Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
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 . . .
Posted in: dysfunctionfunctionmuscleengineeringreversegaitgait cycleperoneus brevisperoneusperoneus longus
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 . . .
Posted in: obturator externusiliacuspsoasgluteus minimuslabrumcapsulegaithip extensorhip flexorhipiliocapsularis
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 . . .
Posted in: post treatment sorenesscoursedry needlingtpdnneedlingtrigger point dry needling seminarcompressionischemic
Gluteus Medius: It's not just for abduction anymore....
You may have been waiting for this...
Functional Perspectives on a game maker in gait...
It 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 . . .
Posted in: reciprocalinhibitionreciprocal inhibitionhip extensionextensionwalking1st mtphipankle rockeranklegait cyclegaitgluteus maximusgluteus mediusgluteus minimusgluteus
Reciprocal Inhibition?
Gaining Anterior Length, Through Posterior Strength and vice versa….A Lesson in Reciprocal Inhibition
I 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 . . .
Posted in: facilitationpsoasiliacushiprehabilitationlargediameterafferentslarge diameter afferentsrehabmuscleglutegluteus maximusgluteus mediusgluteus minimusdorsilatissimus dorsidorsiflexionextensionflexionneedlinghip extensionhip flexorreciprocal inhibitioninhibitionreciprocal
Building a Better Bridge Exercise
Using 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 . . .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 . . .
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
