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

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 . . .

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April 23, 2018

Gluteus Medius: It's not just for abduction anymore....

You may have been waiting for this...

 

Functional Perspectives on a game maker in gait...


Silvrback blog imageIt would logically follow that the gluteus medius is important for generating both forward progression and support, especially during single-limb stance suggesting that walking dynamics are influenced by non-sagittal muscles, such as the gluteus medius, even though walking is . . .

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March 14, 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 . . .

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March 05, 2018

The Quadratus Femoris

An often overlooked culprit

We often find clinically that the quadratus femoris as becoming the 1st dysfunctional muscle of the deep 6 external rotators (1) and its pain referral pattern can mimic the piriformis (2) and piriformis syndrome (3) as well as hamstring insertional tendinitis.  It has also been implicated in some cases of . . .

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May 18, 2017

The Glutes, Part 3

Here is the part you have been waiting for… In case you missed parts one and two, click here and here. 

Functional Perspectives

It would logically follow that the gluteus medius is important for generating both forward progression and support, especially during single-limb stance suggesting that walking dynamics are . . .

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December 19, 2016

The Glutes, Part 2

Beautiful Glutes: Part 2

We are going to get a little techie here. Hang in there! If you missed part one, click here to go back and read it. 

EMG data

There are a paucity of studies on gluteal function during gait, but here is what is out there.

The upper and lower portions of the glute max shows activity at initial . . .

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December 12, 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) 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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