0:03 This is Brent of the Brookbush Institute, and 0:05 in this video we're going over advanced self-administered 0:09 release techniques, specifically dynamic self-administered release of the 0:13 latissimus dorsi. I have to thank my friend, Dr. Kyle Stull, for showing me 0:18 this technique at the Trigger Point Performance workshops. I'm going to have my 0:21 friend, Brian, come out. He's going to help me demonstrate. 0:24 He's going to get down into a side-lying position, just like we've seen in that 0:29 latissimus dorsi or teres major foam roll technique. 0:33 I'm going to go ahead and have him grab that orange foam roller. For this technique, foam rollers 0:37 tend to work a little bit better than smaller softballs and massage balls, 0:42 because we want to be able to pin the tissue. 0:45 Alright, so you're going to go ahead and get in position here. 0:48 So, he's in side-lying, and he's going to look for the most tender point. If we're 0:52 going after the latissimus dorsi in this position, there's a trigger point 0:56 generally at the inferior angle of the scapula. If you can palpate the 1:00 inferior angle of the scapula for your patient or client, that usually helps 1:05 them find the position. Go ahead and find that tender point for me, Brian. There you go. 1:11 Good, I'm going to go ahead and have him bend his legs and make sure he's in a nice 1:15 stable position, because I'm going to actually need him to take all the 1:19 pressure off this arm. If he's using this arm to stabilize, his lat will become 1:23 active and we'll never get a release. So, I'm going to have him use this hand to 1:28 support his head by having to make a fist and then kind of put it under his 1:31 neck, and then he can just kind of lay down, just like that. 1:35 Now, for the fun part, the torturous part, the part that is going to make this go 1:42 from a little bit tender to maybe a lot a bit tender. 1:46 He's going to move just distal to the tender point he just found. So, scoot that way 1:53 just a little. You want to make sure that the foam roll is still on the point but 2:00 just distal, his latissimus dorsi on this side of butting it. 2:06 He's now going to take this hand, starting here, my latissimus dorsi is 2:13 an extensor, so to lengthen it 2:15 he's going to take through flexion in this sweeping motion. How's that feel? 2:24 Terrible. Yeah, this is definitely one of those techniques, as I mentioned before, 2:29 we're going to start with our static release techniques, and we're going to help 2:33 try to desensitize some of that tissue. We're going to help get rid of whatever 2:37 trigger points and tender points are already there, so that this isn't quite 2:41 so bad. This is an advanced release technique. We'll progress to this, 2:46 and then, hopefully- Brian's saying it's terrible, but I know he can handle it. 2:52 Let's try that again. 2:54 He's been doing this a long time. If you try to do this on a novice client, I 2:57 think you would have some problems. I think it would just be too much, too much 3:01 tenderness. They wouldn't want to get it done. Now, remember, the goal of these 3:05 techniques is to pin whatever adhesive tissue has developed around these tender 3:12 points, this idea that these fascial layers become bound. So, it's important 3:17 that we get this movement and then we do this 5, 10, maybe 12 times to try to get 3:26 that fascial tissue to unbind, to break down some of that adhesion and increase 3:34 extensibility. 3:37 Now, obviously, if I have given Brian this technique, I have done an assessment that 3:43 gives me an indication that his latissimus dorsi or his shoulder 3:47 flexion is restricted. That could be his overhead squat, maybe his arms fall 3:52 forward. 3:53 Maybe I did some goniometry and found that he had a limitation in external 3:58 rotation or a limitation in flexion. And, of course, after I've done this technique, 4:03 I'm going to reassess with whatever assessment I used to get me to this 4:08 particular intervention. If it didn't do anything to his motion, then we can nix 4:15 this technique. Despite the fact that it's tender, tenderness is going to 4:21 happen on anybody. Does it actually contribute to better motion, 4:25 better rehab, and, of course, better performance? You want to try the other 4:30 side? 4:31 Alright. 4:32 So, Brian's going to set himself up. I'll review this one more time with you guys. 4:36 Notice he's in side-lying position. He's using his legs to balance himself, so 4:41 he's kind of in that hook lying position. He's going to find the most 4:45 tender spot and get just distal to that spot. He's using his other hand as a pillow, 4:50 and then he's slowly getting himself down into flexion, because he knows 4:56 what's about to happen. I'll move all these other tools out of the way. 5:02 Alright, and extend, the other way. We're going from here all the way into 5:08 flexion. How does that feel? It's not as bad as the other side. 5:16 Or, he's used to the pain, the torture. 5:19 Alright, guys, so once again, here's the technique: side-lying position, find the point, 5:25 go just distal to that point, and then use flexion to pull those muscle fibers 5:29 through any adhesed tissue. I hope you guys get great changes in performance. I 5:36 hope you get great changes in motion and improved outcomes. I look forward to 5:40 seeing your comments. And, of course, if you have any questions, feel free to 5:43 leave them.
