00:04 - 00:07This is Brett of the brook Bush Institute in this video. We're going to do vibration
00:07 - 00:10or percussive release techniques with my hypervolt from
00:10 - 00:13hyper ice. I'm gonna have my friend Melissa come out. She's gonna help me demonstrate.
00:13 - 00:16Now if I'm doing gastroc and Soleus
00:16 - 00:19release as I am in this video, we're gonna assume that I already did assessment.
00:19 - 00:22Melissa was complaining about some plantar fasciitis. So we
00:22 - 00:25did our overhead squat assessment. She had excessive forward
00:25 - 00:29lean and then I wanted some way to be able to assess Improvement.
00:28 - 00:31So I did a little goniometry and she actually has
00:31 - 00:34a restriction endorsi flexion. These are great reasons to use
00:34 - 00:37a little bit of vibration release. Now the vibration
00:37 - 00:40release techniques do work a little different than like,
00:40 - 00:43let's say foam rolling or our static manual
00:43 - 00:47release techniques rather than going for deep trigger
00:46 - 00:49points and staying in one place. We're gonna
00:49 - 00:52use a slightly different protocol here. Now, you'll
00:52 - 00:55notice Melissa's body position since I'm working on our calf. I
00:55 - 00:58have her laying face down and I actually have her ankles
00:58 - 01:01off the end of the table and the reason I like
01:01 - 01:04having the ankles off the end of the table like this is because
01:04 - 01:07can now control dorsiflexion with my thigh, which
01:07 - 01:11will control how much tension is
01:10 - 01:13in this tissue, which is kind of a nice benefit to
01:13 - 01:15have as I'm going through this technique.
01:16 - 01:19Oh to start off with I'm going to use the flat round piece
01:19 - 01:22that comes with my hypervolt. And
01:22 - 01:25I find that it works very well for the lower extremity and
01:25 - 01:28a little counterintuitive. I'm actually going
01:28 - 01:30to start on the higher.
01:31 - 01:34Frequency settings. So this is number three and the
01:34 - 01:38reason being is I'm also going to start very superficial.
01:37 - 01:40So when I'm doing these techniques
01:40 - 01:43initially, I'm just using the weight
01:43 - 01:46of the hyper volt itself.
01:46 - 01:49I don't need to push any deeper. I'm just
01:49 - 01:53gonna let the frequency do all
01:52 - 01:53the work.
01:55 - 01:58Now you'll also notice that rather than staying in
01:58 - 02:01one place like I would with a foam roll
02:01 - 02:04or finding like a trigger point and doing my static
02:04 - 02:07manual release techniques and one spot. I'm also going
02:07 - 02:08to glide through.
02:09 - 02:12The entirety of the tissue for the muscle that
02:12 - 02:12I'm working on.
02:15 - 02:18Now I am going to pay intention to areas that
02:18 - 02:21I think are a little bit more dense, or
02:21 - 02:23maybe have a little bit higher tone.
02:24 - 02:27But overall I'm just going to kind of
02:27 - 02:28slowly.
02:29 - 02:30work my way through
02:32 - 02:35her entire calf complex. I kind of
02:35 - 02:37got a mowing the lawn pattern here going right now.
02:41 - 02:42now
02:43 - 02:45as I'm going through and I'm taking note.
02:46 - 02:49A little counterintuitively. The reason
02:49 - 02:52I'm taking note is we then might go back.
02:53 - 02:56With a smaller piece something with less
02:56 - 02:59surface area. So we increase the pressure a little bit. I'm gonna
02:59 - 03:02decrease the frequency and I'm gonna be
03:02 - 03:05able to dig into the tissue a little deeper.
03:06 - 03:09For those more stubborn or denser
03:09 - 03:12areas, and that's definitely a dense area
03:12 - 03:14right here for Melissa.
03:17 - 03:17That's the steps one.
03:18 - 03:21Are kind of just superficially going over the tissue?
03:22 - 03:24on the higher frequency settings
03:25 - 03:29but monitoring some parts
03:28 - 03:31where you think maybe they could use
03:31 - 03:32another pass.
03:33 - 03:37Or maybe a little deeper work with a
03:36 - 03:40lower intensity and a in this
03:40 - 03:41case pointier tool.
03:42 - 03:46You might be thinking to yourself. It doesn't matter whether skin
03:45 - 03:48or clothes because we
03:48 - 03:51Glide over the tissue actually find that thin clothing is
03:51 - 03:54actually better. So Melissa's yoga pants, here
03:54 - 03:57are absolutely perfect because there's some moisture in your skin
03:57 - 04:00you sometimes get a little caught up on the skin
04:00 - 04:03or as you can glide really nicely over like basketball
04:03 - 04:07shorts or yoga pants or even like these these
04:06 - 04:09Prana pants that I'm wearing here which are kind of like that
04:09 - 04:12those gym pants that look a little bit more like
04:13 - 04:14slacks
04:15 - 04:19All right. So next step. I'm going to go to this smaller
04:18 - 04:22piece, which I think hypervolt calls
04:21 - 04:22the bullet here.
04:23 - 04:27And as I mentioned a little counterintuitively I'm
04:26 - 04:28gonna stay on the low setting.
04:29 - 04:32Now the high settings you'll notice that you guys
04:32 - 04:35will be able to try this out your cells the high setting if you even tried to
04:35 - 04:37dig in deeper into the tissue.
04:37 - 04:41The Machine's gonna kick you right back out because that
04:40 - 04:43frequency is so high or if you
04:43 - 04:46really press in you're just gonna cause a lot of pain and obviously
04:46 - 04:49a lot of pain is not going to help us get releases
04:49 - 04:51so I notice Melissa was a little bit more
04:53 - 04:55Tender or a little bit more dense in here.
04:56 - 04:59So I'm gonna apply a little bit more pressure notice. I'm
04:59 - 05:03not like digging in. I'm not using all my muscles to like get through and
05:02 - 05:05like penetrate bone. I'm just
05:05 - 05:08digging a little further into the tissue until I get a little density.
05:09 - 05:13And then again, I'm not necessarily going to stay in one spot, but I'm gonna very slowly
05:12 - 05:15Crawl Through the tissue.
05:16 - 05:17As I feel it release.
05:19 - 05:20now for my manual therapists
05:21 - 05:24The hypervolt is light enough that you
05:24 - 05:27can use one hand and use this other hand to monitor
05:27 - 05:31tissue density. So, for example, I
05:30 - 05:33felt like okay here. I have an increase
05:33 - 05:37in tissue density. Maybe I can even feel some hypertonic fascicles
05:36 - 05:40or some fascicles that are very guitar string
05:39 - 05:40like
05:41 - 05:44I can use my thumb to kind of figure out where they are and
05:44 - 05:47then put the tool over them and work through them and then
05:47 - 05:49of course go back and monitor them again with my thumb.
05:53 - 05:56Not necessarily essential to make this effective. Alright. So
05:56 - 05:59for those of you who are not manual therapists or licensed manual
05:59 - 06:02therapists, hypervolt is still very effective tool.
06:03 - 06:05I'm just going to work through the tissue here.
06:10 - 06:11a little smaller piece
06:15 - 06:18now, of course after I was finished with
06:18 - 06:18this
06:19 - 06:21I could reassess.
06:21 - 06:24See if this technique was effective for what
06:24 - 06:27Melissa has going on with her movement impairment.
06:28 - 06:31And then go on with my other techniques, so
06:31 - 06:34just because I did this technique doesn't mean that I
06:34 - 06:37can't again we talked about maybe foam rolling first maybe
06:37 - 06:40doing some lengthening techniques those of you guys who do
06:40 - 06:43other like Dynamic release or pin and
06:43 - 06:47stretch techniques. You could absolutely follow up with this what probably
06:46 - 06:49is happening with these vibration or
06:49 - 06:52percussive techniques is we're working
06:52 - 06:55a little bit more towards these pasinian core
06:55 - 06:58puzzles and these rufini endings and they're stimulated
06:58 - 07:02by vibration and from what we can tell somehow
07:03 - 07:04neuromuscularly
07:04 - 07:07Some of those endings will help
07:07 - 07:11stimulate that inhibitory response
07:10 - 07:13very similar to the way we expect like the
07:13 - 07:16Golgi tendon, Oregon to act with autogenic inhibition.
07:16 - 07:19Stay tuned for the close-up recap. All right, guys,
07:19 - 07:22I wanted you to see a little bit of what this looks like as
07:22 - 07:25it passes through the tissue. So as I mentioned I'm
07:25 - 07:28gonna go ahead and start on the higher setting. All right,
07:28 - 07:29so we'll start on setting number two.
07:30 - 07:32And I'm just going to slowly work my way.
07:33 - 07:35from the bottom of her calf
07:35 - 07:38Right, not necessarily her kiwis tended. I might
07:38 - 07:42not feel very good. But I'm just gonna slowly work
07:41 - 07:43my way through.
07:44 - 07:46her entire calf complex
07:47 - 07:48Just kind of one row at a time here.
07:50 - 07:53Notice a little extra tissue density. So maybe I slow down
07:53 - 07:56right here a little bit take note for
07:56 - 07:58using that other tool.
08:03 - 08:07Right. We'll go ahead and assume I just went through the entire calf complex.
08:06 - 08:08I'm gonna go ahead and
08:09 - 08:12turn this off real quick just by pressing that
08:12 - 08:15button a couple more times. I'm gonna pop out the
08:15 - 08:16the flat piece.
08:17 - 08:19Go to more of the bulleted piece.
08:21 - 08:24We notice Melissa was a little bit more that the
08:24 - 08:26tissue density was a little higher right here.
08:27 - 08:29So now I'm going to go ahead and just put this on one.
08:30 - 08:33And so it's a little lower frequency so I can get deeper into the
08:33 - 08:36tissue. Alright, so if this is totally superficial, I'm just
08:36 - 08:39gonna dig in maybe an extra quarter to
08:39 - 08:40half inch.
08:41 - 08:44And then really slowly work my way through the tissue as I
08:44 - 08:46feel it kind of let go.
08:47 - 08:50Underneath the hyper bolt, of course my manual therapist. You
08:50 - 08:53guys can come in here and go. Okay. I feel
08:53 - 08:54a little bit more density in here.
08:55 - 08:56I can put this right behind.
08:57 - 09:00A hypervolt's really easy to control with one hand.
09:02 - 09:04And I can kind of work my way through the tissue.
09:06 - 09:07Slowly, but surely.
09:09 - 09:12Go back through Monitor and see if those fascicles of
09:12 - 09:12let go.
09:29 - 09:30There you guys had it.
09:31 - 09:34vibration release using the hypervolt for
09:34 - 09:36the gastroc and Soleus complex