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Functional Integrative Rehabilitation Education

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Are we rehabbing the right system?

I have recently run across some research that has changed the way we look at some of the rehab I do, especially proprioceptive rehab. Perhaps it will do the same for you. We already know that needling can effect balance and proprioception, from some of the articles I have written here, here and here


Silvrback blog imageTraditionally, we present . . .

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August 30, 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 . . .

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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 . . .

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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 . . .

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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 . . .

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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 . . .

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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. . . .

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March 14, 2017

Archive

All Categories: needling(50) tpdn(46) dry needling(33) acupuncture(30) gait(19) trigger point dry needling(17) trigger point dry needling instruction(16) muscle(14) trigger point dry needling seminar(14) rehab(13) dry needling instruction(12) deep needling(11) muscle layers(11) peroneus longus(10) trigger point dry needling seminars(10) dry needling seminar(10) rehabilitation(9) peroneus(9) education(8) gluteus maximus(8) dysfunction(8) intramuscular therapy(8) dry needling course(8) instability(7) gluteus medius(7) trigger point seminar(7) muscle action(7) foot(7) hip(7) intramuscular(7) trigger point dry needling courses(7) posterior(7) gluteus minimus(7) clinical exam(6) trigger point dry needling course(6) myofascial(6) neurology(6) large diameter afferents(6) quadratus(6) vestibular(6) muscles(6) afferents(5) lumbar instability(5) rectus(5) hip flexor(5) continuing education(5) 1st mtp(5) spinal instability(5) proprioception(5) lumbar(5) course(5) sensory(5) seminar(4) exam(4) gluteus(4) sensation(4) suboccipital(4) rectus femoris(4) sternocleidomastoid(4) cervical instability(4) extensor digitorum longus(4) vastus lateralis(4) proprioceptive(4) psoas(4) diameter(4) iliacus(4) flexor(4) stimulation(4) vastus intermedius(4) femoris(4) system(4) lateralis(4) glute(4) extensor digitorum brevis(4) hamstring(4) ankle(4) suboccipital muscles(4) 1st ray(3) trigger(3) exercise(3) superior(3) pain(3) continuing(3) soleus(3) large(3) cervical(3) fibers(3) nerve(3) sensory nerve fibers(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) facilitation(3) insertional tendinitis(3) tibialis posterior(3) gait cycle(3) plantae(3) intrinsics(3) scm(3) sterno(3) cleido(3) hip extension(3) hip extensor(3) extensor(3) stabilizer(3) semicircular(3) semi(3) changes(3) mastoid(3) utricle(3) scalene(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) knee(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) convergence(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) divergence(2) nucleii(2) latissimus dorsi(2) 1st(2) cerebellum(2) vascular changes(2) quadrates plantae(2) flexor digitorum longus(2) vascular(2) needle(2) balance(2) testing(2) gastroc(2) walking(2) ankle rocker(2) iliocapsularis(2) saccule(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) peroneus brevis(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) meridians(2) position(2) it band(2) clinical(2) ehb(2) temporal(2) summation(2) counting(2) spine(2) brevis(2) therapy(2) hallicis(2) circular(2) quadriceps(2) vertigo(2) superficial(2) scalenes(2) rotation(1) rotator(1) origin(1) thigh(1) qp(1) plane(1) dizziness(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) head(1) parkinsons(1) middle(1) canals(1) endurance(1) technique(1) bridge(1) spinal(1) vastus medialis(1) greater occipital nerve(1) flexion(1) dorsi(1) thoracic(1) vision(1) thoracic spine(1) golgi(1) engineering(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) cadence(1) speed(1) electrical stimulation(1) reverse(1) function(1) tendon(1) organ(1) pttd(1) scalaneus(1) tmj(1) temporomandibular(1) temporomandibular joint(1) gracilis(1) lumborum(1) vibration(1) osteoarthritis(1) quadrates lumborum(1) screen(1) sartorius(1) semitendinosis(1) electrical(1) vibratory sense(1) lift(1) multifidus lift test(1) low back pain(1) tendinosis(1) toe(1) sense(1) spacers(1) separators(1) deep(1) vibratory(1) meridian(1) pes(1) denervation(1) quadratus plantae(1) ilio(1) capsularis(1) anserine(1) it(1) terrible(1) quadratus femoris(1) hip pain(1) layers(1) spindle(1) iliotibial band(1) trio(1) spindles(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) test(1) anterior(1) upper(1) tensor fascia lata(1) posterior chain(1) adductor(1) tfl(1) magnus(1) external(1) home

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