Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
Muscle Spindles and Proprioception
And what have I been saying for years now?
Connected to the nervous system by large diameter afferent (sensory) fibers, muscle spindles are classically thought of as sentinels that appraise the nervous system of vital information like length and rate of change of length of muscle fibers, so that information . . .
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.
Traditionally, 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 . . .
Posted in: afferentsbiomechanicscirculardiameterdry needlingexercisegaitinstabilityintramuscularintramuscular therapylarge diameter afferentsmusclemusclesneedleneedlingneurologyproprioceptionproprioceptiverehabsacculesemisemicircularsensationsensorystabilizerstimulationsystemtestingtpdnutriclevestibular
The Terrible Trio
beware the gooses foot...
Recalcitrant knee pain just below the medial tibial plateau? Worse with sprints, hills and after running a while? It may be the pes anserine insertion(s).
Made up of the tibial insertions, from anterior to posterior, of the sartorius, gracilis and semitendinosis which lie superficial to the distal tibial insertion of the . . .
Posted in: anserinecoronaldry needlinggracilishamstringinsertional tendinitiskneemusclemuscle layersneedlingpessartoriussemisemitendinosisstabilizersuperficialtendinosisterribletpdntrigger point dry needlingtrio
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
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: canalscirculardry needling coursedry needling seminarheadmuscleneedlingpositionsacculesemisemicircularsystemtestingtpdnutriclevestibular
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
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
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
