Screen%20shot%202016-02-17%20at%2010.21.21%20pm_large

Functional Integrative Rehabilitation Education

All Categories: needling(48) tpdn(43) dry needling(30) 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) rehab(11) muscle(11) deep needling(11) trigger point dry needling seminars(10) muscle layers(10) peroneus longus(10) dry needling seminar(10) peroneus(9) education(8) rehabilitation(8) dry needling course(8) dysfunction(8) gluteus maximus(8) muscle action(7) foot(7) gluteus minimus(7) posterior(7) gluteus medius(7) trigger point dry needling courses(7) intramuscular therapy(7) trigger point seminar(7) hip(7) quadratus(6) intramuscular(6) clinical exam(6) myofascial(6) trigger point dry needling course(6) instability(6) course(5) large diameter afferents(5) hip flexor(5) lumbar instability(5) continuing education(5) muscles(5) 1st mtp(5) lumbar(5) spinal instability(5) rectus(5) iliacus(4) glute(4) ankle(4) seminar(4) suboccipital(4) suboccipital muscles(4) vastus lateralis(4) vastus intermedius(4) femoris(4) rectus femoris(4) neurology(4) exam(4) lateralis(4) sensory(4) afferents(4) gluteus(4) psoas(4) hamstring(3) headache(3) cuboid(3) facilitation(3) flexor(3) large(3) trigger(3) changes(3) proprioception(3) headaches(3) soleus(3) continuing(3) vestibular(3) major(3) system(3) tibialis(3) chronic(3) stimulation(3) vastus(3) superior(3) capitis(3) trapezius(3) multifidus(3) extensor hallucis brevis(3) spacial summation(3) temporal summation(3) diameter(3) ppd(3) sensation(3) cervical instability(3) minor(3) obliquus(3) inferior(3) pain(3) extensor digitorum brevis(3) tibialis posterior(3) fibers(3) gait cycle(3) nerve(3) 1st ray(3) plantae(3) sternocleidomastoid(3) extensor digitorum longus(3) intrinsics(3) hip extension(3) fiber(3) hallucis(2) walking(2) exercise(2) balance(2) vascular(2) vascular changes(2) sensory nerve fibers(2) counting(2) summation(2) temporal(2) clinical(2) it band(2) cervical(2) meridians(2) ehb(2) spine(2) brevis(2) therapy(2) hallicis(2) neck(2) quadriceps(2) shoulder pain(2) shoulder(2) scapula(2) cai(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) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) scm(2) gastroc(2) sterno(2) cleido(2) mastoid(2) ankle rocker(2) hip extensor(2) proprioceptive(2) iliocapsularis(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) extensor(2) quadratus lumborum(2) electrical(1) denervation(1) adductor(1) spinal(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) vibration(1) vibratory sense(1) sense(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) deep(1) vibratory(1) magnus(1) external(1) meridian(1) posterior chain(1) divergence(1) convergence(1) layers(1) rotation(1) rotator(1) iliotibial band(1) tensor fascia lata(1) thigh(1) qp(1) needle(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) vision(1) parkinsons(1) head(1) position(1) utricle(1) saccule(1) endurance(1) semi(1) technique(1) bridge(1) circular(1) semicircular(1) tfl(1) canals(1) flexion(1) dorsi(1) plane(1) it(1) superficial(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) testing(1) clinical test(1) coronal(1) stabilizer(1) peroneus brevis(1) reverse(1) function(1) test(1) engineering(1) lumborum(1) quadrates lumborum(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) speed(1) screen(1) cadence(1) knee(1) osteoarthritis(1) toe(1) spacers(1) middle(1) anterior(1) separators(1) scalaneus(1) lift(1) multifidus lift test(1) low back pain(1) scalenes(1) biomechanics(1) scalene(1) quadratus plantae(1) lumbricals(1) upper(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) ilio(1) capsularis(1) home

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 . . .

Read More

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?
. . .

Read More

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 . . .

Read More

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 . . .

Read More

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 . . .

Read More

March 21, 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 . . .

Read More

March 05, 2018

Building a Better Bridge Exercise

 
 
Silvrback blog imageUsing bridge exercises? Want to make it more effective? Here's one simple way: bend the weight bearing knee to 135 degrees rather than the traditional 90 (1) . It preferentially activates the g max and med more (relatively, compared to the hamstring ; the actual values for the max and med remained similar) and . . .

Read More

February 28, 2018

Archive

All Categories: needling(48) tpdn(43) dry needling(30) 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) rehab(11) muscle(11) deep needling(11) trigger point dry needling seminars(10) muscle layers(10) peroneus longus(10) dry needling seminar(10) peroneus(9) education(8) rehabilitation(8) dry needling course(8) dysfunction(8) gluteus maximus(8) muscle action(7) foot(7) gluteus minimus(7) posterior(7) gluteus medius(7) trigger point dry needling courses(7) intramuscular therapy(7) trigger point seminar(7) hip(7) quadratus(6) intramuscular(6) clinical exam(6) myofascial(6) trigger point dry needling course(6) instability(6) course(5) large diameter afferents(5) hip flexor(5) lumbar instability(5) continuing education(5) muscles(5) 1st mtp(5) lumbar(5) spinal instability(5) rectus(5) iliacus(4) glute(4) ankle(4) seminar(4) suboccipital(4) suboccipital muscles(4) vastus lateralis(4) vastus intermedius(4) femoris(4) rectus femoris(4) neurology(4) exam(4) lateralis(4) sensory(4) afferents(4) gluteus(4) psoas(4) hamstring(3) headache(3) cuboid(3) facilitation(3) flexor(3) large(3) trigger(3) changes(3) proprioception(3) headaches(3) soleus(3) continuing(3) vestibular(3) major(3) system(3) tibialis(3) chronic(3) stimulation(3) vastus(3) superior(3) capitis(3) trapezius(3) multifidus(3) extensor hallucis brevis(3) spacial summation(3) temporal summation(3) diameter(3) ppd(3) sensation(3) cervical instability(3) minor(3) obliquus(3) inferior(3) pain(3) extensor digitorum brevis(3) tibialis posterior(3) fibers(3) gait cycle(3) nerve(3) 1st ray(3) plantae(3) sternocleidomastoid(3) extensor digitorum longus(3) intrinsics(3) hip extension(3) fiber(3) hallucis(2) walking(2) exercise(2) balance(2) vascular(2) vascular changes(2) sensory nerve fibers(2) counting(2) summation(2) temporal(2) clinical(2) it band(2) cervical(2) meridians(2) ehb(2) spine(2) brevis(2) therapy(2) hallicis(2) neck(2) quadriceps(2) shoulder pain(2) shoulder(2) scapula(2) cai(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) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) scm(2) gastroc(2) sterno(2) cleido(2) mastoid(2) ankle rocker(2) hip extensor(2) proprioceptive(2) iliocapsularis(2) extension(2) reciprocal inhibition(2) inhibition(2) reciprocal(2) dorsiflexion(2) extensor(2) quadratus lumborum(2) electrical(1) denervation(1) adductor(1) spinal(1) quadratus femoris(1) hip pain(1) insertional tendinitis(1) vibration(1) vibratory sense(1) sense(1) metatarsal phalangeal(1) metatarsal(1) phalangeal(1) posterior oblique sling(1) oblique(1) sling(1) deep(1) vibratory(1) magnus(1) external(1) meridian(1) posterior chain(1) divergence(1) convergence(1) layers(1) rotation(1) rotator(1) iliotibial band(1) tensor fascia lata(1) thigh(1) qp(1) needle(1) gastrocnemius(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) vision(1) parkinsons(1) head(1) position(1) utricle(1) saccule(1) endurance(1) semi(1) technique(1) bridge(1) circular(1) semicircular(1) tfl(1) canals(1) flexion(1) dorsi(1) plane(1) it(1) superficial(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) testing(1) clinical test(1) coronal(1) stabilizer(1) peroneus brevis(1) reverse(1) function(1) test(1) engineering(1) lumborum(1) quadrates lumborum(1) pttd(1) tmj(1) temporomandibular(1) temporomandibular joint(1) speed(1) screen(1) cadence(1) knee(1) osteoarthritis(1) toe(1) spacers(1) middle(1) anterior(1) separators(1) scalaneus(1) lift(1) multifidus lift test(1) low back pain(1) scalenes(1) biomechanics(1) scalene(1) quadratus plantae(1) lumbricals(1) upper(1) greater occipital nerve(1) vastus medialis(1) electrical stimulation(1) thoracic spine(1) thoracic(1) ilio(1) capsularis(1) home

Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/