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Functional Integrative Rehabilitation Education

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Dry Needling and Muscle testing

Do you do manual muscle testing on your patients before needling?

We all evaluate our patients; hopefully on the table as well as observation while weight bearing. Here is some food for thought...


When your patient or client is lying on the table (or wherever you are evaluating them), do you pay attention to where their head is in space (ie the position of their head)?  Why should you care?
. . .

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June 28, 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

Reciprocal Inhibition?

Gaining Anterior Length, Through Posterior Strength and vice versa….A Lesson in Reciprocal Inhibition

 

 

Silvrback blog imageI found a really cool article, quite by accident. I was leafing through an older copy of one of my favorite journals “Lower Extremity Review” and there it was. An article entitled “Athletes with hip flexor tightness have reduced gluteus maximus activation”. Wow, I thought! Now there is a great . . .

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March 05, 2018

Proprioception and Needling

Get the most out of what you do!

 

When it comes to needling and exercise, proprioception is King.

What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling . . .

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February 06, 2018

What do you know about Ia afferents?

If you needle, you should know plenty...

 

This is a nice study looking at lateral gastroc activity and changing firing patterns with speed of movement. Great if you treat anyone or anything that walks...

 

Ia afferents

You remember them, large diameter afferent (sensory) fibers coming from muscle spindles and appraising the nervous system of vital . . .

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January 22, 2018

Return to the Suboccipitals

The Myodural Bridge Guest writer: Mitch Peritz DC

Once again, we are happy to have Dr Peritz write an excellent follow up to his last article (in case you missed it, click here). The next time you have a patient with an upper cervical problem, refer back to this article and think of all the far reaching implications of this often overlooked group.

 

The sub-occipital muscles . . .

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February 15, 2017

The Glutes, Part 2

Beautiful Glutes: Part 2

We are going to get a little techie here. Hang in there! If you missed part one, click here to go back and read it. 

EMG data

There are a paucity of studies on gluteal function during gait, but here is what is out there.

The upper and lower portions of the glute max shows activity at initial . . .

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December 12, 2016

Archive

All Categories: needling(47) tpdn(42) dry needling(29) acupuncture(29) gait(18) trigger point dry needling(16) trigger point dry needling instruction(14) trigger point dry needling seminar(13) dry needling instruction(12) deep needling(11) rehab(11) muscle layers(10) trigger point dry needling seminars(10) dry needling seminar(10) peroneus longus(10) muscle(10) peroneus(9) dry needling course(8) education(8) gluteus maximus(8) rehabilitation(8) muscle action(7) foot(7) trigger point seminar(7) intramuscular therapy(7) hip(7) gluteus medius(7) trigger point dry needling courses(7) gluteus minimus(7) dysfunction(7) posterior(7) clinical exam(6) quadratus(6) intramuscular(6) myofascial(6) trigger point dry needling course(6) instability(5) course(5) hip flexor(5) continuing education(5) 1st mtp(5) rectus(5) muscles(5) gluteus(4) psoas(4) iliacus(4) suboccipital muscles(4) suboccipital(4) femoris(4) vastus intermedius(4) lumbar(4) lateralis(4) large diameter afferents(4) spinal instability(4) neurology(4) lumbar instability(4) glute(4) vastus lateralis(4) rectus femoris(4) exam(4) seminar(4) ankle(4) afferents(3) trigger(3) superior(3) pain(3) flexor(3) continuing(3) soleus(3) large(3) fibers(3) nerve(3) sensory(3) fiber(3) vastus(3) spacial summation(3) temporal summation(3) ppd(3) stimulation(3) extensor hallucis brevis(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) major(3) tibialis(3) chronic(3) capitis(3) multifidus(3) cuboid(3) extensor digitorum longus(3) extensor digitorum brevis(3) facilitation(3) hamstring(3) tibialis posterior(3) gait cycle(3) 1st ray(3) plantae(3) intrinsics(3) hip extension(3) sterno(2) cleido(2) mastoid(2) ankle rocker(2) shoulder(2) hip extensor(2) scapula(2) joint(2) vascular(2) iliocapsularis(2) cai(2) extension(2) therapy(2) hallicis(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) spine(2) back(2) neck(2) low(2) latissimus dorsi(2) 1st(2) dorsiflexion(2) lbp(2) changes(2) exercise(2) quadriceps(2) walking(2) sensory nerve fibers(2) hallucis(2) extensor(2) quadrates plantae(2) flexor digitorum longus(2) gon(2) scm(2) vascular changes(2) counting(2) diameter(2) summation(2) temporal(2) brevis(2) sternocleidomastoid(2) clinical(2) it band(2) fracture(2) cervical instability(2) cervical(2) navicular(2) obliquus capitis inferior(2) meridians(2) sensation(2) vestibular(2) rectus capitis inferior(2) system(2) shoulder pain(2) levator scapula(2) gastroc(2) ehb(2) levator(2) proprioception(2) semicircular(1) qp(1) needle(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) endurance(1) proprioceptive(1) technique(1) bridge(1) canals(1) flexion(1) dorsi(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) clinical test(1) coronal(1) stabilizer(1) peroneus brevis(1) reverse(1) function(1) lumborum(1) spinal(1) test(1) denervation(1) vibration(1) vibratory sense(1) sense(1) deep(1) vibratory(1) quadrates lumborum(1) quadratus lumborum(1) screen(1) toe(1) meridian(1) divergence(1) convergence(1) thoracic(1) layers(1) thoracic spine(1) electrical stimulation(1) iliotibial band(1) tensor fascia lata(1) spacers(1) separators(1) biomechanics(1) vastus medialis(1) greater occipital nerve(1) quadratus plantae(1) lumbricals(1) ilio(1) capsularis(1) adductor(1) upper(1) tfl(1) scalene(1) scalenes(1) scalaneus(1) anterior(1) middle(1) cadence(1) speed(1) magnus(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) external(1) knee(1) osteoarthritis(1) rotation(1) rotator(1) lift(1) multifidus lift test(1) low back pain(1) thigh(1) vision(1) plane(1) it(1) electrical(1) head(1) position(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) superficial(1) utricle(1) saccule(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) balance(1) semi(1) testing(1) posterior chain(1) circular(1) engineering(1) home

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