Occupational therapist here! Appreciate this video and tutorial. I work a TON with shoulders and joint distractions/mobs are such a great technique and I am glad to have learned some tips!
Its great the fact that you separate the professions that are correct to use your information video once of course they understand it as well..as a physiotherapist and kinesiologist thank you !!
Of course, We do hope for better integration of the professions, but also believe firmly that each profession must mind their scope of practice. We have nothing but for respect for every facet of the human movement sciences ;-) Dr. B2
Thank you Brent, please keep up , its not only the intelligent information your providing us, but its also a motivation to always adapt and find solutions primary or secondary !!
Thanks Ben! I really do try to find those little practical things that I thought my education coming up was missing. I had a clinical instructor who use to call stuff like that "clinical gems". ;-) Dr. B2
Great communication skills! I'd like to know; when I'm working for end range motion of shoulder flexion, i prefer using the mobilisation strap as I find hand placement quite awkward, since at end range it generally becomes a PA accessory mobilisation. What is your view on this technique?
Absolutely, we will need to make an additional video for that technique. I don't use it as often because it is pretty aggressive, but the reason I did not include in the video above is more because it is a bit complicated. Great stuff... I love the Mulligan strap ;-)
Your videos are really informative and really helped with my studying. I was wondering if you forgot to mention the neutral positioning of the GH joint. I kind of see you doing it subconsciously, but just wondering if that was important for this specific mobilization as it puts the shoulder in its open pack position.
Please sir. Can you help me in my one side shoulder problem it makes crackling sound and i always feel imbalance in my right or left shoulder plz send me some link of your exercise video thanks
Hey Pawan, I do not do free evaluations and I do not have the time to gram every video that may help you. You can look up my article on Upper Body Dysfunction (UBD) and see if that helps. Dr. B2
great video as always! I would be interested in knowing IF a Serratus Anterior strain can contribution to shoulder dysfunction causing the shoulders to come forward? I strained my SA 2 weeks ago and its still quite tender and in spasm. Since then i have started my shoulder feels like its in a more forward position and has started to click on overhead movements along with other muscles around the shoulder becoming tight.
Absolutely, Your serratus anterior is a posterior tipper of the scapula... without optimal function you have probably adopted a more anteriorly tipped position. Start releasing your pec minor, levator scapulae and trapezius, workout on thoracic mobilization and start activating your lower traps and serratus anterior (providing you can do these activation exercises without pain). Dr. B2
thanks very much for the response. would the aneriorly tipped position be due to the serratus anterior being in spasm and pulling it out of position? if so i assume i need to focus on releasing the SA as it still seems quite tight and tender
No... so anterior tipping would lengthen the SA. The SA is a muscle that is a prone to under-activity and an increase in length. Try not to mistake pain and spasm, with over-active and adaptive shortening. I would stay away from trying to release your SA and follow the simple protocol I mentioned above first. Dr. B2
ok thanks i have started working on releasing the pecs and upper traps etc and some basic lower trap activations. This started after doing some shadow boxing i had a lot of spams & pain in my rib cage area. It was painful to breath and tender to touch and my DR said its most likely an SA strain. My shoulder problems came up about a week after this injury and it feels like my shoulder blades are not moving correctly. I was just interested if the SA strain was the most likely cause of my shoulder dysfunction. I am still quite tender over the rib area so was assuming my SA is still strained as well
It could also be your ribs and intercostals. Another idea is to try thoracic spine and sternocostal joint mobilizations. We have videos of both on the website. Dr. B2
In one of your other past presentations you mentioned being mindful of where the therapist's body and hand/arm position might be in relation to the client's (especially women). At around 5:30 your anterior inguinal region appears to be in contact with her forearm . It happens again at 7:00 and a couple more times. This can (not always ) cause some discomfort on the client's behalf.
It is certainly something to be aware of; however, I am taller than most, so I doubt many people will have the same issue. I also use my ASIS and Hip to stabilize as many therapists do. Although I think it is important to be respectful and careful, it is as important to never let embarrassment, the remote chance of contact, or very occasional bump to allow us to alter our mechanics in a way that will adversely affect our own bodies or the quality of care for the patient. Sincerely, B2
Hey Aya, The grading is the same, but since the glenohumeral joint is often hypermobile you will need to be careful to assess and insure mobilizations are the appropriate intervention. If someone is hypomobile you will feel a stiffness as you push posteriorly into Grade II and III Kaltenborn mobilizations. Dr. B2
Hey Wajeehh, Research shows that hot and cold are palliative at best, and are likely not therapeutic... at least in the sense that they result in any lasting effect. I would say you could use hot or cold depending on patient preference, but I would question any therapist who used session time or charged a patient for this service. Dr. B2
I will reprinted your series of animation into Chinese and posted it on a local forum, Now,i just need to confirm whether you allow me to do so,if you MIND what i did,please tell me，thanks
Sorry you feel that way. This channel and our education platform may not be for you. I am careful to try and capture what it is to learn these techniques for the first time, and offer the type of instruction I wish I had. The little details that are often missed by professors who have forgotten what it was like to take in all of this information for the first time. You can fast forward through videos, and we even offer speed control on our website (you can watch at 2X) - BrentBrookbush.com Have a nice day. Dr. B2
Looks like if her elbow was pinned to her side and her deltoid pulled away from the acromion her neck could begin to relax. Did you see that neck vein? Woooo!
First of all you’re too far away from the camera and we can’t see what you’re doing to the shoulder you using all these big words ‘ cause you wanna make sure the people who are watching this video can understand you well I understand you but I can’t see what you’re doing to the shoulder the only thing I see is you pressing down on the shoulder want to bring camera a little bit closer so we can see what you’re doing
Occupational therapist here! Appreciate this video and tutorial. I work a TON with shoulders and joint distractions/mobs are such a great technique and I am glad to have learned some tips!
Its great the fact that you separate the professions that are correct to use your information video once of course they understand it as well..as a physiotherapist and kinesiologist thank you !!
Of course,
We do hope for better integration of the professions, but also believe firmly that each profession must mind their scope of practice. We have nothing but for respect for every facet of the human movement sciences ;-)
Dr. B2
Thank you Brent, please keep up , its not only the intelligent information your providing us, but its also a motivation to always adapt and find solutions primary or secondary !!
As a first year SPT first learning about this, I found this video very helpful. Thank you for this content!
@Koda Lane Right on! I'll check it out
He's a great teacher.
So good and clear explaination! Can Give More direction on the frozen shoulder? It's so nice!
Me encanto como empezo, I like how he start to be all here clear about it is aprópiate or not in the practice scope . Thanks I’m RMT
Thanks a lot. It is hard to find good videos like this one.
You're very welcome Habib!
I am from NYC. Do you teach manual therapy in live setting?
Great video, Brent. Really informative and detailed (as per usual). Good inclusion of side camera angle to show correct & safe hand placement 👍
Thanks Ben!
I really do try to find those little practical things that I thought my education coming up was missing. I had a clinical instructor who use to call stuff like that "clinical gems". ;-)
Dr. B2
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Great communication skills! I'd like to know; when I'm working for end range motion of shoulder flexion, i prefer using the mobilisation strap as I find hand placement quite awkward, since at end range it generally becomes a PA accessory mobilisation. What is your view on this technique?
Absolutely, we will need to make an additional video for that technique. I don't use it as often because it is pretty aggressive, but the reason I did not include in the video above is more because it is a bit complicated.
Great stuff... I love the Mulligan strap ;-)
Your videos are really informative and really helped with my studying. I was wondering if you forgot to mention the neutral positioning of the GH joint. I kind of see you doing it subconsciously, but just wondering if that was important for this specific mobilization as it puts the shoulder in its open pack position.
don't forget occupational therapy!!
THANK YOU!!
Exactly
Exactly 💖
YESSSSSSSSS 👏🏽 👏🏽 👏🏽
This a great technique for me as a body worker. Thank you.
awesome video!
A Breath of fresh air. The only person on youtube who knows what to do and knows the
anatomy and joint movements..
You r foolish man remove reading we can see wht ll you do
The Only one?
Thank you, for sharing your clinical experiences! Is it possible to do an internship there?
Thanks can this work for cervical spondylosis or frozen shoulder?
Thanks for this info dr
Is this kaltenborn technique
Make a vedio about accessory movement of shoulder
Please sir. Can you help me in my one side shoulder problem it makes crackling sound and i always feel imbalance in my right or left shoulder plz send me some link of your exercise video thanks
Hey Pawan,
I do not do free evaluations and I do not have the time to gram every video that may help you. You can look up my article on Upper Body Dysfunction (UBD) and see if that helps.
Dr. B2
Which exercise is best for someone with shoulder subluxation? Thank you
Don't forget OT's!
How can I get treatment from you?
A good one..
Thanks for sharing✔️✔️
You're very welcome @Logan sinha!
hey you have maitland mobilization technique on frozen shoulder
plz reply
great video as always! I would be interested in knowing IF a Serratus Anterior strain can contribution to shoulder dysfunction causing the shoulders to come forward? I strained my SA 2 weeks ago and its still quite tender and in spasm. Since then i have started my shoulder feels like its in a more forward position and has started to click on overhead movements along with other muscles around the shoulder becoming tight.
Absolutely,
Your serratus anterior is a posterior tipper of the scapula... without optimal function you have probably adopted a more anteriorly tipped position. Start releasing your pec minor, levator scapulae and trapezius, workout on thoracic mobilization and start activating your lower traps and serratus anterior (providing you can do these activation exercises without pain).
Dr. B2
thanks very much for the response. would the aneriorly tipped position be due to the serratus anterior being in spasm and pulling it out of position? if so i assume i need to focus on releasing the SA as it still seems quite tight and tender
No... so anterior tipping would lengthen the SA. The SA is a muscle that is a prone to under-activity and an increase in length. Try not to mistake pain and spasm, with over-active and adaptive shortening. I would stay away from trying to release your SA and follow the simple protocol I mentioned above first.
Dr. B2
ok thanks i have started working on releasing the pecs and upper traps etc and some basic lower trap activations. This started after doing some shadow boxing i had a lot of spams & pain in my rib cage area. It was painful to breath and tender to touch and my DR said its most likely an SA strain. My shoulder problems came up about a week after this injury and it feels like my shoulder blades are not moving correctly. I was just interested if the SA strain was the most likely cause of my shoulder dysfunction. I am still quite tender over the rib area so was assuming my SA is still strained as well
It could also be your ribs and intercostals. Another idea is to try thoracic spine and sternocostal joint mobilizations. We have videos of both on the website.
Dr. B2
Awsome Technique
on screen cause of writtig word display ..Pt.position are not seen..plz display writing in lower of the screen..
Plz send elbow moblization
Great information, my only concern is the incidental contact zone might be uncomfortable for both client and therapist.
What incidental contact zone?
In one of your other past presentations you mentioned being mindful of where the therapist's body and hand/arm position might be in relation to the client's (especially women). At around 5:30 your anterior inguinal region appears to be in contact with her forearm . It happens again at 7:00 and a couple more times. This can (not always ) cause some discomfort on the client's behalf.
It is certainly something to be aware of; however, I am taller than most, so I doubt many people will have the same issue.
I also use my ASIS and Hip to stabilize as many therapists do.
Although I think it is important to be respectful and careful, it is as important to never let embarrassment, the remote chance of contact, or very occasional bump to allow us to alter our mechanics in a way that will adversely affect our own bodies or the quality of care for the patient.
Sincerely,
B2
Really good video but that was very long video
informative details 👍👍❤
Thank you Zaini!
how to apply kaltenborn grades from frozen shoulder? im having a difficulty grasping the concept
Hey Aya,
The grading is the same, but since the glenohumeral joint is often hypermobile you will need to be careful to assess and insure mobilizations are the appropriate intervention. If someone is hypomobile you will feel a stiffness as you push posteriorly into Grade II and III Kaltenborn mobilizations.
Dr. B2
I can't see properly bcz subtitles is covering of shoulder
Can we apply a hot pack or cold pack prior or after the mobilization technique?
Hey Wajeehh,
Research shows that hot and cold are palliative at best, and are likely not therapeutic... at least in the sense that they result in any lasting effect. I would say you could use hot or cold depending on patient preference, but I would question any therapist who used session time or charged a patient for this service.
Dr. B2
@@BrookbushInstitute Would this not be based on the presence or absence of inflammation and not client preference? Thanks for your input!
Good information
Thank you!
what therapy do you suggest, i am HYPER MOBLE
Activation exercise and stability exercise in pain free range.
Physiotherapist🤓🔥😍
You forgot Occupational therapists 😭
"And for occupational therapists!" There you go man I fixed it.
They always do
YES! Advocate!!!
why would an OT being doing shoulder mobes?
@@durden246 because we need to work on AROM and PROM to complete ADLs like dressing, bathing, and eating which all use the glenohumeral joint.
I will reprinted your series of animation into Chinese and posted it on a local forum,
Now,i just need to confirm whether you allow me to do so,if you MIND what i did,please tell me，thanks
👍🏻👍🏻👍🏻
A therapist should never let the patient's arm in contact with his own buldging area. Very unprofessional.
What do you mean by bulging area?
too much talking...so many techniques he can show for 13 minuts....at least 5 with full explanations during this performance
Sorry you feel that way. This channel and our education platform may not be for you. I am careful to try and capture what it is to learn these techniques for the first time, and offer the type of instruction I wish I had. The little details that are often missed by professors who have forgotten what it was like to take in all of this information for the first time.
You can fast forward through videos, and we even offer speed control on our website (you can watch at 2X) - BrentBrookbush.com
Have a nice day.
Dr. B2
Definitely too much talking, killing konzentration
allah kitap için türkçe alt yazı ekler misiniz ingilizce tek bildiğim şey ohh yeahh
Looks like if her elbow was pinned to her side and her deltoid pulled away from the acromion her neck could begin to relax. Did you see that neck vein? Woooo!
U r blocking screen
First of all you’re too far away from the camera and we can’t see what you’re doing to the shoulder you using all these big words ‘ cause you wanna make sure the people who are watching this video can understand you well I understand you but I can’t see what you’re doing to the shoulder the only thing I see is you pressing down on the shoulder want to bring camera a little bit closer so we can see what you’re doing
uncircumcised
lxlX!c!from you and