Functional Integrative Rehabilitation Education

Gluteus Medius: It's not just for abduction anymore....

You may have been waiting for this...


Functional Perspectives on a game maker in gait...

Silvrback blog imageIt would logically follow that the gluteus medius is important for generating both forward progression and support, especially during single-limb stance suggesting that walking dynamics are influenced by non-sagittal muscles, such as the gluteus medius, even though walking is primarily . . .

Read More

March 14, 2018

Reciprocal Inhibition?

Gaining Anterior Length, Through Posterior Strength and vice versa….A Lesson in Reciprocal Inhibition



Silvrback blog imageI found a really cool article, quite by accident. I was leafing through an older copy of one of my favorite journals “Lower Extremity Review” and there it was. An article entitled “Athletes with hip flexor tightness have reduced gluteus maximus activation”. Wow, I thought! Now there is a great article on . . .

Read More

March 05, 2018

Building a Better Bridge Exercise

Silvrback blog imageUsing bridge exercises? Want to make it more effective? Here's one simple way: bend the weight bearing knee to 135 degrees rather than the traditional 90 (1) . It preferentially activates the g max and med more (relatively, compared to the hamstring ; the actual values for the max and med remained similar) and the hamstring . . .

Read More

February 28, 2018

Acupuncture and Muscular endurance

I was treating patient with low back pain that had decreased lumbar endurance the other day utilizing both spinal manipulation and acupuncture, along with endurance based exercise. Incidentally, you should be able to hold a "superman" pose with your arms at your sides for approximately 150 seconds (1). The patient has been continuing to . . .

Read More

February 22, 2018

PD and textured insoles

Silvrback blog imageIs it at all surprising that increasing afferent input (in this case: textured insoles) to one of the areas in the brain (parasaggital sulcus in the post central gyrus) from one of the structures that has the greatest cortical representation (ie the feet) can improve gait on folks that have a disorder with their basal ganglia (which provides . . .

Read More

February 12, 2018

Proprioception and Needling

Get the most out of what you do!


When it comes to needling and exercise, proprioception is King.

What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling improves . . .

Read More

February 06, 2018

The Calcaneo Cuboid Locking Mechanism

Needle those Peroneii!

The Calcaneo Cuboid Locking Mechanism

Do you know what this is? You should if you treat folks who walk or run!


It is the mechanism by which the tendon of the peroneus longus travels behind the lateral malleolus of the ankle, travels underfoot, around the cuboid to insert into the lateral aspect of the base of the 1st metatarsal and . . .

Read More

January 29, 2018


All Categories: needling(43) tpdn(38) acupuncture(29) dry needling(26) trigger point dry needling(16) gait(13) trigger point dry needling instruction(13) trigger point dry needling seminar(12) dry needling instruction(11) deep needling(11) muscle layers(10) rehab(10) peroneus longus(9) trigger point dry needling seminars(9) dry needling seminar(8) rehabilitation(8) muscle(8) peroneus(8) gluteus maximus(7) trigger point seminar(7) intramuscular therapy(7) foot(7) education(7) muscle action(7) posterior(7) trigger point dry needling course(6) intramuscular(6) myofascial(6) trigger point dry needling courses(6) gluteus medius(6) dry needling course(6) muscles(5) instability(5) continuing education(5) 1st mtp(5) dysfunction(5) rectus(5) clinical exam(5) gluteus minimus(5) large diameter afferents(4) ankle(4) gluteus(4) exam(4) lateralis(4) glute(4) seminar(4) hip(4) neurology(4) rectus femoris(4) lumbar instability(4) vastus lateralis(4) spinal instability(4) femoris(4) vastus intermedius(4) lumbar(4) quadratus(4) course(4) spacial summation(3) ppd(3) tibialis(3) major(3) minor(3) obliquus(3) inferior(3) stimulation(3) continuing(3) suboccipital muscles(3) soleus(3) headache(3) headaches(3) large(3) 1st ray(3) tibialis posterior(3) facilitation(3) extensor digitorum brevis(3) cuboid(3) multifidus(3) fibers(3) nerve(3) sensory(3) fiber(3) afferents(3) capitis(3) chronic(3) superior(3) trigger(3) suboccipital(3) vastus(3) temporal summation(3) vascular changes(2) walking(2) exercise(2) pain(2) iliacus(2) flexor(2) psoas(2) changes(2) vascular(2) sensory nerve fibers(2) counting(2) diameter(2) summation(2) temporal(2) clinical(2) cervical instability(2) cervical(2) meridians(2) sensation(2) ehb(2) hip flexor(2) extensor hallucis brevis(2) spine(2) therapy(2) neck(2) quadriceps(2) trapezius(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) extensor digitorum longus(2) obliquus capitis inferior(2) rectus capitis inferior(2) hamstring(2) gait cycle(2) latissimus dorsi(2) 1st(2) plantae(2) quadrates plantae(2) intrinsics(2) gastroc(2) proprioception(2) extension(2) hip extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) denervation(1) spinal(1) calcaneus(1) vibration(1) lift(1) multifidus lift test(1) low back pain(1) vibratory sense(1) sense(1) deep(1) vibratory(1) calcaneo(1) locking(1) mechanism(1) meridian(1) divergence(1) convergence(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) dorsi(1) layers(1) parkinsons(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) iliotibial band(1) flexion(1) it band(1) endurance(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) tensor fascia lata(1) tfl(1) proprioceptive(1) technique(1) test(1) posterior chain(1) bridge(1) it(1) superficial(1) flexor digitorum longus(1) electrical(1) ankle rocker(1) qp(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) upper(1) needle(1) brevis(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) dorsiflexion(1) scm(1) sternocleidomastoid(1) sterno(1) hallicis(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) hallucis(1) cleido(1) extensor(1) knee(1) osteoarthritis(1) mastoid(1) gastrocnemius(1) home

Cover image credit: