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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 Terrible Trio

beware the gooses foot...

 

Recalcitrant knee pain just below the medial tibial plateau? Worse with sprints, hills and after running a while? It may be the pes anserine insertion(s).

Silvrback blog imageMade up of the tibial insertions, from anterior to posterior, of the sartorius, gracilis and semitendinosis which lie superficial to the distal tibial insertion of the . . .

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October 27, 2018

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

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

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

Iliocapsularis update

you know about this guy?

I have written before about one of my favorite muscles for dysfunctional hips, the iliocapsularis. See here and here to catch up.

 

Silvrback blog imageAs you are probably (hopefully?) aware it has its proximal attachment at the anterior-inferior iliac spine and the anterior hip capsule (1), though it does not attach to the labrum (2). Its inserts . . .

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May 22, 2018

Ischemic compression and Dry Needling

...it only takes a minute or 2...

 

Post needling soreness is a common side effect of dry needling, particularly if multiple twitches are obtained. "Six" twitches seems to be the number of twitches necessary to obtain better clinical results (1).  Mitigation of this "post needling soreness" has been explored. One study (2) looked at "spray and stretch" as a way . . .

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March 21, 2018

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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