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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

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

A little more on the tibialis posterior....

A little more on the tibialis posterior (or any tendon for that matter)....

On my way back from Vancouver, BC, I am reminded of the many muscles we needle frequently, and some of our clinical discussions over the weekend.

We tend to think of the etiology of tendinopathies as being overuse or biomecanically stressful situations, which are . . .

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November 07, 2016

The Tibialis Posterior. Did you know...

Lets take another look at the tibialis posterior

As clinicians , we often needle and treat the tibialis posterior for posterior tibial tendon dysfunction, platar fasicits, patellofemoral joint pain, and a host of other conditions. Lets take a look at some of the anatomy and see why it is a big player in these conditions.

The tibialis posterior . . .

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October 31, 2016

Ahh, yes... The Trapezius

We all know that needling the trapezius can be a great thing, especially with the typical "J" referral pattern working so well for headache and neck pain. 

We also know there is much literature to be found regarding its efficacy for: mechanical neck pain (1,2), myofascial pain (2-4), range of motion (5), local blood flow (6), . . .

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June 13, 2016

E Stim and Needling

While flying over the snow capped mountains of Montana, on my way home from teaching a level 1 dry needling course in Vancouver, BC , I saw lots of folks siting, neck flexed forward in a kyphotic posture, watching movies on their iphones and ipads, or playing a game. It made me think of posture and correct my own while writing this piece. We . . .

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May 16, 2016

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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