This is Brent of the Brookbush Institute, and in this video we're going to go over
more vibration or percussive release techniques, this time for the adductor
complex. I'm going to have my friend a Yvette come out, she's going to help me demonstrate.
Now I'm going to have a Yvette in supine, and if you've seen our adductor Magnus
stretch or adductor Magnus static manual release videos, you'll be
familiar with the position that's easiest to use this tool in which is; I'm
going to go ahead and have a Yvette flex and abduct and then she's going to
take her foot and put it right down on my ASIS. Now I have good control over how
much tension is in her adductor Magnus, and I could even control this a
little bit if I needed to. I could put a towel under here if I wanted to, to
control how much tension maybe is in her anterior adductors. Now if you are a
little unfamiliar with where the hamstrings stop and where the adductors
start, a quick tip which I'll go over more on the close-up recap. If you put
one hand like this over that whole inner thigh and posterior thigh area,
and then have Yvette go ahead and kick your heel towards that leg, good and I
can feel her her hamstring tendons pop into my hand, and then I could go okay
relax. Now go knee towards the ceiling good. Now
I can feel her adductors get real tense as they contract. Okay let's do that a
couple more times, good heel, good knee up, good and I can
actually start to not only feel but visualize the line that separates her
adductors from her hamstrings. Alright, so now I'm going to go ahead and kind of
slowly go over this entire adductor complex with our release tool. Now as
I've said in other videos, a little counterintuitive we start at the higher
settings and then work our way down as we go deeper. You do have to be really
careful with the inner thigh because tickly people tend to be really ticklish when
you start. So you want to be firm but you're going to have to give them a
couple of seconds to desensitize. Eventually they will desensitize and you'll be able
to go through the technique no problem, but like the first couple passes you can
see Yvette here giggle a little bit. First couple passes are a little rough
and then usually they'll go oh okay okay. Good, see just takes a couple
seconds. Be patient, you probably just want to hold it in one spot for
a couple seconds and let them desensitize. I have noticed that the
round tool in this area, so you see the round foam end works a little
bit better for anti-tickling than that flat piece which you know I prefer for
most other techniques. Alright so we'll turn this back up. I'm just going to go
ahead and trace the entire adductor region. Nice and slow,
really trying to get the tissue to melt under the tool here, and of
course I'm going to notice anything that gives me some kickback. Maybe notice
anything that I get a twitch response in, which is where you can see the fascicles
jump underneath the tool. I'm just going to go over the whole
thing and every once in a while you do hit a ticklish spot,
and as I'm going through I'm making mental note of the trigger points I hit.
Now most trigger points for the adductors are going to either be very
close to the hip, or they're going to be very close to the knee, you don't tend to
get as many trigger points in the middle. Now of course if I'm doing this
technique it's important that we're doing it for a good reason, like I don't
just use a cool tool to do some cool modality just because it's cool. If I've
done this it's probably because I think that has either an overactive adductor
magnus or overactive anterior adductors and then maybe I would stay
to that superior medial portion of her thigh. Maybe she had knees bow
in, which we know that knees bow in adductor activity is higher. We know that
for an asymmetrical weight shift piriformis issues adductor Magnus is often
involved via its attachment to the sacral tuberous ligament. The point being
is you are doing this based on assessment. You're doing the technique to
be effective right, to get a result and you want to see change in that
assessment.
It's also important for professional reasons, obviously if you are
releasing somebody's inner thigh this is a sensitive area, you want to make sure
you are very clear on your rationale for your patients. Now once I've gone over
this whole area and we can see that this is like not only a ticklish
area but it's also a very dense tissue area, right once I've gone over the
entire area and we've got some desensitization it's calmed down a
little bit, this is when I go back over with this smaller tool. So now I'm
going to go over with the bullet just those couple of dense areas I found to
release those deeper trigger points, and there was only two with Yvette here. We
had one here in the knee and be careful here so I don't totally jack up her
tickle response. I'm just going to slowly guide my way through that area
and then we have the same thing here,
deep in more of the origin of the adductor Magnus tends to be very
tender.
Now the one other position I'll use for adductors, although this is probably
better for like the anterior adductors, is I'll have somebody inside lying so
Yvette let me have you face the wall.
She's going to take her top leg and just put her knee down like this. Now if I
want to put more tension in my anterior adductors I could pull her back into
more extension. Now her whole adductor area is very easily accessed,
all right and I can go over and do the same thing.
Now the downside of this technique is I don't have much control over how much
tension, other than moving her leg into extension to start off, I don't really
have the same control I had and that other adductor Magnus sort of position. How
does that feel Yvette? I can't tell you that people who have no tolerance for
the other technique sometimes have a much easier time adjusting to this
particular position. Alright this one tends to not think about that huge
tickle response. You can see Yvette's fine with this technique.
I think I've mentioned before the vibration percussive therapy actually
works better over clothes. So if some of you are wondering like I
know my manual therapists like usually we like to be on skin because we get a
little bit more tactile cue back, right and especially if you're doing any
pin and stretch or facial techniques. But with this particular tool, because of the
moisture in your skin it'll get caught. It's a lot easier to do this over
clothes and with this particular foam piece that comes with a hypervolt. It's a
lot better to do it over clothes because the foam is a little rough. So if you get
sideways you can give somebody a little bit of a burn, the rough
surface will produce enough friction to give somebody a
a rug burn sort of feeling. Great, alright stay put
for the close-up recap. So I wanted to quickly go through this technique with
you on the close-up recap, show you that technique of differentiating
between the adductors and the hamstrings. So if I take one hand like this and just
kind of place it over the area that I know that adductors and hamstrings
exist. I can then have a Yvette go back and forth
between flexing her knee by pulling her heel in, and I can feel her
hamstring tendons right there,
and then if she goes leg up into my hand I can feel her adductors get tense right
here; and I can never do that as many times as I need her to. So let's
have you just pull in your heel, there we go. Good, really push pushing on my
hand. Cool, yeah I can feel those tendons right there. Good and then go ahead and
push up against my hand. Good I can feel her adductors right there, and what I'm
trying to do is establish where am I going to strafe over with
this tool. So we had talked about how the round piece works a little bit
better in this case seems to be a little less ticklish than that flat piece. I'm
going to start on my higher settings. I'm going to give her a second to acclimate. Try
to keep her from guarding on me and being super ticklish,
and then I'm just going to go along the whole area that I felt tense up when I
did that little adductor test. People get a little tender over those adductor
tendons, so be careful, don't press in if you're using this foam piece. It's
probably better to do it over clothes, or if somebody was wearing shorts maybe you
throw a towel over their leg.
Got a little bit of a twitch response there, right you saw that. So maybe
that's something I want to go back over, alright that little trigger point. She
definitely has much more tissue density in this area which I mentioned to you
is very common, like adductor trigger points tend to be close to the knee or a
closer to the groin, they generally don't fall in this middle area here. So now I'm
going to grab that smaller tool and I'm just going to slowly work out that
area where we had increased tissue density at a lower setting. So I was on
three just now, now I'm on one and I'm going to try to get a little deeper in this
denser tissue area. So there you have it adductor release using the
hypervolt. I hope you enjoyed the video, please leave your questions and comments
in the box below.