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Manual release techniques for the commonly overactive scapular muscles. Soft tissue release techniques for the upper trapezius, levator scapulae, rhomboids, and pectoralis minor. Advanced soft tissue, massage, trigger point palpation, and mobilization techniques to inhibit antagonists. The reliability and validity of manual release techniques for arms fall, shoulders elevate, forward head, shoulder pain, neck pain, headaches, fibromyalgia pain, cervical dysfunction, and upper body dysfunction.

Static Manual Release: Upper Trapezius, Levator Scapulae, Rhomboids and Pectoralis Minor (for Upper-Body Dysfunction)

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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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Courses

This course describes static manual release techniques for the muscles of the scapula that are commonly assessed as over-active and prone to trigger point development. Unfortunately, it is easy to be confused by a large number of synonyms for the terms used for these techniques. For example, the techniques described in this course may be considered refinements of massage, massage therapy, therapeutic massage, deep tissue massage, medical massage, sports massage, trigger point massage, static compression techniques, soft tissue mobilization, muscle inhibitory techniques, and manual therapy techniques. Even the term trigger point is referred to by a variety of synonyms including muscle knots, nodules, adhesions, over-active muscle fibers, hypertonic fascicles, spasms, and acute points of hyper-contractility, and the trigger point phenomenon is likely part of every reference to short muscles, muscle tightness, muscle tension, muscle spasm, upper back stiffness, and neck stiffness, etc. Part of the reason so many synonyms exist is the rich history of scientific inquiry, from multiple disciplines and cultures, that have contributed to our understanding of the techniques described in this course.

This course includes techniques for the upper trapezius, levator scapulae, rhomboids, and pectoralis minor muscles. Release techniques for these muscles are commonly included in an integrated program designed to address neck pain, neck stiffness, upper back pain, scapular (shoulder blade) muscle pain, and shoulder pain. These techniques may also aid in addressing posture correlated with cervical, upper thoracic, scapula, and shoulder dysfunction including forward head posture, thoracic kyphosis, scapula dyskinesis, and rounded shoulder posture. Last. these techniques may be beneficial when included in an integrated program designed to address elbow dysfunction (e.g. lateral epicondylitis a.k.a. tennis elbow), upper back pain (e.g. thoracic spine dysfunction), and/or lower back pain (lumbar spine dysfunction).

The techniques in this course are recommended for all clinical human movement professionals (physical therapists, physical therapy assistants, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) to develop an evidence-based, systematic, integrated, patient-centered, patient-centered, and outcome-driven approach.

Static Manual Release: Upper Trapezius, Levator Scapulae and Splenii

Static Manual Release: Suboccipitals, Sternocleidomastoid (SCM), Scalenes and Cervical Extensors

Static Manual Release: Hip Internal Rotators

Static Manual Release: Hip External Rotators

Static Manual Release: Tibia External Rotators

For a review of muscle fiber dysfunction and trigger point etiology:

Muscle Fiber Dysfunction and Trigger Points

Course Description: Scapula Muscle Static Manual Release

Introduction

For a complete review of muscle fiber dysfunction, trigger point etiology, assessment and intervention, please check out:

Trigger Point Assessment, Palpation, and Intervention (Coming Soon)

Signs of over-activity and/or a maladaptive decrease in length:

Note: Gross movement exams may be beneficial for identifying asymmetry, significant restriction, and pain with movement; however, cervical rotation, flexion and extension are not reliable goniometric assessments.

Although shoulder flexion is not a measure of scapular motion; optimal scapular motion is necessary to reach 180° of shoulder flexion - assuming the patient/client does not exhibit signs of shoulder hypermobility. Direct goniometry of scapular motion is not reliable.

: Weak or With Compensation (cervical protraction)

: Weak or With Compensation (scapular protraction or elevation)

It is advised that additional mobility techniques, as well as 

 and integration techniques follow release techniques. The over-activity of muscles discussed in this course may be associated with under-activity of the following muscles:

Longus colli, longus capitis and rectus capitis anterior (deep neck flexors)

Trapezius Muscle

Levator Scapulae

Rhomboids

Pectoralis Minor

Research Corner

Upper Trapezius Manual Static Release

Levator Scapulae Manual Static Release

Rhomboids Manual Static Release

Pectoralis Minor Manual Static Release

Videos

Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance, Mary McIntyre Rodgers, William Anthony Romani

Assessment and Treatment of Muscle Imbalance: The Janda Approach

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Jull, G., Barrett, C., Magee, R., & Hodges, P. (1999). Further clinical clarification of the muscle dysfunction in cervical headache. 

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Jull, G., Kristjansson, E., & Dall’Alba, P. (2004). Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. 

Falla, D., O'Leary, S., Farina, D., & Jull, G. (2011). Association between intensity of pain and impairment in onset and activation of the deep cervical flexors in patients with persistent neck pain. 

Falla, D., O’Leary, S., Fagan, A., & Jull, G. (2007). Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. 

Jull, G.A., Falla, D., Vicenzino, B., Hodges, P.W. (2009). The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Manual Therapy. 14: 696-701.

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Helgadottir, H., Kristjansson, E., Einarsson, E., Karduna, A., & Jonsson, H. (2011). Altered activity of the serratus anterior during unilateral arm elevation in patients with cervical disorders. 

Journal of electromyography and kinesiology

Thigpen CA, Padua DA, Michener LA, Guskiewicz K, Giuliani C, Keener JD, Stergiou N. (2010). Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. 

Journal of Electromyography and Kinesiology

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Headache: The Journal of Head and Face Pain

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Yoo, W. G. (2013). Changes in pressure pain threshold of the upper trapezius, levator scapular and rhomboid muscles during continuous computer work. 

Cagnie, B., Dhooge, F., Van Akeleyen, J., Cools, A., Cambier, D., & Danneels, L. (2012). Changes in microcirculation of the trapezius 

Zennaro, D., Läubli, T., Krebs, D., Krueger, H., & Klipstein, A. (2004). Trapezius 

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Zennaro, D., Läubli, T., Krebs, D., Klipstein, A., & Krueger, H. (2003). Continuous, intermitted and sporadic 

Szeto, G. P., Straker, L. M., & O’Sullivan, P. B. (2005). A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work—1: neck and shoulder 

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Cools, A.M., Witvrouw, E.E., Declercq, G.A., Danneels, L.A., Cambier, D.C. (2003) Scapular muscle recruitment patterns: Trapezius muscle latency with and without impingement symptoms. 

Szeto, G. P. Y., Straker, L. M., & O’Sullivan, P. B. (2005). EMG median frequency changes in the neck–shoulder 

 of symptomatic office workers when challenged by different physical stressors. 

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Journal of Bodywork and movement therapies

Cools, A. M., Witvrouw, E. E., Declercq, G. A., Vanderstraeten, G. G., & Cambier, D. C. (2004). 

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Lucas, K. R., Rich, P. A., & Polus, B. I. (2010). 

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nociceptive substances and anaerobic metabolism in patients with trapezius 

: microdialysis in rest and during exercise. 

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 of women with chronic widespread pain and chronic neck-shoulder pain correlate with pain intensity and 

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: an in vivo microdialysis study. Eur J Appl Physiol. 2013;113(12):2977–2989.

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Gerwin, R. D., Shannon, S., Hong, C. Z., Hubbard, D., & Gevirtz, R. (1997). Interrater reliability in myofascial trigger point examination. 

Lew, P. C., Lewis, J., & Story, I. (1997). Inter-therapist reliability in locating latent myofascial trigger points using palpation. 

Sciotti, V. M., Mittak, V. L., DiMarco, L., Ford, L. M., Plezbert, J., Santipadri, E., … & Ball, K. (2001). Clinical precision of myofascial trigger point location in the trapezius muscle. 

Myburgh, C., Lauridsen, H. H., Larsen, A. H., & Hartvigsen, J. (2011). Standardized manual palpation of myofascial trigger points in relation to neck/shoulder pain; the influence of clinical experience on inter-examiner reproducibility. 

Barbero, M., Cescon, C., Tettamanti, A., Leggero, V., Macmillan, F., Coutts, F., & Gatti, R. (2013). Myofascial 

 and innervation zone locations in upper trapezius muscles. 

Ziaeifar, M., Arab, A., Karimi, N., & Mosallanejad, Z. (2014). The Effect of Dry Needling on Range of Motion of Neck Lateral Flexion in Subjects With Active Trigger Point in Upper Trapezius Muscle. 

Ziaeifar, M., Arab, A. M., Karimi, N., & Nourbakhsh, M. R. (2014). The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. 

Journal of bodywork and movement therapies

Tsai, C. T., Hsieh, L. F., Kuan, T. S., Kao, M. J., Chou, L. W., & Hong, C. Z. (2010). Remote effects of dry needling on the irritability of the myofascial trigger point in the upper trapezius muscle. 

American journal of physical medicine & rehabilitation

Cagnie, B., Barbe, T., De Ridder, E., Van Oosterwijck, J., Cools, A., & Danneels, L. (2012). The influence of dry needling of the trapezius muscle on muscle blood flow and oxygenation. 

Abbaszadeh-Amirdehi, M., Ansari, N. N., Naghdi, S., Olyaei, G., & Nourbakhsh, M. R. (2017). Neurophysiological and clinical effects of dry needling in patients with upper trapezius myofascial 

Chou, L. W., Hsieh, Y. L., Kao, M. J., & Hong, C. Z. (2009). Remote influences of acupuncture on the pain intensity and the amplitude changes of endplate noise in the myofascial trigger point of the upper trapezius muscle. 

Archives of physical medicine and rehabilitation

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Fernández-de-las-Peñas, C., Alonso-Blanco, C., Fernández-Carnero, J., & Miangolarra-Page, J. C. (2006). The immediate effect of ischemic compression technique and transverse friction massage on tenderness of active and latent myofascial trigger points: a pilot study. 

Journal of Bodywork and Movement therapies

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Cagnie, B., Dewitte, V., Coppieters, I., Van Oosterwijck, J., Cools, A., & Danneels, L. (2013). Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: a cohort study. 

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Journal of Bodywork and Movement Therapies

Lucas, K. R., Polus, B. I., & Rich, P. A. (2004). Latent myofascial trigger points: their effects on muscle activation and movement efficiency. 

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Ruiz-Sáez, M., Fernández-de-las-Peñas, C., Blanco, C. R., Martínez-Segura, R., & García-León, R. (2007). Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects. 

Fernández‐de‐las‐Peñas, C., Cleland, J. A., Palomeque‐del‐Cerro, L., Caminero, A. B., Guillem‐Mesado, A., & Jiménez‐García, R. (2011). Development of a Clinical Prediction Rule for Identifying Women With Tension‐Type Headache Who Are Likely to Achieve Short‐Term Success With Joint Mobilization and Muscle Trigger Point Therapy. 

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Lluch, E., Arguisuelas, M. D., Coloma, P. S., Palma, F., Rey, A., & Falla, D. (2013). Effects of deep cervical flexor training on pressure pain thresholds over myofascial trigger points in patients with chronic neck pain. 

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Cerezo-Téllez, E., Torres-Lacomba, M., Fuentes-Gallardo, I., Perez-Muñoz, M., Mayoral-del-Moral, O., Lluch-Girbés, E., … & Falla, D. (2016). Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. 

Levator Scapulae (18, 20, 24, 67-68, 71-72, 78 - 81)

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American Journal of Physical Medicine & Rehabilitation

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 in patients with spinal pain: a systematic literature review. 

Hsueh, T. C., Yu, S. U. N. N. Y., Kuan, T. S., & Hong, C. Z. (1998). Association of active myofascial trigger points and cervical disc lesions. 

Journal of the Formosan Medical Association= Taiwan yi zhi

Static Manual Release: Upper Trapezius, Levator Scapulae, Rhomboids and Pectoralis Minor (for Upper-Body Dysfunction)

Related Courses:

Course Description: Scapula Muscle Static Manual Release

Introduction

Research Corner
4 Sub Sections

Videos
4 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Static Manual Release: Upper Trapezius, Levator Scapulae, Rhomboids and Pectoralis Minor (for Upper-Body Dysfunction)

Related Courses:

Course Description: Scapula Muscle Static Manual Release

Introduction

Research Corner4 Sub Sections

Videos4 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Research Corner
4 Sub Sections

Videos
4 Sub Sections