♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists on the internet ♪
- Hi, I'm Bob Schrupp, Physical Therapist.
- Brad Heineck, Physical Therapist.
- Again we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- Brad, today, do you want me to say the title?
- Go ahead, Bob.
- All right.
How people get their bones professionally cracked.
Now a lot of people don't think physical therapists
can crack bones, but we are allowed to do
what we call grade five mobilizations.
- Right, and the word crack is simply slang.
We never use it professionally.
- Right.
- We call it cavitate and that's when the joint pops,
because the liquid synovial fluid goes into a nitrogen gas
which causes that pop.
And it's a very strong psychological.
- Make sure you all understand that.
- Right, okay. So how do we do that?
- Right.
- Okay, let's go to it.
Bob, why don't you lay on your stomach?
I'm gonna go through one technique
and we're gonna talk about,
there's five grades of mobilizations.
And this is through the American Academy
of Orthopedic Manual Physical Therapists, okay?
I'm gonna get on this side of the table, Bob.
- You want my arms by my side?
- Put 'em down.
- I need a pillow.
- Oh yeah.
- Make sure your patient's always comfortable.
- Right.
- Actually I wouldn't do that
with your head turned like that, Bob.
- Like this.
- Yep, normally we'd have a table.
I'd have a towel roll.
His head's gonna go straight down.
So things are in line.
One way or another, I'm just gonna walk through it.
This is not how I would do it in the clinic.
And I don't do mobs but physical therapists are licensed to
and they can do grade five mobs.
I'm just gonna go through a general thing.
Do not attempt this at home.
This is strictly to be done for, by a trained professional.
But I just wanna explain why it is a grade five mob
and what may, what's the difference?
I mean, I can do some pressure on Bob's back like this
and there's some mobs where we put our fingers in here
and we're just gently mobilizing the back, okay.
And you might get a pop in there just
by doing some things like this.
I'm gonna work the muscles off to one direction.
So we stretch out the erector spiny muscles in one way
and go the other way.
And again, you may get some popping with that
but to get that high velocity thrust
which is a grade five mob
and that's what the chiropractors use
and that's what the physical therapist use,
regardless of what they call it.
It's all the same thing as far as what's making the pop.
First of all, I'm gonna put my hands in this position
and I'm gonna push down.
I'm gonna go forward
and everyone has a little bit different technique
with this and I'm gonna rotate and what we're doing
is getting the slack out of the joint they say that
so that the soft tissue is not getting
into the way of the pressure.
When you get the slack out, I'm gonna twist
and then once we get to that point, you're gonna relax, Bob,
and exhale, and I'm gonna go down there.
He goes, he exhales, okay.
And you can keep breathing.
Bob, I wanna talk about this.
Once you get down to that end range, this takes a feel.
You are not going to attempt this at home, a chiropractor
or therapist trained to do this will know when
it gets to the end range.
They can feel the tissue tightened up.
And at that point they add up thrust like that.
- A little, little crack.
- And at that point is where the bone will cavitate,
not the bone, but the joint will cavitate.
And that's what makes it so highly skilled.
Now we're not just cavitating any joint in the back
but we're looking for one, like, at that point, T seven
or T eight at the joint at that point.
And hopefully we get that, the results that are desired.
It's a little controversial, as far as the studies.
How effective is it?
I'm not gonna get into that,
but there is some controversy on that.
And that's why some physicians do not recommend going
to a chiropractor or they don't like physical therapists.
Oops.
They don't like physical therapists
doing grade five mobilizations.
But you know, nowadays Bob, with physical therapists,
physical therapy programs across the nation,
I think all of them are at a doctorate level.
- They are.
- So they're coming out,
they're doctors of physical therapy.
- Right.
- With any hope in a few years, people can go directly
to a physical therapist like they can go to a doctor
or a chiropractor and this is a type of.
- Which they can already to some extent.
- Right
- Certainly with private pay and some of the insurances.
- Right.
- So and you can do grade five mobilizations on shoulders.
- Right.
- And hips and knees.
- Yep. - Neck, anywhere on the spine.
- So.
- It's really gonna change the field.
And I know that chiropractors
are gonna get a little testy about this.
- Turf war.
- Right, but it's the way it's gonna be.
And it's normal.
- They do a lot of our stuff too.
- Right, so.
- We have no problem with chiropractors.
- Right, exactly.
I think as long as you get healthy, you do what you need
to do.
- A lot of times we work with them.
A lot of times I'll be working with a patient
and a chiropractor will be working with a patient
at the same time.
- Right.
- We have that arrangement quite often, so.
- Win-win situation.
- Yeah.
- So, we can continue to work with this and educate you,
but we're not gonna educate you on one thing, Bob.
How, what's the big thing?
- We can't fix a broken heart
so we don't know how to educate you on that, so.
- But when we get that figured out.
- We're gonna be rich.
Thanks.