Hey, hey, and welcome back to another episode of the Unreal Results Podcast. Today we have a bonus episode. It is the free mini course week, the missing link. And so I want to share with you our live trainings. So today was the first training. It is about 90 minutes long. And, uh, I hope you enjoy whether you're in the course or not.

Um, it's great information. Um, if you're in the course listening, it again is always great to, um, reiterate the teaching and the lessons. And if you missed joining the course, then hopefully you can follow along with the live trainings.

Thanks for listening. See you next time.

Anna Hartman: Hello. Welcome everyone, 

we'll hang on for a second as everybody gets in, 'cause I know it takes a little bit with this many people. Um, I was gonna say, you can go, Jill, beat me to it. You can go ahead and say hello in the chat and maybe let me know, uh, what type of professional you are and where you're coming in from. Couple New Jersey people.

I have the settings, so you should be muted and not able to unmute yourself. Once we get to like the q and a time, I should be able to. Let you like change that function and let you unmute. But for the start of this, we'll do it like webinar style.

All right. We got some method of trainers, PTs, chiropractors I saw in the Facebook group. We got quite a bit, quite a few chiropractors this around, which is different than my past ones and I love it. Movement professionals, OTs, athletic therapists, so many. Yoga and eldoa physio. I love it. Love seeing where everybody's from.

So exciting. I actually love teaching this course. I mean, I teach a lot of courses, but this is one of my favorites because there's so many people and it's just such good energy and it's also like for a lot of you, maybe sometimes this is the eighth time I've taught this, but often it's some people's first time of really like getting exposed to this sort of whole organism paradigm as I call it.

So it's a real mind bender this week, even if you are familiar with it, if you haven't practiced this way, it is definitely gonna be, it is definitely gonna be a mind bender, so love it. Some pelvic floor physical therapist, another chiropractor, some Colorado peeps, Chicago, Ontario, Canada. Love it. So fun.

All right. Yeah, we can do this all day. I think we're four minutes in. I think whoever's gonna be here is here. We have about a hundred people, which is pretty standard. Uh, if you watched my messages or my lives on the Facebook group, you know that I shared stats from the last group. There was 500, 500, 900 people enrolled, and only about 400 actually entered the course modules.

And then 200, a little less than 200 in the Facebook group. And on live calls, it was usually about 90 people. So these are sort of like standard breakdowns that I see. This is the beauty of online learning is you don't have to be here to get the benefit of the on of the education, which I love. Um, but also, at least for me, when I have a free course or, or even a paid course that's online, um, the only way I really get through it is if I commit to being at the live calls.

I am not a person that can like just do self-paced education on their own unless I've scheduled it in my schedule and make it a priority. So that is why I'm rewarding all of you with the show up bonus. So towards the end of today's, um, call, probably around an hour into the call, if I. Time it correctly, I'll be dropping a, uh, poll on the screen that you can enter your name and your email address and that will let me know that you're here so that you can receive that show up.

Bonus today. Show up bonus is the free regen session, which is called Reset Your Nervous System in addition to the clinical reasoning for that regen session. So it's an $87 product. It's like a setup as a little course on Kajabi. So after you guys all check in today, I'll send that over to my team and they'll get you hooked up with that, uh, freebie.

And then also all of you showing up today is check the box number one of being eligible for the grand prize. Uh, the grand prize is you get entered in a raffle to win a complete bundle of the L top level one course. And I'll be sharing more about the. L top one for one course, um, towards the end of the week, but it is valued at, uh, just under $1,400.

So you get, um, free access to an in-person course and an on on and this coming online course. So, yeah. Anyways, welcome. I'm so glad you're here. I'm not gonna take a ton of time introducing myself because you at least know that you are here for the course, the missing link. My name is Anna Hartman. I am an athletic trainer, and I, um, have been practicing for about 23 years.

I own the business movement, rev, and in my business movement, rev, I work solely with professional athletes, mostly in the NFL, N-B-A-M-L-B and, uh, Olympic Track and Field. And I travel with them, keep them healthy throughout their seasons, rehab them as necessary, but a lot of it is preventative and like cleaning up little aches and pains.

And uh, prior to that I was the director of physical therapy at um, EXOS and was in charge of all five facilities of physical therapy programs. So, enough about me. Let's dive into the course 'cause we have a lot to cover and I know there's an intro video in Kajabi and also on the Facebook group. It is. Um, I do a little intro on there too.

So again, if you don't know who I am, hopefully it doesn't matter 'cause you'll know I have something to share with you that is valuable. So,

um, Angela, just seeing that you're here in the chat is great. Um. So try to hold on as long as possible. So I don't want people just jumping in and then jumping off the call. So it's really to reward people who can be as close to an hour as possible, but plan on 90 minutes for this call and plan on 90 minutes for Thursday's call as well.

All right, I'm gonna share my screen, um, as well as drop the handout in the, uh, chat. So I'm doing that right now. It's also on Kajabi. It's been there all day, so hopefully you've gotten it. If you want to take notes and then I'll share my screen.

Oops, I forgot to share sound, so let me redo that. Okay,

now we can go. So y'all should be good. Now I'm just gonna pull my chat window over so I can see it while the presentation starts. And like I said, we should have some time for questions at the end too, but if I see them as they pop up, I'll try to answer them as well. But we're together for six days, so there'll be plenty of time for me to answer questions.

That's really, um, the Facebook groups is always gonna get my priority of answering questions. And then, um, obviously live gets priority, but I will stay on as long as I need to to answer questions. So I'm gonna start it off with a quote. This quote is from a, I believe, like psychologist. Um, his name is Elvin Rad.

This was actually a quote within the book. The body keeps the score, um, and. This doctor was quoted to say, we have only one real textbook. Our patients, we should trust only what we can learn from them and our own experiences. So this is a journey about learning how to let go of our sort of ego expert mind and sharpen our tools in listening to the wisdom of the body, both our body and what it is feeling in our hands and seeing in our eyes and the patient's body, what it is telling us through these assessment tests and through how it is responding and body language and in response to treatments or interventions that you do as you're assessing people and treating people.

So this is a really important thing to remember, that we truly, our bodies truly are the smartest thing in the world. Our bodies are so intricate and. Have such an innate intelligence of them. Like I, I really don't think it is replicatable, like even with robot's intelligence, just because of the actual cellular intelligence within our cells.

So it's not just the intelligence in our brain, but each cell has a deeply embedded memory of the 6 million years of our humanness. So tapping into that is really powerful. Throughout this week, each module is broken down by what day. So I drip out the modules one day at a time to keep you on task and to keep you focused on the practical application.

The only way you really understand and learn a principle in order to make it really like change your paradigm, fit in your paradigm. Or fit in your current practice is the repetitions, like taking the reps of doing the work. So I get, I inherently have like photograph ish memory and a lot of times in my 23-year-old career people are like, Anna, how do you retain so much after a course?

Like, how do you retain that information? Part of the reason though is not just my memory, it is the fact that I pick, you know, one to 10 things that I learned from a course and I dedicate each day of the week afterwards to practice on every single patient that comes in, regardless on if they need it or not, just to inform my hands, just to inform my eyes.

And so every course I teach is actually has that built in is annoying as it is. We need the reminder that the repetition is how we see patterns, how we learn patterns, and how we recognize normal things. Versus abnormal things. You can't really recognize something that's abnormal until you've felt enough normals.

So this practical application is really important for you to do. So this is how this course is set up. Yes, it's a six day course, but it's only five hours of actual learning because the majority of the emphasis should be you practicing it and seeing it for yourself, right? I don't want anybody to just take my word for it.

This is what I tell my athletes as well, like don't take my word for it. I want you to feel that it is true in your own body as well. So that is the whole point of this week. So today, in addition to this live call, you had a short 20 minute lecture that was about movement, rev philosophy, the philosophy and methodology, kind of giving you an overarching view of sort of this lens or this paradigm we're working in.

And then tomorrow the actual practical module will start, and they're much shorter. They're about five minutes. When we get to the treatment day on Wednesday, that will be a little bit longer day too, but I think like max 10 minutes. So again, scheduling in your calendar in the morning to get these things in.

It's a very digestible course to get through. Don't let the multiple days overwhelm you or these live calls overwhelm you, overwhelm you. Everything you need to know is in the modules, the live calls, add to it, add to the experience, and vice versa. If all you do is show up for the live calls, you'll still have all the information that you need to to be successful at the end of the week.

A reminder that there's prizes. I'm rewarding this dedication to this daily practice and completing the course. So the, the ultimate reward is you get the knowledge and you get the results that this one change to your assessment is going to give you. And a lot of people message me after the course in like months and years after they take this course and they're like, I still use it.

And it still gives me such amazing results. So I am a hundred percent sure that if you do the work, you're gonna get great results. And also though, I do know that life gets lifey and it's hard to, so especially when it's free, we don't have any skin in the game. So I'm giving you some skin in the game by offering these prizes.

So I already announced what that grand prize was. Free tuition to the in-person course and the online course coming up. And then the, um, other course completion calls also will be raffled. Um, you're eligible to win. If you join the Facebook group, finish the course, share a case at the end of the of the week, which is one of the prompts in the course, and then you're eligible for that as well.

Nope, I just messed my screen up here. Hold on.

So to win that, that'll be a course bundle. So five people will get the, um, never treat the shoulder first online course and the nerve workshop that Missy Bunch and I did, uh, for free. So, and that's worth $444. So lots of opportunities for reward you for putting in the work besides just the great results you're gonna get for your patients.

So, like I said, the goal of each day really is to practice the assessment. Treatment is really the easy piece. One of the themes of this and the out top level one course is that the treatment tool yet you use is less important than being in the right spot and letting the bo body guide you to that right spot.

The most important thing really is to be curious and put your like scientific hat on and be ready to explore and just be a like beginner learner again. Like, almost kind of like, forget the things you know, to approach this in a beginner's mind. Which is also the letting go of needing to be right. So like I said, this is a letting go of our ego, our expert identity, and being curious about what we can learn from the body in front of us when we don't believe that we have to solve everything for them.

And then the other big learning piece is the value of reassessing. The only way you see these changes and how the body is connected and how the viscera can affect the, um, other parts of the body, or how the nervous system can affect other po parts of the body is reassess. It is always changing. Whether you were doing treatment to the knee or the hip or the core before, you just were not reassessing it.

And so in order to see it, see that something's changed, we need to actually practice reassessing it. So a little bit of like, making sure you're in the right place in this course is for you. Chances are you're here because you love to learn, right? Like, I don't know about you, but I am like a serial continuing education, uh, consumer.

Uh, people ask me what my hobby is and I'm like, honestly, it's learning. I love to learn. I love to take courses. Even when a course is like a review, I tend to get something out of it and like something new out of it. And so I just love to learn. More than likely, if you love to learn, you also have a lot of tools.

You probably already feel like you get good results for your clients, and you probably are on the farther end of the spectrum than what is standard for our industry. Sadly enough, if you Google it and try to find some stats on. Success rates in physical therapy, it is gloomy. If you talk to the general public, it matches the gloominess of it being around 60%, maybe 80%.

For those of you that are getting good results, still, that's not enough for us to feel confident to guarantee them. And so, um, I feel like most, I wa I was that I was somebody who got probably 80% good results. I could help anybody gimme two weeks and, you know, four sessions a week. I, I could get them better, but it was those like two out of 10 people that like, ah, just.

At my brain at night. Like I'd lay in bed thinking about their case and being like, what am I missing? Like, I'm doing all the things that I know works for everybody else who's been in their situation, had similar stuff and it's not working. And so that feeling that you're missing something, like, yeah, you, you probably are, but the, and we'll talk about what the, the real thing, the real problem is, but that doesn't feel good, right?

It it, it steals our confidence as a clinician and it leaves us uninspired and feeling burnt out, frankly. Um, chances are, you're here because you're curious, you're curious about whatever messaging I said in the ads that you saw on Facebook and Instagram, or you're curious about what other people are saying about it as they've taken the courses.

'cause I know a lot of, you're coming from people who have taken the courses before. You're here also because you love to help people. The only reason you're frustrated that you're not getting the results you want is because you actually care. You actually really deeply care about the patients that you work with, the people that you work with, and you want to help them as fast as possible and as long term as possible.

And so sort of grates at your heart when you can't because it like affects who you deeply are as a caregiver. Um, and then also, like I said, because you feel like there is something missing and because those, like two outta 10 people kind of eat at your brain, you, you really, truly feel deep down that you believe that getting better results, even better results, better outcomes is actually possible.

So you're still sort of like seeking for that. So. Likely you're a physical therapist or athletic trainer, or as we saw in the chat, chiropractor, massage therapist, movement professional, basically anyone that works with one-on-one, with people who are trying to feel better and move better in their bodies.

Um, there's, um. Maybe you can like find yourself in these five things of who you are and if you resonate with one deeply, like put it in the chat, but it's like there's the person that has all the tools and education but can become easily overwhelmed with complex cases, feeling like you're missing something.

You get good results, but you're hesitant to guarantee them because of those like two outta 10 that you just are like, oh, but you know, there was like Zach the other day that I just really couldn't help. Uh, you might work in a higher volume clinic or an athletic training room and you have too many manage too many clients it feels like to manage.

So you're short on time and you just feel like you're not even set up for success. Um, you might be further along in your career, you get good results, but you kind of feel stagnant. You could have started exploring how the viscera and the nervous system can play a role in the musculoskeletal pain and dysfunction, but you're really unsure where to start.

So a lot of people are coming to me from this A aspect now more so than it used to be, which I love because I think the industry, because maybe even of social media is trending in the direction of like, okay, we get it. The nervous system matters, the visceral matters. But now what do we do with that information?

And then a lot of you this round, especially because I started talking about it more on, um, social media, you might have taken some Bral Institute classes or osteopathic classes from the Up Ledger Institute. Things like craniosacral, visceral manipulation, neural manipulation, and those tools are freaking amazing.

I love them. I have taken 21 or 22 of the RAL Institute classes in the last 13 years. Freaking love their work. My life changed because of their work, but they don't really do the best job of teaching you how to assimilate it into your current orthopedic biomechanical practice. And I'm really good at assimilating information and that's why I want to share it with you.

And so we're gonna talk more about that too. So what's the problem? Needing to treat patients multiple times per week. Multiple, multiple weeks at a time to get results. That's pretty much the industry standard. And also why we get frustrated at insurance based care. Sometimes when they only grant you six visits.

'cause you're like, man, I need six visits in two weeks to even like kind of like peel things back. Maybe you feel like treatments are sticking, which feels like banging your head against the wall. This was me. I used to have to release my athletes' hip flexors like every day. Every single day. They were great.

Everything worked well if we release our hip flexors every day. But like I felt like at the end of the day, it was like the on men in Black, when they hold the pen up to them and do the flash and they forget everything, like their body. Literally forget everything that we just did in that session. And the next day they come in and I'm like, how did you not keep any of that?

So treatment's not sticking is so frustrating because like within the session you're like, yeah, I'm making gains. And then the next day you're like, dammit, what did you do to make your hip flexor so tight? So the few outliers that keep you wake at night, we've already talked about, and then a lot of you too are just like, okay, want to consider the whole organism versus the whole musculoskeletal system.

Not really sure where to start.

Now when we look at all those problems and kind of who you are, it boils down to. Actually too, like things that ways we don't like feeling. So there's an actual problem of the results for patients, but then there's this problem of like, I don't like how it feels in my body. So the feeling like you're missing something, the fomo, that's just, we've talked a lot about that, but that is a feeling.

I'm like, ah, I don't like that feeling of like, I'm missing something. Or, or there could be something better out there. You don't know how to connect osteopathic techniques to orthopedics, to, um, which at the end of the day, this also stems from not feeling like you can trust your listening or feeling skills with your hand.

Very much so what this test and the rest of the ltap does really is gets us to the same area of the body where our general listening techniques get. So if you're not feeling confident with the general listening techniques that they've taught you in the Baral Institute, I feel you, it's hard for a lot of people.

And then you might also just have a bunch of tools and not sure how to assimilate them. I read in the Facebook group, there's a lot of people who listed all their education. I'm like, yeah, people have a lot of tools. You're welcome this course. I'm not gonna teach you a new like treatment tool. Will it give you some treatments?

Yes, because you would yell at me if I didn't. But at the end of the day, you have all the tools you need. Even a fairly new grad has a lot of tools that could be very successful if we learned how to treat the follow the body, where to treat a big one, overwhelm with complex cases. Don't know where to start or how to like organize at all or progress.

And then we already said, wanting to consider the whole organism versus the musculoskeletal system, what you've tried. We've talked about this learning more and more techniques for treatment, but it's not more treatment tools we need. It's the framework that we're operating in. That's really what we want to change, which is why you're here.

And part of what we're going to learn practicing this assessment. So I'm gonna teach you the framework, but I don't feel like you should believe the framework. 'cause I told you I want you to see it in action. To believe the new framework matters. We tend to chase biomechanics and movement dysfunctions.

Um. So often I tell people like, if you believe somebody's knee pain is happening because they don't squat very well, what do we then see? Oftentimes their knee pain goes well, goes away, but then they still can't squat or vice versa. You've cleaned their squat up and their knee pain still there. So it's like oftentimes though, we would love to make people's movement look better and be more efficient or economic to the, you know, energy systems.

At the end of the day, it just doesn't correlate with decreased pain or decreased, um, incidents of injury. And like I said, oftentimes it doesn't stick and so we're constantly chasing it. It's that hip flexor that I was constantly trying to release to improve their hip extension, to improve their hip flexion function.

One of the big problems that we have in the industry also is thinking time patient or pain is the problem. Now, time is a factor, especially when it's post-surgical rehab. I mean, at the end of the day, you still need six months to rehab from an ACL, but it can be a easier journey if we're working within this whole organ organized whole organism paradigm.

Because a lot of the mobility issues or the strength issues is the body being in a protective pattern. So movement as an output. So when we're trying to change these mechanics, change the movement dysfunctions by just trying to teach people to move better, it's not the way we have to change whatever stimulus is creating a sensory message to create that movement problem.

So. Blaming the patient or blaming pain as being complex. Yep. I mean, pain can centralize and it can be really complex, but most of the time it's kind of a cop out when you can't help somebody. This is actually called in psychology. This is called the fundamental attribution error, and I recorded a whole podcast on it because this fundamental attribution error is the tendency for people to blame other things besides themselves when things don't go as expected.

And so this when when you believe you're the expert as a clinician and you get eight people, good results, but the two that you don't besides leaving you up at night, you tend to be like, well, they're probably not doing their home exercises program. They're not exercising enough. They're not prioritizing decreasing their stress.

You start making all these excuses based on the patient, which is another way of saying you're blaming the patient. So, um, often better results are possible. We just lack the right assessment, going back again in the right paradigm. So the other thing that happens, especially once we get frustrated with these other mistakes pile on, is that we chase symptoms and pain session after session, even though we know we shouldn't sometimes, especially when you're limited on time with the patient, it's almost like I'm just gonna shut them up by like, their knee hurts.

I'm gonna touch their knee and make, because I know touching their knee usually makes it feel better. So I'm just gonna get them to feel better today and then maybe the next time they come in we'll be better. So yeah, Christina in the chat said, ah, so annoyed with myself when I chase pain. Yeah, me too. I get, I get like, I'm only human.

Sometimes I catch myself chasing pain too. The nice thing now is I catch myself and I like recalibrate, and I go back to this test to be like, okay, where should I go? Constantly asking the body, where should I go? Where should I go? So those are all the things that we've tried. This is, I've been here, right?

Like, it's like more manual, less manual, more exercise. NN less exercise, different system. I'm gonna start at the, maybe their feet is driving it, maybe their hip's driving it, maybe their core's driving it, maybe it's their breathing pattern. I've literally tried all the things. That's why I know you're doing it too.

So when it doesn't work, we're unable to confidently guarantee results, which leaves us frustrated. I hate the feeling of frustration and it is like, oh, the thing I feel the most in life for many other reasons, not just work. You feel like you're missing out Again. The frustration feeling, feeling uninspired.

When you feel uninspired at work, like you get a case of the Mondays on a Sunday because you're like, Ugh, here we go again. Like, I'm going to do my best and it might not be good enough and this is so frustrating, I just don't know what to do now. Right? Like this burnt out is real Blaming the patient.

Like I said, that's a fundamental attribution error. And at the end of the day, why the funnel an like a lot of us do it and it does come from that ego expert like feeling of like, well, it's gotta be them because I know it's not me. I'm the expert. When we get real with ourselves, like deep down, we know it feels very out of alignment with our kind, caring, loving, compassionate caregiving soul.

And so when we catch ourselves being like, maybe they're not doing the home exercise program, they say, I they are, but I doubt it is. Like that, is that feeling of like, I'm gonna blame them because I have nothing else to point at. But it doesn't feel right because I know it's probably not true if things don't feel right in your body, right?

Like if you don't feel in alignment, if you don't feel peaceful and light and spacious, chances are something's off. Okay? So, and then what happens? You question your knowledge and your worth as the expert, and it loops you back in to learning more in the same mistakes over and over again. So you end up still feeling frustrated, uninspired overwhelmed, and exhausted.

The biggest change. For me, when I started integrating osteopathic work, especially when I started valuing the assessment, valuing where is the body guiding me? I went from feeling burnt out like that and feeling those feelings of frustration, uninspired, overwhelmed, exhausted, and I started every patient was so much fun because every patient left me in awe.

In awe of how amazing the human body is and how capable it is of creating change within one session. And if it wasn't creating a stage within one session, it was within three. And I don't mean like change, like, oh, I changed their hip mobility, like decreasing pain, completely changing movement patterns, changing strength, like, like that.

And that is such a cool thing to see every day. It is like, wow, it really does. Remind you on a daily basis how freaking amazing we are as organisms. So that's what I want for people. This is like, if I could give every single person that works with somebody else in this setting a gift, it would be, I want you to feel that every day with every single patient, right?

Because the work you do in this world is so important to, you know, support like the global healing of the world through our nervous systems co-regulating each other. And the better you feel in your body and the more joy and awe inspired you are, it's contagious. Right. And so it has this ripple effect and it's no surprise that when people feel these feelings and have like a nervous system that is more downregulated like that, their sensation of pain decreases too.

So just the fact that you're coming to a patient feeling like that from your last patient is automatically going to help them decrease their pain. Like, how cool is that? So I forget, my gifs need an extra click to push the button. Damnit. All right, so now what? A lot of you are in the chat being like, oh my gosh, yes.

All of these one through five A through D. I get it. It's hard to separate them because they all sort of feed each other, feed on each other when we get in this cycle. So. There's, and also they're super common. You are not the only one feeling this way. 1600 people signed up for this course. That means 600 1600 people read what I wrote, which is the exact same, a thing that I just said on the page and put their name in and raised their hand and said, yeah, I feel that way.

I want your help. So you are not alone. And then also I want to reassure you that no matter if you're, you know, three years out of school or 30 years outta school, you don't really need that many new techniques if you're fresh outta school. Yep. You still need some new techniques. So you're keep learning, but also this is going to help you.

Know when to use those techniques better. For the rest of you, like if you wanted to stop learning treatment techniques, then you probably are gonna be just fine, right? So if you have all the tools and techniques you already need to get immediate results for your clients, then what are you're missing?

And like I've been saying, you're missing a new paradigm. One that considers the whole organism and the influence of the viscera and the nervous system on musculoskeletal pain and biomechanics, as well as the ability to trust the body and be able to listen to it, to guide the treatment sequencing with an objective assessment.

Um, a paradigm that also leverages that and understands that healing happens in a state of safety, in a parasympathetic nervous system state. We're also missing using our assessment to dictate. Or sorry, using our assessment to dictate where to start treatment based on the body's own, um, direction, own the body's own priorities, prioritization versus biomechanical bias, which is what every other model uses.

It actually allows us to further facilitate rest and safety in the nervous system. 'cause it identifies exactly where the body's protecting. So once we acknowledge that and start our treatment there, it takes the body out of this protection mode and instantly shifts into a more rest. Relaxation regeneration state.

And so it helps us out even more to get the better response, right? So this decreased pain sensitivity, as I already said, and it also changes dynamic alignment. So we can, like I said, we can still care about the My biomechanics and movement. I love movement and I work with athletes, so of course movement is like, I better be helping their movement or like, what's the point?

So we can still care about that, but understanding why the body's limiting hip mobility instead of just hammering their hip and trying to improve hip mobility, we will get better results with it. And then not only will we get better results in that hip mobility, but the rest of their body will change in response to that too.

So the solution. You already have the tools and techniques to help. We don't really need to teach you that. What we need is an assessment that can identify if there is a protection pattern, because sometimes there's not. And then if there is one, where is it originating from? Is it the viscera? Is it the central nervous system, or is it the peripheral neurovascular system?

Which spoiler alert, the peripheral neurovascular SAS system is still the viscera and the central nervous system. Just in our limbs, we forget that our brain, the peripheral nerves are extension of our brain. The arteries and veins are an extension of our heart and lungs, right? So we just need an assessment that looks at that, and that is what the locator test assessment protocol is.

If you never heard about it before, don't worry. The, uh, it's because I made it up, for lack of a better way to say it. Think about it. Um, sorry, I just got distracted by the chat. Kelly in Michigan said that there is a tornado warning. Warning, please abandon the call and get to safety like you are checked in.

Don't worry. Um, this is why I live in California. Tornadoes are not my thing. All right. So yes, I made the locator test assessment protocol up, but it, like I said, the reason I made it is it was tangible, objective ways, orthopedic tests that led me to the same location that my general listening skills did.

And for those of you that are not familiar with what general listening means, listening in the osteopathic world means what you're feeling with your hands. And so that is how we listen to the body through touch. I mean, our bodies are listening to each other and interacting with each other like. Without you even acknowledging it all the time, but you can like tune in extra by using your touch of your hand.

And I started noticing patterns in the orthopedic tests in the, that I was doing in addition to this osteopathic stuff. And I started noticing like, oh, interesting. You know, the SI joint's always hypomobile when this is happening and like, and so I just started noticing these patterns over a period of years and I was like, hmm, it seems to corroborate what I'm feeling in my hands.

And then I've been teaching my entire career. So I've been an asset trainer now for 23 years and I started teaching probably 20 years ago. So the majority of my career I've been teaching. And I taught at my previous job at exo, so a lot of like movement based evaluation, treatment performance type of stuff.

And a lot of people had learned from me and loved learning from me. And so I had a lot of people asking me to teach and I only like to teach what I'm currently doing. I'm not ever going to be the teacher that will teach you a system that I'm not using or I've found something to replace, uh, because I teach from a place of like passion and wanting to share with people.

And so I'm like, I wanna share what I know works right now. So I knew that, that I needed a way to teach people how to listen to the body without just plagiarizing and teaching the bra work. Like I, I would love everybody to just go learn the bral work, but I was also like, some people are not interested in learning that stuff and which is totally fine, but I found so much value in this ability to let the body guide me.

And I noticed that this is why I was getting good results with my clients. Now, instead of need four sessions every day, like every week for two weeks with my athletes, they could literally fly me. I have a football player that flies me across the country to New York and has me work on him for two hours and then I go home the next day and he feels good the rest of the weeks until he plays.

So if he's playing every week, he feels good until Sunday and when somebody hits him, and then we're kind of need to reset. But if he's not playing, he is a backup quarterback. So if he's not playing, he feels good for like a month before he needs to fly me out again. And this is, I realized I was getting results like this when I started learning how to trust what I was feeling in my hand to guide my treatment session.

When every time I wanted to do treatment in a new location, I stopped my ego mind and was like, wait, where does the body wanna go next? So this is what the Ltap really is and was created from. So it's five orthopedic based tests that utilize osteopathic principles to explore the influence on the viscera to influence the musculoskeletal system.

So the LAP listens to the body to determine the sequence of treatment. These are the tests. It starts with the SI joint mobility locator test. Then we move on to essential nervous system tension pattern locator test, then a thoracic decompression and inhibition, locator tests, pelvic and abdominal visceral inhibition, locator test, and then peripheral neurovascular inhibition tests.

The LAP is organized based on organ hierarchy, meaning the body organizes itself and tells us what organs are more important than the rest of them for survival. And I talked about that on the intro video that is in the module for today. But basically like our brain, most important and is it is in the most hard frame that we have, which is our cranium.

The next is the heart and lungs. It's in the hard frame of our thorax, and then our reproductive organs are in the hard frame of our pelvis, and then the rest of the organs. Well, sorry, the organs beneath the diaphragm, but still in the thorax, they're also very important 'cause they're in a hard frame. But all the organs that are not within the hard frames are a little less important for survival.

Right. So the reason we we organize our tests this way is because it saves us time in figuring out where to start. It is not the sequence that we will treat in. The sequence we treat in is based on organism hierarchy of layers of protection. And I'm not gonna totally teach that 'cause that's the whole L top thing, the whole L top level one course.

But I always describe, people are like onions. Kind of like Shrek said in the, in the movie Shrek Shreks like donkey, you don't understand. I'm like an onion. And the donkey's like, oh, you smell funny and make people cry. And he is like, no, I have layers. People are like that too. What what makes humans really amazing too, besides our innate ability to heal ourselves, is we are designed to compensate.

We are designed to carry the load of a lot of shit happening and still continue to like bulldoze our way through the the world, right? Moms are really good examples of this. They can just keep filling their cup up with all the things, and like they keep going until finally all of a sudden they're like, oh, I sneezed and my back went out.

Was it the sneeze that made their back go out? No, we all, no. It was all the other shit that's in their cup because the body left lost the ability to compensate. So we treat in order of the layers of the onion, the body will always present to us the most important layer of protection, which there is no way for us to know what that is.

We tend to get a subjective history from somebody and assume it is the elephant in the, like the biggest thing in the room. We assume because somebody has Crohn's disease that oh, I'm gonna need to work on their small intestine. No, that person might need you to work on their ankle, right? And if you put your expert hat on and be like, well their Crohn's disease is a big deal, I'm gonna work on their small intestines.

You know what happens? You flare up their Crohn's disease and they actually feel worse, and then they're no better off than when they came and saw you. Probably even worse off in that scenario. So not getting distracted by subjective history is the definition of learning how to listen to the body and let go of your ego mind.

So this is the whole thing. This week I'm teaching you the first test. The first test, the SI Joint Mobility Locator test. This is what the whole missing link course is about, and it's really answering these questions. Number one, can I treat somewhere I want or is there a protection pattern? Are you protect?

Like what are you presenting me today? We with today, onion, are all your layers happy? Like are we compensating well or are you like needing me to peel off a couple layers so you actually have the space for the exercise or the space to receive the treatment I'm about to do, right? So that's what this test does, and we're gonna talk about how it ends up being like a traffic cop.

The rest of the ltap tells us, okay, you're protecting Soine. Now we gotta get clear of what it is, right? So we're constantly narrowing our focus.

So this week we're learning the first step of the ltap to demonstrate the potential of a visceral or central nervous system, protective pattern on the musculoskeletal system. We are gonna learn some simple interventions interpreted from a visceral or whole body, like whole organism, lens of view, and you're gonna start to see it with your own eyes, right?

Like I said, don't trust me. Trust the body, trust your body, and trust the body in front of you. I will tell you, this works how I blue in the face, and it will not matter one bit until you see it for yourself. That's why I don't bother telling you all my background of education and my history of all the things I know.

It doesn't matter. What will matter is that you see that this paradigm is important to consider and that this test works and hopefully want to learn the rest, but at the end of the day, like you have to see it for yourself, okay? Don't trust me. Trust the body.

So the core beliefs, I lay out the core beliefs of every course I teach because it helps to kind of organize it different than learning objectives. Learning objectives are like, these are learning objectives. Focus for the week. These are the things we're going to be learning. This is scientific hat, right?

Fifth Grader Science Project. This is our hypothesis. We're working to disprove or prove we're working with the hypothesis or the core belief that the SI joint connects everything and its mobility is influenced by those connections. And we're also going to be exploring where you start matters even more than the tool or technique for treatment.

This is why. This is the crazy thing. I've taken 21 bar all institute classes, so I have all the visceral manipulation skills, all the neuro manipulation skills. There more you learn. Absolutely. But I have a lot of skills, a lot of techniques. Not telling you not to brag, but I'm telling you, when somebody's liver needs treated, you know what?

The first thing I do is none of the tech techniques they taught me I cup, I use a silicone like flexible cup and I cup the area of the liver and the spinal segments that relate to the Liv Liver. And I've noticed because of my reas that my assessment and reassessment that that works really well. And so it's like why would I go with a very specific treatment when a general technique works so well?

But the general technique works well because it's in the area that body wanted and I didn't make that shit up. That was a quote that I learned in one of the early classes from Jean Pierre. He said the. Crappy, like I'm paraphrasing, obviously. He said the crappiest technique in the area that the body wants is better than the best technique, like the most precise and specific and beautiful technique performed by the best clinician in the area that they want.

Right? So I heard that and I was like, all right, hold like, let me try this. Hold my beer. I'm gonna see like I'll challenge you. He gave me a belief and I was like, I'm gonna see it for myself. And then it, he's right. And so oftentimes, even though I have all these other techniques I could use, my first line is a general one because just being in the right spot matters more than anything.

And the teachers in those courses say it over and over again. I, again, I'm not making this up, they always are be like, they always say, what's your general listening? Where did your assessment point you where to treat? Let that be your guide. I'm just giving it some objectiveness in the orthopedic world so it makes more sense to our orthopedic brains.

So the SI Joint Mobility Locator test, I always tell people really the results you can get by just using this test are gonna be amazing and you're gonna be like, why do I even need the rest? You need the rest 'cause you like to learn and your brain's like, wait, there's more. But the SI Joint Mobility Locator does is kind of like a traffic cop.

It is basically going to tell us, okay, is there a protection pattern? If there is, go to the viscera of the nervous system first or go to the peripheral neurovascular system, or there's no protection pattern. So treat wherever you want. It is directing us on the map of where to go to get where we want to be, which is where do we wanna be?

Decreased pain and proof function.

Ironically the SI joint, we're gonna look at the anatomical connections. It's also like a, this is why I love the traffic cop or the transit map scenario is because the SI joint also happens to be the transfer station for our body for forces throughout our body. So it's the transfer station for us to figure out where to go, and it's the transfer station for movement that is occurring as a human bipedal person, right?

So that's going to answer some of these questions. So why the SI joint number one, movement and function of the SI joint is influenced by many factors, visceral neural, musculoskeletal. And it's the perfect area to investigate issues that have whole body effects because it is what makes us uniquely human is the shape and the function of our SI joint compared to other animals.

And that upright bipedal rotational gait pattern that we have, it goes through the SI joint. So therefore we don't, I the other, this is the thing like is gonna be a little bit of like the cognitive dissonance for people is like, yes, this is an SI joint test. And yes, this could be helpful with SI joint pain and dysfunction problems.

However, it is a whole body test. Oftentimes I get asked, what about the upper extremity? No, no, no, no, no. Whether they come to you with an upper extremity problem or an ankle problem, this is a whole body test that directs us where to go to tell us what layer of the onion they're protecting. Right. The other thing that makes it really good, because other joints can tell us this too, but what makes a SI joint exceptionally good is that movement is present, but it's limited, so there's not a lot of room for interpretation.

You can simply ask yourself, does the SI joint move or does it not? There's not a whole lot of gray area. This is important for a test to give us valuable information. As a traffic cop, we want to be simply be like all agree, like does it move or does it not move? If we're using the shoulder, for example, like who am I to say that a mobile shoulder is a shoulder that moves this much or this much, right?

Like if it moves this much, is it hypomobile or is moving? Not at all hypomobile. It's kind of a murky gray definition. The SI joint is like, it moves or doesn't move. Simple as that. So let's look at these anatomical que connections quickly. We already talked about how sort of a transportation for our kinetic linking or our bipedal rotational movement.

This also represents the, um, force closure mechanics for lumbopelvic stability. But it also is the path that forces cross our body. Kind of the X is not perfect, but we'll go over in a second. When our foot hits the ground, forces come up our foot, cross the SI joint, go up the spine, cross that T six and out the opposite shoulder and neck, right?

Actually, UE is upper extremity.

So here's another picture, right? There's many fascial lines, or these are, these are sling systems depicted by Andre Lemming, who's a researcher in Lumbopelvic, like lumbar pain. Area. But we know that movement is transferred from upper to lower extremity, lower extremity to upper extremity, right side to left side through the SI joint.

So again, this is fundamentally a musculoskeletal connection. And then the thing that makes it whole body, not just the spine, not just the lower extremity, right? So this is a test. This is not a test that you need to do, but I find it helpful to like drive home that transfer of energy standpoint. It's called a supine ground reaction force.

I first learned it from Brent Anderson at Pulsar Pilates, and basically you're adding a force through the foot. Just mimicking like a ground force reaction and you're watching how that force is transferred through the body. This is a great test to do if somebody's having pain or injury due to like, um, you know, they're like, every time I go on a walk this hurts, or every time I go for a run, this hurts.

Like you wanna see how the force, it's getting transferred through their body. So this is a good test, but it's also a way to look at SI joint mobility and the role, you know, when the SI joints are moving, things get transferred well, when they're moving too much or not at all, then things don't get transferred properly.

Okay? So we're gonna see what happens in this video. This test is basically mimicking what's happening when the foot's hitting the ground in weight bearing, right? I wanna see as she loads, has impact ground reaction through her foot. How it travels through her body. A normal loading pattern would be for a force to come up the leg and then cross at the SI joint and come out to the opposite head, neck, shoulder area.

So I'm basically, basically going to create that ground reaction force on her foot. So I come down here and make sure she's nice and relaxed and I hold, um, just gently under the heel and I press her foot into dorsiflexion and I can kind of play around with which parts of the foot. This is nice too, if somebody's having pain or you think they're like overloading one part of their foot, you can kind of see.

So when I load her on the outside of her foot, it sort of, she might even be able to feel it sort of ends and dampens here doesn't really cross her si joint very well. When I load her dorsiflexion more straight on, it goes up a little higher in her body. But it's still kind of staying one sided. So what's happening with her is I see it come up and then this whole same side feels like it's getting the jostling and then just her head's moving.

I'm not seeing a lot of that crossing pattern here. So then I'll do the other side, and here is a better pattern. So it goes up her legs and then it crosses over to her opposite shoulder. Her head's still moving. That's a normal reaction. I do like to see the head moving, but I wanna see a diagonal path of force versus straight line.

Now in this hip, what I notice is the force is, um, really far lateral. Um, sometimes I'll see it a little bit more medial on people That might just be the shape of her pelvis and. All right, so that gets cut off because I go on a tangent that's not relative to this course. Somebody asked if you get a link to this video.

This is not linked in your module. This is one from my mentorship program, but obviously you'll have the video and the replay as well. So, but I just wanted to show you that that transfer at the end of the day, this is a SI joint mobility test, and so we could use it as a SI joint mobility locator test, which we're gonna see as just adding a breath hold and interpreting it a little bit different.

But it, it's, it can be hard for some people to see, especially if you've not used it before, but play around with it and like be curious if you're interested. But mostly it was just to drive home the point. Huh? I'm stuck. There we go. So now let's talk about the nervous system. The SI joint is very connected to the nervous system.

The central nervous system and the peripheral nervous system, the central nervous system ends in the sacrum and the coys. So it 100% is part of the SI joint because that is the container it lives in. So the central nervous system, you'll, you would learn in the ltap level one course or you learn in the bral work that when there is essential nervous system tension, the entire spinal cord side side bends to the side of cranial tension to try to decrease the tension and therefore it oftentimes what we see in the sacrum is this side bent position, which if the sacrum side bent, could you believe how that may lock up the SI joint and not allow it to move, affect that mobility of the SI joint, right?

So yeah, central nervous system is like, should be a like, oh yeah, duh. It affect is affected, it affecting the SI joint. It is literally part of it. Then the viscera. Hopefully, this is a little bit of a duh too, because when you look at the anatomy, it kind of should be because the ligaments, the suspensory ligaments, the peritoneum, basically that is the sac around the organs, right?

The way the organs are connected to the hard frame literally connects them to the side of the pelvis, to the innominate bones, the pubic bone, and the sacrum, right? And so when there is tension or when there is adhesions, tension, whatever you wanna call it, when, when one organ moves or is not moving, that gets transmitted just as it would in the fascia, right?

We know when a, when a muscle's tight, it affects like a bunch of things within that line. Same thing for the organs, it's just on the inside. So it makes less sense to our brain because we don't see it with our own eyes, right? But. The visceral organs are attached to the hard frame. So they will limit SI joint mobility a lot.

The root of the intestines lies right on top of that, right SI joint. The sacrum is the back of the rectum, the uterus, the prostate, the bladder. All of those like pull on the sacrum. Women know this. Where do you have pain in different parts of our menstrual cycle? Like low back pain. Mm. That's not your lumbar spine, that's your sacrum because like your organ attaches to it.

So, and we also know that the, that organ changes shape throughout our cycle. It changes shape and it changes position. The position it is in when you're menstruating is different than the position it is in when you're ovulating and that pulls on the sacrum. So could you imagine how that would limit SI joint mobility potentially and.

All of the organs though, those three are the ones that are attached to the pelvis themselves. They're all within this peritoneum. And so even the liver, right? So the liver, we know that the liver has a, a ligament in the middle between the right and left lobes called the falciform ligament. The falciform ligament is continuous with the umbilical ligament, which is continuous with the RACIs ligament that attaches to the bladder and then goes around the bladder to the pelvic floor.

You know what's on top of the falciform ligament? The, um, the, um, pericardial sac, the, the, the inferior pericardial ligaments attached from the diaphragm on that other side of it, around the heart and attached to our cervical and thoracic spine, which then are continuous fa with fascia that attached to the base of our skull.

So literally. An attachment of the viscera throughout all the fascial containers from the base of our neck to the pelvic floor. So this is why SI joint mobility can be limited or affected, influenced by the viscera.

And if you don't believe me, like just look at that anatomy of the organs. Like you are telling me that the SI joint mobility is not affected by the, like if you're constipated, are you kidding me? Look at that colon right in front of the SI joint 100%. And if you've had constipation, you might have had, guess what?

Really low back pain. Limited hip mobility. It is not a coincidence. It is not a coincidence. The peripheral neuro, the peripheral nervous system also goes through the SI joint. But if you don't feel like that's enough of the connection, nerves innervate the joint capsule to give the joint capsule inf well to take away information from the joint movement as well as tell the joint what's going on, right?

Nerves is how things communicate with the spine. In the brain. In the brain, the spinal cord in the brain. There are five peripheral nerves that innervate the SI joint ligaments. Five. That's a lot Superior gluteal nerve. Nerve to the quadratus labum, the lumbosacral trunk, the sacral spinal, uh, nerve roots.

And I'm missing one, but it's right here. Opterator. Oh opterator nerve. The cool thing about opterator nerve, opterator nerve also innervates the parietal peritoneum. So there is another connection between the viscera and the SI joint right there. Via the opterator nerve. All of these nerves, if you don't know, the lumbosacral trunk turns into the, uh, sciatic nerve, which is basically two nerves, the tibial nerve and the common peroneal nerve.

And both of those, excuse me, basically innervate all of the joints of the lower extremity. So, so could you see how a locked up talo cruel joint might influence SI joint mobility? Have you ever witnessed that you've mobilized their ankle joint and you're like, oh, all of a sudden your core is working better?

Your hip stability's better, your hip mobility's better. This is why everything is connected. You don't need me to say that. Hopefully you realize that we were one joined cell to begin with and we just folded and unfolded on ourselves to become a human being. Like, how freaking crazy is that? Everything's connected.

I don't have to tell you the anatomy when I tell you anatomy connections, especially if I'm telling you a about it in relationship to your pain or injury. I am making up a story. I am 100% lying. There is no way for me to know why somebody's knee hurts. Any anatomical reason I give them is bullshit. So when my athletes ask why, I say, well, I could give you a bullshit story about the anatomy, but at the end of the day, that's not how pain works.

All right. So how get, get on with it. Anna. Oh, first, before I forget, we are at like the hour marks. I want to drop the poll for y'all to check in. So I'll put it up there. I'll give you like five, five or so minutes to, uh, do it. But is the poll in the way of the presentation when I have it like this? Can anybody like give me a Yes.

It's in the way. Yes, it's in the way. No, it's not in the way. You, you're, I'm good and you can see it. Great. Okay. So how to perform the test. The actual, the whole ltap level one course. We use two tests. We do, um, a march test and the supine test. This week we're just gonna do the march test for sake of like time and like quality of practicing.

But it is nice to have two tests. We do that especially for confirmation, but then also for virtual assessments. The March test is the best one for the virtual assessment 'cause you don't need your hands on them necessarily to see it once you train your eye. The other question I often get is, I like the whatever SI joint mobility test.

Can I use that instead? Absolutely. You can use any SI joint mobility tests you want by adding in a breath hold. The only ones I would not do is any prone tests. The prone tests give us kind of false information because it adds extra stimulus, extra sensory information from the organs, and that will affect the mobility.

So when we're looking at the SI joint mobility test, locator test, we're assessing these ligaments. But what we're really assessing are the top two, which are the lumbosacral ligaments. And I'm gonna take my, take this out of presentation mode so I can mo, I can show you my cursor here, but the lumbar lumbosacral lum, I can't talk.

The ileal lumbar ligaments is what I'm meaning to say. The ileal lumbar ligaments are what we're really testing with the March test, which are gonna be the S top of the SI joint ligaments, and it goes from L four and L five over to the PSIS. As you can see though, especially in the anatomy picture on the right, all of these ligaments are connected to each other.

So you could imagine how even if we have some issues in the ligaments down below, it's getting reflected to those ileal lumbar ligaments too. So anywhere within this SI joint ligament complex, if there's a hypomobility, structural or strategic from the viscera, the central nervous system or the peripheral nerves, it'll be reflected in these ileal lumbar ligaments.

Okay, so that's really what the test is looking at. Here's a view from below. So we're looking at the posterior ligaments. And again, you see a picture of the ileal lumbar ligament, though it's nice to appreciate that there's anterior ligaments as well. And in fact, the scro tubus and the scro spinous ligaments, which are the inferior part of that complex, they're, um, I mean anterior and posterior.

Okay.

So basically we're going to do a standing march test, which is also called the, uh, Gillette or GI delays test. It's single leg hip flexion, and we're observing dissociation of movement at the SI joint between the end nominate and the sacrum with and without a breath hold normal movement of an like, so normal SI joint mobility, an SI joint that moves.

Right. We're we're simply like, does it move or does it not move when you lift the leg up into hip flexion? Should posteriorly rotate? If there is a hypomobility, you will not see that posterior rotation. You might see everything move together or just nothing at all, like their leg moves, but nothing happens at their innominate bone.

Okay, we're going to look at that regular, just regular breathing, and then we're going to ask them to take a sip of air in and hold it. Not a huge breath. This is not a Valsalva, a huge Valsalva maneuver. It is just simply like inhale through your nose, hold it, and then do it again. And you're assessing it again.

And now you're asking does it change? So here's a video in a second, but we're going to basically from the top of the I, one second, I'll say to you, this is the tutorial that is in your Kajabi portal for tomorrow's education that crest the top of the pelvis, and then follow that down to the point. Your PSIS on the innominate bone there.

Usually it's kind of like right to the side of like the dimples on your back here. So once you're there, you're going to then go to the spine, place one thumb on the spine, one thumb below the PSIS. Then what you're going to have her do is have her march her leg up and you're going to see what the bones do.

And then back down. We're gonna do three of 'em. Yeah.

Okay. One more time. So for her, go back down. You see that my fingers stay sort of together, that her spine and her dominant bone are going together. Okay. Now we'll check the other side. So hold on, let me get on the parts first. So I find that PSIS. Then I'm on the spine and then yep, she's gonna march on the left.

You can hold on the wall with your balance in not great. Good. One more time. So now what we see on the left side on her is the A nominate drops down the spine, stays still. That is what we want to see. That is a normal function of the SI joint, that after they get to a certain degree of hip flexion, the dominant bone posteriorly tilts with the hip flexion.

Abnormal is when the spine goes with it or it does not separate. Okay. So on the abnormal side, we're gonna do the same thing with a breath hold. So get back on your points and then go ahead and take a deep breath, hold your breath, and then march your right side. Good. Two more? Yeah. And then one more. And we see that normal motion come back on that right side.

So this test is telling me just what the last test did, which was, we won't bother with the last test 'cause that we didn't show it, but it was a supine test I demonstrated before in another, uh, video. So that's all we're doing really. We're testing the March test regular and then with a breath hold. And we're the first question we're answering, does it move?

If it doesn't move, then we're adding a breath hold and we're asking again, does it move again? So then the third answer we get is, did it change? Yes or no? And if it changed, that tells us one thing. And if it didn't change, that tells us something else. And we'll talk about it in a second to clean it up.

So this, this video was Anna. Eight rounds ago of teaching this. Okay, now Anna knows to keep it simple from a teaching standpoint and to set you up for success, I have a whole list of tips for successful assessment in the Kajabi module that you'll get on day three. But also, just to let you know now, like, first of all, keep the distance to the wall, um, consistent by putting their hands on the wall flat, they maintain an upright position.

What you have to be careful about with the hands on the wall is that they're not leaning into it in a total body lean because that actually engages our glutes and our hamstrings, and it locks our SI joint up because of the forced closure, the stability mechanism, and so we'll get a false test. Right. So keeping them vertical hands against the wall.

Not to lean on, but just to maintain a certain distance. So we know their femur will be clear to move in hip flexion and that they will have some support for balance. So that is important. Light touch once anatomy is located, so you can touch hard to find the bony anatomy. Once you find it though, completely lighten up your hands.

So like barely be touching them because that's the only way you're going to feel this fine degree of movement. If you're pressing too hard, all you're going to get interpreted. Interpreted from your finger receptors are the pressure receptors, which I think are like the Sini core puzzles. Right. What we want to get is like the Merkel and the Rini fine nerve endings.

We want to feel movement. We want to feel that tiny bit of movement. It's small. It's like three degrees, two to three millimeters in the supine test, but it is plenty big for us to catch with our fingers because we can actually feel something with our fingers. The size of a molecule, which is as small as a 10th of a nanometer, I did the math the other day, and three degrees of rotation at the hip, at the nominate bone would be 6 million nanometers.

So 100% you can feel it. If you can't feel it, you're just pressing too hard. That is the number one thing I have to correct in the in-person courses, pressing too hard, and then all you do is take a small breath in a hold. If they do too big of a breath, too much of a Salva, it's. The same exact thing that happens as the forced closure.

You create too much stiffness and you limit their mobility. So again, you'll get a false test. Okay,

another common thing that comes up, we have a whole like little section about answering these kind of questions in the modules coming up in the in the coming days. But just in general, SI joint pain doesn't matter in interpreting the test. Now, if SI joint pain is so great that you cannot use the test, then don't do it right.

The rest of the ltap would provide us the information we need for this course. Just, sorry, you're just gonna have to rely on the old ways of doing things. This is not going to be a good patient to do. But most of the time even people with SI joint pain, they can tolerate this testin no problem, and I'll get a lot of great information from it that helps their SI joint pain.

Okay, so the most important part is for you to not get distracted by the pain, and it has nothing to do with the interpretation of the test. So unlike if you're familiar with the functional movement screen, like pain was like a score of zero and it really affected where you went, like where you started treatment, not the same for the ltap and not the same for this test.

So really we're looking at does the breath hold change a hypomobility? If you have a hypomobility and you do a breath hold and then it goes from hypomobile to mobile, which we saw on Hailey, my friend, that was my model. That means that there is a viscera or nerve essential nervous system protection pattern affecting the SI joint.

So that is where we would start treatment. If there is a hypomobility, then you do a breath hold and it's still hypo hypomobile. Doesn't move, then we would direct our treatment to the same side of the lower extremity. So whatever side was hypomobile, we would do treatment somewhere on the lower extremity of that leg because that means there's a peripheral neurovascular entrapment causing that.

So that scenario I talked about how the ankle was driving the lack of SI joint mobility. If both sides of the SI joint are normal, meaning they both move, that's basically the body telling you we're not protecting anything super important right now. So you can go ahead and do treatment wherever you want, which could be at the area that the person is complaining about or wherever you feel is the best spot to do it.

So those are the three options that the traffic cop is directing US viscera and central nervous system, lower extremity on the side of the hypomobility or. Wherever the body is protecting. I mean, sorry, wherever the clinician wants to go or the patient is complaining of pain. Big question is about the breath hold.

Why the hell does it work? Why the heck does it work? So the breath hold is the missing link. Remember, the missing, like the tagline for this whole training was learn one, how. Learn how one, change to your assessment. Can you have better results? This is it. This is the change, this is the breath hold. And interpreting it to know where the traffic cop is pointing us.

That's really the missing link along with this whole organism paradigm, right? That this test, this interpretation lives in. So why does it create a change at the end of the day? Nothing I can't prove. I can't prove it to you with anything but foundational anatomy and connections. But more than likely the breath hold.

The, the sense the organs know where they are within the cavity. The same way we know we're in space, right from the nerves that read the, um, receptor information right from the mechano receptors. The mechano receptors that are richest in the organs are the pressure receptors. So when we hold our breath, we change the pressure in every single container in our body.

Right? You hold your breath. Do you feel it in your head? Yeah. Your ears sometimes pop. Do you hold your breath and you feel like you know you're constipated? Yeah. Yeah. You change the, you change the pressure in every single container when you hold your breath. But whether you do a val salva and bear down versus just take a little sip of air in, just changes the reciprocal tensions, right?

All we need is a little change in pressure. To get the message from the organs to be clearer to the brain. And then often if they were protecting something, the message becomes more clear and the body's like, oh, we're good. You can have that mobility back. So that's the best reasoning I can give you. This is sort of where I'm like, yeah, I don't really know.

All I know is it happens and it helps me guide my treatment. And this is the whole point of I, I'm like, don't believe me. See it for yourself. See it for yourself. So. If you need a little bit of more anatomy knowledge of why this could be true, the sensory input to the brain and these containers are from the trigeminal nerve.

So the trigeminal nerve is the nerve that innervates the majority of the tentorium and the fox, which is the menes that are, is the, um, soft frame of our hard container of our cranium. The phrenic nerve innervates the sensory components of the containers of the um, thorax. These and the upper abdomen, abdominal C cavity are innervated by the phrenic nerve.

The cervical plexus also innervates the tentorium and the neck container. The vagus nerve innervates all of those containers including the pelvic container, and then the obterator nerve innervates the paral peritoneum. And the pelvic blanket nerves also innervate the pri uh, the parietal peritoneum. So all of those messages of change in mechano receptive information are transmitted to the spinal cord in the brain, and the body has better information and can choose its output better.

The output is the joint mobility, right? So it's a clearer message to the brain. It's also the reason why it made it hypomobile in the first place is messages via these nerve pathways

in addition to actual mechanical things like we described with the pelvic organs, right? So the goal for the first few days of the course practices assessment, the most important thing I can tell you, and especially Monday and Tuesday, don't worry about interpreting it, just. Every single person who walks through your door, check the March test and ask yourself, does it move or doesn't move?

Have them do a breath hold. Does it move? Does it not move? Don't worry about what it means. There's a whole tracking sheet that I have that you can just circle. Doesn't move. Does it not move? Doesn't move? Does it not move? And does it change? Just do that. Once you have the data down, then you can look at it and be like, what the hell does that mean?

And where does it mean I should start? And I know it seems silly because everybody wants to like get good results tomorrow and like start treating tomorrow. But the more you practice, just the assessment and get really good with it, the easier it will be at the end of the week to interpret it and apply the treatment.

Okay? So again, believe me, I've taught this enough times to know this is the best process. Truly just practice. Okay? Use the tracking sheet so you don't get overwhelmed. Just get the reps. So we already have the poll to check in. Um, next live training is Thursday. We're gonna talk a little bit more about SI joint pain.

We're gonna talk about the treatment options I provided you and why they're helpful, like the anatomy of why it works. I'm gonna share some case, um, cases with you and then I'm gonna invite you to the ltap level one online course that's coming up. So I'm gonna share with you more about that course. And that's it.

So this is one of my favorite quotes. A practitioner must analyze and study their patients as if they were their best books. This is a att still quote at still is the founder of Osteopathic Medicine. His name's Andrew Taylor still. And, um, I just love that quote. And it's very similar to like the one we started with too, which is that our patients are our best teachers.

All right. 4 26, man, I, I, I, I'm good. I'm gonna keep the poll up in case anybody. Missed it. And then I'm gonna look at the questions. Also gonna unmute you all. Let's see, not unmute you all, but allow you to unmute yourself if needed. And now let me go through the, Christina asked why not test pressure at the heel to replicate the heel strike?

Um, you could, it is just easier to do it from the forefoot because you get the action of dorsiflexion a little bit better.

How can I see the force? Just the movement of the body. Yep. It's best seen from bird's eye view. So it's hard to see on the video.

That test. You're not doing that test. That is not a test that I want you to practice. That was a test that I showed you to demonstrate the, uh, connection to the musculoskeletal system and the way forces transfer through the SI joint.

Uh, somebody asked, what am I referring to? The B Bural work. Not familiar with that. The Bural Institute, um, there's an osteopath. His name is Jean Pierre Bural. He's a French osteopath and physical therapist and visceral manipulation and neural manipulation. Those techniques, um, and the assessments that go along with it is like his life's work.

And so those are the osteopathic, um, courses that I've taken over the last 13 years that I've sort of gotten a lot of this information from in terms of like the theory and the practice and assimilated it into this orthopedic practice.

Um, you'll be able to reference this recording as soon as I post it, so I gotta wait for it to process and upload. It's usually within like four to six hours, and I'll email it out to you as well.

All the nerve and anatomy pictures are just stolen from the internet. My favorite places, um, Ken Hub, but really I just Google it and find some pictures. So, and also they're in your handouts, so you do have it.

Just scrolling through to see if there's any major questions.

Yes, the email, Kaylee needs to be the one that connected to your account. So do another poll, answer if you need to or send me a message. If for some reason you lost the poll, you can always just drop it in the chat. What can I say again about why prone? Um, when you're lying in prone, you're increasing the sensory information to the viscera, and so it is affecting the SI joint inherently on its own.

I did, there was a test called the SHIPPY Test, um, that I did play with for a little bit to explore if that in itself is a good inhibition test and it was not. So that's another reason why I say no prone because I did not get the same information from it.

Jenny asked, does it matter if they hold onto something to the March? No, I would prefer them to hold onto something, but the wall is the best. So you can keep well one so it doesn't move and then, so you can keep it consistent. Yep. It's also called the STORK test. Yeah. So this is, so all of the why I call this the SI Joint Mobility locator test is because of the breath hold.

None of those tests have a breath hold component to it. So adding in the breath hold sort of makes it its own new assessment. And this is also why like. You know, a lot of the pushback I get sometimes when I start talking about this on social media is people are like, Gillette's test is not reliable. Why are you using it?

So you're dumb? And I'm like, I know it's not reliable and actually this is why it's not reliable. Can you appreciate that? It is influenced by so many other things other than the structural actual joint that I would never expect it to be a reliable test. So I'm like, yeah, I, yeah, agreed. It's not reliable.

But um, the argument too is like some people said it's not even valid. Like you can't palpate it very well. Well, I've been teaching for 20 years other professionals, physical therapists, athletic trainers, chiropractors, um, massage therapists, you name it. So many people that should know an anatomy palpation skills are not good in people.

Practitioners and I say that with a loving kind heart of like, yeah, I need the practice too. I was just telling my athlete today, he pulled his soleus last year pretty bad. So I was doing a lot of like soft tissue on him and I was like, I always, whenever I have any patient, even, even today, even though I know the anatomy really well, I always look at more anatomy pictures.

And I told him today, I was like, you know what? It sucks going through that injury with you, but I can see the anatomy of all the muscles of your lower leg and feel the anatomy of the muscles of your lower leg so much better than I ever could before because of that, because of how much I studied the anatomy with it and how much I was just trying to feel it too.

So it's like we all could study the anatomy better. We could all improve our palpation skills. Um, Christina asked how high do they have to be able to flex for us to assess, um, ideally to 90 degrees. Minimum. Um, Ashley said, every person I've tried this on had a protection pattern going on. Anybody else?

Yeah, a lot of people do, especially if they're coming for pain or injury. Kyle asked, do you know of any results of the ltap technique with migraines? Yeah, some people have gotten really good results with it. Jill asked, curious, do you breath hold air hunger tests as well? Not in relationship to this specific assessment.

And they shouldn't, like, if they can't hold their breath for very long, like I can only hold my breath for like nine seconds sometimes, like let them, you know, just make sure you know if the assessment is with a breath hold or not.

Rachel asks, how much does this pregnant this test get skewed when testing on pregnant clients? So we'll talk about this on the second live training, but there are sometimes that this test is no longer a good test for us, so. And that could potentially be the scenario given the person how far along they are or what their history is.

So we'll talk more about that on life training Number two. And pregnancy is not the only reason, but that is one thing that we will talk about.

All right. Um, I saw a couple hands raised too. Let me see if I can switch my view so I can see everybody.

Um, remove my pin. All right. Whose hands did I see raised? I don't see anymore. Oh, Rachel, it was tech. It was technically me. I, I wasn't sure if you were gonna get to the question. Yeah. But I just figured I'd ask. But, um, my first person tomorrow is pregnant, but she's only about 15 weeks, so I was just Yeah.

Probably a better candidate. Probably a better candidate. Lower than higher. Yes, yes, yes. Earlier. Pregnancy is good. Later is when it gets interesting. So messy. Sure. Thank you. Yeah, yeah. You're welcome. Um, Tony asked about, like, how do I explain this to your client Tomorrow, the next couple days when you're just practicing, you're gonna say, Hey, I'm taking a course, I'm learning this assessment.

I would like to practice on you. And as I learn more about it, I'll share with you. Then on Thursday's live call, we're gonna talk about how you explain this paradigm to them and why you're looking at their SI joint when they come in with neck pain or shoulder pain and like how it relates to what's going on with them.

So I'll tell you my whole like, um, spiel I give my clients.

Um, somebody asked, Janet asked if you can self test for the March test. Uh, yes, potentially. Like if you video yourself and you can see it really well, like if you're have a trained eye to see it really well. Absolutely. I would recommend anybody you're using this with video or virtually for them to not wear black pants.

Anything wet black pants is easier to see. Um, Kaylee, ask, can I say one more time where you're palpating during the March test? Um. L four, L five, or S one two, and then the PSIS, and it's also in your modules in Kajabi.

So somebody dropped the link to the Gillette's test. If it's not one that I demonstrated, I wouldn't necessarily, I can't confirm it if it is good. Every research article also uses a different interpretation of how the Gillette's test is done. So depending on the practitioner, and depending on what they're looking at, they may have you do a straight leg or bent leg or like, so try to keep it the way I teach it.

That's the only way I can guarantee that it works. I'm sure it probably works the other ways too. I just can't, you know, put my stamp of approval on it. Lauren asked in regards to interpreting the test results. If the results tell you to treat the nervous system viscera, then your next step is to listening Techniques caught taught in the courses.

Yes. So if you, the whole L top is like this, so if you have listening skills, you can use this to confirm your general listening and to guide you where to start your local listening to get more specific. Absolutely. Yep. So you would know, okay, it's viscera or central nervous system. You can listen at the vertex or you can listen along the midline of the, um, trunk or at the diaphragm or at the subdural, um, bridge.

Debra said, you mentioned using capping over the organs. I use a silicone cup as well. Curious if there's a cancerous cell in another area, can it feed it? Um, the research on that is really, you can find stuff on both sides. In general, I would just defer to whatever their doctor prefers you to do.

Uh, yeah, Cindy, if you couldn't find the poll, just drop your info in the chat. I see a lot of people did that. That's fine.

Um, yes, you can ask questions in the chat here. You can ask questions in the Facebook group, and you can ask questions in the comments section of each module, each lesson of the modules on Kajabi. So lots of places ask me questions. Like I said, I'll always stay on the call long enough to answer all of them.

The handouts are also in the Kajabi portal. The Kajabi portal is linked in every single email I've sent you. So if you can't get into it, if you don't see it, you can email info@movementrev.com and my team can help you out with the tech stuff. There's also on my website movement rev.com, so www.movementrev.com.

There's a link in the upper right hand corner of the webpage that says course login or course portal or something like that. So that will take you to Kajabi too, and whatever email you signed up with for the course would be your username. Okay.

Um. Stephanie said, can't attend the second live. Will you still be able to access it? Yep. I'm sending out a recording of everything. Sarah, with the March test, are we looking for relative movement? No, you're just looking. Does the dominant bone posteriorly rotate

Debra? I'm not, um, I'm not familiar with the Diane Lee stuff. If you ask it in the Facebook group, I can tag somebody who is and answer your question.

Somebody asked what is, oh, Charlotte asked, what is the next step of the test? Suggest visceral and central nervous system. What course would be next for visceral treatment? So the whole point is you have all the tools and skills that you need to treat everything, including the viscera, including the nervous system.

You just don't see them as visceral and nervous system treatments because you're not seeing the body this way. Movement treats the visceral and the nervous system, and we're gonna talk about this a lot more on live training. Number two, so you don't need to take a visceral manipulation course if you don't want to, to have an effect on the viscera.

Um, Lauren asked, so do you ever start on your treatment and the neck, upper extremity, et cetera? Are you always going to begin with the lower extremity or visceral nervous system based on the March test? Yes. The neck though can be part of where I'm starting to affect the central nervous system. So sometimes the neck, um, never the upper extremity.

The upper extremity, that's the, I have a whole course on it called the never treat the shoulder first. And this is why, because it's never going to be a protective pattern of the upper extremity, only. It's always going to be driven from the viscera, the nervous system or the lower extremity.

Christina asked if you have wellness fitness clients, would you be able to do this to help them? Yep. Absolutely. This works really great to improve their dynamic alignment instantly to make, set you up for a successful rest of your movement session with them or exercise session with them. Lisa asked, would taking a listening course such as the BRA Institute prerequisite for taking your LTAP course?

No. No, no, no. Anybody can take my L ltap level one course and it will only support what you're learning in those classes. Right? And but also, you don't have to take those classes. You can just take this, you can take both. I get a people from both sides, so you do not have to have listening skills in order to utilize the ltap.

That's the whole point of the ltap to support you when you don't feel confident in those skills. And to give a way for people who don't have those skills, a way to listen to the body and figure out where to start.

Yes. So Rachel, essentially she asked, does this March test work? As you're listening it, it dials in things like your general listening would as well as the rest of the ltap. Yeah, Shannon, even if somebody has dislocated their shoulder or had shoulder surgery, I'm still not starting at their shoulder because what might be influencing their pain and lack of mobility or their swelling or the blood flow to the area to heal from the surgery or the dislocation is usually coming from somewhere else.

So I at least start with one round of seeing where the directing me before I go to the upper extremity, it sets me up for an easier treatment of that post-surgery or post-injury limb.

Haley asked in the Kajabi portal. Where is that form you're talking about when we're trying to assessment? It will be in tomorrow's module, Monday's module. With the tutorial of the test? Yeah, Wendy said, so if you have all five tests, would you do them at the start of each session? Yes. It doesn't take long.

It's about seven minutes total if I went through all of them. But you don't need to always go through all of them, depending on what comes up in the tests. It's a very quick assessment.

Awesome. I think that's all the questions that are in the chat. If I missed any, please let me know. Me personal Rachel? Yes. I still use my general and local listening all the time, but the LT A always confirms for me. So especially on those days that I'm not feeling great about trusting what I'm feeling.

The LT A is so nice to help me uhhuh and then as I said, yeah, for teaching people who do not have those skills. That works just the same.

Yeah, you're welcome. I'll stay on for another five, 10 minutes, so if you have any questions please let me know. If not, you're welcome to take off and make sure you join the Facebook group and have fun. Can't wait to see how it goes. Share let me know. Thank you for being here. I love this. This is just so fun.

So welcome.

Yes, this is awesome. Enjoy.

All right. Looks like it's it, so I'm ending it. Bye everybody. See you Thursday.