Name: Latissimus Dorsi, Rhomboids, Teres Major and Posterior Deltoid Vibration Release
Uploaded: 2023-04-26T01:01:30.000Z
Duration: 7 min 58 s
Description: This video demonstrates evidence-based massage gun techniques for the latissimus dorsi, teres major, posterior deltoid, and rhomboids. Learn proper patient positioning, anatomical landmarks, and common trigger point locations to support clinical application, reduce muscular tension, and enhance shoulder mobility.

English captions

https://stream.mux.com/FTKaUWkLFGSv00cfzkJFRcCVrT5hSavJY6GiRYfoWi3Q.m3u8

This video demonstrates evidence-based massage gun techniques for the latissimus dorsi, teres major, posterior deltoid, and rhomboids. Learn proper patient positioning, anatomical landmarks, and common trigger point locations to support clinical application, reduce muscular tension, and enhance shoulder mobility.

Introduction to Percussive Release Techniques

Initial Assessment and Foam Selection for Upper Body

Targeting the Rhomboids and Lats: Techniques and Trigger Points

Addressing Teres Major and Posterior Deltoid

Refining Techniques for Tender Areas in the Posterior Deltoid

Conclusion and Key Takeaways

Latissimus Dorsi, Rhomboids, Teres Major and Posterior Deltoid Vibration Release

This is Brent from The brookbush Institute. And in this video we're going to be doing vibration or percussive release for the rhomboids latissimus dorside. Terry's major and posterior delt for muscles that have a propensity to become overactive and upper body dysfunction. I'm going to have my friend a vet come out and help me demonstrate. Now events going to lie in prone face down and she's gonna bring her arms up and we can kind of do this two ways. If a vet has a little less Mobility she could just put her hands underneath her forehead and then of course if she has a little bit more Mobility she can kind of just reach your hands out right this stretch of course will help tone things down as well. Just as we would expect from a stretch adds a little bit of tension into what we're trying to release now you guys might notice that I have the foam round head on my hypervolt. That's because this flat round piece that I tend to use a lot for the lower extremity tends to be a little too intense for the upper body think that the muscles on the upper body are actually a lot thinner you hit bone pretty quick. So having that little extra padding or softness that the foam brings is actually very helpful. One thing to be aware of with the foam those it does have a little bit of a surface to it that has some friction. You want to try to stay away from going sideways on bare skin that will give somebody like a little bit of like a rug burn not that it's very serious, but obviously people don't want to walk around with burns. The other thing you could do is just make sure somebody has like a full shirt on or something do this over clothing which works very well. Now just like in the lower extremity. We use a higher setting to start with we're going to go over all the muscle tissue with a higher setting notating where the most dense tissue is will come back to that with a lower setting and a smaller tool with a smaller surface area more pressure per square inch. So I'm gonna go ahead and start with setting two. That's my high setting for upper body setting three is probably a little too much for the upper body. I'm going to find. a vets vertebral border of her scapula there If you guys remember, you're Anatomy the vertebral border of your scapula is the insertion of your rhomboids. And I'm just going to start going. Over All the tissue in my rhomboids those of you guys familiar with like trigger point Maps probably remember that. most trigger points of the rhomboids happen closer to the scapula and so after I kind of go through all the muscle tissue here. I might kind of come back. Just double check that there's no increase in tissue density. Make sure I'm not getting any twitch responses. That looks pretty good here. So I'm just going to keep on going down into our lats. A lot of people don't talk about the fact that the trigger point for the lats is actually right about here. Just a few inches inferior. the inferior angle of the scapula a few inches lateral to the spine, of course. But kind of right like right in the middle where you would imagine the lats to be like right in the center of them. The other common area for trigger points in the lats is at the inferior angle of the scapula. And I do feel a little bit of tissue density there. So go ahead and try to see if I can get that to melt away, but I might come back over that with a smaller tool. Alright, so I got most of my lats done here. I've done my rhomboids. So let's go up into Terry's major. If you guys remember Terry's major is last little brother. Whatever the lat does Terry's major probably does too with the shoulder. So I'm gonna kind of try to keep straight up and down keep away from those. foam Burns here and the trigger point for the Terry's major tends to be down closer to its origin. again, pretty close to that inferior angle of the scapula go ahead and work my way up here. And then I'm gonna go over my posterior delt. A my posterior delt commonly being long and overactive. and upper body dysfunction acting as an overactive synergist and I can tell if that's a little tender in that area. So we had a little bit of tenderness in here Little Tenderness here. I found one trigger point over here. So what I'm going to go ahead and do Turn off my hypervolt. I'm going to change out the head for that. smaller bullet piece and now I'm going to just go back over those. Lowest setting so that I have a little less frequency to to knock me out. I want to get deeper. right No, just like so and let those denser areas melt. Underneath the hypervolt. Keep them pretty focal. And those dense areas. Think of that's going to be feeling pretty good after we're done with this. Good, so we got that one. Come back in here. Oh, yeah. a little bit of density there some taut fascals you guys notice like the hypervolt is so light too. I can actually for my manual therapist out there. You can like use your hands to kind of palpate the tissue. Check over what you're doing. Then I can come here. Well, I got to be honest with you guys if I found tissue density. Are an increase in tissue density of the posterior delt actually probably use a slightly different position. I'm going to have a vet flip over. Now I'm gonna go ahead and do a vets right posterior delts since that's closer to the camera. Although I know I was just doing her left side watch yourself on those real easy to get turned around but I'm gonna have her kind of like hug herself like this. So now that put her posterior dealt in the lengthen position. And now you guys will see this is a much better position for this. Usually if you find a little bit of tenderness in the position we were just in there will be a lot of tenderness in this position and I'm just going to go right after those denser areas slowly moving through. trying to make sure to keep the hypervolt perpendicular to the skin here. I don't want to give any Burns. So there you guys have it in just about two and a half minutes. We just went over latissimus dorsai rhomboids Terry's major and posterior delt both completely over the tissue and then re-address them with the smaller tool to get those denser areas. If you guys have any questions about this whatsoever. Peace, please feel free to leave comments in the comment box below or questions in the comment box below and always remember, this is a tool to help you get better outcomes so assess Use your intervention and then reassess.

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Vibration release techniques for the upper trapezius, levator scapulae, splenii, rhomboids, pectoralis major, pectoralis minor, latissimus dorsi, teres major, posterior deltoid, upper extremity (arms), and erector spinae. Manual therapy using vibration massage tools (massage guns and percussion instruments), what is vibration, vibration massage benefits, side effects, and comparing vibration to foam rollers. What receptors are stimulated, vibration effect on reflexes, how to reduce muscle soreness (DOMS), muscle pain, performance, and strength.

Vibration Release Techniques: Upper Body

Pre-exercise local vibration reduces functional signs and chemical markers of delayed onset muscle soreness (DOMS) and may improve performance in subsequent frequent workouts.

Local vibration is effective for reducing acute muscle pain (and can be added to a home program via the devices like the Hypervolt by Hyperice® or similar devices).

Local vibration alone may be sufficient to increase strength in deconditioned muscles/individuals.

Current research implies that adding vibration to self-administered release techniques (SMR) (e.g. foam rolling) enhances benefits for DOMS, pain pressure sensitivity, and increasing proprioception. Further research is needed to refine protocols and determine whether adding vibration to SMR enhances benefits for increasing range of motion and improving power performance when used as a warm-up.

Protocol for Using Percussion Massage Device

Start with a higher setting and superficially (with gentle pressure) trace the entire surface of the muscle.

Setting 3 is likely appropriate for the lower body.

Take a mental note of dense or sensitive points. Manual therapists may use the opposite hand to palpate for taut bands and nodules (trigger points).

Stay away from areas where the bone is superficial. Using percussion massage devices over bone may be uncomfortable, painful, and/or cause bruising. Placing a finger or thumb over bony protuberances will prevent accidental contact.

Using a piece with a smaller surface area and lower setting (setting 1), return to the dense/sensitive points using deeper compression.

It may be helpful to add tension or slack by shortening or lengthening the target tissue

The Brookbush Institute recommends 30 seconds to 2 minutes per muscle group, and 5 minutes as an upper limit even in the case of multiple trigger points.

Lying prone with arms out-stretched or hands under forehead (shoulder flexion)

Child's pose with hands out stretched works well for the 

 if the patient/client can comfortably maintain the position.

 (Block with a thumb or finger when approaching these areas)

 is a superficial muscle with a quasi-triangular shape, having a broad origin that runs from the lower thoracic vertebrae to the thoracolumbar fascia to the posterior iliac spine, and narrows as it passes the inferior angle of the scapula, converging into a thick tendon that disappears into the axilla and inserts into the intertubercular groove of the humerus.

Common Trigger Points: The inferior angle of the scapula, or 2 - 4 centimeters inferior to the inferior angle of the scapula in the middle of the belly of the muscle.

 is a tube-shaped muscle that courses from the inferior angle of the scapula, along the lateral border of the scapula, to an insertion near the insertion of the 

Common Trigger Points: In the middle of the belly of the muscle, approximately in the middle of the length of the lateral border of the scapula.

 is a superficial muscle, that can often be visualized if your patient reaches across to touch their opposite shoulder, revealing a line that "separates" the 

Common trigger points: Center of the muscle belly.

 in an area boxed in-between the muscles origin from the C7 to T5 spinous processes, to the muscle's insertion along the vertebral border of the scapula.

Common Trigger Point: Along the vertebral border of the scapula

Latissimus Dorsi, Rhomboids, Teres Major and Posterior Deltoid Vibration Release

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