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