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