00:04 - 00:06This is Brent of the Brookbush Institute, and
00:06 - 00:07in this video we're going to progress
00:07 - 00:09from our static self-administered
00:09 - 00:11release techniques with a foam roll, and
00:11 - 00:14move on to our dynamic self-administered
00:14 - 00:16release techniques, or pin and stretch
00:16 - 00:18techniques. So we're moving on from
00:18 - 00:20addressing those trigger points within
00:20 - 00:22our muscles, to starting to address the
00:22 - 00:25fascial adhesions and layers of
00:25 - 00:26connective tissue. I'm going to have my
00:26 - 00:28friend Melissa come out she's going to
00:28 - 00:30help me demonstrate this technique. She's
00:30 - 00:31going to start in a long sitting
00:31 - 00:33position that she used for her static
00:33 - 00:35release technique for her calf, we're
00:35 - 00:36gonna use her trigger point roller here.
00:36 - 00:39She's going to survey her entire calf,
00:39 - 00:42maybe from calcaneus all the way up to
00:42 - 00:44the back of her knee, and she is going to
00:44 - 00:47look for that most tender spot. Although
00:47 - 00:50there are some other ways to assess
00:50 - 00:52fascial restriction, most of them being
00:52 - 00:54manual techniques, we're going to go
00:54 - 00:56ahead for our purposes here and being
00:56 - 00:57that they're self-administered
00:57 - 01:00techniques, assume that that most tender
01:00 - 01:02spot is also a site of additional
01:02 - 01:04dysfunction relating to connective
01:04 - 01:06tissue. Maybe an increase in cross-
01:06 - 01:08bridging between layers of connective
01:08 - 01:10tissue that we need to free. Once she
01:10 - 01:15finds this most tender spot, I actually
01:15 - 01:18want her to move the foam roll just
01:18 - 01:23distal to that spot. So if this is the
01:23 - 01:27the most tender spot, the little ball of
01:27 - 01:30connective tissue restriction, she's now
01:30 - 01:33got the foam roll abutted against it
01:33 - 01:36like this. My hope is is that i can use
01:36 - 01:40now her tibialis anterior to pull her
01:40 - 01:43foot up or dorsiflex, and pull the
01:43 - 01:46fibers of her gastroc and soleus through
01:46 - 01:49that connective tissue binding, breaking
01:49 - 01:51up some of that cross-bridging and
01:51 - 01:54freeing up that fascial tissue, so that we
01:54 - 01:58increase extensibility. So we started by
01:58 - 02:00finding the adhesive point, moving the
02:00 - 02:02foam roll just distal to it, and now we're
02:02 - 02:05using her tibialis anterior to pull
02:05 - 02:07those fibers through the adhesive point.
02:07 - 02:11Now Melissa is fairly advanced here, so I
02:11 - 02:14need to consider how to progress my
02:14 - 02:17techniques which we go back to that
02:17 - 02:17formula,
02:17 - 02:21pressure equals force over area. To
02:21 - 02:24increase force maybe get a little deeper
02:24 - 02:26within this muscle, all we have to do is
02:26 - 02:30add the weight of her other leg. So she
02:30 - 02:31can start by having her foot on the
02:31 - 02:34floor and only a small amount of the
02:34 - 02:36weight of this leg putting pressure on
02:36 - 02:39this leg, all the way to putting this
02:39 - 02:43foot over her other foot so all of the
02:43 - 02:44way of this leg is adding additional
02:44 - 02:48pressure. One thing I don't like to see
02:48 - 02:51guys is the butt up off the ground,
02:51 - 02:53thank you. If you put your butt up off
02:53 - 02:54the ground what I think you guys will
02:54 - 02:56find is, number one -it's very hard to
02:56 - 02:59hold a static position, hold a nice
02:59 - 03:02position for long enough to finish the
03:02 - 03:04technique. I think you'll also find that
03:04 - 03:06you add a lot of additional tension
03:06 - 03:08throughout your musculoskeletal system,
03:08 - 03:12or myofascial system. It doesn't give us
03:12 - 03:14much of an opportunity to get a good
03:14 - 03:18release. So we've started by increasing
03:18 - 03:20the pressure here and then I would have
03:20 - 03:23her do her 10 to 20 repetitions, with a
03:23 - 03:26two to five second hold at the very top
03:26 - 03:28of this movement, trying to break up as
03:28 - 03:30much of that connective tissue binding
03:30 - 03:34as we can. But again Melissa is a very
03:34 - 03:38advanced exerciser, I don't think this is
03:38 - 03:42intense enough for her, painful enough
03:42 - 03:44for her because you know, I'm just a
03:44 - 03:46little sadistic as a trainer and
03:46 - 03:48therapist. So we're going to find a way
03:48 - 03:51to not only increase force, well let's
03:51 - 03:54decrease area. Now one thing you guys got
03:54 - 03:55to remember with these particular
03:55 - 03:58techniques is we don't want to decrease
03:58 - 04:02the perpendicular width of whatever
04:02 - 04:06we're using for this dynamic release
04:06 - 04:08technique. We need to decrease the
04:08 - 04:11surface area this way, so that we
04:11 - 04:14increase pressure, without decreasing
04:14 - 04:16what we're using to block that adhesive
04:16 - 04:19point. So although in some videos you
04:19 - 04:22guys see me to go to a softball, softballs
04:22 - 04:24are a little rough to use to increase
04:24 - 04:27pressure for dynamic release, or pin and
04:27 - 04:29stretch; because you get the adhesion
04:29 - 04:31pinned and then as soon as you go to
04:31 - 04:34pull the gastroc and soleus through
04:34 - 04:36it, it just goes right right around the
04:36 - 04:38ball. So that's where this stuff comes in
04:38 - 04:41real handy. This is a quadballer and
04:41 - 04:42this is a footballer, and you guys can
04:42 - 04:46notice that I get to keep the
04:46 - 04:49perpendicular width, but decrease the
04:49 - 04:50surface area. So i'm going to have
04:50 - 04:53Melissa try this one first,
04:58 - 05:01go ahead and put her foot over and add
05:01 - 05:03as much pressure as she needs. See now
05:03 - 05:05we're getting a little closer to that
05:05 - 05:08that tender area, that site of
05:08 - 05:12dysfunction, and she's going to do the
05:12 - 05:16same thing here to second holds 10 to 20
05:16 - 05:19repetitions, hoping to break up some of
05:19 - 05:21that fascial binding, that connective
05:21 - 05:23tissue binding and increase our
05:23 - 05:26extensibility. You want to try this one?
05:26 - 05:30Great! So all these products are trigger-
05:30 - 05:32point products guys the trigger-point
05:32 - 05:35foam roll, the quadballer, the footballer
05:35 - 05:38come in very handy for these dynamic or
05:38 - 05:40pin and stretch techniques. I know this
05:40 - 05:42isn't an assessment video but let's
05:42 - 05:43quickly break down why I would use this
05:43 - 05:45particular technique, number one I would
05:45 - 05:48assume that I've already done static
05:48 - 05:51release with Melissa for probably four
05:51 - 05:53to six weeks. I've gotten everything I
05:53 - 05:54can at a static release and now I need
05:54 - 05:57to progress this technique. Why I would
05:57 - 05:59address this muscle at all, if I'm using
05:59 - 06:00the overhead squat assessment it would
06:00 - 06:03be things like feet turn out, feet
06:03 - 06:06flattened, knees bow in, knees bow out,
06:06 - 06:08excessive forward lean, and potentially
06:08 - 06:10an anterior pelvic tilt. That stuff can
06:10 - 06:14all be related to lower leg dysfunction.
06:14 - 06:17If i was using goniometery I'd have a
06:17 - 06:20restriction in dorsiflexion that I had
06:20 - 06:23already tried to reduce with static
06:23 - 06:24release techniques and perhaps
06:24 - 06:28stretching, and I still needed maybe an
06:28 - 06:31extra 3-5 degrees. Let's say I got
06:31 - 06:33Melissa to 12 degrees of dorsiflexion
06:33 - 06:35and my goal is 15 to 20 degrees, maybe
06:35 - 06:37I'll progress to this technique and see
06:37 - 06:39if I can get a few more degrees of
06:39 - 06:41dorsiflexion out of it. Or if I'm using
06:41 - 06:43that gastroc soleus muscle length test,
06:43 - 06:46I can look at that test and if I see
06:46 - 06:50that there's restriction primarily in
06:50 - 06:53the gastroc complex, that would help me
06:53 - 06:56narrow down what I need to release to
06:56 - 06:59just the upper half of the calf complex;
06:59 - 07:01as my gastroc does not continue all
07:01 - 07:02the way down to my
07:02 - 07:05calcaneus. I hope you guys enjoy using this
07:05 - 07:07technique. I hope you guys see additional
07:07 - 07:10benefit from progressing from static to
07:10 - 07:14dynamic release, or pin and stretch, and I
07:14 - 07:15look forward to hearing all about the
07:15 - 07:17outcomes you guys get with your clients
07:17 - 07:18patients and athletes. I'll talk with you
07:18 - 07:20soon.
07:26 - 07:28you