Functional Integrative Rehabilitation Education

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Toes in for squats?

Sometimes it’s OK for “toes in“ squats...

I often hear from folks and also read on a lot of blogs and articles about whether your toes should be in or out for squats or other types of activities. The real answer is “it depends”.

What it depends on is the patient’s specific anatomy. That means we . . .

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August 19, 2019

Muscle Spindles and Proprioception

And what have I been saying for years now? 

 

Silvrback blog imageConnected to the nervous system by large diameter afferent (sensory) fibers, muscle spindles are classically thought of as sentinels that appraise the nervous system of vital information like length and rate of change of length of muscle fibers, so that information . . .

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January 17, 2019

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

The Calcaneo Cuboid Locking Mechanism

Needle those Peroneii!

The Calcaneo Cuboid Locking Mechanism

Do you know what this is? You should if you treat folks who walk or run!

 

It is the mechanism by which the tendon of the peroneus longus travels behind the lateral malleolus of the ankle, travels underfoot, around the cuboid to insert into the lateral aspect of the base of the 1st . . .

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January 29, 2018

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 Serial Case

Lets follow what I did on a recent post fracture foot

In this series, we will follow the progress of a post surgical, post rehab foot. These are the actual case notes and you can follow my thought process as we move along. 

Silvrback blog image

History:

JM presented with left-sided content foot pain. On July 24 she broke her left navicular and cuboid (pretty unusual, as these fractures are . . .

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February 23, 2017

The Temporalis

 
TMJ problems? Have you needled the temporalis? I find needling this muscle,along with the pterygoids to be paramount in TMJ dysfunction management. It seems that the antagonistic action or yin and yang of these two can solve mant TMY woes. Think of the interplay of the vertical fibers of the temporailis and the vertical fibers of . . .

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October 27, 2016

Archive

All Categories: needling(50) tpdn(47) dry needling(34) acupuncture(30) gait(21) trigger point dry needling(18) trigger point dry needling instruction(17) rehab(14) trigger point dry needling seminar(14) muscle(14) dry needling instruction(12) muscle layers(11) deep needling(11) peroneus longus(11) peroneus(10) trigger point dry needling seminars(10) dry needling seminar(10) rehabilitation(10) dysfunction(8) education(8) gluteus maximus(8) dry needling course(8) gluteus medius(8) gluteus minimus(8) foot(8) intramuscular therapy(8) instability(7) hip(7) trigger point dry needling courses(7) intramuscular(7) trigger point seminar(7) posterior(7) muscle action(7) large diameter afferents(6) clinical exam(6) rectus(6) quadratus(6) neurology(6) trigger point dry needling course(6) muscles(6) myofascial(6) vestibular(6) sensory(5) spinal instability(5) vastus intermedius(5) proprioception(5) 1st mtp(5) afferents(5) rectus femoris(5) lumbar(5) femoris(5) hip flexor(5) lateralis(5) continuing education(5) lumbar instability(5) course(5) extensor digitorum brevis(4) psoas(4) extensor digitorum longus(4) system(4) gluteus(4) gait cycle(4) stimulation(4) ankle(4) suboccipital(4) extensor hallucis brevis(4) suboccipital muscles(4) sternocleidomastoid(4) exam(4) vastus(4) seminar(4) glute(4) proprioceptive(4) cervical instability(4) vastus lateralis(4) pain(4) quadriceps(4) hamstring(4) diameter(4) flexor(4) sensation(4) iliacus(4) chronic(3) extensor(3) hip extensor(3) multifidus(3) large(3) cuboid(3) iliotibial band(3) cervical(3) facilitation(3) trigger(3) insertional tendinitis(3) hip extension(3) gastroc(3) tibialis posterior(3) cleido(3) sterno(3) scm(3) intrinsics(3) 1st ray(3) plantae(3) fibers(3) nerve(3) sensory nerve fibers(3) fiber(3) exercise(3) superior(3) spacial summation(3) temporal summation(3) ppd(3) knee(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) utricle(3) mastoid(3) continuing(3) soleus(3) major(3) changes(3) semi(3) semicircular(3) tibialis(3) stabilizer(3) capitis(3) shoulder pain(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) vastus medialis(2) scalenes(2) scalene(2) shoulder(2) scapula(2) cai(2) gon(2) levator scapula(2) levator(2) joint(2) low(2) lbp(2) back(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) needle(2) ankle rocker(2) gastrocnemius(2) iliocapsularis(2) extension(2) dorsiflexion(2) clinical test(2) hallucis(2) peroneus brevis(2) reciprocal inhibition(2) reciprocal(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) position(2) circular(2) nucleii(2) cerebellum(2) saccule(2) inhibition(2) hip pain(1) out(1) vibration(1) quadratus femoris(1) vibratory sense(1) flexion(1) dorsi(1) low back pain(1) multifidus lift test(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) sense(1) reverse(1) function(1) deep(1) vibratory(1) lumborum(1) quadrates lumborum(1) screen(1) lift(1) toe(1) spacers(1) separators(1) meridian(1) quadratus plantae(1) ilio(1) capsularis(1) layers(1) tensor fascia lata(1) tfl(1) osteoarthritis(1) vision(1) plane(1) it(1) adductor(1) magnus(1) rotation(1) rotator(1) thigh(1) temporomandibular joint(1) head(1) canals(1) temporomandibular(1) external(1) forefoot(1) supinatus(1) tmj(1) pttd(1) test(1) speed(1) cadence(1) dizziness(1) middle(1) gracilis(1) sartorius(1) semitendinosis(1) tendinosis(1) pes(1) anserine(1) terrible(1) trio(1) varus(1) flexor digitorum brevis(1) anterior(1) scalaneus(1) upper(1) greater occipital nerve(1) engineering(1) electrical stimulation(1) thoracic spine(1) spindle(1) spindles(1) golgi(1) tendon(1) organ(1) origin(1) tibial(1) torsion(1) thoracic(1) analysis(1) denervation(1) electrical(1) spinal(1) posterior chain(1) sling(1) knee pain(1) squats(1) oblique(1) posterior oblique sling(1) toes(1) qp(1) phalangeal(1) metatarsal(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) metatarsal phalangeal(1) in(1) endurance(1) technique(1) bridge(1) home

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