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

Holy twisted tibias Batman!

Holy twisted tibias Batman! What is going here in this R sided knee pain patient?

 

In this 1st picture note this patient is in a neutral posture. Note how far externally rotated her right foot is compared to the left. Note that when you drop a plumbline down from the tibial tuberosity it does not pass-through or between the . . .

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June 10, 2019

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

Why do we look down sometimes?

especially when things get challenging....

While working with a patient with runners dystonia the other day, I had one of those epiphanies. I thought I would share it with you here. Here is some food for thought. 

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, the vestibular system and the proprioceptive system. As . . .

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June 21, 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

A QL screen for you...

 

As I have said in previous posts, though they can’t act independently I like to think to think of the QL as having two divisions. The lower division arises from the medial portion of the iliac crest and adjacent iliolumbar ligament and inserts onto the transverse processes of the lumbar vertebrae, in the coronal plane from . . .

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May 05, 2018

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 . . .

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April 09, 2018

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

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