Functional Integrative Rehabilitation Education
educational investments that pay clinical dividends
Dr Ivo Waerlop
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
The latissimus
The latissimus dorsi is THE functional link between the upper and lower extremity, particularly though its connections with the thoracolumbar fascia (1, 2). Affording itself a large attachment centrally from the T7 to L5 spinouses, laterally to the iliac crest and thoracolumbar fascia, rostrally to the lower 3 or 4 ribs and . . .
Posted in: dry needlinggaitgluteus maximuslatissimus dorsilumbar instabilityneedlingobliqueposteriorposterior oblique slingslingspinal instabilitytpdn
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
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 . . .
Posted in: acupunctureclinical examdeep needlingdry needlingexamgaitgluteusgluteus maximusgluteus mediusgluteus minimuslumbarlumbar instabilitymuscle layersneedlingspinal instabilitytpdn
Needling and Instability
As people who needle, we often emphasize needling the paraspinal muscles associated with the segemental innervation of the peripheral muscle you are needling. For example, you may needle the L2-L4 paraspinals (ie: femoral nerve distribution) along with the quads, or perhaps the C2 PPD’s along with the suboccipitals. We do . . .
Posted in: acupuncturecervicalcervical instabilityclinical examdenervationdry needlingexaminstabilitylumbarlumbar instabilityneedlingneurologyppdspacial summationspinalspinal instabilitysummationtemporaltemporal summationtpdntrigger point dry needling
Cover image credit: http://wallpapershacker.com/skulls_sketches_skeletons_spine_drawings_hd-wallpaper-1015286/
