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This is Brent of the Brookbush Institute, and in this video we're doing more exercise
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for those exhibiting forearm dysfunction. In this particular video we're going to
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do an exercise called the reverse Tyler twist, which is particularly
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effective for eccentric strengthening of the flexors. I'm going to have my friend
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Crystal come out, she's going to help me demonstrate. Now we know that in this
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postural dysfunction of the forearm we end up with too much pronation, ulnar
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deviation and extension. So I'm giving you more flexion type exercises here. Now
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we already did one video that introduced flexion and worked on keeping out ulnar
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deviation. I still recommend that as a starting point before this particular
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exercise. This exercise we would use to start really increasing the amount of
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strength, the amount of resistance that we're using. I'm still going to have you
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start off pretty light, just until we get this exercise. We are going to be doing a
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little like crazy hand thing which is a little confusing up front, but once you
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get it, it's a pretty effective exercise I think you guys will really enjoy it. So
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we're going to do this hand, I'm going to mirror you. So you're going to put this
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hand on top, we're going to say this is your effected side, this is the side we
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want to work on. What you're going to end up doing, alright so this hand goes like
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this. You're going to turn all the way into flexion, and then anchor down here,
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so let's squeeze nice and hard,and then all you have to do is try to maintain
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this flexion as you straighten out your wrists.Perfect, stay right there.
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Now from here we're going to eccentrically strengthen these muscles
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right here, by slowly letting off tension with this hand. Great, that's it.
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Can you do it again? Yeah let's try it. Alright, so notice her hand is all the
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way turned in, so she starts off flexed, she anchors down, and then tries to
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keep that flexion as she straightens out her arm, so that she starts in a flexed
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position and essentially is only doing eccentric
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contractions. We do have some research to show that eccentric strengthening may be
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particularly effective for things like tendonitis. So when we're dealing with
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medial or lateral epicondylitis, golfer's elbow, tennis elbow. The reason I like
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this exercise is this focus on eccentric strengthening, and this little maneuver
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we're doing which admittedly takes some practice, and you need to set some time
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aside with your patients because it's going to take a second to teach, is you
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can ramp the resistance up on this pretty quick though. I'm guessing that's
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pretty easy for you Crystal. You think you could do 20 reps no problem? All
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right show me how you set this up. So notice how her knuckles are
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pointing right to me. She's going to start with it close to her chest and her
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knuckles are pointing towards me, she's going to try to keep this flexed
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position, straighten out her arms, she's in that flexed position, now she
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just slowly lets off tension. Is that heavy enough? Yeah are you sure? I mean I
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I think the big blue, do it. Guys these are just a FlexBars, I know I've mentioned
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in a couple of our other videos but these are the FlexBars from Theraband.
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They are the best tool I've seen for this stuff, little tough huh? Oh yeah, yeah
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the blue one is really really tough. Make sure when you guys buy these for your
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your clinic, or your office or your gym, that you do buy a whole set, because the
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blue would be a little unfair if we weren't dealing with Crystal
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and her massive arms, or a little bit larger individual. The yellow and red I
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tend to use a lot more often. You know somebody who doesn't work out a whole
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lot, their grip strength is not used to like massive amounts of weight. Obviously
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somebody with resistance training experience who's used to carrying around
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dumbbells, will probably have a little stronger grip strength. Is tha beginning to
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get hard? Alright guys so this is the reverse
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Tyler twist, like I said I would use it as a progression from that flexor
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activation we taught, where we kept this little groove right here above our ulnar
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styloid process on the table. We want to do that one first so that we teach
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people to stay out of ulnar deviation. After they mastered that, I would then
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switch to something like this, so that I could start really ramping up resistance
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and really gaining that functional strength back for flexion, and somebody
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especially in somebody who has had some long-term dysfunction, and maybe some
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weakening. Guys I hope you really enjoyed this exercise. I hope you have fun trying
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to teach people how to do this little confusing hand position thing, have fun
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with it, make fun of yourself. It'll make things go a lot smoother it's great for
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home exercise programs. Obviously it can be done obviously at somebody's desk too,
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which is really nice. If you guys have any questions or comments let me know,
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leave them in the comments below.