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: afferentsbalancecervical instabilitychangesdiameterdry needlingdysfunctioninstabilitylarge diameter afferentslumbarlumbar instabilitymuscleneedlingproprioceptionproprioceptivequadratus lumborumsensationsensoryspinal instabilitysternocleidomastoidsystemtpdnvestibular
Things often work better in pairs...
The glutes and your....feet?
You may have heard me talk about how the lower kinetic chain is connected, how ankle rocker effects hip extension and how important hallux (great toe) extension is.
What can we conclude from this study?
- toe spreading exercises are important for reducing navicular drop (and thus mid foot pronation, at least . . .
Posted in: ankle rockerbrevisdorsiflexiondysfunctionextensorextensor digitorum longusextensor hallucis brevisflexorflexor digitorum longusgluteus maximusgluteus mediusgluteus minimushallicishallucishamstringhiphip extensorhip flexoriliacusintrinsicsit bandpsoasrehab
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 . . .
Posted in: dysfunctionengineeringfunctiongaitgait cyclemuscleperoneusperoneus brevisperoneus longusreverse
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 . . .
Posted in: afferentsankledeep needlingdysfunctionfiberfibersgaitgastrocgastrocnemiuslargelarge diameter afferentsmuscleneedlingnerveppdsensationsensorysensory nerve fiberssoleustrigger point dry needling seminars
The Rectus Capitis Posteriors
The rectus capitis muscles are often implicated as causing suboccipital headaches, 
but, as you can see, the trigger point referral pattern is over the ear or in a "sunglass" pattern, as we often teach in our dry needling seminars.
That is not to say . . .
Posted in: capitisdysfunctionheadacheheadachesinferiormajorminormusclesneckobliquusobliquus capitis inferiorposteriorrectus capitis inferiorsuboccipitalsuboccipital musclessuperior
The QL...in all it's glory
Today we are going to look at what I feel is one of the most important muscles to evaluate and treat with low back pain patients, as well as those with gait and lower extremity disorders.
Let's look at some of the functional anatomy of the QL.
It is useful to think of the QL as having three divisions. Though they can’t . . .
Posted in: backdysfunctionfacilitationintramuscularintramuscular therapylbplowlumbarmultifidusmusclesppdquadratusspinetpdntrigger point dry needlingtrigger point dry needling coursestrigger point dry needling instructiontrigger point dry needling seminar
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. . . .
Posted in: acupuncturecuboiddeep needlingdysfunctionextensor digitorum brevisextensor digitorum longusfootfractureintramuscularintramuscular therapyjointmuscle layersnavicularneedlingrehabilitationstimulationtpdntrigger point dry needling instruction
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