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Functional Integrative Rehabilitation Education

Toe Spacers?

Less pain through better mechanics?

 Silvrback blog image

I have been using toe separators (like "correct toes" ) for various foot problems like hallux valgus, hammer toes and flexor dominance/extensor weakness.

My reasoning is that through changing the angle of attachment of the muscle, you alter the mechanical advantage of that muscle and help it to work more efficiently. Think about the . . .

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May 16, 2018

A QL screen for you...

 

As I have said in previous posts, though they can’t act independently I like to think to think of the QL as having two divisions. The lower division arises from the medial portion of the iliac crest and adjacent iliolumbar ligament and inserts onto the transverse processes of the lumbar vertebrae, in the coronal plane from . . .

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May 05, 2018

Things often work better in pairs...

The glutes and your....feet?

You may have heard me talk about how the lower kinetic chain is connected, how ankle rocker effects hip extension and how important hallux (great toe) extension is. 

 

What can we conclude from this study?

  • toe spreading exercises are important for reducing navicular drop (and thus mid foot pronation, at least statically)
  • In . . .

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April 23, 2018

Reverse Engineering

 A Case for “Reverse Engineering”

You have often heard me say in my classes: “think of muscle function from a closed kinetic chain perspective”. In other words, the muscle (in the case of gait) working from the foot (or ground) up. Here is a study exemplifying this with the tibialis anterior and peroneus longus.

. . .

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April 09, 2018

What attaches to that hip capsule, anyway?

I was trying to figure to which muscles attached to the labrum of the hip, as I see many folks where theres has gone south. I had always wondered if the iliopsoas attached, since many people with labral pathology have hip flexor dysfunction, where they use their psoas and iliacus as hip flexion initiators (or sometimes the rectus femoris, TFL . . .

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March 26, 2018

Ischemic compression and Dry Needling

...it only takes a minute or 2...

 

Post needling soreness is a common side effect of dry needling, particularly if multiple twitches are obtained. "Six" twitches seems to be the number of twitches necessary to obtain better clinical results (1).  Mitigation of this "post needling soreness" has been explored. One study (2) looked at "spray and stretch" as a way to . . .

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March 21, 2018

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 . . .

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March 14, 2018

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