Cortical representations of infraspinatus in rotator cuff tendinopathy
Alterations in central motor representation increase over time in individuals with rotator cuff tendinopathy
Infraspinatus: the friend of subscapularis muscle
Shoulder pain is one of the most typical musculoskeletal ailments that cause people to seek physiotherapy.
Subscapularis - we love it and now we know more about its different roles!
A review of Wickham J, Pizzari T, Balster S, Ganderton C, Watson L. 2014 The variable role of the upper and lower subscapularis during shoulder motion
Hanging in the Balance
Will muscle imbalance move on in elite football
A Jump Landing Task
Differerent movement strategies seen at the hip and knee - new paper out
See the McNeill and Blandford editorial
Glut max and hamstrings
What does the prone hip extension test tell us about synergisitic action of muscles?
Fascia-nated by movement
Kari Niemi takes a fascial perspective to the movement debate.
Movement pattern and muscle balance as a source of lumbar spine health according to the concept of Kinetic Control
Bracing comes under scrutiny...a social media trend
And rightly so.. read on
Proximal control influnces medial tibial pain
The importance of assessing proximal control
Changing movement impairments in the lower quadrant
It makes a difference to knee pain!
The Efficiency of Movement Rehab Strategies
A recent study adds more evidence on the efficiency of movement rehab strategies. See Pablo's feedback in Portuguese and English
Adaptation of motor control in pain - what happens to Psoas Major
Koen Schoolmeeters reflects further on psoas and considers actions of Psoas Major during submaximal isometric trunk efforts on painfree subjects.
Are we getting to grips with it's functional role?
A new way to classify movement faults
Even when we all move differently!
2 Papers on Management of Cervical Spine Pain
Manual Therapy vs Exercise
Effect of active cranio-cervical flexion exercise
Influence on pain, ROM and muscle activity
Tells us something about the scapula
Movement impairments in femoroacetabular impingement
Posterior pelvic rotation increased
Scapular Orientation 2
What does it look like?
Scapular Orientation 1
Changing trapezius activity
A term covering impairments, activity limitations, and participation restrictions.......
Thoughts on hip pain
Useful paper to look at influence of inefficient gluts and deep hip flexors on hip pain
Therapeutic Exercise helps neck pain
Latest review in Physical Therapy
Respiratory weakness and neck pain
Interesting new study
Facilitating semispinalis to control low neck flexion
The orientation of the neck matters
Acute back pain leads to increased spinal stability
New evidence confirms what we see in the clinic
How does the body adapt to pain
People move differently in pain - the mechanisms are poorly understood - what's new?
Faulty movement patterns and patellofemoral pain
Evidence to suggest tibia lateral rotation increases PFP
Classification of uncontrolled movement directs management
Specifc treatment can improve the control of movement
Scapular kinematics important in stroke rehab
Understanding normal scapular function is essential for retraining function in people with strokes
What's happening at the neck
Two recent papers relating to neck muscle dysfunction in neck pain and a nice facilitation strategy
Faulty movement patterns linked with a predisposition of LBP
Latest paper in Clinical Biomechanics
Deficits in glut med associated with patellofemoral pain syndrome
Review of the relationship between gluteal muscle activity and patellofemoral pain syndrome
Scapular-focused treatment in patients with shoulder impingement syndrome
Scapular-focused treatment in patients with shoulder impingement syndrome: a randomized clinical trial - postive improvement in in self-reported disability and clinically important improvement in pain during the Neer test, Hawkins test, and empty can test
Article of the week - 7
Do we need to rethink core stability as core control?
2 articles questioning the effectiveness of core stability training. Are we missing the key?
Reliability of movement control tests
Clinical tests that emphasize movement control for back and hip had moderate-to-almost-perfect inter-observer reliability, indicating that these tests are reliable as screening tests using several observers with marines.
Pain changes the brain
Article of the week:
We continue with our plan to post interesting abstracts
Smudging the motor brain in young adults with recurrent low back pain.
ISSLS prize winner
Tsao H, Danneels LA, Hodges PW.
Spine 2011 Oct 1;36(21):1721-7. doi: 10.1097/BRS.0b013e31821c4267.
This research paper demonstrates that low back pain is associated with a loss of discrete cortical organization of the back muscles. Increased overlap in the motor cortical representation of Deep Multifidus and Longissimus Erector Spinae may explain motor control changes noted in people with low back pain. Helps to explain why it is difficult to retrain the motor control impairment in people with low back pain.
Articles Relevant to the Assessment and Management of Uncontrolled Movement
This year we plan to post an article relevant to the assessment and management of uncontrolled movement each week.
For week 1 & 2 see our post on movement control in dancers. 50 more to follow this year!
Motor Control Impairments in Dancers - the need for movement assessment
Motor control impairments are identified in dancers with a history of low back pain. Dancers who fail tests of motor control are associated with an increased risk of developing lower extremities or lumbar spine injuries in dancers (see abstracts). Movement control assessment and retraining is not only necessary to manage symptoms but also to decrease the risk of onset of symptoms. We are working on a Movement and Performance Screen specifically for dancers - The Dance Matrix - available later this year see performancematrix.com
Muscle dysfunction in people with neck pain
Many people suffer from neck pain at sometime in their life. Kari Niemi (Kinetic Control Accredited Tutor in Finland) has identifed some recent research projects illustrating examples of muscle dysfunction in people with neck pain and one follow-up-study regarding predictive factors of neck pain.
New Publication: Motor Control and Low Back Pain in Dancers
Motor control is impaired in dancers with low back pain
New Publication: Scapular Motor Control Training
This study aimed to quantify the clinical, neurophysiological, and biomechanical effects of a scapular motor control retraining for young individuals with shoulder impingement signs
Core control analysis helps coaches develop technique improvements
Mark Comerford and Geoff McKinnon explore technique improvement in elite hurdle performance with movement control analysis and retraining.
Investigation of the stability system of the scapula in patients with cervical spine disorders
Assessment of scapular orientation and recruitment of the scapular stability muscles in patients with insidious onset neck pain and whiplash associated disorders
PhD thesis at the University of Iceland, Faculty of Medicine, December 2010.
Harpa Helgadóttir, Physical therapist, PhD in BioMedical Science, Specialist in Manual Therapy. firstname.lastname@example.org
Short Note on Motor Learning from Isha Doshi
Here are some notes from Isha Doshi – She attended our course
Kinetic Control: Managing Movement – Solutions for the Low Back
with Sarah in Mumbai last month. This course focused on the assessment and retraining of uncontrolled movement. We spent much of the workshop time retraining uncontrolled movement and Isha led a session on applying motor learning principles to movement retraining. Thanks Isha for making such a valuable contribution.
How Motor Learning Principles can help Movement Retraining
Phases of Learning
Transversus Abdominis Retraining
What does the research tell us?
Factors influencing control of scapular movements in patients with neck and shoulder disorders
Factors influencing the control of scapular movements in patients with neck and shoulder disorders. A preliminary review of the literature.
Thoughts about Transversus Abdominis
By Kari Niemi
Kinetic Control Accredited Tutor Finland
Uncontrolled movement and symptoms, disability, dysfunction, recurrence, risk, and performance
There is a growing body of evidence to support the relationship between uncontrolled movement (UCM) and symptoms (Dankaerts 2006a, b, Luomajoki et al. 2008, van Dillen et al. 2009).
The assessment of uncontrolled movement
A common feature of movement control faults is reduced control of active movements, or movement control dysfunction, termed MCD by Luomajoki et al. (2007).
Scapular positioning and movement: a clinical perspective
Vrije Iniversiteit Brussel, Faculty of Physical education and Physical Therapy
A brief review of the trapezius muscle
Kinetic Control Accredited Tutor, FinlandBlog
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