Really really helpful. Such a chill dude. Currently studying to be a physiotherapist and here's hoping I'm as professional and knowledgable when I go out into practice.
I'm glad that I stumbled on your videos! I'm an artist and a yoga teacher, so I have two contexts to apply this knowledge to. As an artist, the back of my neck very tense and tries to run the show whenever I want to explore the front of my neck. The front of my neck is very loose.. This is basically "cell phone head", developed over my lifetime. How can I releasse the back of my neck and strengthen the front, without making the back tighter? And how would you suggest doing this RI technique on your own? Thanks ever so much!
Thanks for the video !!! I love how you explain everything and made it simple to understand what you where saying I would of loved to have you as my teacher in massage school!!!! Your the best !!!! 👌🏼👌🏼👍🏻👍🏻👍🏻
Great to see this form of relaxation of muscles..normal physio in uk and spain to my experience do not use this type of movement...theres a big market for this form because in the video it is clear that the leg is taken to its natural range and only then is put into the isometric movement...great results everytime...thank you .
I thought that was so neat he could lift her leg up so much higher in a short time. It took me weeks of stretches to be able to lie on my back and pull my foot to my face.
How is The long term and Short term effects of this compaired to PNF stretching? When is it considered better to do either of this stretching? When do one consider to Use either autogenic inhabition streching pnf vs recipocal inhabition? Is there any specific goal when to Use either. Which gives best range of motition. And what is The best method to keep The new range of motion?
how effective is Reciprocal Inhibition over normal stretching of a muscle? can RI substitute normal stretching? in what cases would RI be most appropriately used, i.e for what type of client? really looking forward to hear your insight. Thanks for the great clear insightful video
RI is going to activate a different type of stretch than just a regular passive concentric stretch. With the added motion the brain is delivering to the area with an RI stretch versus a static passive stretch, you're going to see a different response in the tissue as you're activating the stretch receptors in a different way. Both are decent options in a normal client, but RI is fantastic for a particularly guarded area instead of just cranking on a stretch that your brain is doing a great job of holding static in the first place. Hope this helps!
Thank you professor, I have a question please, why the intensity of the contraction is only 10%? What happens if I contract the muscle maximally... thank you
Hello, Hadeel! GREAT question! There is a lot of debate whether 5%, 10%, 50% or full muscle contraction gives the best results with PNF or RI stretching. In my personal experience, I say 5-10% of maximum contraction because this amount of effort from the client usually results in generating enough nervous input to the muscle to contract the fibers, but not make MOTION across the joint happen. You don't need them to push you off the table or resist you so much that they start shaking or moving (and would be counterproductive if you did!). Generally, you only need enough input from the client to get their muscle contracting, not making the limb or the area do physical movement. **This rule of thumb can be broken depending on the level of fitness & response from your client. i.e. if you're working on a body-builder or a professional athlete, it may take more than 5-10% contraction to achieve the desired response of the tissue! Hope this helps, and thanks for the awesome question!
when i do this it causes severe pain in my ankle on the outside around the ankle bone its like nerve pain that kicks in...what do you surgest for this ...
Without any background history, it is pretty tough to get an idea of what's happening in your case specifically. In most situations when it feels fiery in the lateral malleolus, there are excessive tensions pulling on the muscle that tendon is connected to, often the lateral muscles on the lower leg, and to some degree the posterior lower leg as well. If the pain/nervous feeling continues through any motion, I'd stop all attempts at self-care and visit your Primary healthcare team.
RI & PNF are amazing tools to help ROM for both acute and chronic conditions - it's not just stretching to do the motions, it's involving your brain with it. A long-term mental reconditioning happens with these resistance stretches, enhancing the efficacy immediately and in the future. Great question!
@@professortobymulvihill6552 Thanks for the reply Prof. Toby! What I meant was, if we had to choose between either RI or PNF, is there a clear winner as to which one is more efficient?
great video: Question I'm confused about... Why couldn't we just apply the concept of autogenic inhibition, and have your patient contract hamstrings against resistance (thereby initiating GTO to inhibit hamstrings), and then stretch them? Thanks!
how long do these improvements last? i mean, i assume i can't suddenly become flexible in one day through RI and PNF stretching; how fast does the range of motion "revert" can just these methods be used in order to become more flexible without having to use the methods to reach the desired range of motion? as in, having a new base mobility with which to work from?
For a "normal" scenario, ROM will usually decrease after any sedentary period, even a few hours on the couch. After working to reach new lengths of ROM in a progressive routine, one can assume a significant decrease in ROM after one to two weeks if one doesn't sustain that regimen to keep actively flexible. Realistically, it depends on the factors that limit the person in the first place: age, accidents, fitness level, nutritional intake, sleep, and natural muscle fiber composition. Any of these stretches can work from point 0 to 100%. You just need to limit the duration and frequency until your body is used to it!
Hello, I'm really inspired by your demonstration!!! I have an question about "autogenic inhibition." How about asking the client to contract the hamstrings(tight part) pointing downward, and I'll give the resistance pointing upward at the same time, until that the client can't push anymore. As long as the tension of hamstrings are too high, it should be an autogenic inhibition to stop hamstrings to contract. And then I'll push the leg to stretch hamstrings. Does it also work? Thx a lot !!!
This can potentially work on a different scale since you are bypassing the Golgi Tendon Organ response that we're trying to capture with the RI stretch. It sounds like what you're trying to do is give an elongating stretch while the muscle is being contracted. I would normally shy away from this option since it can easily lead to injury, especially in response-deficient clients. Tread with care!
Professor please tell me is their any difference between reciprocal inhibition and agonist contraction in pnf stretching or both are same? And what are the range limiting and range limiting target muscles.
Hi Amjad, R.I. and agonist contraction are basically counterparts to each other. In example: if hamstrings are tight (agonist muscles), you can use agonist contraction (basic PNF contract-relax) to lightly activate the hamstrings. If the hamstrings are injured or can't present enough of a contraction, you can activate the antagonist muscle (quadriceps) in the same method of contract-release to help release the nervous input to the agonist (hamstring) muscles. I hope this helps and isn't too confusing!
Hi Siti - thanks for the question. The difference between the two is RI stretching is using the antagonist to do the work instead of focusing on making the tight muscle do extra work. Contract-relax PNF is utilizing the tight muscle (agonist) to do work AND get stretch.
@@professortobymulvihill6552 but even in use of antagonist.. propriocepters ( Golgi tendon ) is using right? So RI stretch also a kind of Proprioceptive neuromuscular facilitation (PNF)
@@knairmahesh That's correct - it's a specific form using antagonist instead of agonist muscles. PNF as a whole refers to use of proprioceptors, PNF as a direct therapy usually refers to agonist contraction/elongation.
He has another video on autogenic! Reciprocal would generally be used if the muscle you want to loosen is sensitive or injured so contacting it (in autogenic) would be potentially damaging to it
Great reply, @sam magee! Autogenic Inhibition can be used in normal, healthy tissue, and realistically, you can use both RI & PNF on the same agonist/antagonist pair that you use RI or any other MET technique on. This will allow the brain and body to make more connections and push new motion barriers in a healthy way. Always respect the client's tolerance, previous injury & current condition, and your instinct. Respect the client, and the work respects you!
For a second I thought you were Jujimufu lol, thanks for the pain relief
Really really helpful. Such a chill dude. Currently studying to be a physiotherapist and here's hoping I'm as professional and knowledgable when I go out into practice.
did you make it?
Thank you! I'm in my last session of school and everything feels rushed. This has been the best explanation of R.I. by far.
Super glad to help!
Thanks so much for explaining this in such a clear and easily understood way. the clear English and lack of 'buzzwords' is much appreciated
Very glad I could help!
That was great! Really helped a lot. Good job with talking and explaining what you were doing to the client as well.
Appreciated!
that leg guitar solo was awesome. Thanks for the video
"If only one person likes this part, then I've done my job." - Me, post-recording this video. Thanks for the notice!
Hilarious
Coming to find some information here, I enjoyed the impressive guitar solo concert.
Great description! Thank you for sharing in such a fun and professional way. I’ll share w/ clients for sure!
Thank you!
Great demonstration! Thanks!
Great video, helps simplify RI from the exact confusion you mentioned. Thank you.
Thank you very much, Matthew! Glad you enjoyed!
Why am I not surprised by the sick leg guitar solo.. haha
I love this. Thank you!
Amazing! Thank you!
Thank you, going through Sports massage therapy and just couldn’t get my head around it.....thanks
My pleasure, Andrew!
awesome explanation and demonstration. Thank you Prof
Excellent explanation all the way
Great presentation. Subscribed!
nice and clear, thank you been so confused on this
I love your videos please upload the PNF patterns too love from Indian Physiotherapist here🙌💓
Great video! This is exactly what i was looking for. Great explanation! So hard to learn this stuff through what university supplies you with.
Really great explanation. Thanks!
Excellent!
This is a great video I forgot all about RI stretching.
Thanks for the watch!
I'm glad that I stumbled on your videos! I'm an artist and a yoga teacher, so I have two contexts to apply this knowledge to. As an artist, the back of my neck very tense and tries to run the show whenever I want to explore the front of my neck. The front of my neck is very loose.. This is basically "cell phone head", developed over my lifetime. How can I releasse the back of my neck and strengthen the front, without making the back tighter? And how would you suggest doing this RI technique on your own? Thanks ever so much!
Thanks for the video !!! I love how you explain everything and made it simple to understand what you where saying I would of loved to have you as my teacher in massage school!!!! Your the best !!!! 👌🏼👌🏼👍🏻👍🏻👍🏻
Very appreciated! Glad to have helped :)
*you’re
you are the bomb
This video is perfect! Exactly what I wanted to see and know for university.
+Henry Godfree Cheers, glad this helps!
Henry Outlift , you might find my work interesting? Check it out. It’s cutting edge bodywork.
th-cam.com/video/qEq99Wx40xY/w-d-xo.html&sns=em
thank you! super helpful :D
What exercises would you suggest to strengthen the sternocleidomastoid, scalene and trapezius of the weak side without aggravating the tight side?
Excellent demonstration and explanation!
An intellectual guitar player here.
Really great video. im trying to have confidence during my practical exams and this was very helpful in explaining to the client.
Very glad to help Andrew!
This explains alot thankyou.
Many Thanks !
Easy to follow thank you for the lesson
Sick leg guitar solo! LMAO
Great to see this form of relaxation of muscles..normal physio in uk and spain to my experience do not use this type of movement...theres a big market for this form because in the video it is clear that the leg is taken to its natural range and only then is put into the isometric movement...great results everytime...thank you .
I thought that was so neat he could lift her leg up so much higher in a short time. It took me weeks of stretches to be able to lie on my back and pull my foot to my face.
Great explanation, thanks Doc!
Appreciated!
Would you recommend using both PNF stretching and RI for a muscle group in one session or sticking to just one method?
great video thanks!
thank you so much for this video. i wish my lecturer explain things the way you do.
Appreciated!
Tank you teach! ✅
How is The long term and Short term effects of this compaired to PNF stretching? When is it considered better to do either of this stretching? When do one consider to Use either autogenic inhabition streching pnf vs recipocal inhabition? Is there any specific goal when to Use either. Which gives best range of motition. And what is The best method to keep The new range of motion?
that was really cool
Appreciated!
super informative! thank you :)
Very welcome, glad to be of service!
how effective is Reciprocal Inhibition over normal stretching of a muscle? can RI substitute normal stretching? in what cases would RI be most appropriately used, i.e for what type of client? really looking forward to hear your insight.
Thanks for the great clear insightful video
RI is going to activate a different type of stretch than just a regular passive concentric stretch. With the added motion the brain is delivering to the area with an RI stretch versus a static passive stretch, you're going to see a different response in the tissue as you're activating the stretch receptors in a different way. Both are decent options in a normal client, but RI is fantastic for a particularly guarded area instead of just cranking on a stretch that your brain is doing a great job of holding static in the first place. Hope this helps!
Thank you professor, I have a question please, why the intensity of the contraction is only 10%? What happens if I contract the muscle maximally...
thank you
Hello, Hadeel! GREAT question! There is a lot of debate whether 5%, 10%, 50% or full muscle contraction gives the best results with PNF or RI stretching. In my personal experience, I say 5-10% of maximum contraction because this amount of effort from the client usually results in generating enough nervous input to the muscle to contract the fibers, but not make MOTION across the joint happen. You don't need them to push you off the table or resist you so much that they start shaking or moving (and would be counterproductive if you did!). Generally, you only need enough input from the client to get their muscle contracting, not making the limb or the area do physical movement. **This rule of thumb can be broken depending on the level of fitness & response from your client. i.e. if you're working on a body-builder or a professional athlete, it may take more than 5-10% contraction to achieve the desired response of the tissue!
Hope this helps, and thanks for the awesome question!
when i do this it causes severe pain in my ankle on the outside around the ankle bone its like nerve pain that kicks in...what do you surgest for this ...
Without any background history, it is pretty tough to get an idea of what's happening in your case specifically. In most situations when it feels fiery in the lateral malleolus, there are excessive tensions pulling on the muscle that tendon is connected to, often the lateral muscles on the lower leg, and to some degree the posterior lower leg as well. If the pain/nervous feeling continues through any motion, I'd stop all attempts at self-care and visit your Primary healthcare team.
Brilliant vid! I have a question - how does RI and PNF compare for efficacy in increasing ROM long term?
RI & PNF are amazing tools to help ROM for both acute and chronic conditions - it's not just stretching to do the motions, it's involving your brain with it. A long-term mental reconditioning happens with these resistance stretches, enhancing the efficacy immediately and in the future. Great question!
@@professortobymulvihill6552 Thanks for the reply Prof. Toby! What I meant was, if we had to choose between either RI or PNF, is there a clear winner as to which one is more efficient?
wonderful thank you.
Glad you enjoyed!
Thank you. Wow.
Appreciated!
We're both called Toby we should invent a cure for arthritis together
Excellent! You get the science taken care of, I'll add the enthusiastic Ginger-charm!
So she pulling her thigh towords her shoulder?
great video: Question I'm confused about...
Why couldn't we just apply the concept of autogenic inhibition, and have your patient contract hamstrings against resistance (thereby initiating GTO to inhibit hamstrings), and then stretch them?
Thanks!
But this RI stretching also a PNF stretch right?, As it is using propriocepters
how long do these improvements last? i mean, i assume i can't suddenly become flexible in one day through RI and PNF stretching; how fast does the range of motion "revert"
can just these methods be used in order to become more flexible without having to use the methods to reach the desired range of motion? as in, having a new base mobility with which to work from?
For a "normal" scenario, ROM will usually decrease after any sedentary period, even a few hours on the couch. After working to reach new lengths of ROM in a progressive routine, one can assume a significant decrease in ROM after one to two weeks if one doesn't sustain that regimen to keep actively flexible.
Realistically, it depends on the factors that limit the person in the first place: age, accidents, fitness level, nutritional intake, sleep, and natural muscle fiber composition.
Any of these stretches can work from point 0 to 100%. You just need to limit the duration and frequency until your body is used to it!
Whats the difference between altered recip. inhibition vs reciprocal inhibition? are they essentially the same thing?
Intensity Fit Club has a great response to this, basically two different physical functions!
Hello, I'm really inspired by your demonstration!!! I have an question about "autogenic inhibition."
How about asking the client to contract the hamstrings(tight part) pointing downward, and I'll give the resistance pointing upward at the same time, until that the client can't push anymore. As long as the tension of hamstrings are too high, it should be an autogenic inhibition to stop hamstrings to contract. And then I'll push the leg to stretch hamstrings. Does it also work? Thx a lot !!!
This can potentially work on a different scale since you are bypassing the Golgi Tendon Organ response that we're trying to capture with the RI stretch. It sounds like what you're trying to do is give an elongating stretch while the muscle is being contracted. I would normally shy away from this option since it can easily lead to injury, especially in response-deficient clients. Tread with care!
would be easier to understand if he simulated a quad cramp & contracted the hamstring for better optics
So are you saying that in every AI stretching you do you are somehow doing a RI stretching to the opposite muscle at the same time?
Professor please tell me is their any difference between reciprocal inhibition and agonist contraction in pnf stretching or both are same?
And what are the range limiting and range limiting target muscles.
Hi Amjad,
R.I. and agonist contraction are basically counterparts to each other. In example: if hamstrings are tight (agonist muscles), you can use agonist contraction (basic PNF contract-relax) to lightly activate the hamstrings. If the hamstrings are injured or can't present enough of a contraction, you can activate the antagonist muscle (quadriceps) in the same method of contract-release to help release the nervous input to the agonist (hamstring) muscles.
I hope this helps and isn't too confusing!
Thank you 👍
Can we use reciprocal movements in ataxic patients
Absolutely! (with respect to their tolerance, ability, and the new motion barriers you feel as the work progresses)
Hi Professor Toby, wanted to ask whether RI stretching and Contract Relax PNF stretching is the same thing?
Looking forward for your reply. Thank you
Hi Siti - thanks for the question. The difference between the two is RI stretching is using the antagonist to do the work instead of focusing on making the tight muscle do extra work. Contract-relax PNF is utilizing the tight muscle (agonist) to do work AND get stretch.
@@professortobymulvihill6552 but even in use of antagonist.. propriocepters ( Golgi tendon ) is using right? So RI stretch also a kind of Proprioceptive neuromuscular facilitation (PNF)
@@knairmahesh That's correct - it's a specific form using antagonist instead of agonist muscles. PNF as a whole refers to use of proprioceptors, PNF as a direct therapy usually refers to agonist contraction/elongation.
thanks!
My honor!
hope my lecturer at univ is like u ❤
Thank you Ana! Hope all is well and you're getting the most out of your education!
@@professortobymulvihill6552 yey thanks prof! I'm almost graduate. And your video have educated me 🥰
What about autogenic inhibition
??
And when do we use reciprocal inhibition or autogenic inhibition
?
Could you plz explain ?
He has another video on autogenic! Reciprocal would generally be used if the muscle you want to loosen is sensitive or injured so contacting it (in autogenic) would be potentially damaging to it
Great reply, @sam magee! Autogenic Inhibition can be used in normal, healthy tissue, and realistically, you can use both RI & PNF on the same agonist/antagonist pair that you use RI or any other MET technique on. This will allow the brain and body to make more connections and push new motion barriers in a healthy way. Always respect the client's tolerance, previous injury & current condition, and your instinct. Respect the client, and the work respects you!
V nc
TY m8!
Is R.I. an example or PNF?
RI is a PNF technique, yes!
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