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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

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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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