欢这个。

Alright, I liked it.

所以我上周刚发布后就玩了很多。

So, I played with it a lot last week after it came out so.

哦，很好。

Oh, very good.

我可以

Can I

做个简短的跟进吗？

give a quick follow-up?

是的。

Yeah.

这是我的

It's my

问题。

own question.

当然。

Of course.

所以，如果情况是这样，我是不是可以在左边施加压力？如果我想让它们向左偏，是不是可以在左边保持住，这样就能让我获得更多——我不太确定你指的是什么，比如在做交叉后弓步时，壶铃放在对侧，还是同侧。

So if if I'm if that's the case, could I act so if I wanna actually bias them to the left then, could I actually do the hold on the left side, and that would actually give me more I'm not sure what you're With the cross behind lunge with the kettlebell on the opposite, like on the same side.

比如，如果我这样做，把手放在左边，会不会真的让身体向左转动，并促进左脚内侧脚跟的接触和保持？

Like if I was to do that and hold it on the left, would that actually give me the left turn and pick up the left medial heel contact and hold it?

好的，我有个问题。

Okay, here's my question.

我也有个问题。

Here's my question.

是

Are

我们是不是想让他们从右向左移动？

we trying to take them from right to left?

我只是在想，好吧。

So I was just thinking, was like, all right.

你是在试图捕捉左脚的接触点吗？

You're trying to capture the left contact?

是的

Yeah.

好的

Okay.

我有个更好的办法。

I got one better.

内侧壶铃摆动，内侧壶铃摆动，好吧，在左脚跟后方的对角线位置能捕捉到左脚跟的触地。

Inside kettlebell swing, inside kettlebell swing, okay, on the diagonal behind the left heel is gonna capture the left heel.

右脚在后还是左脚在后？

Right foot back or left foot back?

如果你右脚在后，可能会伤到别人的膝盖。

So, if you go right foot back, you're gonna break somebody's knee.

我试试。

I'll try it.

所以，你好好想想。

So, so just think about it.

保持平行站立，好吗？

Just go parallel stance, okay?

所以，不要直接摆动，而是沿对角线摆动，这样会让左脚脚跟更有力地落地。

So, instead of swinging straight through, swing on the diagonal, that starts to land the left, that starts to land the the left heel rather strongly.

你能理解这一点吗？

Can you appreciate that?

是的。

Yeah.

好的。

Okay.

对。

Yeah.

等等。

So, hang on.

最初，我先左脚前跨，然后摆动。

So, initially, I go left foot forward stagger, swing through.

这是我之前对红外线的表示，当我把脚收回至平行位置并保持在对角线上时，我增加了红外线的量。

There is my earlier representation of IR and then I increase the amount of IR as I bring the foot back to parallel staying on the diagonal.

你看到了吗？

You see it?

是的，我明白了

Yeah, I got

太棒了。

Awesome.

蔡斯。

Chase.

嘿，比尔。

Hey, Bill.

怎么了？

What's going on?

我只是在移动。

I'm just moving.

今天我遇到了一个案例。

So I had a case today.

我希望你能帮我一起分析一下。

I was hoping you could help me think through.

太好了。

Awesome.

我有一个棋盘。

I've got a chessboard.

我的手机可以

My phone's can

我分享吗？

I share?

好的。

Yep.

好的。

Okay.

告诉我你什么时候想让我开始说。

Tell me when you want me to start talking.

我只是在这儿瞄一眼，老板。

I'm just getting a peek here, boss.

好的。

Okay.

所以当我第一次看棋盘时，我想到的是，我注意到左侧的早期IR，而髋部比右侧高。

So when I first looked at the chessboard, I was thinking more along the lines of, I saw the left early IR and the hip was higher than the right.

是的。

Yep.

然后我注意到左侧的早期ER比IR更大。

And then I noticed that the left early ER is larger than the IR.

所以我立刻做了一个懒散的翻滚动作。

And so what I did was I immediately went into, like, a a lazy roll.

你这么做的时候，有没有做出一个大的右ER？

And did you did you make a big right ER when you did that?

也许有一点，但没什么大不了的。

Maybe a little bit, but nothing.

我本来更期待看到更多的右前内旋。

I I was I was more expecting, like, more early right IR.

嗯哼。

Uh-huh.

但我根本没看到。

And I didn't I didn't get any.

好的。

Okay.

实际上没什么变化。

Nothing really changed actually.

也许现在你提到了，右前外旋多了大约五度，但也没啥夸张的。

Maybe now that you mentioned it, maybe maybe like five degrees in the right early ER, but nothing crazy.

但现在我回想起来

But now that I'm reflecting on

你在做利兹滚之后，右髋关节的外旋角度有增大吗？

it- Did the right hip ER magnify after you did the Lizzie roll?

说实话，我想不起来了。

I can't remember to be honest.

我觉得可能增加了五度，但是

I think maybe five degrees, but

所以角度变大了？

So it got bigger?

我觉得可能是变大了，

I think maybe it did,

是的。

yeah.

好吧，明白了。

Okay, so all right.

那我们来仔细分析一下，好吗？

So let's think this through, okay?

什么

What

需要发生什么？

would have had to happen?

所以你是想把左侧向前推，对吧？

So so you're trying to project the left side forward, right?

为了减少左侧的ER，对吗？

To take away the the the ER on the left, correct?

这其实不是我的本意。

That that wasn't my intention actually.

我的想法是，这个棋盘在告诉我，左侧脊柱比右侧移动得更快。

My thought was this was a chessboard telling me that the left spine was moving faster than the right.

对。

Correct.

但我现在在想，这是否更多是脊柱延迟较少的问题。

But I'm wondering now if it's more of a less spinal delay.

好的。

Okay.

我们来仔细想想。

Let's think this through.

我们这儿有个巨大的右侧ER，对吧？

We got this big honking right ER, right?

55号，

The 55,

我们说的是这个吗？

is that what we're talking about?

是的，先生。

Yes, sir.

好的。

Okay.

但我们仍然还有可测量的内旋量。

But we've still got, you know, a measurable amount of IR.

公平吗？

Fair?

好的。

Okay.

所以和我们刚才跟詹姆斯讨论的内容类似。

So similar to what we were just talking about with James.

好的。

Okay.

是的。

Yeah.

你往右边线跑没问题。

No issues with you going right sideline.

但如果我有这个大的ER，现在我就得开始考虑它了。

But if I have this big ER, now I have to start thinking about it.

也就是说，好吧，我右边有没有地面接触点，可以让我叠加IR？

It's like, okay, do I have ground contacts on the right side that will allow me to superimpose the IR?

所以如果我右侧躺着，做了一个缓慢的翻滚，而你把左髋往前推，你明白吗？

So if I'm laying on my right side and I'm doing a lazy roll and you're taking the left hip forward, You understand?

是的。

Yep.

好的。

Okay.

而且我这里有这个很大的右侧外旋。

And I got this big, this big right ER.

所以很可能我的右下肢存在某种适应性变化，导致了这种外旋。

So chances are I've got an adaptation in the right lower extremity that would contribute to the ER.

很可能我的右侧脊柱也有外旋。

Chances are I got some spinal ER on the right side.

如果我继续向上分析，我特别喜欢用ISA来代表它，因为这样更容易看清外旋的放大效果。

If I keep going up and I I love to use the ISA as this representation of it because it's it's it seems to be easier to see as far as the the magnification of the of the ER.

如果我把左髋往前翻，而右侧却没有停止点。

If I if I roll that left hip forward and there's no stop on the right side.

那么整个胸腔都可能转动。

Then the the whole thorax could turn.

所以，我不是停下来让胸腔的这部分向前移动，而是让整个系统都转动。

So instead of stopping the thorax and bringing this part forward where it would actually project ahead, I end up turning the whole whole system.

所以，这就像在股骨上，不是有大转子和外侧膝关节接触来减缓这一侧的速度并产生叠加效应。

So, it would be like on the on the femur instead of having a trochanter and a lateral knee contact that would that would slow me down on that side and and superimpose.

如果我只是向膝关节接触的方向滚动，而失去了大转子呢？

What if I just rolled towards the knee contact and I lose the trochanter?

我注意到她滚动得非常轻松。

I did notice she rolled really easy.

这使得

It makes

现在明白了，

sense now,

但在

but at the

那时只是内部的一种观察。

time it was just an observation internally.

所以，并没有

So, didn't

好的。

okay.

现在我们来稍微练习一下，因为我打算给你一些挑战。

So now let's play a little bit because I'm gonna I'm gonna challenge you.

你做了左侧髋关节外旋延迟的测量。

So you did your your left hip late ER measure.

明白吗？

Okay?

嗯。

Mhmm.

左侧髋关节外旋延迟的测量。

Left hip late ER measure.

当你在设置时，试图让下侧就位的时候，

When you were setting it up and you're trying to get the downside set up,

对吧？

right?

我知道你想说什么，但是是的。

I know where you're going but yeah.

好的。

Okay.

这能给你一些线索，关于她在那一侧会有多圆润。

So that gives you like a little clue as to how roly poly she's gonna be on that on that side.

而你要花多大劲才能捕捉到让大转子和外侧膝盖对齐的位置呢？

And it's like how hard was it for you to capture the position that got the trochanter in the lateral knee?

是的。

Yeah.

所以这可能给你一些线索，对吧？

And so that that might give you a clue, right?

关于这里主导的是什么。

As to as to what's leading here.

所以，如果她继续这样，如果我没有右脚的地面接触，而我向前推动左侧，试图减少左侧的外旋——这一点我并不反对。

So, if if she continues, so if if if I don't have that that that ground contact on the right side and I project the left side forward with the attempt of reducing the the left sided ER which I don't disagree with.

疑问在于，我是把她向右侧滚动了，还是在我试图向前推动左侧时，右侧停止了运动，从而限制了她的动作，这样我就能实现左侧外旋的减少，但同时也更可能叠加了一些内旋。

The question mark is is did I roll her over the right side or did the right side stop as I was trying to project the left side forward which would contain her and then I would get the I would get the number one, would get the reduction of the left ER, but I would be more likely to superimpose some IR as well.

在

On the

右侧。

right side.

你明白我在说什么吗？

Do you see what I'm talking about?

是的，我明白。

Yeah, I do.

对。

Yep.

好的。

Okay.

因为我看这个的时候，只看到一些形状，就像我能理解你为什么这么做。

Because I look at this and I just see shapes and it's like, okay, I can kind of see, like I get why you did what you did.

但我认为，如果结果是——尤其是如果ER增大了，我的假设会是我要限制这个ER。

But I think that again, if the result was, and especially if the ER got bigger, it's like my assumption would be is like I would constrain that ER.

所以如果它确实变大了，我会给她更多空间，让她更容易向右转。

And so if it did get bigger, then I gave her more space to sort of turn to the right.

是什么让你觉得她在床上会很容易转动？

And what made you think that she might turn really easy on the table?

是因为50吗？

Is it the 50?

是

Is

嗯。

it Uh-huh.

是的。

Uh-huh.

是的。

Uh-huh.

对。

Yeah.

对。

Yeah.

所以我只是想在我脑海中把我的感受连接起来，然后

So I just wanna start connecting in my head with what I feel and then

是的。

Yeah.

就像是现在

It's like Now

我只是在感受一些东西，然后在心里默默记录，放在脑后，但你刚刚一下子把它推到了前台，让我思考这到底意味着什么。

I'm just feeling things and I'm like mentally taking a note of them and putting in the back of my mind but you just kinda brought it to the forefront is like what that means.

要注意这一点，因为这确实如此。

Like pay attention to that because that's Yeah.

看，这些就是过去用过的东西，这是一种体验性的东西，对吧？

See, this the stuff that used and this is an experiential thing, right?

所以，你可能根本无法解释自己某些行为的原因，但你明白自己必须这么做，这是临床层面的，而这样讲听起来你会像个疯子。

So, you don't you you might not even be able to explain the some of the things that you do for the like like why you do it but you understand that you need to do it based on that and that's a clinical thing and that's that's where you sound like a crazy person.

当你开始谈论某些事情时，因为其中一些是体验性的，就像和詹姆斯讨论使用骨盆重组和中线测试来指导你的过程，当你看到这些指标实际上相当明显时，你就知道，我应该能够判断出来。

When when you start talking about about certain things because because some of it is is experiential and it it's just like like talking to James about using your pelvic reorganization, like the midline test to help guide your process when you see all these measures that are actually rather large and it's like, okay, I should be able to determine.

如果我要做提示，你记得传统的髋屈曲测量的指令吗？就是你该往哪个方向动？

It's like if I try to tick, so you remember the cue for the, excuse me, traditional hip flexion measure, like what direction you go?

什么？

What?

当

When

你做传统的髋屈曲测量时，你该往哪个方向动？

you are doing your traditional hip flexion measure, what direction do you go?

你往哪个方向走？

What direction do you go?

是的。

Yeah.

什么

What

你的目标是什么？

do you aim for?

哦，鼻子。

Oh, the nose.

好的。

Okay.

为什么要瞄准鼻子？

Why do you aim for the nose?

因为你让我这么做的。

Because you told me to.

好的。

Okay.

我想不起来了。

I can't remember.

不知道。

Don't know.

中线是什么？

What's midline?

IR是中线还是ER中线？

Is IR midline or ER midline?

IR是中线。

IR's midline.

太棒了。

Awesome.

好吧，所以如果我，呃，你得限制直腿抬高，但就像詹姆斯那样，他直腿抬高能达到80或90度，就是这样。

Okay, so if I, if, so, yeah, you gotta limit straight leg raise here but but like James had one where he had like an 80 or a 90 straight leg raise and it's like, okay.

所以，我应该能够弯曲这个髋关节，当我开始弯曲髋关节时，我的目标是鼻子这里，而在测量的过程中，这个测量值开始偏离中线，这意味着有什么东西在抵抗我，把我推离中线。

So, I should be able to bend this hip and it's like I start bending the hip and then I'm aiming for the nose here and then, as I'm taking my measure, it's like that measure starts to drift away from midline which means that there's something that's pushing back against me and pushing me away from midline.

你明白我的意思吗？

You see what I'm saying?

我明白了。

I see.

你就是这样在做设置，进行测量，然后心想，天啊，要捕捉这个下蹲姿势真的好难，接着你开始想，哦，她转体其实很容易。

It's like so so so you're setting up, you're setting up the measurement and you're going, oh man, this is really hard for me to try to capture this this downside position and then you start to think like, oh, she rolls very easily.

哦，是这样。

It's like, oh.

现在，你得开始思考了，地面上有哪些形态？

Now, you gotta start thinking like, well, what shapes on the ground?

她侧卧时，有一个很大的外旋曲线，这让她转体变得非常容易。

It's like, that's a big ER curve that's laying on her side that makes it very easy for her turn.

所以，如果我把左侧向前推，右侧就有空间让其在左侧前推时向我这边回旋。

So, if I project the left side forward, this right side has space for it to to roll back towards me as I'm projecting the left side forward.

你明白我在说什么吗？

Do you understand what I'm saying?

明白。

I do.

好的，太好了。

Okay, awesome.

所以从这里开始，我的下一个判断是：她的右肢某处存在骨性干扰。

And so from here my next decision was okay, she has bony interference in the right extremity somewhere.

根据我们在这里看到的情况，我不会反对这个观点。

Wouldn't disagree with that based on what we're seeing represented here.

请说。

Go ahead.

抱歉。

Sorry.

请说。

Go ahead.

不。

No.

你先说。

You go.

你先说。

You go.

让我问你一个问题。

Well, let me just ask you this.

根据你在这里看到的情况，你觉得股骨近端存在外旋吗？

Based off what you're seeing here, would you think that a proximal ER of the femur is present?

我会倾向于这个方向，因为外旋的幅度很明显，而且……

I would lean in that direction just because of the degree of magnified ER and then like,

是的。

yeah.

我也是这么想的，然后我直接检查了膝盖，看了看膝关节的早期测量数据，她屈膝时有阻力，当我外旋胫骨时，阻力似乎还更明显一些。

I was kind of thinking that, then I went straight to the knee and I checked, you know, the early measures in the knee and she has resistance with knee flexion and then it almost feels like even slightly more resistance when I ER the tibia.

好的。

Okay.

这是哪种类型？

What's that type of?

我觉得是股直肌和内侧股四头肌，我觉得。

I concentric think VL and VMO, I think.

至少，至少这意味着你很可能让股骨向远离中线的方向移动，对吧？

At least, at least, which means that you're probably tracking that femur away from midline, right?

是的。

Yeah.

对。

Yeah.

对。

Yeah.

然后等等。

And then So so hang on.

我只想称赞你测试得非常准确。

I I I just wanna applaud you on being accurate with your with your testing.

这真的很棒。

That's that's pretty awesome.

谢谢。

Thank you.

很好。

That's good.

所以我对股外侧肌和股内侧肌做了一些手动操作。

So I I did a little work on the the VL and the VMO a little bit and just hands on stuff.

嗯。

Uh-huh.

然后我之前做了一点胫骨内旋的练习，抱歉。

And then I did a little bit of earlier t r I'm sorry.

早期的胫骨内旋模式。

Early, Tibia IR mode.

嗯嗯。

Uh-huh.

我太专注于把那个内旋调整得更好了，但结果什么都没做成。

And I I got hyper focused on getting that right IR better, and I just none of it none of it did.

嗯嗯。

Uh-huh.

我还试着稍微调整了一下脚部。

I even tried to work on feet a little bit.

所以我不确定。

So I don't know.

嗯嗯。

Uh-huh.

我漏掉了什么。

I'm missing something.

也许她只是需要更多这方面的训练。

Maybe she just needs more of it.

好的。

Okay.

那么她在哪里可以提升ER呢？

So where can she turn into greater ER?

比如在她身体的哪个部位？

Like where in her body?

是的，先生。

Yes, sir.

似乎是在她的臀部和脊柱。

It seems to be her hips and her spine.

好的。

Okay.

到目前为止我跟上你的思路了。

I'm with you there so far.

如果你是在测量髋部的话。

If it's a hip measure that you're taking.

是的

Yeah.

好的

Okay.

还有哪里？

Where else?

看看上半身。

Look in the uppers.

她的脖子。

Her neck.

看看你的手臂测量数据。

Look at your lady arm measure.

在肩膀？

In the shoulders?

是的，先生。

Yes, sir.

是的。

Yeah.

你看到了吗？

You see it?

我不知道这是什么意思。

I don't know what it means.

它是什么

What it what

你有二十和十五。

Well, you got you got twenty and fifteen.

嗯。

Mhmm.

20是指向那个方向吗？

Is 20 is 20 pointing that way?

20会指向外面。

20 would be pointing out.

是的。

Yeah.

这会不会影响它下方的东西继续向右移动？

Could that could that influence anything below it to keep going to the right?

大概是吧。

Suppose so.

是的。

Yeah.

你接触过她的ISA吗？

Did you lay hands on her ISA?

没有。

No.

我没有。

I didn't.

我的意思是，我知道她是个窄塔架，但我真的没碰过。

I mean, I know she's a narrow pylon, but I didn't I didn't lay hands.

好。

K.

所以我们知道她会，你需要

So so we know that she's gonna You do you need

通过触碰来判断她的情况，还是只是感受它的移动方式？

to lay hands to figure out what she is or just to feel how it moves?

感受她在呼吸时它的移动方式。

To feel how it moves when she takes a breath.

我还没这么做过，没有。

I haven't done that, no.

想一想，下肢能不能远离中线旋转？

Think about it, it's like, can the lower extremity turn away from midline?

当然可以，我认为我们已经有一些证据了，对吧？

Absolutely, and I think we've got some evidence for that, right?

脊柱能不能远离中线旋转？

Can the spine turn away from midline?

我认为我们已经有一些迹象指向这个方向，然后你会想，如果她真的在右侧有这种牵拉，那么当她呼吸时，她的胸廓是否会扩张并远离中线？

I think we've got something that's kind of pointing in that direction and then you go, well, if she's if she's really really pulley on this on this right side, it's like, do I have a rib cage that that when she takes a breath, does it expand and turn away from midline?

对吧？

Right?

因为如果上方和下方都有远离中线的证据，你觉得中间会发生什么？

Because if there's evidence of ER away from midline above and then there's evidence below, what do you think is going to happen in the middle?

有可能。

Potentially.

是的。

Yeah.

你能看到吗？

Can you see it?

是的。

Yeah.

她身上有很多因素让她在那个方向上获得了更多空间。

That she's just got a lot of stuff that's giving her space in that direction.

所以如果这种情况发生，肩膀会朝向外旋方向外展。

So would that be, so if that's going on, the shoulders are pointing out towards ER.

这就像菱形肌在做向心收缩吗？

That's like stuff like rhomboids concentric?

有可能。

Potentially,

是的。

yes.

有可能，菱形肌。

Potentially, rhomboids.

对。

Yep.

好的。

Okay.

你说的是清理一下，然后看看会发生什么？

And you're saying clean that up and see what happens?

是的。

Yeah.

就像是，如果你在这里的话。

It's like it's like, if if, here you go.

你介意感受一下吗？

Do do you mind just you wanna feel it?

对。

Yeah.

我今年能停下来吗？

Can I stop this year?

你只需要站起来。

You just need to you just need to stand up.

我需要亲自看一下。

I need to see it myself.

右腿要比左腿多承受一点重量，因为我们知道她是朝那个方向倾斜的，因为左边的Lady R是20，右边是10，明白吗？

Put a little bit more weight on the right leg than the left because we know that she's projecting that way because we got a Lady R on the left that's 20 and and a and a 10 on the on the right, okay?

对。

Right.

把你的右脊柱放在右髋关节前面。

Put your left, put, I'm sorry, put your right spine ahead of the right hip.

所以，你得稍微往前倾一点，好吗？

So, you gotta come forward a little bit, alright?

双臂向两侧伸直，老板。

Hold your arms out to the sides boss.

不要改变其他任何姿势。

And don't change any other relationship.

好的。

Okay.

稍微向右脚的外侧边缘滚动。

Just kind of roll to the outside edge of your of your right foot.

不要让膝盖伸直。

And don't let the knee, don't let the knee straighten.

让它，让它稍微偏离中线。

Let it let it just kind of follow away from midline.

转动。

Turn.

不要只是倾斜。

Don't just lean.

转动。

Turn.

哦，我明白了。

Oh, I see.

将整个身体作为一个整体一起转动。

Turn everything together as one.

你能感觉到吗？

Can you get a sense?

你会感觉到，哦，就像，我这个末端想要转开。

You get a sense of like, oh, it's like, I got this extremity wants to turn away.

我有一个想远离中线的骨盆。

I got a pelvis that wants to turn away.

我有一个想远离中线的脊柱。

I got a spine that wants to turn away.

如果胸廓也跟着动，对吧？

If the if the rib cage goes with it, right?

它把肩胛骨朝远离中线的方向引导。

And it points the scabula away from midline.

就像是，好吧。

It's like, okay.

所以在这种情况下，所有部分都会一起运动。

So, so, everything goes together in that in that circumstance.

所以我让她侧卧在右侧，但当我试图让她翻身时，却没有东西能阻止她继续向右翻滚。

So, I put her on her right side but now, when I try to roll her, I don't have anything to stop her from rolling to the right.

所以你有一些形态在影响她向右侧活动的能力。

So you you've got some shapes that are influencing her capacity to go to the right.

你是说，我需要在右侧增加一些内旋，才能阻止她继续滚动。

You're saying I need to gain some IR on that right side so I can stop that.

你得制造一个停顿，对吧？

You gotta create a stop, right?

是的，没错，你确实需要，但我得先确定清楚。

It's like, yes, yes, you do, but but I I have to determine.

也就是说，如果最上方的节段是远离中线的，对吧？

It's like, okay, if the most superior segment is is oriented away from midline, right?

那么，就阻止它——阻止肋骨、阻止脊柱、阻止髋部，然后我还要处理一条腿，它的形态可能需要我正面地加以调整，才能获得良好的地面接触。

Then, stop that, stop the rib cage, stop the spine, stop the hip, and then I've got a leg that has a shape that I'll probably have to influence favorably to get the ground contacts.

好的。

Okay.

为了让我更清楚理解，我想再回到我们这次讨论的开头部分。

And just so I understand too and kind of reverting back to our first part of this discussion.

有

There

在懒散姿势和当你侧躺在右侧、手这样放着的姿势之间是有区别的。

is a difference between the lazy role and the role where you just have like if I'm laying on the right side and my hand is like this.

是的，先生。

Yes, sir.

我觉得这个更多是减少腹外斜肌的活动。

I I think of this one more as a, you know, down reducing the activity in the external oblique.

对。

Correct.

让他们获得后期的内旋并发生位移，是的，

Allow them to get late IR and shift Yes,

先生。

sir.

而懒散翻滚则是为了减缓左侧的动作。

Whereas the lazy roll is more to slow the left side down.

不过，懒散翻滚是来回进行的，对吧？

Well, lazy rolls go back and forth, right?

现在你可以把它拆分开来。

Now you can break it up obviously.

是的。

Yeah.

但如果你继续滚动，直到你面向地面。

But but the so the the if I roll over the the like just continue a roll until you like we're facing the floor.

嗯。

Mhmm.

那将是一个没有右侧限制的滚动动作。

That would be a roll that does not have a right sided constraint to it.

对。

Right.

明白吗？

Okay?

这就像为什么我在骨盆前倾时把手放在这里，因为我不想整个身体都向右偏。

It's like why do you put a hand here when I'm projecting the pelvis for it because I don't want the whole system to go to the right.

我明白了。

I see.

好的。

Okay.

我觉得你并没有偏离太远。

I don't I don't think you are far off.

我觉得你可能需要先抬头，然后慢慢向下调整，这样就能恢复向内旋转的能力。

I think I think you probably just need to look up First and then just kind of tick your way down so you capture the ability to to turn back inward.

再看看她，特别是那些右侧的外旋动作。

And and looking at her like again, just looking at those right sided ERs.

如果你能同时控制住脚部和膝盖的内旋，或许就能整体掌控住动作。

Like, if you could capture a legitimate foot and a legitimate IR at the knee, you might be able to just contain the whole thing.

我不确定。

I don't know.

但我在课程结束后的反思中有了另一个想法：在课程快结束时，我一直在关注她的脚部。

But That was another thought I had on reflection at the end of the session was towards the end of the session, I was kinda working on her feet.

嗯嗯。

Uh-huh.

她没有拇外翻。

And she doesn't have a bunion.

好的。

K.

但她有吗？但

Does does she But

右脚跟无法内旋。

right heel can't get into IR.

所以我的想法是我做了一些手法

And so my thought was I did some manual on

它。

it.

嗯。

Mhmm.

但我的想法是，我不确定是不是因为我时间不够了才没做这个。

But my thought was, I wonder if I I didn't do this because I just ran out of time.

但我的想法是，我在想是否可以让她做一些类似抬脚并保持内脚跟的动作。

But my thought was, I wonder if I had her do some type of, you know, either step up holding that inner heel.

嗯。

Uh-huh.

就是类似这样的动作。

You know, something like that

嗯。

Uh-huh.

你指的是什么？你是什么意思？

And see what what is that what you mean?

比如，如果我能做到这一点，就能让她的右脚着地，或许能让她停下来。

Like, if I were able to land that, that would give me a right foot contact and potentially give her a stop.

是的。

Yeah.