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This is Brent of the Brookbush Institute, and
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in this video we're doing more exercise
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for forearm postural dysfunction. That's individuals that have issues with the
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wrist, forearm, or elbow. I'm going to have my friend Crystal come out, she's going
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to help me demonstrate. In this particular video we're going to do an
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exercise for supination. Now this is one of the last exercises I teach clients
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with forarm dysfunction right. So we've already done this flexor activation, we
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did even the reverse Tyler twist, which was a progression of flexor activation.
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We did that radial deviation exercise, which was flexor carpi radialis
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activation. After teaching those I would then teach this exercise, because this
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exercise involves a lot of the cues taught in those previous exercises.
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We talked about how forearm postural dysfunction is excessive
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pronation, extension and ulnar deviation. So the reason why I'm reminding you of
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that is we have to keep out of all of those little joint actions. Okay we're
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going to do supination, but we also have to do a little flexion of radial
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deviation. So we'll start with the the lightest one of course just to get
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you used to this. I find it easiest to start somebody in good position, so
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get them all the way supinated, get them in flexion, and make sure they're doing
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flexion with radial deviation and not ulnar deviation. Once you get them
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there they can then just twist this puppy down like this, and slowly let themselves
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back to neutral. That's it and then if they go back, they're doing both
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concentric and eccentric. Now we did talk a little bit about the benefits of
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eccentric strengthening when we did that reverse Tyler twist. That some studies
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show that eccentric strengthening might be better for rehab. So what she could do
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is start here, crank down, go back to neutral,
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and then when you start over, get into position, crank down, slowly go back to
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neutral. Alright let's try that a couple times. So
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start over, crank down, and then a nice four second eccentric, two-three-four,
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back to neutral. Make sure that when you go back to neutral you don't force
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yourself in the ulnar deviation here. And so we're going to crank down, and then we
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know we're going to crank down probably out a little bit, and slowly back to
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neutral. Good, cool, back to neutral. If that works out well and we want to then
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progress to start adding the concentric, maybe for functional reasons, maybe we
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feel like we need to get that strength back, then you can go back to trying to-
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let's see if we can stay here, and you can supinate, flex, and radial deviate, all
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at the same time. It's tough, this is a tough one. It like seems easy at
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first, you're like oh yeah just flip my hand over. But to flip your hand over and
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keep in the flexed and radially deviated position is not so easy. You guys are
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going to find this real easy to start, like trying to extend the wrist or break
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into ulnar deviation. Takes a little bit of concentration, we see the pursed lips
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again. Like I said you guys can see a lot of tongue sticking out, we'll try to, try
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to figure this thing out. Good stuff, you want to try a heavier one? Yeah, once again
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guys always test your patients on this one, so set it up. Like I go pop quiz
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style. I think that's important from a learning perspective, if I've done all
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that cueing like I did before where I was like putting her hands in position
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and stuff like that, which is great initially, I want to make sure that she
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can do this on her own before she leaves. So you're going to start with just the
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eccentric one first, that's cool. Make sure you get into good position, right
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without any resistance. Then crank that puppy down, we talked about how cranking it
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down and out was probably a little bit better, and then slowly back. That's
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fantastic, try that again, boom.
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Down and out, a little towards me, good.
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Cool, oh that was a little bit of ulnar deviation, don't forget we got to go this
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way a little bit too. So you're trying to get all the way over, you're trying to
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get all the way over this way, or that way since it's that arm. All right, I'm just kidding.
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All right okay, so this is a tougher exercise. You're going to find that like
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using one of the bigger FlexBars is probably not going to happen
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initially. I would start off small, and once again this is one of those
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exercises that I would progress to. I would probably not give this exercise to
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somebody on their first session with me. As you guys could tell it like involved
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all of the cues, from almost all of the videos, for all of the other forearm
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exercises. Let's start off with a couple of the easier forearm exercises. Give our
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patients and clients a chance to be successful, so that when they get to this
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exercise it feels like a reward, and they're already a little bit familiar
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with what you're going to put them through. Obviously Crystals actually been
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sitting here, and taking in all of this information as we've been doing these
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videos. I guarantee if I would have started the day with this particular
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exercise, we would have had a harder time getting through it. Alright so there you
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guys go another forearm exercise for you. I hope by now you're starting to build a
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nice little repertoire for individuals with like lateral and medial
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epicondylitis, tennis elbow, and golfer's elbow so to speak, and wrist
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issues. Some individuals with certain hand pains this stuff works really well.
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The bigger repertoire you have, the more tools you have in your tool bag, the more
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likely you are to be successful. If you have any questions or comments please
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leave them below.