Adductor Magnus Self-administered Dynamic Release

0

Adductor Magnus Self-administered Dynamic Release is an innovative and highly effective technique to help release tension, enhance mobility, and reduce pain. This self-administered technique targets the adductor magnus, a large hip flexor muscle, with passive, controlled tension. It uses isometric strengthening and sustained dynamic stretching techniques to release adductor magnus tightness and tension, while restoring the length and flexibility of the muscle. This relieves pain, increases mobility and performance,

0

Transcript

00:00:0400:00:06
This is Brent of the Brookbush Institute and in
00:00:0400:00:06
...blank
00:00:0600:00:08
this video we're going over progressions
00:00:0800:00:10
of static self-administered release
00:00:1000:00:12
techniques, we're going to do dynamic
00:00:1200:00:14
self-administered release techniques or
00:00:1400:00:16
pin and stretch techniques for the adductor.
00:00:1600:00:18
magnus, a muscle that has a propensity to
00:00:1800:00:19
get over active in those with
00:00:1900:00:21
lumbo-pelvic hip complex dysfunction.
00:00:2100:00:24
Specifically short and over active in
00:00:2400:00:26
those individuals who have knees bow out,
00:00:2600:00:27
those individuals who have an
00:00:2700:00:29
asymmetrical weight shift, this muscle
00:00:2900:00:31
would be short on the side opposite the
00:00:3100:00:33
shift. This might also be related to
00:00:3300:00:35
things like a posterior pelvic tilt or
00:00:3500:00:38
sacroiliac joint dysfunction. I'm going to
00:00:3800:00:40
have my friend Brian come out, he's going
00:00:4000:00:41
to help me demonstrate this technique.
00:00:4100:00:43
Now just like the static release
00:00:4300:00:45
technique Brian's going to sit with his
00:00:4500:00:50
legs dangling and we're going to use a
00:00:5000:00:52
ball, softballs tend to work pretty good
00:00:5200:00:54
for the adductor Magnus because we got
00:00:5400:00:56
to get around those hamstring muscles.
00:00:5600:01:00
The big difference here is is once Brian
00:01:0000:01:02
finds the tender spot, have you found the
00:01:0200:01:04
tender spot, we're going to assume that
00:01:0400:01:07
that's about the same site that we might
00:01:0700:01:09
have a little tissue adhesion, and of
00:01:0900:01:11
course we want to free that tissue, we
00:01:1100:01:14
want our fascial layers moving well. So
00:01:1400:01:17
once he finds that adhesion I'm going to
00:01:1700:01:19
go ahead and have a move just distal
00:01:1900:01:22
that adhesion. So just slide so
00:01:2200:01:26
that the ball abuts the the far end of
00:01:2600:01:27
that adhesion, you don't want to go all
00:01:2700:01:30
the way off it, but abuts. Now I did
00:01:3000:01:32
have a little hard time coming up with
00:01:3200:01:33
this technique because I'm like well how
00:01:3300:01:36
do we make this dynamic. You cant abduct
00:01:3600:01:38
you'll lose the ball, that'll just look
00:01:3800:01:39
weird if you just started going in and
00:01:3900:01:41
out with your thighs. We have to figure
00:01:4100:01:43
out some way of getting this tissue to
00:01:4300:01:47
move without losing the softball. We just
00:01:4700:01:49
have to remember the other joint actions
00:01:4900:01:51
that the adductors will do. The
00:01:5100:01:53
adductor Magnus will do extension, so if
00:01:5300:01:56
Brian goes into hip flexion
00:01:5600:01:59
he should notice that that's a little
00:01:5900:02:01
tender as it pulls the muscle fibers
00:02:0100:02:04
through that -what we'll assume is the
00:02:0400:02:07
adhesive point, and starts to free up
00:02:0700:02:10
that tissue. Now things to watch out for
00:02:1000:02:12
is Brian does have to make sure that he
00:02:1200:02:16
is hinging at his hips and he can use
00:02:1600:02:18
his arms to support himself that's fine,
00:02:1800:02:21
and then come back and he's just going
00:02:2100:02:25
to lean into it, hold for two and come
00:02:2500:02:28
back, and he's going to do that like 15
00:02:2800:02:33
times. What ends up happening with your
00:02:3300:02:35
clients and patients that you really
00:02:3500:02:38
have to watch for is instead of hinging
00:02:3800:02:39
forward at the hips you tell them to
00:02:3900:02:41
lean forward and what do they do, and
00:02:4100:02:43
just kind of crunch, and if they
00:02:4300:02:46
crunch that's that spinal flexion that's
00:02:4600:02:48
not hip flexion, they're not going to to
00:02:4800:02:51
get any change in extensibility at their
00:02:5100:02:54
adductor Magnus. Why don't we go ahead and turn
00:02:5400:02:55
sideways facing me so they can
00:02:5500:02:57
see the difference between a hip hinge
00:02:5700:03:02
and just flexing over the ball.
00:03:0300:03:06
Good so that's a nice hip hinge right, and
00:03:0600:03:08
he can, if he can get even further into
00:03:0800:03:11
hip flexion he can that's fine, oh yeah.
00:03:1100:03:13
Like I said he can use his
00:03:1300:03:15
arms to help him but he wants to keep
00:03:1500:03:17
his spine relatively straight. Show them the
00:03:1700:03:19
bad form again one more time. Stay away
00:03:1900:03:21
from this, this is what you'll inevitably
00:03:2100:03:24
see, all right I'm doing it I don't feel
00:03:2400:03:25
nothing, all right I'm doing it. You're
00:03:2500:03:28
like no no that's not that's not it. Oh
00:03:2800:03:30
yeah you can see Brian's face when he's
00:03:3000:03:33
got it right. Good and he's just going to do
00:03:3300:03:35
like 15 repetitions and then of course
00:03:3500:03:39
we'd retest. Now if you're doing this
00:03:3900:03:40
technique I'm going to assume that
00:03:4000:03:42
you've already been doing the static
00:03:4200:03:44
technique for a while. I wouldn't just
00:03:4400:03:48
take somebody and go here try dynamic
00:03:4800:03:49
release for the adductor Magnus because
00:03:4900:03:51
chances are they're not going to have
00:03:5100:03:53
good technique to begin with, they're not
00:03:5300:03:54
going to really know what they're
00:03:5400:03:56
supposed to be feeling, and I do want to
00:03:5600:03:59
get rid of any trigger points or tender
00:03:5900:04:01
points that are there first before I
00:04:0100:04:04
start working on this hypothesis of
00:04:0400:04:08
decreased fascial glide. Now I should
00:04:0800:04:10
mention getting a little bit more
00:04:1000:04:14
technical if we needed to mess with the
00:04:1400:04:17
position of his thigh here in the the
00:04:1700:04:18
transverse plane, if you
00:04:1800:04:20
wanted to go a little thigh out this way
00:04:2000:04:24
or thigh in this way to add more tissue
00:04:2400:04:26
extensibility before he went into
00:04:2600:04:29
flexion he could. You can mess with
00:04:2900:04:32
those positions a little bit to get your
00:04:3200:04:34
clients set up the way you need to.
00:04:3400:04:36
Obviously if you were right at the end
00:04:3600:04:38
of a corrective intervention that
00:04:3800:04:40
included the adductor Magnus and just
00:04:4000:04:43
needed that couple extra degrees, you
00:04:4300:04:46
might have to pull a little bit either
00:04:4600:04:49
in or out, and then go really far
00:04:4900:04:52
into flexion to get that last bit of
00:04:5200:04:56
fraying of any fascial adhesion that we
00:04:5600:04:59
have. It worked really well for you,
00:04:5900:05:00
there you go. So make sure when you go
00:05:0000:05:02
inward though you adjust your whole leg
00:05:0200:05:05
and set, and that he's not using
00:05:0500:05:07
his adductor to hold him in because then
00:05:0700:05:10
he can't get a release. Once again
00:05:1000:05:11
of course I'd followed this up with
00:05:1100:05:13
reassessment. If my reassessment showed
00:05:1300:05:14
no change,
00:05:1400:05:17
don't just follow pain I'm not just
00:05:1700:05:18
going to follow what Brian says and be
00:05:1800:05:20
like oh that's really tender, I want to
00:05:2000:05:22
see a change in his movement pattern. I
00:05:2200:05:24
want to see a change in his symptoms and
00:05:2400:05:27
the complaints he came in with, and if
00:05:2700:05:28
this does have a positive effect I'll
00:05:2800:05:31
keep doing it, and if it doesn't then I
00:05:3100:05:33
just learned something. I narrowed down
00:05:3300:05:34
my intervention a little bit further,
00:05:3400:05:36
made it a little bit more specific. I
00:05:3600:05:39
hope you get great results from
00:05:3900:05:40
this progression. I hope you get
00:05:4000:05:42
great results from this technique. I look
00:05:4200:05:44
forward to hearing your thoughts about
00:05:4400:05:46
this technique. Please feel free to leave
00:05:4600:05:47
those comments, and if you have any
00:05:4700:05:49
questions please feel free to leave them.