Name: Spine Mobilization with the Hypervolt
Uploaded: 2023-04-23T07:03:38.000Z
Duration: 8 min 36 s
Description: Learn spine mobilization with the Hypervolt massage device (a real hand-saver for manual therapists). This video demonstrates safe application for reducing excessive facet joint stiffness and improving segmental mobility.

English captions

https://stream.mux.com/AHf6Z3ovmPinGTE7myvpGKNI96atUTqBRlcVQ3O1LjI.m3u8

Learn spine mobilization with the Hypervolt massage device (a real hand-saver for manual therapists). This video demonstrates safe application for reducing excessive facet joint stiffness and improving segmental mobility.

Introduction to Vibration Massage Techniques

Sacroiliac Joint Mobilization Using Vibration

Applying Vibration Techniques Along the Spine

Addressing Thoracic Spine Stiffness with Vibration

Combining Vibration with Manual Mobilization Techniques

Exploration of New Joint Mobilization Methods

Spine Mobilization with the Hypervolt

This is Brenda the brook Bush Institute in this video. I'm bringing you guys more uses for your vibration or percussive massage device. I'm going to have my friend Mike Tierney come out and he's gonna help me demonstrate joint mobilization for my sacroiliac joint and spine. So it's not a a stretch or at least a large stretch to think well if this oscillates And Joint mobilizations are oscillations. Maybe this could help us out. I've used it a few times with clients and it seems to be having a positive benefit. Now. I'm not saying this is a replacement for manual mobilizations, but it is an alternative that might help save our hands a little bit. So let's start with the sacroiliac joint. How would we make this happen? So I'm gonna find his PSIs and I know what I want to do is oscillate the sacrum on his ilium, right? That is what a sacroiliac joint mobilization is at least a pH joint mobilization. I'm going to need a towel to throw over the top of his sacrum because this thing over bone hurts a little bit, but I do need to apply pressure to that bone to get it to oscillate. I'm gonna go ahead and use this flat piece round piece little larger surface area. You could also use the foam ball piece and what I've found so far is that the second setting on these hypervolts works pretty good to get good oscillation happening without being so intense it pushes me out and not so little intensity that I just don't seem to be getting what I want. All right. So we're gonna go ahead and put our thumb over the top of the PSIs that's going to help me know where to put the hypervolt right? We don't want it over the PSIs where all I'm doing is bearing into a bony prominence and not getting anything to move because my PSIs is part of my Ilium. Once I feel like I'm on top of the sacrum, which I can actually feel with my thumb being over the PSIs. Right and I get a good oscillation happening which you can also feel through the bone by adding a little bit of pressure to the device. I'm just going to hold it. And then very very slowly. Work my way along the entire length. Of the sacrum. I'm talking like. over the course of 60 Seconds slowly now this machine doesn't give you much feedback unlike a manual joint mobilization where I can feel the joint loosen up underneath my fingers because they're gonna really need to be careful with assess a dress and reassess. So for example, if we used the stork test, which is probably the most reliable of the sacroiliac joint movement based special tests. I would want to do the stork test before use this device and then do the store test again after. To see if it had an effect. Of course, if it had no effect, you could then try manual mobilizations. And of course if you manual mobilizations don't work either maybe we don't need to be mobilizing the sack really like joint for this particular individual. So that's SI joint. Now, we're going to just kind of follow the same logic. All the way up the spine. I will admit that the lumbar spine. It's a little tough. There's just so much muscle mass down here. It's hard to imagine even getting directly on a fast set where you'll get some motion, but maybe using an even lower frequency like frequency one and using a smaller surface area piece like the bullet. You could get over like a stiff asset for example at the thoracolumbar junction. And go ahead and test with your fingers use this tool and then test again if it works great, you have a potentially hand saving technique. If not, then go back to your manual mobilizations. Outside of the SI joint one place this I've had a lot of success with using this tool is the thoracic spine. And I know you guys know that the rat the thoracic spine and the the cost of a table joints have a tendency to get very stiff especially in our desk workers. This tool is definitely helpful. I can definitely use my spring tests to figure out where they're tight. in their thoracic spine And then rather having to try to like manhandle and manipulation or sit there and mobilize each one of those thoracic fast sets and maybe even then the cost of fatigue will joints. Maybe you try. Just doing the same thing. We're gonna go just lateral to the spinous process. Put a little downward pressure. All right. I'm on setting two. I'm holding seeing if I can get good oscillation through whatever stiff Fest set. I found. Or I could slowly move over a group of stiff Fest sets. And we could also. Use our palpation skills and go over the castrophotiable joints if we thought those were stiff. Same thing very slow so different than our soft tissue techniques with this. I think what you guys will realize is you have to get right over the joint. And you're gonna need to hold. I think 30 to 60 seconds is probably good. And then if you are doing a group of joints, you're just you're just going to move very slowly over. Again, you're not going to get a lot of feedback from the device itself because there's always already so much going on with the amount of frequency. We have there's already so much vibration in our hands. You're gonna have to be really on top of assess the dress reassess. So as soon as I did this technique with Mike, let's say I used thoracic rotation as his assessment. I'm gonna do this technique for one two minutes treat whatever area I'm trying to treat and then get up and do thoracic rotation again and see if I got in the Improvement. Now if I didn't of course, I could go to my manual techniques like manual joint mobilizations or manipulations. And if that didn't work, of course, maybe we need to do something other than a thoracic joint mobilization. I can tell you in the thoracic spine and even with the SI joint to a certain degree. A lot of times I do have to follow. hypervolt with manual techniques But here's the catch. I started this because I had one of those individuals which we've all had where you know that a thoracic manipulation would help but they're so stiff. It won't go right like you can't get the joint to let go you can't get maybe the cavitation that you're looking for. You try the screw mechanism. You try our screw technique. You try the pistol technique nothing seems to work for you. Try using this. Trying to loosen up some of those facets and then go back to your manual techniques. You might just be surprised. I was actually most successful and the reason why I started heading down the path of joint mobilizations with that exact scenario couldn't get them manipulation to go. Maybe what's having a bad day. Maybe this individual is just very stiff. went through address all the the Fest sets and Costco fatigue joints that I thought were were stiff and then I went back and I did the the pistol minute which I'm I'm comfortable with I like right and all the sudden crack and everything loosened up the patient felt fantastic. So guys, I am very curious. Obviously. This is very new. I just started doing these techniques so I don't want you to think I'm like, Pounding, you know do mobilizations with the hypervolt. I just thought it was an interesting use. I thought it has potential and I'm really looking forward to hearing how you guys can add to the repertoire of joint mobilizations using this thing to potentially save our hands and save our bodies and and add an alternative way to get some of these techniques done. I look forward to seeing your comments. I'll talk to you soon.

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Pre-exercise local vibration reduces functional signs and chemical markers of delayed onset muscle soreness (DOMS) and may improve performance in subsequent frequent workouts.

Local vibration is effective for reducing acute muscle pain (and can be added to a home program via the devices like the Hypervolt by Hyperice® or similar devices).

Local vibration alone may be sufficient to increase strength in deconditioned muscles/individuals.

Current research implies that adding vibration to self-administered release techniques (SMR) (e.g. foam rolling) enhances benefits for DOMS, pain pressure sensitivity, and increasing proprioception. Further research is needed to refine protocols and determine whether adding vibration to SMR enhances benefits for increasing range of motion and improving power performance when used as a warm-up.

Protocol for Using Percussion Massage Device

Start with a higher setting and superficially (with gentle pressure) trace the entire surface of the muscle.

Setting 3 is likely appropriate for the lower body.

Take a mental note of dense or sensitive points. Manual therapists may use the opposite hand to palpate for taut bands and nodules (trigger points).

Stay away from areas where the bone is superficial. Using percussion massage devices over bone may be uncomfortable, painful, and/or cause bruising. Placing a finger or thumb over bony protuberances will prevent accidental contact.

Using a piece with a smaller surface area and lower setting (setting 1), return to the dense/sensitive points using deeper compression.

It may be helpful to add tension or slack by shortening or lengthening the target tissue

The Brookbush Institute recommends 30 seconds to 2 minutes per muscle group, and 5 minutes as an upper limit even in the case of multiple trigger points.

Bony Areas: (Place a towel folded several times over the targeted segments)

 These articulations are along the lateral borders of the vertebral column between each vertebrae.

Through a folded towel, apply pressure over the facet joint in an anterior-to-posterior direction. Hold over each joint for 10 - 30 seconds. Manual therapists can assess if arthrokinematics stiffness has reduced using manual passive accessory mobilizations.

Spine Mobilization with the Hypervolt

Adductor Vibration Release

Biceps Femoris Vibration Release

Latissimus Dorsi, Rhomboids, Teres Major and Posterior Deltoid Vibration Release

Pectoralis Major and Pectoralis Minor Vibration Release

Upper Trapezius, Levator Scapulae, Splenii and Rhomboid Vibration Release

Erector Spinae Vibration Release

Arm (Biceps, Triceps, and Wrist Extensors) Vibration Release

Sternocostal Mobilization with the Hypervolt

Transverse Tarsal Joint Mobilization with the Hypervolt

Quadriceps and Rectus Femoris Vibration Release

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