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Self-administered joint mobilizations for the cervical, thoracic, lumbar, shoulder, and elbow joints. Addressing arms fall, scapula elevates, cervical dysfunction, thoracic mobility, and lumbar/SI joints. Joint mobilizations and traction techniques for upper extremity and upper body dysfunction.

Joint Mobilizations: Upper Body (Self-administered)

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I have almost completed my CPT certification and am half-way through the Human Movement certification to inform my massage practice. The different modalities of reading, watching audiovisual materials, and attending live or recorded webinars have been important to my learning style and for review.

Brookbush Institute has the most detailed, specific and effective tools for online learning for movement and/or bodywork professionals. I love the combination of the videos as well as the text available online.

I recently completed the CPT course. It was demanding yet practical. I would highly recommend it for anyone wanting an education about human movement.

I have my personal trainer certificate through here and am almost finished my human movement specialist certification. Overall, the education that Brookbush has packaged together for clinicians and trainers is invaluable. I am a physio assistant so coming from more of a rehab background I appreciate that this education has been beneficial both as a trainer and in a rehab setting. I love that I have been able to do all learning at my own pace and able to work around my schedule. Thank you for setting up this platform! Highly recommend :)

I have been a massage therapist for 10 yrs and I feel like all the “pieces” I’ve learned throughout the yrs have been put into place and can see the full picture. I am also a member to tons of great content since I love to learn! I plan to get my CPT through them as well.

I have been following Brent Brookbush for nearly a decade- back when I was a personal Trainer and now as a Physical Therapist. BBI is an incredible resource for any movement nerds and corrective exercise specialists! The information is thorough with multiple real world applications. I am looking forward to an in-person Manual Therapist course the second they do one a little bit closer to Virginia ;)

I have taken both the Human Movement Specialist and Certified Personal Trainer certificate programs and have found the value in understanding the how and ways the body moves and functions and from evidence, non-biased, outcome, conceptual, theoretical, and practical approach to helping my clients/patients look better, feel better, and move better.

Over the last years I've returned time and again to Brookbush Institute for stellar coursework as I've worked toward a Human Movement Specialist certification. (I'm currently ACE CPT, and in training with Anatomy Trains for Structural Integration Manual Therapy.) Every Brookbush Institute module is fantastic and each one includes detailed informational videos, written descriptions of how to-do, and, more importantly, why to-do!

I am a 70 yr old chiropractor and no other healthcare provider was able to come up with an exercise protocol particular to my structural and balances and muscle deficits and keep me in the game. And as for continuing education on human skeletal movement, the website is phenomenal full of great exercises for particular mechanical dysfunction.

The H.M.S. is the most valuable certificate I have earned and was a fraction of the the cost of my others. Define the best bang for your buck!

Brookbush is the most efficient Personal Training Certification I have ever come across. All the lessons are well thought out and very straight to the point.

I am getting my Master's degree in Kinesiology, and I would like to say that I have benefited greatly from the rich, comprehensive, well-documented scientific content of Brookbush Institute that links theory to practical applications. Proudly I've got my CPT certificate, and I am on my way to get my HMS certificate.

Having courses count towards different certifications makes it so users can transition seamlessly from one certification to another. In my case, going from earning the BI CPT to earning the BI HMS was an easy decision and I am proud to have earned both certifications. I have also had the pleasure of going to a Live HMS workshop that was well taught by Instructor Boettcher and that was excellent to see how the methods and techniques are implemented.



I have been a member of BBI for years and every course I have taken has been incredibly informative. I learn more from these courses than I do at local CEU courses for my PTA license. I also earned my CPT and HMS certifications through the platform. It was so convenient and the content was top notch! Forever member.

We learn principles in academia, we learn cool new modalities via whatever specialty certification, but BBI really concentrates on the nuances of passive treatment and they do a fantastic job. The format in which BBI instructs soft tissue specialists (DPTs, Chiros, ATs) like myself feels like almost like an apprenticeship. You get a thoroughly detailed explanation of the “why’s”, and a visual comprehension of how to apply. Personally, I believe application is where the good and the great are distinguished.

Brookbush has been incredibly helpful since I was in massage school and now as I’m in my career! I run my own practice and it gives me the resources I need to not only improve what I already know, but also help me navigate better, more efficient ways of treatment.

Totally loving the convenience and affordability of this program with my crazy lifestyle! I feel like I am getting a quality education without a massive cost! My favorite part is the videos I can watch in the courses. I learn so much better that way. Once I really spent more time on the site, I figured out how to maneuver around a lot better! I enjoy the sense of humor, as well as the easy explanation, and short tests. And if I am really tired, I can have the computer read me the lessons. 😁

Challenging concepts are explained in very understandable terms without dumbing down the material, and I find this program to be superior in quality to other personal training programs.

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Human Movement Specialist

Integrated Manual Therapist

This course describes self-administered joint mobilization techniques for the upper body (also referred to as joint mobility techniques, joint mobilisations, joint mobs, joint mob, or mobz). The upper body joint mobilization techniques included in this course are intended for the shoulder joint (glenohumeral joint), elbow joint (humeroulnar joint, ulnohumeral or trochlear joint), proximal radioulnar joint, sternocostal joints, thoracic spine, and lumbar spine.

Joint mobilization techniques are recommended for joints assessed as stiff and should not be considered solely as treatment for addressing chronic pain. The intent is to increase joint mobility and regain optimal upper body movement. Unlike manual therapy, self-administered techniques have the advantage of inclusion in therapeutic exercise programs, corrective exercise programs, home exercise programs, and continued self-management routines. In addition to improving mobility and arthrokinematics motion, research has demonstrated that addressing joint stiffness may have an immediate effect on assessed muscle weakness, improving muscle activity, and muscle strength during functional activity.

The joint mobilization techniques in this course may be particularly beneficial for improving the quality of motion of those individuals exhibiting poor posture, upper body dysfunction, rounded shoulder posture, thoracic kyphosis, and forward head posture. As well as, treatment for chronic pain and specific joint issues such as shoulder pain, frozen shoulder, recovery from rotator cuff tears and upper body muscle strains, tennis elbow (lateral epicondylitis), hand pain, etc. Sports medicine professionals (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.) should consider adding these exercises to their repertoire to improve the outcomes of their integrated exercise programs and therapeutic (rehabilitation) interventions.

For additional self-administered joint mobilization techniques check out:

Joint Mobilizations: Lower Body (Self-administered)

For manual therapy versions of the techniques in this course check out:

Joint Mobilization: Shoulder Joint, Acromioclavicular Joint, and Sternoclavicular Joint

Joint Mobilization: Elbow and Proximal Radioulnar Joint

Course Description: Self-administered Joint Mobilizations for the Upper Body

Research summary, self-administered upper body joint mobilizations

Study Guide: Joint Mobilizations: Upper Body (Self-administered)

Introduction

For an introduction to self-administered joint mobilizations including definitions of specific terminology, what a "joint mobilization" is, intent and goal, guidelines, predictable patterns, and best use search for the Introduction to Self-administered Joint Mobilization article on the website.

Self-administered Shoulder Mobilization: Lateral Distraction

Self-administered Elbow Mobilization: Anterior to Posterior with Extension

Self-administered Thoracic Spine Mobilization: Posterior to Anterior

Self-administered Thoracic Spine Mobilization: Rotation

Self-administered Lumbar Spine Mobilization: Open Books

Self-administered Sternocostal Mobilization: Anterior to Posterior

Research Summary

Self-administered Cervical and Thoracic Mobilizations

 have demonstrated efficacy for improving pain, range of motion (ROM), and function for individuals with symptoms from cervicogenic headache, cervical pain, and thoracic dysfunction.

Self-administered Lumbar Spine and Sacroiliac Joint (SIJ) Mobilizations

 may have similar efficacy to the manual lumbar spine and SIJ mobilization techniques for low back pain and potentially knee pain.

Upper Extremity Self-administered Mobilizations:

 Unfortunately, no research is available investigating the efficacy of these techniques.

Cervical and Thoracic Mobilization

Cervical and Thoracic Mobilization Research

Lumbar Spine and Sacroiliac Joint Self-administered Mobilization

Self-administered lumbar spine and sacroiliac joint mobilization using a foam roller 

Lumbar Spine and Sacroiliac Joint Self-administered Mobilization Research

Research Corner Summary

Self-administered Joint Mobilization Protocol

When to use self-administered joint mobilization:

Use when assessment highlights an apparent mobility restriction that is not alleviated by muscular system interventions (foam rolling, release techniques, and/or stretching).

If mobilization causes pain stop immediately.

If mobilization does not result in immediate improvement as confirmed by reassessment, a couple more attempts may be made, but if still ineffective abandon the technique.

Carefully position the band on the appropriate bone close to the restricted joint.

Ensure force is applied in the desired direction.

Apply enough tension to ensure arthrokinematic motion is achieved and tension is maintained throughout the entire range of the oscillation

Rate of roughly 1 – 2 oscillations per second

" Joint mobilizations do not generally result in the relatively intense feelings of tension, stretch or pressure commonly associated with release and lengthening techniques. With the exception of the pressure exerted against the skin by the band, it is not uncommon for the patient/client to feel nothing in the joint being mobilized. When a mild sensation is felt, it is most often described as a "light stretch", an "opening" or "movement within the joint". The most important indication that the technique has been successful, is improvement during reassessment.

Shoulder Mobilization

Self-administered Shoulder Mobilization

Elbow Mobilization

The elbow joint (also known as the humeroulnar joint)

Anterior to Posterior Mobilization with Extension

Thorax and Lumbar Spine Self-administered Mobilizations

Dr. Brent Brookbush demonstrating a thoracic mobilization

Self-administered Thoracic Spine Mobilization: Posterior to Anterior with Extension

Self-administered Spine Mobilization: Rotation (Open Books)

Mohamed, A. A., Shendy, W. S., Semary, M., Mourad, H. S., Battecha, K. H., Soliman, E. S., … & Mohamed, G. I. (2019). Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. 

Hall, T., Chan, H. T., Christensen, L., Odenthal, B., Wells, C., & Robinson, K. (2007). Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. 

journal of orthopaedic & sports physical therapy

Reid, S. A., Rivett, D. A., Katekar, M. G., & Callister, R. (2014). Comparison of mulligan sustained natural apophyseal glides and maitland mobilizations for treatment of cervicogenic dizziness: a randomized controlled trial. 

Oh, H. T., & Hwangbo, G. (2018). The effect of short-term upper thoracic self-mobilization using a Kaltenborn wedge on pain and cervical dysfunction in patients with neck pain. 

Nakamaru, K., Aizawa, J., Kawarada, K., Uemura, Y., Koyama, T., & Nitta, O. (2019). Immediate effects of thoracic spine self-mobilization in patients with mechanical neck pain: A randomized controlled trial. 

Journal of bodywork and movement therapies

Hwangbo, P. N., Hwangbo, G., Park, J., & Lee, S. (2014). The effect of thoracic joint mobilization and self-stretching exercise on pulmonary functions of patients with chronic neck pain. 

Jung, J. H., & Moon, D. C. (2015). The effect of thoracic region self-mobilization on chest expansion and pulmonary function. 

Schenk, R. J., Jozefczyk, C., & Kopf, A. (2003). A randomized trial comparing interventions in patients with lumbar posterior derangement. 

Machado, L. A., Maher, C. G., Herbert, R. D., Clare, H., & McAuley, J. H. (2010). The effectiveness of the McKenzie method in addition to first-line care for acute low back pain: a randomized controlled trial. 

Widberg, K., Hossein, K., & Hafstrom, I. Self & Manual Mobilization in Men With Ankylosing Spondylitis.

Nejati, P., Safarcherati, A., & Karimi, F. (2019). Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled Trial. 

Antonelli, G., Outi, M. Y., Muller, B. G., Binda, A. C., Ruaro, J. A., & Fréz, A. R. (2018). Muscle energy technique on non-specific knee pain associated with sacroiliac dysfunction. 

Manual Therapy, Posturology & Rehabilitation Journal

Ribeiro, D. C., Sole, G., Venkat, R., & Shemmell, J. (2017). Differences between clinician-and self-administered shoulder sustained mobilization on scapular and shoulder muscle activity during shoulder abduction: a repeated-measures study on asymptomatic individuals. 

Regional Interdependence between Scapula and Elbow

Ayhan, C., Camci, E., & Baltaci, G. (2015). Distal radius fractures result in alterations in scapular kinematics: A three-dimensional motion analysis. 

Day, J. M., Bush, H., Nitz, A. J., & Uhl, T. L. (2015). Scapular Muscle Performance in Individuals With Lateral Epicondylalgia. 

Joint Mobilizations: Upper Body (Self-administered)

Related Courses:

Course Description: Self-administered Joint Mobilizations for the Upper Body

Study Guide: Joint Mobilizations: Upper Body (Self-administered)

Introduction

Research Corner Summary
2 Sub Sections

Self-administered Joint Mobilization Protocol

Shoulder Mobilization
1 Sub Section

Elbow Mobilization
1 Sub Section

Thorax and Lumbar Spine Self-administered Mobilizations
4 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Joint Mobilizations: Upper Body (Self-administered)

Related Courses:

Course Description: Self-administered Joint Mobilizations for the Upper Body

Study Guide: Joint Mobilizations: Upper Body (Self-administered)

Introduction

Research Corner Summary2 Sub Sections

Self-administered Joint Mobilization Protocol

Shoulder Mobilization1 Sub Section

Elbow Mobilization1 Sub Section

Thorax and Lumbar Spine Self-administered Mobilizations4 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Research Corner Summary
2 Sub Sections

Shoulder Mobilization
1 Sub Section

Elbow Mobilization
1 Sub Section

Thorax and Lumbar Spine Self-administered Mobilizations
4 Sub Sections