Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
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 . . .
Posted in: dry needlingfemorisgaitgait cyclegastrocgastrocnemiusgluteus mediusgluteus minimusiliotibial bandinknee painlateralisoutperoneusperoneus longusquadricepsrectusrectus femorisrehabrehabilitationsquatstoestpdntrigger point dry needlingvastusvastus intermediusvastus medialis
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
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
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
Proprioception and Needling
Get the most out of what you do!
When it comes to needling and exercise, proprioception is King.
What is proprioception? It is body position awareness; ie: knowing what your limbs are doing without having to look at them. We talk about this all the time in our seminars. Some studies use specific points, others general ones, but they boil down to "needling . . .
Posted in: acupuncturedry needling coursedry needling seminarexercisemusclemuscle actionmuscle layersneedlingperoneusperoneus longusproprioceptionproprioceptiverehabtpdn
The Calcaneo Cuboid Locking Mechanism
Needle those Peroneii!
The Calcaneo Cuboid Locking Mechanism
Do you know what this is? You should if you treat folks who walk or run!
It is the mechanism by which the tendon of the peroneus longus travels behind the lateral malleolus of the ankle, travels underfoot, around the cuboid to insert into the lateral aspect of the base of the 1st . . .
Posted in: calcaneocalcaneo cuboidcalcaneocuboidcalcaneuscuboiddeep needlingdry needling instructionfibersgaitgastroclockinglocking mechanismmechanismneedlingnerveperoneusperoneus longusrehabrehabilitationsensorysoleustpdn
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