Name: Elbow Mobilization (Self-administered)
Uploaded: 2023-04-26T01:00:39.000Z
Duration: 7 min 23 s

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https://stream.mux.com/00j2rribB6gY1bufv57ArusRlkYvA6orOHE9P5cWi2A00.m3u8

Learn how to properly perform elbow mobilization (self-administered) in this comprehensive step-by-step instructional video from the Brookbush Institute. This evidence-based video provides expert coaching on setup, positioning, alignment, and exercise modifications to improve elbow joint mobility and range of motion. Enhance the flexion and extension range of motion while supporting optimal upper-extremity mechanics with this targeted mobilization technique. Perfect for athletes, fitness enthusiasts, and rehabilitation clients seeking to reduce elbow stiffness, improve mobility, and restore optimal movement mechanics while reducing the risk of injury.

Understanding Elbow Dysfunction

Mobilizing the Elbow: Distraction Techniques

Addressing Valgus and Extension Issues

Evaluating Progress and Avoiding Pain

Conclusion and Recap of Techniques

Elbow Mobilization (Self-administered)

This is Brent of the Brookbush Institute at the Independent Training Spot, and in this video we're doing self-administered elbow mobilization. So we've already discussed how there is more to postural dysfunction than just muscles. We have to look at joints and how joints move, there are arthrokinematics. Before we look at which mobilizations we're going to do for the elbow, we need a model for what dysfunction of the elbow looks like. So what I see with my patients and clients is what comes down to a tracking issue. So this tracking issue involves increased valgus, all right so increase lateral deviation of the ulna, increased compression within the joint space itself, and insufficient glide to go along with extension. It's basically a tracking issue. It may be due to the over activity in the extensor mass, or over activity of the elbow flexors. Or it may be causing the over activity in the extensor mass and elbow flexors. Needless to say, we have to start affecting the elbow joint if we want to correct this problem. What we're going to need to do is if we have too much compression and insufficient glide, I'm going to need a distraction technique, and if I have too much valgus, I'm going to need to find a way to push into varus. So I'm going to bring my friend Mike out here. Mike is going to help us demonstrate how we're going to create this force while going through elbow extension, to help mobilize the elbow. Now first things first, we're going to get into kind of a quadruped type position. I find that these closed chain positions with the fists on the floor, and his whole bodyweight over his body, makes sure that the the distraction force we create doesn't just get turned into an osteokinematic motion like extension, and actually create some arthrokinematic motion. Now you'll notice that he's on a soft surface, that's actually really important for this mobilization. Not just for the comfort of his fists, but even if these pads weren't here, use an errant pad or something, because I want something that's he's going to kind of sink into so that he has a little bit more friction right, so his fist doesn't move around much. The other thing you'll notice is I have them in neutral position, this is going to cross the radius over the ulna. So we're going to get kind of a gross effect on the ulna itself, or on the whole forearm mass so to speak. This is not a radioulnar or radiohumeral mobilization, it's an ulnohumeral mobilization. You'll notice that I have him in a distant position. My hope is that if he closes his fist, that he's going to increase activity of his flexors, and help reciprocally inhibit some of the over activity in his extensor mass. So the first mobilization we're going to do from this position is he's going to take one of these big monster bands, he's going to set it up at elbow height, it's going to go just below his elbow, and it's going to be an anterior to posterior pull. This is the equivalent of distraction for the elbow. I'm trying to increase the joint space between his olecranon process and its trochlear, as he pushes himself into extension. So I'm gonna have him bring his fist out just a little bit, and what he's literally going to do is almost a mini push-up. Yeah you don't have to back up or anything, I just want you to kind of sink down let your elbow flex. Alright so once again I had him in fisted position so I get his extensor mass tone down, the extension of his triceps forcing him through extension probably helps inhibit some of the flexor mass that's a little over active, and as he's going through extension this force is increasing in his band, pushing his olecranon process that way, and opening the space between his olecranon on process and trochlear. This is real effective for people who have almost that impingement type pain at the elbow, at the end of extension, really good for increasing the amount of extension. If somebody is limited in extension you guys can go through the same logic that you would for manual mobilization techniques. So I can do something really small amplitude right just at the end of his range, and you can do almost like little, little oscillations, little vibrations. They're just a design range, you can go a little larger, then do more of like a grade three large amplitude mobilization, or if he had pain of course I'd only have them do this just up to the point of pain, just touching that pain, because I don't want to risk increasing inflammation, increasing pain, and flaring them up. Now other than this mobilization, we also want to decrease that valgus, that increase in lateral motion of the ulna. So what Mike's going to do is he's going to actually turn around so he's facing the camera, and he's going to create a medial to lateral force, actually we get on your other side here, he's going to create a medial to lateral force on his ulna, and hopefully you guys can kind of see how if he was like this now, that's going to push them like this. You have to watch to make sure that they don't go elbow out on you and don't internally rotate at the humerus. Alright So get those fists nice and solid, and then he's going to do the same thing. Alright so I'm just a little bit of flexion, a little bit of extension, this is Mike's end range, so i can make the decision whether i want him to stay really close to his end range extension and just kind of oscillate, or go through larger amplitude motions, and of course once again if he was in pain i would just have him, like let's say he was missing the last 25 degrees of extension because of pain, some sort of impingement, some pinching right, i would have him get down to maybe like 45 degrees, so down here, and then i would have them come right up to like let's say there where he started feeling pain, good. Just stay right there for me Mike, good, and go up and down for me good. As far as repetitions, you guys could set a timer to this 30 seconds to a minute, or you could set maybe 20 reps if somebody's doing a nice slow tempo. And then of course what I would do after that is retest Mike. Alright Mike go ahead and pull this off, go ahead and flex for me, good extend, how do you feel, good. Alright he feels better, I know I'm on the right track. If he feels worse with all of these mobilization techniques guys, be very careful, you don't want to flare somebody up. So if he felt worse obviously i wouldn't try this technique again. Mike thank you so much for helping me out with this technique. I hope you guys really enjoy this video, and I hope you get a lot of results from this particular technique. 

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Self-administered joint mobilizations for the cervical, thoracic, lumbar, shoulder, and elbow joints. Addressing arms fall, scapula elevates, cervical dysfunction, thoracic mobility, and lumbar/SI joints. Joint mobilizations and traction techniques for upper extremity and upper body dysfunction.

Joint Mobilizations: Upper Body (Self-administered)

Anterior to Posterior Mobilization with Extension:

 " to a stable object about 12" from the floor (elbow height when in 

Facing away from the stable object, place the affected arm through the band, and place the band over the front of the arm just below the elbow (below the condyles of the humerus). The band should rest on the proximal portion of the brachioradialis.

 position on closed fists, with elbows and fists aligned underneath the shoulders. (An ab mat or cushion may be placed under the fists for comfort.)

Note, being on tightly closed fists enhances the mobilization by reducing valgus force via increased flexor tone and decreased extensor tone.

The band should be pulling the radius and ulna from anterior to posterior.

Move far enough from the stable object to ensure tension is maintained on the band throughout the entire oscillation.

Gently flex and extend the elbows, moving just a a couple of inches, as if doing a miniature, end-range push-up.

Continue oscillating 2 - 3", at a tempo of 1 - 2 oscillations per second, for 15 - 30 seconds.

Medial to Lateral (Varus) Mobilization with Extension

 (Starts at 5:25 of the video above. This is an aggressive technique, carefully assess and reassess)

Make the following modifications to the directions above for "

Anterior to Posterior Mobilization with Extension"

Face perpendicular to the pull of the band, with the affected arm closer to the stable object.

Place the affected arm through the band, and place the band over the inside of the arm just below the elbow. The band should cover the proximal portion of the flexor mass, just distal the medial condyle of the humerus.

Move far enough from the stable object to ensure appropriate tension from medial to lateral on the affected arm.

Elbow Mobilization (Self-administered)

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