Functional Integrative Rehabilitation Education

What do you know about Ia afferents?

If you needle, you should know plenty...


This is a nice study looking at lateral gastroc activity and changing firing patterns with speed of movement. Great if you treat anyone or anything that walks...


Ia afferents

You remember them, large diameter afferent (sensory) fibers coming from muscle spindles and appraising the nervous system of vital information like length . . .

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January 22, 2018

The SCM and Gait

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, The vestibular system and the proprioceptive system. As we age, we seem to become more dependent upon the visual system to maintain stability of the head (which is largely under the purview of the vestibular system).  Older folks seem . . .

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January 12, 2018

More QT on the QP....

Needle, needle, needle....

You may have seen my last post on the QP. If not, see here. 

 "Thus, the tendon and tendinous slips of the FHL may distribute the load of the great toe to the second toe to the third or fourth toe in the forefoot, especially during toe-off. In addition, the main attachment of the QP to the tendinous slips of the FHL may provide more . . .

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January 08, 2018

The QT on the QP

Quadratus Plantae

Possibly heard of, rarely implicated and not often treated, this is one muscle you should consider taking a look at. 


Silvrback blog imageThe quadratus plantae is generally considered to arise from two heads of differing and variable  fiber type composition, with the lateral head having slightly more Type 1 endurance fibers (1) The two heads are . . .

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January 02, 2018

The Rectus Capitis Posteriors


The rectus capitis muscles are often implicated as causing suboccipital headaches, Silvrback blog image

but, as you can see, the trigger point referral pattern is over the ear or in a "sunglass" pattern, as we often teach in our dry needling seminars.

Silvrback blog image




Silvrback blog image



That is not to say that dysfunction of the muscle can cause . . .

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December 14, 2017

The Tib Posterior

 Posterior tibialis tendinitis is a primary soft tissue tendinopathy of the posterior tibialis that leads to altered foot biomechanics. Although the natural history of posterior tibialis tendon dysfunction is not fully known, it has mostly been agreed that it is a progressive disorder.(1)

Silvrback blog imageThe tibialis posterior originates from the . . .

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November 20, 2017

The 1st Ray; the NEW Superhero?

Does the 1st ray complex have super powers? Perhaps Marvel should consider a new superhero

“Ray”? We are not sure but here is a story that gets us one step closer to the answer. 


While teaching a Level 1 Dry Needling course this past weekend (if you were there, then this will be

a review; if not, then read on) and . . .

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November 08, 2017


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