Functional Integrative Rehabilitation Education

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Holy twisted tibias Batman!

Holy twisted tibias Batman! What is going here in this R sided knee pain patient?

 

In this 1st picture note this patient is in a neutral posture. Note how far externally rotated her right foot is compared to the left. Note that when you drop a plumbline down from the tibial tuberosity it does not pass-through or between the . . .

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June 10, 2019

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

Archive

All Categories: needling(50) tpdn(46) dry needling(33) acupuncture(30) gait(20) trigger point dry needling(17) trigger point dry needling instruction(16) trigger point dry needling seminar(14) muscle(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) dysfunction(8) dry needling course(8) intramuscular therapy(8) education(8) gluteus maximus(8) posterior(7) hip(7) intramuscular(7) gluteus medius(7) muscle action(7) instability(7) gluteus minimus(7) trigger point dry needling courses(7) foot(7) trigger point seminar(7) clinical exam(6) vestibular(6) myofascial(6) quadratus(6) muscles(6) neurology(6) trigger point dry needling course(6) large diameter afferents(6) afferents(5) 1st mtp(5) continuing education(5) course(5) proprioception(5) rectus(5) lumbar(5) sensory(5) spinal instability(5) hip flexor(5) lumbar instability(5) extensor digitorum longus(4) system(4) cervical instability(4) vastus lateralis(4) diameter(4) stimulation(4) rectus femoris(4) proprioceptive(4) flexor(4) seminar(4) sternocleidomastoid(4) sensation(4) extensor digitorum brevis(4) ankle(4) vastus intermedius(4) hamstring(4) pain(4) femoris(4) gluteus(4) exam(4) psoas(4) lateralis(4) iliacus(4) glute(4) suboccipital muscles(4) suboccipital(4) temporal summation(3) major(3) soleus(3) extensor(3) tibialis(3) chronic(3) capitis(3) cleido(3) large(3) multifidus(3) cuboid(3) stabilizer(3) sensory nerve fibers(3) facilitation(3) insertional tendinitis(3) exercise(3) tibialis posterior(3) cervical(3) hip extension(3) scm(3) gait cycle(3) 1st ray(3) plantae(3) intrinsics(3) semicircular(3) semi(3) changes(3) mastoid(3) vastus(3) spacial summation(3) sterno(3) ppd(3) fibers(3) hip extensor(3) utricle(3) superior(3) fiber(3) knee(3) quadriceps(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) trigger(3) continuing(3) nerve(3) needle(2) vertigo(2) gastroc(2) ankle rocker(2) iliocapsularis(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) iliotibial band(2) peroneus brevis(2) counting(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) summation(2) temporal(2) clinical(2) position(2) it band(2) circular(2) meridians(2) nucleii(2) cerebellum(2) saccule(2) ehb(2) walking(2) spine(2) brevis(2) therapy(2) hallicis(2) scalenes(2) scalene(2) shoulder pain(2) shoulder(2) scapula(2) cai(2) vascular(2) vascular changes(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) testing(2) divergence(2) balance(2) convergence(2) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) superficial(2) multifidus lift test(1) electrical(1) engineering(1) it(1) plane(1) vision(1) tfl(1) tensor fascia lata(1) layers(1) meridian(1) vibratory(1) deep(1) sense(1) vibratory sense(1) vibration(1) spinal(1) denervation(1) thoracic(1) thoracic spine(1) electrical stimulation(1) vastus medialis(1) greater occipital nerve(1) upper(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) osteoarthritis(1) lift(1) test(1) low back pain(1) quadratus femoris(1) hip pain(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) posterior chain(1) qp(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) technique(1) bridge(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) reverse(1) function(1) lumborum(1) quadrates lumborum(1) screen(1) toe(1) spacers(1) separators(1) quadratus plantae(1) ilio(1) capsularis(1) adductor(1) magnus(1) rotation(1) rotator(1) thigh(1) head(1) canals(1) external(1) dizziness(1) gracilis(1) sartorius(1) semitendinosis(1) tendinosis(1) pes(1) anserine(1) terrible(1) trio(1) spindle(1) spindles(1) golgi(1) tendon(1) organ(1) origin(1) tibial(1) torsion(1) analysis(1) home

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