You can only view 3 videos without an account. Become a Member to access all videos on the website.
Splenius Cervicis and Splenius Capitis Static Manual Release (Soft Tissue Mobilization)
Splenius Cervicis and Splenius Capitis Static Manual Release (Soft Tissue Mobilization) is a specific, manual technique used to help relieve tension and pain in the posterior neck and upper back. This type of therapy, using gentle pressure and manipulation of the soft tissues, can help to increase flexibility and reduce muscle tightness, improving joint range of motion in the upper spine. This essential treatment is safe and effective for reducing neck and back pain and can also help to
Transcript
00:00:0400:00:06
This is Brent of the Brookbush Institute, and
00:00:0400:00:06
...blank
00:00:0600:00:07
in this video we're bringing you another
00:00:0700:00:09
manual technique. Now if you're watching
00:00:0900:00:10
this video I'm assuming you're watching
00:00:1000:00:12
it for educational purposes, and that you
00:00:1200:00:14
are a licensed manual therapists
00:00:1400:00:16
following the laws regarding scope of
00:00:1600:00:18
practice in your state or region. That
00:00:1800:00:20
means athletic trainers, chiropractors,
00:00:2000:00:23
physical therapists, osteopaths, licensed
00:00:2300:00:25
massage therapists, you are likely in the
00:00:2500:00:28
clear to do these techniques. Personal
00:00:2800:00:29
trainers this probably does not fall
00:00:2900:00:31
within your scope of practice, although
00:00:3100:00:32
you might be able to use the palpation
00:00:3200:00:35
portion of this video, to aid in learning
00:00:3500:00:38
your functional anatomy in an
00:00:3800:00:40
educational setting supervised by a
00:00:4000:00:42
licensed manual therapists. Now before we
00:00:4200:00:44
place our hands on a patient or client
00:00:4400:00:47
it is important that we assess, and have
00:00:4700:00:50
a good rationale for doing so. And of
00:00:5000:00:52
course if we're going to assess, then we
00:00:5200:00:54
should be reassessing to ensure that the
00:00:5400:00:56
manual technique we're using is
00:00:5600:00:58
effective, and we have a good rationale
00:00:5800:01:00
for continuing to use that technique. In
00:01:0000:01:01
this we're going to go over static
00:01:0100:01:03
manual release of the splenii muscles,
00:01:0300:01:05
that's the splenius cervicis and the
00:01:0500:01:06
splenius capitis. I'm going to have my
00:01:0600:01:07
friend Melissa come out she's going to
00:01:0700:01:09
help me demonstrate. Now we're going to
00:01:0900:01:11
use the same four step process we've
00:01:1100:01:13
done in other static manual release
00:01:1300:01:14
videos. We're going to talk about how to
00:01:1400:01:16
palpate and differentiate the splenii
00:01:1600:01:18
from the other structures proximal
00:01:1800:01:20
to it on the posterior lateral neck.
00:01:2000:01:22
We're going to talk about any structures
00:01:2200:01:24
that might be proximal to the splenii
00:01:2400:01:27
muscles that we could insult or abrade
00:01:2700:01:29
with compression. We need to talk about
00:01:2900:01:30
trigger points a little bit because that
00:01:3000:01:33
will help the efficacy and accuracy of
00:01:3300:01:35
this technique, and we're going to talk
00:01:3500:01:38
about client and practitioner
00:01:3800:01:40
positioning, so that I am in a position that I
00:01:4000:01:42
can comfortably hold this technique. and
00:01:4200:01:45
my client can relax in the position
00:01:4500:01:46
they're in so that we can actually get a
00:01:4600:01:48
release. Now step number one of this
00:01:4800:01:51
technique is by far the hardest, it helps
00:01:5100:01:52
to know a little bit of functional
00:01:5200:01:55
Anatomy. We have to figure out how we're
00:01:5500:01:57
going to differentiate the splenii
00:01:5700:02:00
from the upper trapezius and the levator
00:02:0000:02:05
scapulae which it lies in between. Now it
00:02:0500:02:07
is important to be able to differentiate
00:02:0700:02:10
this structure because the upper trap,
00:02:1000:02:14
splenii, and levator scapulae don't all
00:02:1400:02:16
rotate the head in the same direction.
00:02:1600:02:19
So for example if I assessed Melissa she
00:02:1900:02:20
came in with some cervical dysfunction,
00:02:2000:02:22
maybe even some cervicogenic headache,
00:02:2200:02:25
and I noticed that she could not rotate
00:02:2500:02:27
her head completely in this direction, I
00:02:2700:02:30
need to know which of those muscles I
00:02:3000:02:32
should release on this side, and which I
00:02:3200:02:34
should release on this side. So let's
00:02:3400:02:36
talk about functional Anatomy a little
00:02:3600:02:38
bit. My splenii and this is splenius
00:02:3800:02:40
cervicis and splenius capitis together,
00:02:4000:02:42
originate from the spinous process
00:02:4200:02:46
of T6 up through the ligamentum nuchae to
00:02:4600:02:49
the spinous process of C3, and then they
00:02:4900:02:52
kind of run off in this direction,
00:02:5200:02:54
so from inferior medial to
00:02:5400:02:57
superior lateral, towards the mastoid
00:02:5700:02:59
process of the temporal bone, and you
00:02:5900:03:01
guys can feel that little bump that's
00:03:0100:03:04
behind your ear, that little point right
00:03:0400:03:06
that's where these fibers are
00:03:0600:03:07
heading to. You can imagine if I'm on
00:03:0700:03:09
this diagonal that when these muscles
00:03:0900:03:13
shorten, they'll create ipsilateral
00:03:1300:03:16
rotation. So the rotation the splenii
00:03:1600:03:20
muscles create matches the levator
00:03:2000:03:24
scapulae, but opposes the upper trapezius
00:03:2400:03:30
which rotates this way. So for example, if
00:03:3000:03:33
I had Melissa here and she had great
00:03:3300:03:36
rotation this way, we couldn't rotate
00:03:3600:03:39
this way very well, lets say she's stuck
00:03:3900:03:42
right there. What I would probably want
00:03:4200:03:46
to do is release levator scapulae and
00:03:4600:03:50
splenii on this side, but upper trapezius
00:03:5000:03:54
and deep extensors of the neck on this
00:03:5400:03:57
side. The more accurate I can be the
00:03:5700:03:59
better chance I have of getting good
00:03:5900:04:01
outcomes. So how do I get to this
00:04:0100:04:04
structure. Well we need to skip to step
00:04:0400:04:06
three real quick. Knowing where the
00:04:0600:04:08
common trigger points are, where we're
00:04:0800:04:10
likely to find those increases in tissue
00:04:1000:04:13
density is going to help. So trigger
00:04:1300:04:16
points are commonly just in line with
00:04:1600:04:20
the C7 spinous process, which is usually
00:04:2000:04:23
that most prominent spinous process of
00:04:2300:04:24
the base of the neck. So you guys can
00:04:2400:04:25
look for that and think
00:04:2500:04:27
ok, I got one trigger point that's going
00:04:2700:04:29
to be in here somewhere, and then the
00:04:2900:04:30
other one just happens to be in line
00:04:3000:04:33
with C2 which is the first spinous
00:04:3300:04:36
process I can feel underneath the head, It's
00:04:3600:04:38
nice and convenient so at least we have
00:04:3800:04:41
two nice landmarks we can kind of line
00:04:4100:04:45
up with. Now although I said that this
00:04:4500:04:48
this trigger point here which happens to
00:04:4800:04:49
be the trigger point for the splenius
00:04:4900:04:53
cervicis, is in line with the spinous
00:04:5300:04:56
process of C7 I can't just go ergh
00:04:5600:04:58
that's not going to work. It might leave a
00:04:5800:05:00
nice bruise but I'm probably not going
00:05:0000:05:02
to get to the splenii muscles, I
00:05:0200:05:04
actually need to get deep to the upper
00:05:0400:05:07
trapezius, and the only way I can do that is
00:05:0700:05:09
by finding the anterior border of the
00:05:0900:05:12
upper trapezius and falling off this way. So I
00:05:1200:05:13
don't know if you guys can kind of see
00:05:1300:05:17
my finger there fall off in front of the
00:05:1700:05:20
trapezius. Now we have to take another step
00:05:2000:05:21
here and get a little bit more technical
00:05:2100:05:24
and find the lamina trough, which is the
00:05:2400:05:26
trough between the transverse process and
00:05:2600:05:29
the spinous process here. So
00:05:2900:05:30
between the spinous process and the
00:05:3000:05:32
transverse process of a vertebra you
00:05:3200:05:34
have this little little divot, you guys
00:05:3400:05:36
can even kind of feel that if you
00:05:3600:05:38
kind of palpate in the neck here. The only
00:05:3800:05:40
difference is we need to find this
00:05:4000:05:43
trough while anterior to the trapezius, and
00:05:4300:05:48
heading down towards C7 spinous process.
00:05:4800:05:50
You guys got that,
00:05:5000:05:53
anterior to the trapezius, into the lamina
00:05:5300:05:56
trough, towards C7 spinous process
00:05:5600:06:00
and then we hit the levator scapulae,
00:06:0000:06:03
darn it, okay we're almost there. So
00:06:0300:06:05
what we're going to do is we're going to
00:06:0500:06:06
laterally flex, that's going to help
00:06:0600:06:08
soften up the upper trapezius a little bit,
00:06:0800:06:09
and then we're going to
00:06:0900:06:11
ipsilaterally rotate. And although this is
00:06:1100:06:14
going to shorten our tissues a little
00:06:1400:06:17
bit, for the splenius cervicis here it's
00:06:1700:06:19
going to allow me to get my thumb in
00:06:1900:06:22
between the upper trapezius and the levator
00:06:2200:06:25
scapulae which is just anterior, into
00:06:2500:06:28
that trough so that I can start doing my
00:06:2800:06:31
short stroke strumming perpendicular to
00:06:3100:06:34
the splenii fibers,which remember
00:06:3400:06:35
these fibers go up this way. So I'm
00:06:3500:06:37
actually going to be kind of doing
00:06:3700:06:43
these tiny little strums out this way in
00:06:4300:06:46
the trough with her head in this
00:06:4600:06:47
position, until I find the most dense
00:06:4700:06:50
fascicles. I'm going to look for a nice
00:06:5000:06:53
nodule once I find those fascicles and
00:06:5300:06:57
it's right there. All right and then I
00:06:5700:07:02
can use her head if I need to
00:07:0200:07:04
add a little tension to kind of
00:07:0400:07:06
stabilize that nodule, so I'm not playing
00:07:0600:07:08
the finger on top of the marble game, I
00:07:0800:07:12
can do that here. Now the other trigger
00:07:1200:07:14
point which is going to be our splenius
00:07:1400:07:18
capitis trigger point, all I need to do
00:07:1800:07:21
is start searching in through here and
00:07:2100:07:24
look for fibers that are heading from
00:07:2400:07:28
the spinous process out towards this
00:07:2800:07:32
mastoid process. The splenii
00:07:3200:07:34
muscles have a unique fiber direction which
00:07:3400:07:36
is kind of what I mentioned before, is
00:07:3600:07:37
why we need to be able to differentiate
00:07:3700:07:40
these tissues. They rotate differently
00:07:4000:07:44
than the deep extensors of the cervical
00:07:4400:07:47
spine underneath them. So i can have
00:07:4700:07:48
Melissa to do all sorts of things to
00:07:4800:07:50
help with my palpation, right like I can
00:07:5000:07:51
kind of get my fingers in the right
00:07:5100:07:53
place and I can go, hey do you mind
00:07:5300:07:54
rotating towards me against my thumb,
00:07:5400:07:57
right and then extend your head and turn
00:07:5700:07:59
lateraly towards me, and then if I
00:07:5900:08:02
do my my short strokes here, right so I'm
00:08:0200:08:06
going to come down this way, I can kind
00:08:0600:08:08
of see alright so I got her contracting
00:08:0800:08:12
the right muscle; can I get them, can I
00:08:1200:08:13
feel the ones that are going in the
00:08:1300:08:14
right direction heading in the right
00:08:1400:08:17
direction, and I can actually right here.
00:08:1700:08:19
And then once I find those tight
00:08:1900:08:22
fascicles is there any nodule or point
00:08:2200:08:27
of acute density that i can press on. Now
00:08:2700:08:30
a couple little things here guys; take
00:08:3000:08:34
your time, this isn't a race, nobody's
00:08:3400:08:37
expecting you to just put your finger
00:08:3700:08:38
right down on a trigger point in a
00:08:3800:08:40
muscle that's fairly deep and hard to
00:08:4000:08:42
palpate. That doesn't show
00:08:4200:08:45
proficiency to just kind of go aah, it
00:08:4500:08:47
shows maybe carelessness more than
00:08:4700:08:50
anything else. Your patient doesn't know
00:08:5000:08:52
whether this should take you 15 seconds
00:08:5200:08:54
to find, or three minutes to find. So if
00:08:5400:08:56
you know your functional Anatomy you can
00:08:5600:08:59
think of those fiber directions, you need
00:08:5900:09:00
your client you need to move your
00:09:0000:09:02
clients head around a little bit, you
00:09:0200:09:03
need to have them contract the muscle,
00:09:0300:09:05
that's all fine, that's all fine. Take
00:09:0500:09:08
your time. I'd rather you took three
00:09:0800:09:12
minutes to find the right point than to
00:09:1200:09:14
spend 15 seconds and be totally wrong,
00:09:1400:09:17
and not get any outcomes whatsoever. Now
00:09:1700:09:19
although we don't have too much issue
00:09:1900:09:21
here with sensitive structures, as long
00:09:2100:09:23
as you don't jab your finger up in
00:09:2300:09:26
towards the occiput that you kind of
00:09:2600:09:29
stay going posterior to anterior, you
00:09:2900:09:30
shouldn't run into any structures that
00:09:3000:09:32
are particularly sensitive to
00:09:3200:09:34
compression. You do have to be a little
00:09:3400:09:37
careful with the splenius cervicis point,
00:09:3700:09:40
because if you press down real hard, real
00:09:4000:09:43
fast, and you're not real careful, you
00:09:4300:09:45
could stretch the brachial plexus. So if
00:09:4500:09:48
you get any burning, searing, tingling
00:09:4800:09:51
they get that little jolt, right if they
00:09:5100:09:53
get any numbness, or funky pins and
00:09:5300:09:56
needles and their fingers, guys move, take
00:09:5600:09:59
your time, move your fingers around get
00:09:5900:10:01
off the brachial plexus. See if you can
00:10:0100:10:03
mess around with some
00:10:0300:10:05
ipsilateral flexion to get that brachial
00:10:0500:10:07
plexus out of the way, and still get to
00:10:0700:10:09
the muscle you're looking for. Now last
00:10:0900:10:11
we do need to talk a little bit about
00:10:1100:10:13
patient and client position. This is not
00:10:1300:10:15
a good idea all right, this is kind of
00:10:1500:10:17
weird, but I'm not I'm not just like
00:10:1700:10:19
palming people's foreheads and
00:10:1900:10:22
jabbing my thumbs in places where I
00:10:2200:10:24
can't see, especially because I can't see
00:10:2400:10:25
this trigger point here. This
00:10:2500:10:28
is all for you guys to be able to see a
00:10:2800:10:31
little bit of the anatomy, and how my
00:10:3100:10:33
hands are placed relative to some other
00:10:3300:10:35
structures. If I was going to do this in
00:10:3500:10:39
a seated position which you can, I would
00:10:3900:10:40
have Melissa swing her legs
00:10:4000:10:43
over the end of the table here and I
00:10:4300:10:45
would come sideways,and then I would
00:10:4500:10:48
probably use that that kind of quasi
00:10:4800:10:50
headlock position. I'll drop the table
00:10:5000:10:52
down here a little bit, but we talked
00:10:5200:10:54
about putting the forehead and the
00:10:5400:10:56
crease of your elbow on another one of
00:10:5600:10:57
our manual release techniques for the
00:10:5700:11:01
neck. If I do this, I can now move
00:11:0100:11:03
her head comfortably and she feels nice
00:11:0300:11:06
and stable. I can use my body against her
00:11:0600:11:08
shoulder, right like my rib cage and my
00:11:0800:11:11
torso here a little bit, and then I can
00:11:1100:11:14
take this thumb and get right where I
00:11:1400:11:16
need to get. This particular technique
00:11:1600:11:19
doesn't take a whole lot of pressure so
00:11:1900:11:21
you might be okay. It's not ideal body
00:11:2100:11:24
mechanics I can't really get my forearm
00:11:2400:11:27
perpendicular to, or parallel to the
00:11:2700:11:30
direction of force, but we're close to a
00:11:3000:11:33
good position here. I personally prefer
00:11:3300:11:36
to do this in supine, so i'm going to have Melissa
00:11:3600:11:40
swing all the way around here. I think
00:11:4000:11:41
supine is much more comfortable for both
00:11:4100:11:44
the patient and the client, and I think
00:11:4400:11:48
you guys will agree if I just slip this
00:11:4800:11:52
hand underneath the occiput, I now have
00:11:5200:11:55
total control of her head, and Melissa
00:11:5500:11:56
is very relaxed right now because we've
00:11:5600:11:58
done a lot of these videos and she
00:11:5800:12:02
trusts me, poor thing. She has had
00:12:0200:12:04
her neck worked on with me before.
00:12:0400:12:06
It might take a second to get your
00:12:0600:12:08
patients to completely relax, but you do
00:12:0800:12:10
have really nice control this way, and
00:12:1000:12:12
then I can take this hand and I'm going
00:12:1200:12:15
to use kind of this technique of
00:12:1500:12:17
reaching underneath her neck, and I can
00:12:1700:12:20
see her trap right here drop my hand ,and
00:12:2000:12:23
right anterior to it I'm going towards
00:12:2300:12:27
that laminar trough, and since I can feel
00:12:2700:12:30
C7 with these fingers, I can drop
00:12:3000:12:32
my thumb right down in that direction.
00:12:3200:12:35
Move her head however I need to, I can
00:12:3500:12:37
start doing my strumming out
00:12:3700:12:41
perpendicular to those fibers. Find the
00:12:4100:12:45
tightest fascicles, find my tight nodule, add
00:12:4500:12:49
a little tension so
00:12:4900:12:51
that I have that nodule pinned, and then
00:12:5100:12:52
wait for a release.
00:12:5200:12:55
And believe it or not the splenius
00:12:5500:12:57
capitis trigger point is even easier
00:12:5700:13:00
because all i have to do is move my
00:13:0000:13:02
fingers like this, right so i leave these
00:13:0200:13:06
digits kind of facing up, and i'm just
00:13:0600:13:08
going to use the weight of her head.
00:13:0800:13:10
I'm going tofind C2 which is
00:13:1000:13:12
that first by the spinous process I feel
00:13:1200:13:16
underneath her occiput. I'm
00:13:1600:13:18
going to look for the fibers that go in
00:13:1800:13:19
the right direction and I might have her
00:13:1900:13:22
like, okay can you rotate into this side
00:13:2200:13:25
here. I might have her rotate a little
00:13:2500:13:29
bit and then try to strum those fibers,
00:13:2900:13:34
find the most dense fibers, find the most
00:13:3400:13:37
dense nodule, and then once again just
00:13:3700:13:39
have her totally relax. The nice thing
00:13:3900:13:42
here is like my hand is curled, and then
00:13:4200:13:45
I just have the weight of her head hold
00:13:4500:13:48
for me until we get a release. Stay tuned for
00:13:4800:13:50
the close-up recap. So now for a close-up
00:13:5000:13:54
recap of the splenii static manual
00:13:5400:13:55
release. We're starting here with the
00:13:5500:13:58
splenius cervicis manual release. You can
00:13:5800:14:01
see my thumb is actually just anterior
00:14:0100:14:03
to the anterior border of the upper trap
00:14:0300:14:06
here, that my hand is wrapped underneath.
00:14:0600:14:09
I'm going to fall off the anterior
00:14:0900:14:12
border down into the lamina trough,
00:14:1200:14:15
which is the space between the
00:14:1500:14:17
transverse process and the spinous
00:14:1700:14:19
process on the posterior aspect of the
00:14:1900:14:21
cervical spine. I know that my common
00:14:2100:14:25
trigger point is down near the C7
00:14:2500:14:28
spinous process. So i can even palpate
00:14:2800:14:30
the C7 spinous process with these two
00:14:3000:14:32
fingers and give myself an idea of where
00:14:3200:14:36
that is, and then kind of push my fingers
00:14:3600:14:39
towards one another. But unfortunately
00:14:3900:14:41
the first thing I run into actually is
00:14:4100:14:43
my levator scapulae. So the way I get my
00:14:4300:14:45
levator scapulae out of the way is I do a
00:14:4500:14:47
little ipsilateral rotation, and
00:14:4700:14:50
although this takes some tension off my
00:14:5000:14:53
splenius cervicis, it's the only way
00:14:5300:14:56
for me to sink my finger down between my
00:14:5600:14:59
upper trap and levator scapulae. Once I've
00:14:5900:15:02
sunk my finger down in there I can then
00:15:0200:15:03
use my short strokes,
00:15:0300:15:07
kind of this lateral to medial stroke,
00:15:0700:15:09
and these are very short strokes
00:15:0900:15:13
just a couple fascicles at a time, to
00:15:1300:15:16
find anything to me that feels
00:15:1600:15:20
overactive, feels tauter than it should be.
00:15:2100:15:23
Once I find those taut
00:15:2300:15:26
fascicles I can kind of move inferior to
00:15:2600:15:29
superior, superior to inferior to try to
00:15:2900:15:33
find the densest nodule, and then i can
00:15:3300:15:36
actually once i've located that nodule
00:15:3600:15:39
go back into a little contralateral
00:15:3900:15:42
rotation, contralateral flexion to add
00:15:4200:15:43
some tension back in those tissues and
00:15:4300:15:44
help me pin that point of hyperactivity.
00:15:4800:15:51
Once I get a release, of course I can
00:15:5100:15:53
move on and of course this is the more
00:15:5300:15:57
complicated of the two release techniques
00:15:5700:16:00
for your splenii muscles. The
00:16:0000:16:03
splenius capitis muscle has a trigger
00:16:0300:16:05
point that's commonly at the level of
00:16:0500:16:08
your C2 spinous process, which your C2
00:16:0800:16:10
spinous process is the first spinous processs
00:16:1000:16:12
you feel underneath the occiput. So
00:16:1200:16:15
that's fairly simple, and we know
00:16:1500:16:18
that the splenii have this kind of
00:16:1800:16:20
unique fiber arrangement thats this way.
00:16:2000:16:24
So all we have to do is kind of go just to the
00:16:2400:16:29
side of C2 spinous process here, and look
00:16:2900:16:32
for fiber direction this way. Find her
00:16:3200:16:36
tightest fascicles by strumming this way,
00:16:3600:16:38
kind of from in the same direction that
00:16:3800:16:41
her shoulder to her ear would be.
00:16:4100:16:42
So we're strumming perpendicular
00:16:4200:16:46
to those fibers. Once we find them -find the
00:16:4600:16:48
tightest fibers that is, we can kind of go
00:16:4800:16:50
lateral to medial to see if there's a
00:16:5000:16:53
nodule and point of hyperactivity. And
00:16:5300:16:55
then I'm just using that kind of curved
00:16:5500:16:58
hand position and the weight of her head
00:16:5800:17:01
to do all the work, and once i get a
00:17:0100:17:05
release we're good to go and I would
00:17:0500:17:08
reassess. So there you have it knowing
00:17:0800:17:09
your functional Anatomy will definitely
00:17:0900:17:12
help your manual technique. It will help
00:17:1200:17:13
you differentiate structure so that you
00:17:1300:17:15
can place your hands where they need to
00:17:1500:17:15
be.
00:17:1500:17:17
As well as make you aware of these
00:17:1700:17:19
sensitive structures around the tissue
00:17:1900:17:21
that you're trying to target. Things like
00:17:2100:17:24
nerves, and lymph nodes, and arteries. Make
00:17:2400:17:25
sure that if you're going to place your
00:17:2500:17:27
hands on a patient that you have done an
00:17:2700:17:29
assessment, and have a good rationale for
00:17:2900:17:31
placing your hands on that patient. And
00:17:3100:17:33
if you're going to assess, make sure you
00:17:3300:17:35
reassess to ensure that your technique
00:17:3500:17:37
was effective and you have a good
00:17:3700:17:38
rationale for using that technique again.
00:17:3800:17:42
Now with manual therapy one-on-one live
00:17:4200:17:46
education is incredibly important. Please
00:17:4600:17:48
be looking for opportunities like
00:17:4800:17:51
workshops, and mentorships, and maybe even
00:17:5100:17:54
classes at your local university that
00:17:5400:17:57
can get you some one on one individual
00:17:5700:17:59
instruction. Or at least some live classroom
00:17:5900:18:03
instruction so you've had a chance to be
00:18:0300:18:06
critiqued and mentored, by somebody
00:18:0600:18:08
senior to you with some experience in
00:18:0800:18:11
manual therapy techniques. And before you
00:18:1100:18:15
bring this stuff back to your rehab,
00:18:1500:18:18
fitness, or performance setting, please
00:18:1800:18:20
practice on colleagues. There is no
00:18:2000:18:23
substitute for practice, and it is going
00:18:2300:18:27
to take a while to get accustomed to some
00:18:2700:18:29
of the techniques that we show in these
00:18:2900:18:31
manual technique videos. Don't expect to
00:18:3100:18:34
learn them in two, or three,. or even five
00:18:3400:18:37
minutes. You want to have hours of
00:18:3700:18:39
experience under your belt working on
00:18:3900:18:41
various different body sizes and shapes.
00:18:4100:18:44
So that when you do get that first
00:18:4400:18:46
paying client, first paying customer, and
00:18:4600:18:48
you're really trying to make a good
00:18:4800:18:51
positive impact, really trying to promote
00:18:5100:18:54
better outcomes, you feel comfortable
00:18:5400:18:56
with that technique. I look forward to
00:18:5600:18:58
hearing about your outcomes and hearing
00:18:5800:19:00
your questions in the comments section
00:19:0000:19:04
of this video, I'll talk with you soon.
Related Videos
Splenius Cervicis and Splenius Capitis Static Manual Release (Soft Tissue Mobilization)
Upper Trapezius Static Manual Release (Soft Tissue Mobilization)
Cervical Fascia IASTM
Thoracic, Infraspinatus and Deltoid Fascia IASTM
Suboccipital Manual Static Release (Soft Tissue Mobilization)
Biceps Femoris Manual Static Release
Tensor Fasciae Latae (TFL) Static Manual Release
Gastrocnemius and Soleus Manual Static Release
Pectoralis Major and Subclavius Static Manual Release (Soft Tissue Mobilization)
Upper Trapezius, Levator Scapulae, Splenii and Rhomboid Vibration Release
Upper Cervical Manipulation
Combined Deep Cervical Flexor and External Rotator Activation
Cervical Spine Manipulation
Cervicothoracic Junction Manipulation
Thoracic Spine Manipulation