Name: Subscapularis SA Static Release
Uploaded: 2023-04-26T01:02:42.000Z
Duration: 3 min 22 s

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https://stream.mux.com/PoREke6L7SErxIA1GqX2FIQHUQgbG2RlpC5qxUpoCrY.m3u8

Learn how to properly perform the subscapularis static release in this comprehensive step-by-step instructional video from the Brookbush Institute. This evidence-based video provides expert coaching on setup, positioning, tissue targeting, and the safe application of pressure to effectively reduce muscle tone, reduce trigger-point sensitivity, and improve glenohumeral mobility. Enhance shoulder internal rotation range of motion, optimize rotator cuff function, and support improved scapular mechanics with this targeted self-myofascial release technique. Perfect for athletes, fitness enthusiasts, and rehabilitation clients seeking to reduce shoulder discomfort, improve mobility, and restore optimal shoulder function while reducing injury risk.

Introduction to Subscapularis Release Techniques

Anatomy and Importance of the Subscapularis

Using the Back Knobber II for Muscle Release

Cautions and Sensitivity in the Release Process

Static Release Protocol and Technique Summary

Subscapularis SA Static Release

This is Brent, President of B2C Fitness, and we're talking about upper body, static ,self-administered release techniques. In this video we're going to go after a muscle that requires a little bit of special know-how, a little bit of special equipment, that's our subscapularis, a nasty muscle that has a tendency to get very tight, develop a lot of trigger points in those people with upper body dysfunction. The first thing we're going to need is one of these puppies, this is a back knobber II. Very similar to a theracane, only a little wider in profile, so that we can kind of work over the chest. You'll find that the back knobber, with a very narrow width there, makes this technique in particular a little tough. So, the first thing we need to do to get at the subscapularis, a little anatomy lesson here, the subscapularis is on the front, or anterior side of the scapula. That's generally the side of the scapula that is stuck between the scapula and ribs. That's where our subscapularis lies. So, in order to get the subscapularis to present itself, we're going to need to upwardly rotate, and abduct, or protract the scapula. The easiest way to do that is just have yourself bring your arm up into this position, okay. So I have Laura here just kind of putting her hand behind her head, and now I can get to this distal part, the outer part of the subscapularis. Now, Laura's going to use her other hand to take the end of this back knobber II, and kind of place in that armpit area. She wants to create a force that's both this way in direction, as well as down, because once again, we're trying to get in between the ribs and the scapula, as well as apply pressure down into the scapula if we find a trigger point. So she's going to kind of search around there until she finds something. It might be easier for her to start in this position with that muscle kind of bunched up and shortened in a relaxed position. Once she finds a spot, she then can go ahead and put the subscapularis back into a stretch position. Now, just one note of caution here, this is a very sensitive area of the body. There are a lot of nerves that go through this area. There're some sensory nerves in this area, as well as our most lateral fibers of the lower subscapular nerve, a long thoracic nerve, and our thoracodorsal nerve could all present themselves out this far. If you feel any sort of burning, tingling, numbing, find a new spot. You know, I don't think anybody is going to do any damage with this back knobber II, as long as they don't wrench it into their axilla there, but if you do happen to feel any of those nerve sensations, just go ahead and move, find another trigger point, find another area of tenderness, and then go ahead and hold there. Now, for subscapularis static release it's the same protocol we use for all static release techniques. That's going to be 30 seconds to 2 minutes, statically holding, once again not rubbing back and forth, until we feel a release. Hope you enjoy this technique, I hope it improves the way you  move and feel while you're working out and that you enjoyed this video. Thank you.

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Integrated functional anatomy of the subscapularis (rotator cuff). Attachments, nerves, palpation, joint actions, arthrokinematics, fascia, triggerpoints, and behavior in postural dysfunction. Common exercises, foam rolling, injury prevention, and stretches of the rotator cuff.

Subscapularis

Knowing internal rotator release and lengthening techniques can reduce shoulder pain, neck pain, scapulothoracic pain, etc., and improve fitness performance.

Shoulder Internal Rotator and Posterior Deltoid: Release and Lengthening 

Subscapularis (Self-Administered) Static Release:

Explain to your patient/client where their subscapularis is, and if necessary palpate where you would like them to exert pressure with the release tool.

It may be helpful to demonstrate this technique before having your patient lie supine.

Instruct your patient/client to assume a supine position, with a Back Nobber II in the hand opposite the side you wish to release.

Have your patient/client flex the target side shoulder, resting there and on the table behind them and next to their head. If this is uncomfortable for your patient/client due to limited shoulder mobility they can place their hand under their head (assuming a position of about 130° of shoulder abduction). The intent of placing the arm in this position is to protract and upwardly rotate the scapula as far as possible, and relax in that position so all contractile tissues are passive.

With the curve of the "S" shaped Back Nobber II stabilized near, or on the sternum, have your patient/client place the ball-shaped end of the Back Nobber II into the axilla so that downward pressure can be exerted onto the anterior face of the scapula (which has been exposed by raising the arm in step 4).

Have your patient/client move the ball-shaped end of the Back Nobber II superior to inferior, using the tool to scan for tender points.

When the most tender point is located have your patient hold still on that spot and attempt to relax.

Wait for the discomfort to subside or for a “release” to occur (generally 30 – 120 seconds).

Move on to another tender point or to the next muscle to be released.

Applying pressure in the wrong direction. Remember that the subscapularis lies on the anterior face of the scapula (which is why we want to press down), pressing or pulling the tool into the rib cage may result in discomfort, bruising, or could result in a release of the commonly under-active serratus anterior.

Numbness, tingling, and/or burning are not a good thing! The lateral fibers of the long thoracic nerve are exposed in the position above; running along the anterior face of the subscapularis. It is possible to compress and locally stretch or deform these nerves during this technique, resulting in some very immediate and fairly intense pain and discomfort. If you accidentally impinge or stretch one of these fairly small nerves try to move a centimeter or two in any direction and re-apply downward pressure.

Subscapularis SA Static Release

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