Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
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.
Traditionally, we present . . .
Posted in: balancesystemquadratus lumborumsternocleidomastoiddysfunctioncervical instabilitysensationdiameterafferentslarge diameter afferentssensoryinstabilitymusclelumbar instabilitylumbarspinal instabilitychangesdry needlingtpdnneedlingvestibularproprioceptiveproprioception
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?
. . .
Posted in: tpdndry needling seminardry needling courseneedlingcanalssemicircularcircularsemisacculeutriclesystemvestibulartestingmusclepositionhead
The Adductor Magnus
Not just for adduction anymore....
Ah 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 . . .
Posted in: hip extensionhiphip flexorpainclinical examgaitdry needlingtpdndry needling instructiontrigger point dry needling coursestrigger point dry needling seminarsneedlingthighrotatorrotationexternalmagnusadductor
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.
As 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 . . .
Posted in: dry needlingtpdndry needling seminardry needling coursetrigger point dry needling instructioneducationneedlingcapsularisilioiliocapsularis
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 . . .
Posted in: post treatment sorenesscoursedry needlingtpdnneedlingtrigger point dry needling seminarcompressionischemic
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 . . .
Posted in: rehabmusclemuscle actionacupuncturemuscle layersperoneusperoneus longustpdndry needling seminardry needling courseneedlingproprioceptiveexerciseproprioception
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 . . .
Posted in: gastrocrehabilitationsensorynervefibersrehabgaitdeep needlingsoleusperoneusperoneus longustpdndry needling instructionneedlinglocking mechanismcalcaneocuboidcalcaneo cuboidmechanismlockingcuboidcalcaneocalcaneus
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