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Functional Integrative Rehabilitation Education

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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 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 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 QL...in all it's glory

Today we are going to look at what I feel is one of the most important muscles to evaluate and treat with low back pain patients, as well as those with gait and lower extremity disorders. 

Let's look at some of the functional anatomy of the QL.

It is useful to think of the QL as having three divisions. Though they can’t act . . .

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August 31, 2017

More on that post operative fractured foot

the second article in a series

 

This is part 2 of a series following a case. If you missed part 1, please go here and read what we found. 

The patient returns 1 week later and reports being approximately 25% improved. She has been performing her "toes up" exercises while walking all the time. She is having some difficulty still with balance. She has . . .

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March 14, 2017

The Temporalis

 
TMJ problems? Have you needled the temporalis? I find needling this muscle,along with the pterygoids to be paramount in TMJ dysfunction management. It seems that the antagonistic action or yin and yang of these two can solve mant TMY woes. Think of the interplay of the vertical fibers of the temporailis and the vertical fibers of the . . .

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October 27, 2016

Archive

All Categories: needling(44) tpdn(39) acupuncture(29) dry needling(27) trigger point dry needling(16) gait(15) trigger point dry needling seminar(13) trigger point dry needling instruction(13) dry needling instruction(11) deep needling(11) muscle layers(10) rehab(10) peroneus longus(10) muscle(9) peroneus(9) trigger point dry needling seminars(9) dry needling seminar(8) rehabilitation(8) muscle action(7) intramuscular therapy(7) gluteus maximus(7) trigger point seminar(7) education(7) posterior(7) foot(7) myofascial(6) trigger point dry needling course(6) trigger point dry needling courses(6) intramuscular(6) dry needling course(6) dysfunction(6) gluteus minimus(6) gluteus medius(6) instability(5) continuing education(5) muscles(5) clinical exam(5) 1st mtp(5) course(5) rectus(5) hip(5) seminar(4) neurology(4) gluteus(4) lumbar(4) vastus intermedius(4) femoris(4) vastus lateralis(4) spinal instability(4) lateralis(4) lumbar instability(4) ankle(4) rectus femoris(4) quadratus(4) exam(4) large diameter afferents(4) glute(4) fiber(3) afferents(3) capitis(3) obliquus(3) chronic(3) spacial summation(3) temporal summation(3) superior(3) hip flexor(3) suboccipital muscles(3) minor(3) ppd(3) tibialis(3) major(3) vastus(3) psoas(3) tibialis posterior(3) gait cycle(3) facilitation(3) extensor digitorum brevis(3) iliacus(3) cuboid(3) large(3) 1st ray(3) soleus(3) suboccipital(3) multifidus(3) continuing(3) headaches(3) fibers(3) nerve(3) sensory(3) headache(3) trigger(3) stimulation(3) inferior(3) vascular changes(2) walking(2) exercise(2) pain(2) flexor(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) 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) 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) proprioceptive(1) denervation(1) spinal(1) technique(1) vibration(1) lift(1) multifidus lift test(1) low back pain(1) vibratory sense(1) sense(1) deep(1) vibratory(1) bridge(1) ankle rocker(1) labrum(1) meridian(1) divergence(1) convergence(1) obturator externus(1) flexion(1) dorsiflexion(1) dorsi(1) layers(1) peroneus brevis(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) iliotibial band(1) reverse(1) it band(1) tensor fascia lata(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) tfl(1) test(1) function(1) ischemic(1) it(1) posterior chain(1) superficial(1) compression(1) engineering(1) electrical(1) flexor digitorum longus(1) post treatment soreness(1) qp(1) needle(1) iliocapsularis(1) scm(1) sternocleidomastoid(1) sterno(1) cleido(1) mastoid(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) upper(1) calcaneo cuboid(1) brevis(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) calcaneocuboid(1) locking mechanism(1) hip extensor(1) parkinsons(1) hallicis(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) hallucis(1) capsule(1) extensor(1) knee(1) osteoarthritis(1) endurance(1) home

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