This is Brent of the Brookbush Institute,
and in this video we are going over
advanced self-administered release techniques.
Specifically, dynamic self-administered release
of the latissimus dorsi.
I have to thank my friend,
Dr. Kyle Stull, for showing me this technique at the Trigger Point Performance workshops.
Im going to have my friend Bryan come out.
He's going to help me demonstrate.
He's going to get in a side-lying position,
just like we've seen that
latissimus dorsi/teres major foam roll technique.
I'm going to go ahead and have him grab that orange foam roller.
For this technique foam rollers tend to work a little bit better
than smaller softball and massage balls,
because we want to be able to pin the tissue
Alright, so you're going to go ahead and get into position, here.
Alright, so he's side-lying,
He's going to look for the most tender point
Which, if we're going after the latissimus dorsi
In this position, there's a trigger point,
generally at the inferior angle of the scapula.
So, if you can palpate the inferior angle of the scapula
for your patient or client,
that usually helps them find the position.
Go ahead and find that tender point for me Bryan.
There you go... (ya, I'm on it)... Good.
I'm going to go ahead and have him bend his legs
make sure he's in a nice, stable position.
Because I'm going to actually need him to take all the pressure off this arm.
If he's using this arm to stabilize
his Lat' will become active,
and we'll never get a release.
So I'm going to have him use this hand
to support his head,
by having him make a fist,
and then kind of put it under his neck,
and he can kind-of lay down "just like that".
Now, for the fun part.
The torturous part
The part that is going to make this go from
a little bit tender, to maybe a lot a bit tender
He's going to move just distal
to the tender point he just found.
So, scoot that way just a little.
You want to make sure, that the foam roll is still on the point,
but, just distal his latissimus dorsi, on this side abutting it.
He's now going to take this hand,
My latissimus dorsi is an extensor
So to lengthen it
He's going to take his arm through flexion
In this sweeping motion
How'd that feel... (terrible) Terrible?
Ya, this is definitely one of those techniques
As, I've mentioned berfore, we're going to start with our static release techniques
we're are going to help try to desensitize some of that tissue,
we're going to help get rid of whatever trigger points and tender points are already there
So, that this isn't quite so bad.
This is an advanced release technique. We'll progress to this.
and then, hopefully... Bryan's saying it's terrible...
but, I know he can handle it.
Let's try that again.
He's been doing this a long time, if you tried to do this
on a novice client I think you'd have some problems.
I think it would just be too much.
Too much tenderness; they wouldn't want to get it done.
Now, remember the goal of these techniques
is to, pin whatever adhesive tissue has developed
around these tender points
This idea that these fascial layers become bound
So, it's important that we get this movement,
and then we do this 5, 10 maybe 12 times.
To try and get that fascial tissue
to... unbind. To breakdown some of that adhesion, and increase extensibility.
Now obviously, if I've given Brian this technique,
I have done an assessment, that gives me an indication
that his latissimus dorsi, or his shoulder flexion is restricted.
That could be his overhead squat,
Maybe his arms fall forward
Maybe I did some goniomety and found that he had a...
a limitation in external rotation, or a limitation in flexion.
And, of course after I've done this technique
I'm going to re-asses with whatever assessment I used
to get me to this particular intervention.
If it didn't do anything to his motion,
than we can... nix this technique.
Because, despite the fact that it's tender
Tenderness is going to happen on anybody you do
Does it actually contribute to better motion,
better rehab, and of course... better performance.
You want to try the other side?
(Ya) Alright, so Bryan's going to set himself up.
I'll review this one more time with you guys.
So notice he's in side lying position.
He's using his leg's to balance himself,
so, he's kind-of in that hook-lying position.
He's gonna find the most tender spot, get just distal to that spot.
He's using his other hand as a pillow,
and then... he's slowly getting himself down into flexion
because he knows what's about to happen.
Move all these other tools out of the way.
Alright and extend.
So, ya, the other way.
We're going from here, all the way into flexion.
How does that feel?
(Not as bad as the other side) Not as bad as the other side?
(Or, I'm used to the pain) Or, he's used to the pain.
The torture.... (laughs)
Alright guys, so once again here's the technique
Side lying position, find the point, go just distal to that point
and then use flexion to pull those muscle fibers through...
any adhesed tissue.
I hope you guys get great changes in performance.
I hope you get great changes in motion,
and improved outcomes.
I look forward to seeing your comments
and of course if you have any questions, feel free to leave them.