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This is Brent of the Brookbush Institute, and
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in this video we're going to progress
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from our static self-administered
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release techniques with a foam roll, and
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move on to our dynamic self-administered
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release techniques, or pin and stretch
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techniques. So we're moving on from
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addressing those trigger points within
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our muscles, to starting to address the
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fascial adhesions and layers of
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connective tissue. I'm going to have my
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friend Melissa come out she's going to
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help me demonstrate this technique. She's
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going to start in a long sitting
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position that she used for her static
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release technique for her calf, we're
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gonna use her trigger point roller here.
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She's going to survey her entire calf,
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maybe from calcaneus all the way up to
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the back of her knee, and she is going to
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look for that most tender spot. Although
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there are some other ways to assess
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fascial restriction, most of them being
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manual techniques, we're going to go
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ahead for our purposes here and being
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that they're self-administered
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techniques, assume that that most tender
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spot is also a site of additional
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dysfunction relating to connective
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tissue. Maybe an increase in cross-
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bridging between layers of connective
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tissue that we need to free. Once she
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finds this most tender spot, I actually
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want her to move the foam roll just
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distal to that spot. So if this is the
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the most tender spot, the little ball of
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connective tissue restriction, she's now
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got the foam roll abutted against it
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like this. My hope is is that i can use
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now her tibialis anterior to pull her
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foot up or dorsiflex, and pull the
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fibers of her gastroc and soleus through
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that connective tissue binding, breaking
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up some of that cross-bridging and
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freeing up that fascial tissue, so that we
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increase extensibility. So we started by
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finding the adhesive point, moving the
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foam roll just distal to it, and now we're
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using her tibialis anterior to pull
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those fibers through the adhesive point.
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Now Melissa is fairly advanced here, so I
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need to consider how to progress my
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techniques which we go back to that
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pressure equals force over area. To
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increase force maybe get a little deeper
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within this muscle, all we have to do is
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add the weight of her other leg. So she
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can start by having her foot on the
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floor and only a small amount of the
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weight of this leg putting pressure on
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this leg, all the way to putting this
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foot over her other foot so all of the
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way of this leg is adding additional
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pressure. One thing I don't like to see
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guys is the butt up off the ground,
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thank you. If you put your butt up off
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the ground what I think you guys will
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find is, number one -it's very hard to
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hold a static position, hold a nice
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position for long enough to finish the
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technique. I think you'll also find that
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you add a lot of additional tension
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throughout your musculoskeletal system,
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or myofascial system. It doesn't give us
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much of an opportunity to get a good
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release. So we've started by increasing
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the pressure here and then I would have
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her do her 10 to 20 repetitions, with a
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two to five second hold at the very top
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of this movement, trying to break up as
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much of that connective tissue binding
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as we can. But again Melissa is a very
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advanced exerciser, I don't think this is
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intense enough for her, painful enough
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for her because you know, I'm just a
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little sadistic as a trainer and
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therapist. So we're going to find a way
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to not only increase force, well let's
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decrease area. Now one thing you guys got
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to remember with these particular
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techniques is we don't want to decrease
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the perpendicular width of whatever
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we're using for this dynamic release
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technique. We need to decrease the
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surface area this way, so that we
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increase pressure, without decreasing
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what we're using to block that adhesive
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point. So although in some videos you
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guys see me to go to a softball, softballs
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are a little rough to use to increase
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pressure for dynamic release, or pin and
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stretch; because you get the adhesion
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pinned and then as soon as you go to
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pull the gastroc and soleus through
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it, it just goes right right around the
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ball. So that's where this stuff comes in
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real handy. This is a quadballer and
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this is a footballer, and you guys can
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notice that I get to keep the
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perpendicular width, but decrease the
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surface area. So i'm going to have
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Melissa try this one first,
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go ahead and put her foot over and add
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as much pressure as she needs. See now
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we're getting a little closer to that
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that tender area, that site of
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dysfunction, and she's going to do the
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same thing here to second holds 10 to 20
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repetitions, hoping to break up some of
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that fascial binding, that connective
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tissue binding and increase our
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extensibility. You want to try this one?
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Great! So all these products are trigger-
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point products guys the trigger-point
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foam roll, the quadballer, the footballer
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come in very handy for these dynamic or
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pin and stretch techniques. I know this
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isn't an assessment video but let's
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quickly break down why I would use this
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particular technique, number one I would
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assume that I've already done static
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release with Melissa for probably four
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to six weeks. I've gotten everything I
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can at a static release and now I need
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to progress this technique. Why I would
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address this muscle at all, if I'm using
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the overhead squat assessment it would
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be things like feet turn out, feet
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flattened, knees bow in, knees bow out,
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excessive forward lean, and potentially
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an anterior pelvic tilt. That stuff can
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all be related to lower leg dysfunction.
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If i was using goniometery I'd have a
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restriction in dorsiflexion that I had
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already tried to reduce with static
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release techniques and perhaps
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stretching, and I still needed maybe an
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extra 3-5 degrees. Let's say I got
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Melissa to 12 degrees of dorsiflexion
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and my goal is 15 to 20 degrees, maybe
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I'll progress to this technique and see
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if I can get a few more degrees of
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dorsiflexion out of it. Or if I'm using
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that gastroc soleus muscle length test,
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I can look at that test and if I see
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that there's restriction primarily in
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the gastroc complex, that would help me
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narrow down what I need to release to
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just the upper half of the calf complex;
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as my gastroc does not continue all
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the way down to my
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calcaneus. I hope you guys enjoy using this
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technique. I hope you guys see additional
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benefit from progressing from static to
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dynamic release, or pin and stretch, and I
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look forward to hearing all about the
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outcomes you guys get with your clients
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patients and athletes. I'll talk with you