0:04 This is Brent of the Brookbush Institute, and in this video we're doing more exercise 0:08 for forearm postural dysfunction. That's individuals that have issues with the 0:13 wrist, forearm, or elbow. I'm going to have my friend Crystal come out, she's going 0:18 to help me demonstrate. In this particular video we're going to do an 0:21 exercise for supination. Now this is one of the last exercises I teach clients 0:27 with forarm dysfunction right. So we've already done this flexor activation, we 0:32 did even the reverse Tyler twist, which was a progression of flexor activation. 0:35 We did that radial deviation exercise, which was flexor carpi radialis 0:40 activation. After teaching those I would then teach this exercise, because this 0:48 exercise involves a lot of the cues taught in those previous exercises. 0:54 We talked about how forearm postural dysfunction is excessive 0:59 pronation, extension and ulnar deviation. So the reason why I'm reminding you of 1:06 that is we have to keep out of all of those little joint actions. Okay we're 1:09 going to do supination, but we also have to do a little flexion of radial 1:12 deviation. So we'll start with the the lightest one of course just to get 1:19 you used to this. I find it easiest to start somebody in good position, so 1:25 get them all the way supinated, get them in flexion, and make sure they're doing 1:31 flexion with radial deviation and not ulnar deviation. Once you get them 1:36 there they can then just twist this puppy down like this, and slowly let themselves 1:43 back to neutral. That's it and then if they go back, they're doing both 1:48 concentric and eccentric. Now we did talk a little bit about the benefits of 1:52 eccentric strengthening when we did that reverse Tyler twist. That some studies 1:57 show that eccentric strengthening might be better for rehab. So what she could do 2:01 is start here, crank down, go back to neutral, 2:07 and then when you start over, get into position, crank down, slowly go back to 2:14 neutral. Alright let's try that a couple times. So 2:17 start over, crank down, and then a nice four second eccentric, two-three-four, 2:26 back to neutral. Make sure that when you go back to neutral you don't force 2:30 yourself in the ulnar deviation here. And so we're going to crank down, and then we 2:34 know we're going to crank down probably out a little bit, and slowly back to 2:39 neutral. Good, cool, back to neutral. If that works out well and we want to then 2:49 progress to start adding the concentric, maybe for functional reasons, maybe we 2:54 feel like we need to get that strength back, then you can go back to trying to- 2:58 let's see if we can stay here, and you can supinate, flex, and radial deviate, all 3:05 at the same time. It's tough, this is a tough one. It like seems easy at 3:10 first, you're like oh yeah just flip my hand over. But to flip your hand over and 3:14 keep in the flexed and radially deviated position is not so easy. You guys are 3:18 going to find this real easy to start, like trying to extend the wrist or break 3:22 into ulnar deviation. Takes a little bit of concentration, we see the pursed lips 3:27 again. Like I said you guys can see a lot of tongue sticking out, we'll try to, try 3:32 to figure this thing out. Good stuff, you want to try a heavier one? Yeah, once again 3:37 guys always test your patients on this one, so set it up. Like I go pop quiz 3:43 style. I think that's important from a learning perspective, if I've done all 3:48 that cueing like I did before where I was like putting her hands in position 3:51 and stuff like that, which is great initially, I want to make sure that she 3:55 can do this on her own before she leaves. So you're going to start with just the 3:59 eccentric one first, that's cool. Make sure you get into good position, right 4:04 without any resistance. Then crank that puppy down, we talked about how cranking it 4:08 down and out was probably a little bit better, and then slowly back. That's 4:12 fantastic, try that again, boom. 4:16 Down and out, a little towards me, good. 4:23 Cool, oh that was a little bit of ulnar deviation, don't forget we got to go this 4:31 way a little bit too. So you're trying to get all the way over, you're trying to 4:35 get all the way over this way, or that way since it's that arm. All right, I'm just kidding. 4:45 All right okay, so this is a tougher exercise. You're going to find that like 4:48 using one of the bigger FlexBars is probably not going to happen 4:53 initially. I would start off small, and once again this is one of those 4:57 exercises that I would progress to. I would probably not give this exercise to 5:02 somebody on their first session with me. As you guys could tell it like involved 5:07 all of the cues, from almost all of the videos, for all of the other forearm 5:12 exercises. Let's start off with a couple of the easier forearm exercises. Give our 5:16 patients and clients a chance to be successful, so that when they get to this 5:21 exercise it feels like a reward, and they're already a little bit familiar 5:26 with what you're going to put them through. Obviously Crystals actually been 5:30 sitting here, and taking in all of this information as we've been doing these 5:33 videos. I guarantee if I would have started the day with this particular 5:38 exercise, we would have had a harder time getting through it. Alright so there you 5:43 guys go another forearm exercise for you. I hope by now you're starting to build a 5:48 nice little repertoire for individuals with like lateral and medial 5:52 epicondylitis, tennis elbow, and golfer's elbow so to speak, and wrist 5:58 issues. Some individuals with certain hand pains this stuff works really well. 6:02 The bigger repertoire you have, the more tools you have in your tool bag, the more 6:06 likely you are to be successful. If you have any questions or comments please 6:09 leave them below. 6:18 you
