The Rehabilitator | Medical and health
The Rehabilitator
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14.01.2022 Another short video on a muscle in the lower limb. The Sartorious. Longest muscle in the human body. Innervated by the Femoral nerve (L2-L4), it has several actions, primarily hip flexion, hip abduction, hip external rotation, mild knee flexion and knee(tibial internal rotation). This muscle is also known as the Taylor's muscle due to its position it is kost active. The main function of Sartorious is to be a synergist in many day to day movements such as squats, lumges, glute clams and more. In the video I talk a little bit about how it may be injured and what can be done for Prehabilitation, rehabilitation and even as a warm up to your regular training to wake that muscle up. Enjoy.
13.01.2022 HIP FLEXORS. Always a hot topic about its role in human movement. The main movement of Psoas is hip flexion. Whilst some sources mention it produces lumbar lordosis, if you look at how it originates and attaches it would rather be a compressor of the lumbar spine, meaning that it would only assist in holding the lordosis in its place. Muscles like the global spinal erectors are much higher candidates of being producers of the lordotic curve of the spine. Psoas, often synergi...atically dominant compared to other muscle groups in the area as we use it so much in movement all the time such as running, walking, stair climbing, squatting, lunging, A skips, B skips, kicking, and so on. Injury to this muscle can have pain sensations deep in the groin or deep in the abdomen. This can be addressed by several forms of conservative care such as soft tissue work and more importantly exercise prescription especially if related to issues in motor control. Sometimes this muscle can also be tight and weak compared to the other side so in quite a few cases strengthening can be the answer as well, whilst avoiding it dominating later by using other exercises. Always test both sides to ensure the muscle is firing adequately and find a therapist that knows good training, soft tissue work and can integrate exercise prescription whilst you can still enjoy your training and day to day activities. Thank you.
11.01.2022 PLANTAR FASCIITIS: Upskilling with therapeutic taping. Had a good go at executing the Augmented Low Dye taping for my own learning. Quite a challenge to do on yourself I'll say (haha). The low dye therapeutic taping is typically used to temporarily DEload the strain placed on the plantar fascia (Bartold et al. 2009; Constantinou & Brown, 2010). Yes for those that present with Plantar Fasciitis (PF) in the foot. I don't actually have PF but as you can see here, it helps to in...crease the medial longitudinal arch (Vicenzio et al. 2005). The authors mention that the augmented low dye taping which is seen in this footage was superior compared to the original low dye. The main differences between the low dye and augmented low dye taping is that the augmented version has some extra stirrups and some half figure 8 taping to further support the navicular bone and create a higher arch. Both versions can be used, and are case dependent, but the goal is to reduce and even stop the clients PF pain. Once symptoms abate, exercise prescription of the feet and solid advice and education about reloading is a must! Always check for itchiness or allergies before commencing taping. A good Allied Health Professional/Therapist will always ask these questions about skin reactions prior to commencement of therapeutic taping. Many practitioners can learn therapeutic taping and add as another skill set such as but not limited to; Physiotherapist, Osteopaths, Chiropractors, Sports Trainers, Massage Therapists. Had a blast trying to do this myself! Thanks. References: Bartold, S., Clarke, R., Franklyn-Miller, A., Falvey, E., Bryant, A., Briggs, C., & McCrory, R. (2009). The effect of taping on plantar fascia strain: A cadaveric study. Journal of Science and Medicine in Sport, 12, S74. Constantinou, M., & Brown, M. (2010). Therapeutic taping for musculoskeletal conditions. Churchill Livingstone. Vicenzino, B, Franettovich, M, McPoil, T, Russell, T, & Skardoon, G. (2005). Initial effects of anti-pronation tape on the medial longitudinal arch during walking and running. British Journal of Sports Medicine, 39(12), 939943. https://doi.org/10.1136/bjsm.2005.019158.
09.01.2022 Massive thanks to those that came down to the clinic over the last couple of weeks. Was booked out on both weeks. Please be safe and have a great Christmas and New Year!!
02.01.2022 A short presentation of a common elbow condition in the bodybuilding/weightlifting/powerlifting community. In the video, I talk about the particular muscles that are worked on in the early stages, which help relieve compression and stiffness of the radial head. The muscles observed in the video are the supinator, pronator teres and the brachioradialis, with a particular emphasis on supinator and pronator teres. Always be aware of the yellow and red flags, understand the client training regime and periodised programs. This is my first narrated anatomy video. Enjoy. Thank you
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