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13 Mar 2021 20:09:24 UTC
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The Gait Guys talk about: The Cerebellum
In this Neuromechanics weekly, Dr Waerlop Introduces the cerebellum and talks about its importance clinically, since it contains more than 1/2 of the neurons in the brain! It's anatomy and inputs from the periphery are discussed. The take home message is the cerebellum is the key to understanding and directing movement, since it receives feedback from most ascending and descending pathways.
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https://www.youtube.com/watch?v=fLyOZ7UT200
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https://www.youtube.com/watch?v=fLyOZ7UT200
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116_2
116_2989.mov
Why does this individual lean to the right during stance phase and have an increased arm swing on the L?
As you can see, this individual lists (shifts) to the Right upon weight bearing on that side (midstance); did you pick up the increased progression angle of the foot (turned out right foot) on that side? How about the mild genu valgus?
Why would someone walk like this? There are a few plausible explanations.
1. he has a weak gluteus medius on the R side.
2. he has a R short leg (likely functional not anatomic) and needs to lean to that side to get the long leg side (L) to clear.
3. impaired left ankle rocker (causing premature heel rise and left side early departure) could also cause him to accelerate onto the right as well.
His options to compensate are to either lean to the weak side (R) or to shift his pelvis to the weak side (R). He could also circumduct the leg or flex the thigh to get that side to clear the ground. He has a mild BL circumdcution, probably to clear the knee from the opposite one.
His increased arm swing on the L is to help propel him forward, most likely due to weakness of the external obliques to assist in initiation of flexion of the thigh, and weakness of the gluteus medius, which also helps to propel the leg forward. He also does not push off adequately with the R leg; This is probably due to loss of hip extension and inadequate ankle rocker on that side.
The increased progression angle on the R helps to stabilize his body weight because he is leaning the torso to the R and his center of gravity moves right as well (he makes a wider base for himself)
We remain The Geeks of Gait...Ivo and Shawn
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https://www.youtube.com/watch?v=CEEM8Clbvq8
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VIDEO
ANKLE
ankle-rocker-restoration-2-beginner
In this clip Dr. Shawn Allen talks about the 2 of their BASIC beginners exercises to help restore deficient ankle rocker. * It it imperative that shortness and tightnesses in related muscles and tissues are resolved and proper muscle recruitment patterns are begun first. See our DVD's for this material. Compensations have consequences. For more detailed information and DVDs and additional exercise programs to address these problems, goto www.homunculusgroup.com or www.thegaitguys.com. Email is for dvd sales.
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https://www.youtube.com/watch?v=7W56DnEF4sA
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Controlling
VIDEO
PODCA
podcast-126-running,-athletes-mtss
Key tag words: running, gait, injuries, achilles tendon, CRIPSR, swearing, limbic system, MTSS, stress fractures, tibial stress fracture, medial tibial stress syndrome, shoe drop, treadmill running, treadmills, barefoot, cortisone, cartilage loss, runners, marathons Plus a plethora of other great running geeky stuff, clinical pearls, swearing, why not to use cortisone injections and more !
Our Websites: www.thegaitguys.com summitchiroandrehab.com doctorallen.co shawnallen.net Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20). Our podcast is on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us. Show Notes:
Implantable computer chips will control your body’s movement http://nypost.com/2017/05/16/implantable-computer-chips-will-control-your-bodys-movement/?utm_campaign=partnerfeed&utm_medium=syndicated&utm_source=flipboard ANU researchers grow brain cells on a chip that can be used for neural implants http://tech.firstpost.com/news-analysis/anu-researchers-grow-brain-cells-on-a-chip-that-can-be-used-for-neural-implants-376218.html How Scientists Think CRISPR Will Change Medicine http://time.com/4764488/crispr-genomic-technology/ 'Exercise-in-a-pill' steps closer with new study http://www.medicalnewstoday.com/articles/317263.php Swearing can boost muscle strength and stamina, scientists claim http://www.mirror.co.uk/lifestyle/health/swearing-can-boost-muscle-strength-10358340 MTSS: medial tibial stress syndrome https://www.thegaitguys.com/thedailyblog/2017/5/2/medial-tibial-stress-syndrome-mtss-and-the-long-flexor-of-the-big-toe Corticosteriod coffin Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee OsteoarthritisA Randomized Clinical Trial Timothy E. McAlindon, DM, MPH1; Michael P. LaValley, PhD2; William F. Harvey, MD1; et al https://twitter.com/JAMA_current/status/864631934483345408 http://jamanetwork.com/journals/jama/fullarticle/2626573?utm_source=TWITTER&utm_medium=social_jn&utm_term=901304561&utm_content=content_engagement|article_engagement&utm_campaign=article_alert&linkId=37665463 Achilles Tendon Load is Progressively Increased with Reductions in Wal
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https://www.youtube.com/watch?v=dPFAs12d3Fc
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VIDEO
CASE
case-study-in-gait-analysis-part-2-of-2
In part 2 of this case study, Dr Ivo Waerlop of The Gait Guys discusses the dynamic findings inferred from gait video and the case history. The findings, clinical implications and remedies are discussed
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https://www.youtube.com/watch?v=NBlOCzZot8s
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VIDEO
PODCA
podcast-131-managing-your-injuries-and
Key Tag words: thegaitguys, gait, gait analysis, hallux rigidus, hallux limitus, calf strength, calf endurance
Links to find the podcast:
iTunes page: https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138?mt=2
http://directory.libsyn.com/episode/index/id/5887731
Our Websites: www.thegaitguys.com
summitchiroandrehab.com doctorallen.co shawnallen.net
Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20). Our podcast is on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us. Show Notes:
Researchers turn skin cells into motor neurons without using stem cells https://futurism.com/researchers-turn-skin-cells-into-motor-neurons-without-using-stem-cells/
Immune cells release “red flag” to activate muscle stem cells in response to damage http://scopeblog.stanford.edu/2017/09/25/immune-cells-release-red-flag-to-activate-muscle-stem-cells-in-response-to-damage/
Does structural leg-length discrepancy affect postural control? Preliminary study. Eliks M, et al. BMC Musculoskelet Disord. 2017.
Evidence for Joint Moment Asymmetry in Healthy Populations during Gait. Rebecca L. Lambach et al. Gait Posture. 2014 Sep; 40(4): 526–531.
J Phys Ther Sci. 2017 Jun; 29(6): 1001–1005. Published online 2017 Jun 7. doi: 10.1589/jpts.29.1001 PMCID: PMC5468184
Does the weakening of intrinsic foot muscles cause the decrease of medial longitudinal arch height? Kazunori Okamura, RPT, MS,1,* Shusaku Kanai, RPT, PhD,2 Sadaaki Oki, MD, PhD,2 Satoshi Tanaka, RPT, PhD,2 Naohisa Hirata, RPT, MS,3 Yoshiaki Sakamura, RPT, MS,4 Norikatsu Idemoto, RPT,1 Hiroki Wada, RPT,1 and Akira Otsuka, RPT, PhD5
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https://www.youtube.com/watch?v=Wj7XB-b0-ig
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VIDEO
THE T
the-tarahumara-and-masai
Dr Ivo Waerlop of the Gait Guys discusses the Tarahumara and Masai and their relation to barefoot running and minimalistic footwear.
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https://www.youtube.com/watch?v=VczZa34qcH0
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Controlling
VIDEO
THE G
the-gait-guys-talk-about-cerebellar-2
Just when you thought it was safe to watch a Neuromechanics Weekly episode, Dr Ivo throws a curveball. Check out the interesting clinical asides about myelopathy (pressure on the spinal cord causing ataxic gait) and the importance of which modality to check 1st, when doing an exam.
Keep these things in mind the next time you are evaluating someone's gait.
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https://www.youtube.com/watch?v=tP-PvzB-fYM
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VIDEO
POD 1
pod-133-two-gait-cases-their-gait-rehab
Today we discuss a few cases we have seen. We discuss 2 cases, both involved poorly adapted gaits from injury, adaptations that had become the client's new norm. Once you get past Ivo's case presentation, which is very in depth, the discussions quickly go into very important topics that we all over look, namely gait and gait rehab, gait thresholds, metabolic thresholds, cortical fatigue, and how to use some neurologic principles to restore a problematic gait.
Key Tag words: gait, concussion, head trauma, cortical fatigue, endurance, strength, gait analysis, gait problems, gait rehab, running, running injuries, run-walk, SCFE, slipped epiphysis, femoral growth plate, hip stress fractures, growth plate injury, hip dysplasia, limping gait, club foot, step length, stride length
Links to find the podcast:
iTunes page: https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138?mt=2
Libsyn Directory URL: http://directory.libsyn.com/episode/index/id/6087848
Our Websites: www.thegaitguys.com
summitchiroandrehab.com doctorallen.co shawnallen.net
Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).
Our podcast is on iTunes and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.
...
https://www.youtube.com/watch?v=ya70lL5cAK8
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Controlling
VIDEO
GAIT
gait-case-in-a-triathlete-arm-swing
This is a video case of a triathlete who presented with left calf pain and right quadriceps leg pain after months of training. In the video we discuss altered ankle rocker (dorsiflexion), lower crossed syndrome, altered arm swing patterning, unilateral quadriceps tightness and several other functional gait pathologies with this case. Visit us at thegaitguys.com and on our YouTube Channel for more cases like this one.
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https://www.youtube.com/watch?v=d_19cvsgFUY
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Created
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video/mp4
English