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ERS today I'm going to bring you the muscles of scapular movement and some techniques on how to
how to work them out to get some relief so there's six muscles that move the scapula which is the
trapezius the lower fibers middle fibers upper fibers the rhomboids the levator scapula the
serratus anterior and the PEC minor so I'm going to show you three different ways like prone Supine
and sideline so that you can go ahead and get some ideas and some techniques so the first thing of
course you're going to warm up the body you're going to do some you know whatever it is that
you need to do but I'm going to go ahead and get straight to some of the techniques here because
I you know I I don't want to waste too much time with warming up the body so the levator originates
from c1234 and it inserts at the medial aspect on the superior aspect of the scapula this is
the scapula here one of the things that you can do is all I'm doing is unruffling I'm ruffling here
so I am just doing this underneath and then I can kind of trap the levator between my fingers here
and work it out from the origin to insertion and obviously this is the levator elevates so let's
say that I find I find a little bit of tightness here so then I'm gonna pin and stretch so I'm
going to ask her to shrug her shoulders with this this is elevation because it elevates an elevation
and relax elevation is the levator and the upper fibers of the upper
trapezius so let me trap that again here between my fingers and again elevate
and then release okay and then you can do the the money money money technique you can go here
too with your thumb and your fingers and I am getting the elevator and the upper trap let
me let me show you from this side so I would do the same thing even with an upper trap so
I'm uncurling people that shrug their shoulders forward you know um this is really tight so what
I'm doing here is I'm just forming a c and I'm ruffling from the end the upper fibers or the
Trap and then I'm doing the money money money money money money money money money money money
and you can get to the origins remember all the origins
we didn't draw the trapezius all the way so that you could see the rhomboids so but the
trapezius are are on top of the rhomboids so this is another one technique that you
can do where you unruffle and then you do the money money also you can come here at
the occipital Ridge and get the origins and go back and forth back and forth cross fiber
you can do cross fiber here also with the levator and also you can
use the bevel tool you can go straight in between very carefully very carefully here
and scoop down what I'm going to do is bring her shoulder down and just scoop down
down to elevator to get some traction here and you can also hold it for trigger points but that's one
way to treat the levator scapula I'm going to show you also sideline but now that we're here
we're going to work the rhomboids the rhomboid minor is from C7 to T2 and then the major is
from T2 to T5 so one of the things that you can do is you can scoop out with your fingers
and away from you and it inserts right here at the medial border of the scapula and another
thing that you can do from the opposite side of the table you're going to grab her shoulder
right here by the deltoid and then just kind of get some movement here that's what you're
trying to do you're trying to get some movement of the scapula you know there's 17 muscles that
attach around the scapula so that's a lot of them not all not all of them work on the scapula but
this is another way to loosen up you know you're just trying to loosen up the muscles here of the
scapula that move the scapula another one that you can do here for the rhomboids is the bevel
tool which you use sideways and really get close to the spinous processes then you can do outward
and I know that there's um the the rhomboids are for
retraction so protraction is when you're going to hug somebody when you're looking down on your
phone when you're leaning forward that will be the PEC minor pulls you forward the serratus and so
now for retraction the rhomboids are going to pull you back so you want to go ahead and have your
client move her shoulders back you know and then you can kind of separate them here a little bit
you want to separate the rhomboids you want to do some movement here and notice I'm not doing
this just with my elbow I'm moving my whole body back and forth around the midline of the scapula
and then you do the other side and I'm moving from
my legs back and forth you separate the rhomboids you're separating the fibers
now let's move to the trapezius the trapezius originates obviously all in the midline here
all the way from the occiput to T12 so these are the lower fibers these
lower fibers as you can see they're going to pull down for retraction when you're hugging
somebody and then you finish hugging them they're going to pull the shoulders back
so these five these are the lower fibers middle fibers upper fibers of the Trap
so um you and it's on both sides she just drew it on one side so one of the things that you can
do is you can do cross fiber cross fiber around the lower fibers you can always do long strokes
too you can hold I like to do pin and stretch so you can hold and just move up relax those
fibers it covers by the spine of the scapula it doesn't cover all the scapulas you can see here
I like to finish with a little bit of pinching there
and from the opposite side of the table you can pull back
you can pull back the fibers because they are hunched forward so you're trying to pull them back
and if you find a trigger point you can ask her to shrug her shoulders again
and just hold that and then relax okay
and I can also pinch it
all right find a tightness right there so you can ask her to shrug her shoulders again
and then relax and of course you ask them to breathe through the whole time
and what I'm trying to do is just get some movement here on her scapula
okay so I'm doing some movement from the opposite side of the table here I'm moving the scapula this
is the lower the inferior part of her scapula then I'm going to go to the other side and show
you how you can do it from the same side of the table okay so I've got a rolled up towel
and I'm going to put it underneath her shoulder here and bend the elbow a little bit I am not a
fan of putting the arm back here because a lot of people can't do this and it kind of
sometimes it hurts their shoulder so for people that can do it all you got to do is Bend at the
elbow put your right hand like right underneath where the deltoid is grab the inferior part of
the scapula with your left hand and just move that scapula around as much as you can we're
just trying to create some movement here and loosen up all the muscles that are around there
and again if you find trigger points you can hold them you know you can obviously you guys already
know all these techniques where you can use your forearms and I don't want to go into too much
detail of that I just want to show you like how to treat and get some Mobility here to the scapula
I like to go on the ox occiput here going from the um okay so now we're done let me remove this
I want to do one inch strips from here from the trapezius the lateral part of the trapezius and
then going up to the occipital Ridge one inch strips up to the occipital Ridge to all the
origins of the trapezius and the levator because you have a elevator on this side too so you just
go up and go all the way up to the occipital Ridge and then the unruffling the C after we are
done working the upper trapezius and the levator I am going to go ahead and turn her supine [Music]