0:00 This is Brent coming at you with a progression from one of our stretching 0:03 videos. Now, in this particular stretch we're going to do our posterior capsule, 0:08 our posterior delt. This is for any of those individuals with upper body dysfunction. 0:12 We know that the humeral head has a tendency to shift anterior and superior 0:18 in that glenoid fossa, so we need to release those posterior structures to 0:23 help improve this movement dysfunction. Now, in a previous video I showed you 0:27 guys the sleeper stretch for that. Now, the sleeper stretches a good stretch if 0:30 you can queue somebody into position, which tends to be the challenge with that 0:35 stretch. I'm sure some of you have already experienced where you've taught 0:39 the stretch to one of your clients or patients, come back, retested them, and 0:43 they've given you one of these sleeper stretches. This is this is not good form. 0:48 So we need to find a way to make sure that the people that we teach the 0:52 stretch to cannot go back to their compensation patterns, which, of course is 0:57 going to reduce the effectiveness of that stretch. The other problem we have 1:00 with the sleeper stretch I'm sure some of you have already experienced 1:03 which is very frustrating, as you go to put somebody in that position, as soon as 1:06 you get them side lying, they're in pain. As soon as they put pressure on that 1:11 shoulder, they're in pain. So my friend, Rob, came out to one of my last workshops. 1:16 Now, Rob has been a PT for many years, certified orthopedic manual therapist, faculty for 1:21 the Maitland workshops, has tons of great ideas, showed me a modification on this 1:27 stretch which I'm going to now show you with Rob's help. My friend Rob is going 1:31 to come out, we're going to demonstrate these modifications of the sleeper 1:35 stretch which I think you will find very helpful when you're teaching your 1:38 clients. Now, the first thing we're going to do just to show you the position 1:42 of the stretch, I want you to imagine there's a see-through wall here. 1:45 Eventually Rob is going to have to turn himself into this corner, 1:49 this stretch does require one of these inward corners, but for just a second 1:53 pretend there's a wall here so I can show you how to set this up. Now, Rob 1:57 is going to step out just a little bit, and what he's going to do is press his 2:01 back into the wall. What that's going to do for us is help stabilize his scapula 2:06 in the sagittal plane. There's not going to be a whole lot of anterior 2:10 tipping happening, and it's also going to prevent 2:13 a little bit of elevation because his scapula now would have to work against 2:16 the friction of the wall. Now, when he puts his arm up, we don't get that 2:21 position anymore. I mean, he can force it up, but we should be fairly well 2:26 stabilized. Then he can go ahead and go back into the same queues we used for the 2:32 other sleeper stretch. Stabilize the elbow with the hand, and slowly turn in. 2:36 As you can see here, nice form. Where do you feel that Rob? Alright, so you 2:41 want to feel the stretch where you intend the stretch to be felt which of 2:45 course is in this posterior delt, posterior capsule area. Now, to show you how 2:50 this really works, Rob will go ahead and get into the appropriate position here. 2:55 Now, if we get into a corner, we not only have him stabilized in the sagittal 3:01 plane, no anterior tipping, we have him stabilized in that frontal plane, so now 3:07 he can't protract. His scapula can't abduct. So now we have scapula retracted, we 3:14 have scapula depressed, we know that the shoulder joint is where we want it, and 3:19 now when we go into internal rotation we can get a much more pure posterior 3:26 capsule and posterior deltoid stretch, with a lot less likelihood of him 3:31 compensating, of him turning the stretch into something that we don't want to see 3:35 the next time he comes in. Then we'll go ahead and show the other 3:40 shoulder. So he just flipped there, flipped which position he was in this corner. The 3:49 thing I want you to notice from this position is that Rob is 3:53 not using a whole lot of weight. These are smaller structures, this isn't a hip 3:57 flexor, it's not a hamstring, it's not a calf, this isn't something you want to be 4:01 cranking on. He's actually stabilizing his elbow with his hand, so you can 4:06 add a little bit of stability, and then it's more or less the weight of his arm 4:10 that's creating all of the pressure down, and the force that we need for the 4:16 stretch. He's not giving himself a whole lot of adduction with his lats. In 4:22 fact, his lat is nice and toned down, it's almost totally flaccid right here, I can 4:26 grab and it's nice and soft, there's no pulling, there's no straining. 4:30 He's going to hold this position for 30 seconds to 2 minutes until he feels a 4:34 release, once he gets a release he can try to get a second and a third release. 4:42 He's going to hopefully do this stretch often, and if you retest I think 4:47 what you'll find is - I'm sorry, not retest immediately, but when they come back for 4:52 the next session, you actually have something that looks very similar to 4:56 this, as opposed to the sleeper stretch which I know from session to session can 5:01 get pretty messy. Rob, thank you again for the for the tips, I really appreciate it. I 5:06 hope you enjoy this stretch.
