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