Functional Integrative Rehabilitation Education

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Muscle Spindles and Proprioception

And what have I been saying for years now? 

 

Silvrback blog imageConnected 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 . . .

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January 17, 2019

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.

Silvrback blog imageTraditionally, 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 . . .

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December 04, 2018

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).

Silvrback blog imageMade 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 . . .

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October 27, 2018

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


Silvrback blog imageTraditionally, we present . . .

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August 30, 2018

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?
. . .

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June 28, 2018

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 . . .

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April 09, 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

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) rehab(14) trigger point dry needling seminar(14) muscle(14) dry needling instruction(12) muscle layers(11) deep needling(11) peroneus longus(11) dry needling seminar(10) peroneus(10) trigger point dry needling seminars(10) rehabilitation(10) gluteus maximus(8) education(8) dry needling course(8) dysfunction(8) gluteus minimus(8) foot(8) gluteus medius(8) intramuscular therapy(8) instability(7) hip(7) trigger point dry needling courses(7) intramuscular(7) trigger point seminar(7) posterior(7) muscle action(7) large diameter afferents(6) clinical exam(6) rectus(6) quadratus(6) neurology(6) trigger point dry needling course(6) muscles(6) myofascial(6) vestibular(6) sensory(5) spinal instability(5) vastus intermedius(5) proprioception(5) 1st mtp(5) afferents(5) rectus femoris(5) lumbar(5) femoris(5) hip flexor(5) lateralis(5) continuing education(5) lumbar instability(5) course(5) extensor digitorum brevis(4) psoas(4) extensor digitorum longus(4) system(4) gluteus(4) gait cycle(4) stimulation(4) ankle(4) suboccipital(4) extensor hallucis brevis(4) suboccipital muscles(4) sternocleidomastoid(4) exam(4) vastus(4) seminar(4) glute(4) proprioceptive(4) cervical instability(4) vastus lateralis(4) quadriceps(4) pain(4) hamstring(4) diameter(4) flexor(4) sensation(4) iliacus(4) chronic(3) extensor(3) hip extensor(3) multifidus(3) large(3) cuboid(3) iliotibial band(3) cervical(3) facilitation(3) trigger(3) insertional tendinitis(3) hip extension(3) gastroc(3) tibialis posterior(3) cleido(3) sterno(3) scm(3) intrinsics(3) 1st ray(3) plantae(3) fibers(3) nerve(3) sensory nerve fibers(3) fiber(3) exercise(3) superior(3) spacial summation(3) temporal summation(3) ppd(3) knee(3) trapezius(3) headaches(3) headache(3) inferior(3) obliquus(3) minor(3) neck(3) utricle(3) mastoid(3) continuing(3) soleus(3) major(3) changes(3) semi(3) semicircular(3) tibialis(3) stabilizer(3) capitis(3) shoulder pain(2) walking(2) testing(2) balance(2) superficial(2) vertigo(2) vascular(2) vascular changes(2) divergence(2) convergence(2) counting(2) summation(2) temporal(2) clinical(2) it band(2) meridians(2) ehb(2) spine(2) brevis(2) therapy(2) hallicis(2) vastus medialis(2) scalenes(2) scalene(2) shoulder(2) scapula(2) cai(2) gon(2) levator scapula(2) levator(2) joint(2) back(2) low(2) lbp(2) fracture(2) navicular(2) obliquus capitis inferior(2) rectus capitis inferior(2) latissimus dorsi(2) 1st(2) quadrates plantae(2) flexor digitorum longus(2) needle(2) ankle rocker(2) gastrocnemius(2) iliocapsularis(2) extension(2) dorsiflexion(2) clinical test(2) hallucis(2) peroneus brevis(2) reciprocal inhibition(2) reciprocal(2) biomechanics(2) quadratus lumborum(2) coronal(2) lumbricals(2) position(2) circular(2) nucleii(2) cerebellum(2) saccule(2) inhibition(2) hip pain(1) out(1) vibration(1) quadratus femoris(1) vibratory sense(1) flexion(1) dorsi(1) low back pain(1) multifidus lift test(1) ischemic(1) compression(1) post treatment soreness(1) capsule(1) labrum(1) obturator externus(1) sense(1) reverse(1) function(1) deep(1) vibratory(1) lumborum(1) quadrates lumborum(1) screen(1) lift(1) toe(1) spacers(1) separators(1) meridian(1) quadratus plantae(1) ilio(1) capsularis(1) layers(1) tensor fascia lata(1) tfl(1) osteoarthritis(1) vision(1) plane(1) it(1) adductor(1) magnus(1) rotation(1) rotator(1) thigh(1) temporomandibular joint(1) head(1) forefoot(1) canals(1) temporomandibular(1) external(1) supinatus(1) tmj(1) pttd(1) test(1) speed(1) cadence(1) dizziness(1) middle(1) gracilis(1) sartorius(1) semitendinosis(1) tendinosis(1) pes(1) anserine(1) terrible(1) trio(1) varus(1) flexor digitorum brevis(1) anterior(1) scalaneus(1) upper(1) greater occipital nerve(1) engineering(1) electrical stimulation(1) thoracic spine(1) spindle(1) spindles(1) golgi(1) tendon(1) organ(1) origin(1) tibial(1) torsion(1) thoracic(1) denervation(1) analysis(1) spinal(1) electrical(1) posterior chain(1) sling(1) knee pain(1) squats(1) oblique(1) posterior oblique sling(1) toes(1) qp(1) phalangeal(1) metatarsal(1) calcaneus(1) calcaneo(1) locking(1) mechanism(1) calcaneo cuboid(1) calcaneocuboid(1) locking mechanism(1) parkinsons(1) metatarsal phalangeal(1) in(1) endurance(1) technique(1) bridge(1) home

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