Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
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: adductorclinical examdry needlingdry needling instructionexternalgaithiphip extensionhip flexormagnusneedlingpainrotationrotatorthightpdntrigger point dry needling coursestrigger point dry needling seminars
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
What attaches to that hip capsule, anyway?
I was trying to figure to which muscles attached to the labrum of the hip, as I see many folks where theres has gone south. I had always wondered if the iliopsoas attached, since many people with labral pathology have hip flexor dysfunction, where they use their psoas and iliacus as hip flexion initiators (or sometimes the rectus femoris, TFL . . .
Posted in: capsulegaitgluteus minimushiphip extensorhip flexoriliacusiliocapsularislabrumobturator externuspsoas
Gluteus Medius: It's not just for abduction anymore....
You may have been waiting for this...
Functional Perspectives on a game maker in gait...
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 influenced by non-sagittal muscles, such as the gluteus medius, even though walking is . . .
Posted in: 1st mtpankleankle rockerextensiongaitgait cyclegluteusgluteus maximusgluteus mediusgluteus minimushiphip extensioninhibitionreciprocalreciprocal inhibitionwalking
Reciprocal Inhibition?
Gaining Anterior Length, Through Posterior Strength and vice versa….A Lesson in Reciprocal Inhibition
I 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 . . .
Posted in: afferentsdiameterdorsidorsiflexionextensionfacilitationflexionglutegluteus maximusgluteus mediusgluteus minimushiphip extensionhip flexoriliacusinhibitionlargelarge diameter afferentslatissimus dorsimuscleneedlingpsoasreciprocalreciprocal inhibitionrehabrehabilitation
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 . . .
Posted in: acupuncturedry needlingfemorisgluteus mediushamstringhiphip paininsertional tendinitismuscle layersneedlingquadratusquadratus femoristpdntrigger point dry needling instructiontrigger point dry needling seminars
How's your Iliacus?
Have you thought about the importance of the iliacus? During gait? How about at initial contact and again at pre swing? (1) You realize it will be “turned off” if you have labral pathology, right? (2) Needling can be one way of “turning it back on”.(3)
Check out this brief video of one way to accomplish this. . . .
Posted in: acupuncturedeep needlingdry needlingflexorhiphip flexoriliacuslumbarlumbar instabilitymuscle layersneedlingpsoasspinal instabilitystimulationtpdn
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
