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Functional Integrative Rehabilitation Education

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Are We Rehabbing the wrong system?

I have recently run across some research that has changed the way we look at some of the rehab we do, especially proprioceptive rehab. Perhaps it will do the same for you.

Silvrback blog imageTraditionally, we present increasing balance requirements to the weight bearing structure by changing one or more of the three parameters that keep us upright in the . . .

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December 04, 2018

Why do we look down sometimes?

especially when things get challenging....

While working with a patient with runners dystonia the other day, I had one of those epiphanies. I thought I would share it with you here. Here is some food for thought. 

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 . . .

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June 21, 2018

The Adductor Magnus

Not just for adduction anymore....

Silvrback blog imageAh yes... the adductor magnus. A commonly implicated muscle in hip dysfunction to include CAM lesions, femoroacetabular impingement, anterior femoral glide, as well as "hamstring insertional tendonitis" like symptoms (which would specifically be referring to the long head). 

You will recall that the adductor magnus consists of . . .

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June 06, 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

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 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

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 . . .

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March 14, 2018

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

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