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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

Those Multifidi....

The multifidi are important proprioceptive sentinels for the low back, as well as the rest of the body, for virtually every activity you do weight bearing, including gait. They are implicated in many instances of low back pain, especially folks with flexion or extension intolerance, since their fiber orientation and thus mechanical advantage . . .

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January 17, 2017

Acupuncture, Dry Needling and Ankle Instability

Acupuncture/Dry Needling and Proprioception. A Winning combination.


What a great combination of therapies for folks with chronic ankle instability, or almost any injury for that matter! Taking 2 modalities that emphasize afferent input from the peripheral mechanoreceptor system, which has such a large influence on the cerebellum as well . . .

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January 11, 2017

3 Points for Ankle Instability..

Not EXACTLY trigger point dry needling, but a form of needling nonetheless

 

 

In this study (1) they stimulated 3 points: ST41, BL60 and GB40. Take a look at their locations (above). ST41 (2) is at the base of the long extensor tendons; gee, we never emphasize long extensor function, do we? GB 40 is at the lateral malleolus between the peroneus longus/brevis and peroneus tertius; how important are . . .

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October 24, 2016

The Glutes, part 1

Beautiful Glutes!     Part 1 

Place your hands on your buttocks and stand up from a seated position. Did you feel them fire? Now walk with your hands in your back pockets. Do you feel them active at the end of your stride? No? Maybe you should be in rehab. You should!

The glutes have been the fascination of . . .

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May 06, 2016

Needling and Instability

 

As people who needle, we often emphasize needling the paraspinal muscles associated with the segemental innervation of the peripheral muscle you are needling. For example, you may needle the L2-L4 paraspinals (ie: femoral nerve distribution) along with the quads, or perhaps the C2 PPD’s along with the suboccipitals. We do . . .

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April 25, 2016

Archive

All Categories: needling(49) tpdn(45) dry needling(31) acupuncture(30) gait(18) trigger point dry needling(17) trigger point dry needling instruction(15) trigger point dry needling seminar(14) dry needling instruction(12) muscle(12) rehab(11) muscle layers(11) deep needling(11) dry needling seminar(10) peroneus longus(10) trigger point dry needling seminars(10) peroneus(9) gluteus maximus(8) dysfunction(8) education(8) rehabilitation(8) dry needling course(8) intramuscular therapy(7) muscle action(7) hip(7) gluteus medius(7) gluteus minimus(7) trigger point seminar(7) trigger point dry needling courses(7) foot(7) posterior(7) myofascial(6) instability(6) trigger point dry needling course(6) intramuscular(6) clinical exam(6) quadratus(6) hip flexor(5) large diameter afferents(5) 1st mtp(5) lumbar(5) continuing education(5) spinal instability(5) vestibular(5) muscles(5) lumbar instability(5) course(5) rectus(5) hamstring(4) psoas(4) glute(4) ankle(4) seminar(4) suboccipital(4) suboccipital muscles(4) cervical instability(4) vastus lateralis(4) vastus intermedius(4) femoris(4) rectus femoris(4) exam(4) neurology(4) sternocleidomastoid(4) lateralis(4) sensory(4) afferents(4) gluteus(4) iliacus(4) cervical(3) stimulation(3) obliquus(3) system(3) large(3) extensor hallucis brevis(3) mastoid(3) pain(3) soleus(3) inferior(3) continuing(3) proprioception(3) flexor(3) tibialis(3) chronic(3) trapezius(3) vastus(3) trigger(3) capitis(3) headaches(3) multifidus(3) facilitation(3) spacial summation(3) temporal summation(3) diameter(3) ppd(3) sensation(3) major(3) changes(3) cuboid(3) superior(3) gait cycle(3) tibialis posterior(3) neck(3) headache(3) extensor digitorum brevis(3) fibers(3) plantae(3) nerve(3) intrinsics(3) scm(3) sensory nerve fibers(3) extensor digitorum longus(3) minor(3) sterno(3) cleido(3) fiber(3) hip extension(3) 1st ray(3) spine(2) walking(2) exercise(2) balance(2) superficial(2) vertigo(2) vascular(2) vascular changes(2) counting(2) summation(2) temporal(2) clinical(2) it band(2) meridians(2) ehb(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) gastroc(2) ankle rocker(2) hip extensor(2) proprioceptive(2) iliocapsularis(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) clinical test(2) hallucis(2) extensor(2) stabilizer(2) quadratus lumborum(2) coronal(2) semi(2) semicircular(2) utricle(2) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) denervation(1) spinal(1) saccule(1) circular(1) vibration(1) posterior chain(1) vibratory sense(1) sense(1) deep(1) canals(1) terrible(1) vibratory(1) meridian(1) qp(1) needle(1) divergence(1) convergence(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) tfl(1) parkinsons(1) layers(1) vision(1) endurance(1) plane(1) technique(1) bridge(1) it(1) testing(1) iliotibial band(1) dizziness(1) flexion(1) dorsi(1) cerebellum(1) nucleii(1) engineering(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) trio(1) peroneus brevis(1) reverse(1) function(1) electrical(1) gracilis(1) sartorius(1) semitendinosis(1) lumborum(1) quadrates lumborum(1) screen(1) toe(1) spacers(1) separators(1) biomechanics(1) quadratus plantae(1) lumbricals(1) ilio(1) capsularis(1) tendinosis(1) osteoarthritis(1) pes(1) adductor(1) temporomandibular joint(1) temporomandibular(1) magnus(1) tmj(1) lift(1) multifidus lift test(1) low back pain(1) pttd(1) external(1) speed(1) rotation(1) rotator(1) cadence(1) middle(1) anterior(1) scalaneus(1) upper(1) greater occipital nerve(1) thigh(1) tensor fascia lata(1) head(1) vastus medialis(1) position(1) quadratus femoris(1) hip pain(1) anserine(1) test(1) electrical stimulation(1) thoracic spine(1) thoracic(1) metatarsal phalangeal(1) home

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