00:00 - 00:03This is Brent coming at you with a progression from one of our stretching
00:03 - 00:08videos. Now, in this particular stretch we're going to do our posterior capsule,
00:08 - 00:12our posterior delt. This is for any of those individuals with upper body dysfunction.
00:12 - 00:18We know that the humeral head has a tendency to shift anterior and superior
00:18 - 00:23in that glenoid fossa, so we need to release those posterior structures to
00:23 - 00:27help improve this movement dysfunction. Now, in a previous video I showed you
00:27 - 00:30guys the sleeper stretch for that. Now, the sleeper stretches a good stretch if
00:30 - 00:35you can queue somebody into position, which tends to be the challenge with that
00:35 - 00:39stretch. I'm sure some of you have already experienced where you've taught
00:39 - 00:43the stretch to one of your clients or patients, come back, retested them, and
00:43 - 00:48they've given you one of these sleeper stretches. This is this is not good form.
00:48 - 00:52So we need to find a way to make sure that the people that we teach the
00:52 - 00:57stretch to cannot go back to their compensation patterns, which, of course is
00:57 - 01:00going to reduce the effectiveness of that stretch. The other problem we have
01:00 - 01:03with the sleeper stretch I'm sure some of you have already experienced
01:03 - 01:06which is very frustrating, as you go to put somebody in that position, as soon as
01:06 - 01:11you get them side lying, they're in pain. As soon as they put pressure on that
01:11 - 01:16shoulder, they're in pain. So my friend, Rob, came out to one of my last workshops.
01:16 - 01:21Now, Rob has been a PT for many years, certified orthopedic manual therapist, faculty for
01:21 - 01:27the Maitland workshops, has tons of great ideas, showed me a modification on this
01:27 - 01:31stretch which I'm going to now show you with Rob's help. My friend Rob is going
01:31 - 01:35to come out, we're going to demonstrate these modifications of the sleeper
01:35 - 01:38stretch which I think you will find very helpful when you're teaching your
01:38 - 01:42clients. Now, the first thing we're going to do just to show you the position
01:42 - 01:45of the stretch, I want you to imagine there's a see-through wall here.
01:45 - 01:49Eventually Rob is going to have to turn himself into this corner,
01:49 - 01:53this stretch does require one of these inward corners, but for just a second
01:53 - 01:57pretend there's a wall here so I can show you how to set this up. Now, Rob
01:57 - 02:01is going to step out just a little bit, and what he's going to do is press his
02:01 - 02:06back into the wall. What that's going to do for us is help stabilize his scapula
02:06 - 02:10in the sagittal plane. There's not going to be a whole lot of anterior
02:10 - 02:13tipping happening, and it's also going to prevent
02:13 - 02:16a little bit of elevation because his scapula now would have to work against
02:16 - 02:21the friction of the wall. Now, when he puts his arm up, we don't get that
02:21 - 02:26position anymore. I mean, he can force it up, but we should be fairly well
02:26 - 02:32stabilized. Then he can go ahead and go back into the same queues we used for the
02:32 - 02:36other sleeper stretch. Stabilize the elbow with the hand, and slowly turn in.
02:36 - 02:41As you can see here, nice form. Where do you feel that Rob? Alright, so you
02:41 - 02:45want to feel the stretch where you intend the stretch to be felt which of
02:45 - 02:50course is in this posterior delt, posterior capsule area. Now, to show you how
02:50 - 02:55this really works, Rob will go ahead and get into the appropriate position here.
02:55 - 03:01Now, if we get into a corner, we not only have him stabilized in the sagittal
03:01 - 03:07plane, no anterior tipping, we have him stabilized in that frontal plane, so now
03:07 - 03:14he can't protract. His scapula can't abduct. So now we have scapula retracted, we
03:14 - 03:19have scapula depressed, we know that the shoulder joint is where we want it, and
03:19 - 03:26now when we go into internal rotation we can get a much more pure posterior
03:26 - 03:31capsule and posterior deltoid stretch, with a lot less likelihood of him
03:31 - 03:35compensating, of him turning the stretch into something that we don't want to see
03:35 - 03:40the next time he comes in. Then we'll go ahead and show the other
03:40 - 03:49shoulder. So he just flipped there, flipped which position he was in this corner. The
03:49 - 03:53thing I want you to notice from this position is that Rob is
03:53 - 03:57not using a whole lot of weight. These are smaller structures, this isn't a hip
03:57 - 04:01flexor, it's not a hamstring, it's not a calf, this isn't something you want to be
04:01 - 04:06cranking on. He's actually stabilizing his elbow with his hand, so you can
04:06 - 04:10add a little bit of stability, and then it's more or less the weight of his arm
04:10 - 04:16that's creating all of the pressure down, and the force that we need for the
04:16 - 04:22stretch. He's not giving himself a whole lot of adduction with his lats. In
04:22 - 04:26fact, his lat is nice and toned down, it's almost totally flaccid right here, I can
04:26 - 04:30grab and it's nice and soft, there's no pulling, there's no straining.
04:30 - 04:34He's going to hold this position for 30 seconds to 2 minutes until he feels a
04:34 - 04:41release, once he gets a release he can try to get a second and a third release.
04:42 - 04:47He's going to hopefully do this stretch often, and if you retest I think
04:47 - 04:52what you'll find is - I'm sorry, not retest immediately, but when they come back for
04:52 - 04:56the next session, you actually have something that looks very similar to
04:56 - 05:01this, as opposed to the sleeper stretch which I know from session to session can
05:01 - 05:06get pretty messy. Rob, thank you again for the for the tips, I really appreciate it. I
05:06 - 05:09hope you enjoy this stretch.