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This is Brent of the Brookbush Institute and in
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this video we're going over progressions
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of static self-administered release
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techniques, we're going to do dynamic
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self-administered release techniques or
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pin and stretch techniques for the adductor.
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magnus, a muscle that has a propensity to
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get over active in those with
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lumbo-pelvic hip complex dysfunction.
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Specifically short and over active in
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those individuals who have knees bow out,
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those individuals who have an
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asymmetrical weight shift, this muscle
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would be short on the side opposite the
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shift. This might also be related to
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things like a posterior pelvic tilt or
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sacroiliac joint dysfunction. I'm going to
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have my friend Brian come out, he's going
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to help me demonstrate this technique.
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Now just like the static release
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technique Brian's going to sit with his
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legs dangling and we're going to use a
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ball, softballs tend to work pretty good
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for the adductor Magnus because we got
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to get around those hamstring muscles.
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The big difference here is is once Brian
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finds the tender spot, have you found the
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tender spot, we're going to assume that
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that's about the same site that we might
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have a little tissue adhesion, and of
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course we want to free that tissue, we
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want our fascial layers moving well. So
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once he finds that adhesion I'm going to
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go ahead and have a move just distal
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that adhesion. So just slide so
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that the ball abuts the the far end of
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that adhesion, you don't want to go all
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the way off it, but abuts. Now I did
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have a little hard time coming up with
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this technique because I'm like well how
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do we make this dynamic. You cant abduct
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you'll lose the ball, that'll just look
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weird if you just started going in and
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out with your thighs. We have to figure
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out some way of getting this tissue to
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move without losing the softball. We just
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have to remember the other joint actions
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that the adductors will do. The
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adductor Magnus will do extension, so if
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Brian goes into hip flexion
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he should notice that that's a little
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tender as it pulls the muscle fibers
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through that -what we'll assume is the
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adhesive point, and starts to free up
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that tissue. Now things to watch out for
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is Brian does have to make sure that he
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is hinging at his hips and he can use
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his arms to support himself that's fine,
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and then come back and he's just going
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to lean into it, hold for two and come
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back, and he's going to do that like 15
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times. What ends up happening with your
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clients and patients that you really
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have to watch for is instead of hinging
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forward at the hips you tell them to
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lean forward and what do they do, and
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just kind of crunch, and if they
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crunch that's that spinal flexion that's
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not hip flexion, they're not going to to
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get any change in extensibility at their
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adductor Magnus. Why don't we go ahead and turn
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sideways facing me so they can
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see the difference between a hip hinge
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and just flexing over the ball.
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Good so that's a nice hip hinge right, and
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he can, if he can get even further into
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hip flexion he can that's fine, oh yeah.
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Like I said he can use his
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arms to help him but he wants to keep
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his spine relatively straight. Show them the
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bad form again one more time. Stay away
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from this, this is what you'll inevitably
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see, all right I'm doing it I don't feel
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nothing, all right I'm doing it. You're
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like no no that's not that's not it. Oh
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yeah you can see Brian's face when he's
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got it right. Good and he's just going to do
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like 15 repetitions and then of course
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we'd retest. Now if you're doing this
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technique I'm going to assume that
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you've already been doing the static
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technique for a while. I wouldn't just
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take somebody and go here try dynamic
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release for the adductor Magnus because
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chances are they're not going to have
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good technique to begin with, they're not
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going to really know what they're
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supposed to be feeling, and I do want to
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get rid of any trigger points or tender
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points that are there first before I
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start working on this hypothesis of
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decreased fascial glide. Now I should
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mention getting a little bit more
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technical if we needed to mess with the
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position of his thigh here in the the
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transverse plane, if you
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wanted to go a little thigh out this way
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or thigh in this way to add more tissue
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extensibility before he went into
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flexion he could. You can mess with
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those positions a little bit to get your
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clients set up the way you need to.
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Obviously if you were right at the end
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of a corrective intervention that
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included the adductor Magnus and just
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needed that couple extra degrees, you
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might have to pull a little bit either
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in or out, and then go really far
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into flexion to get that last bit of
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fraying of any fascial adhesion that we
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have. It worked really well for you,
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there you go. So make sure when you go
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inward though you adjust your whole leg
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and set, and that he's not using
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his adductor to hold him in because then
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he can't get a release. Once again
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of course I'd followed this up with
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reassessment. If my reassessment showed
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no change,
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don't just follow pain I'm not just
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going to follow what Brian says and be
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like oh that's really tender, I want to
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see a change in his movement pattern. I
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want to see a change in his symptoms and
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the complaints he came in with, and if
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this does have a positive effect I'll
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keep doing it, and if it doesn't then I
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just learned something. I narrowed down
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my intervention a little bit further,
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made it a little bit more specific. I
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hope you get great results from
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this progression. I hope you get
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great results from this technique. I look
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forward to hearing your thoughts about
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this technique. Please feel free to leave
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those comments, and if you have any
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questions please feel free to leave them.