Plus: Bringing together hip extension, ankle dorsiflexion, looking at the 6 locomotion compensations to strategize around impaired ankle dorsiflexion during gait/running.
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). * and on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.
Show Notes: Exercise releases hormone that helps shed, prevent fat https://www.sciencedaily.com/releases/2016/10/161004130812.htm Lifelong strength training mitigates the age-related decline in efferent drive. Unhjem R, et al. J Appl Physiol (1985). 2016. http://www.ncbi.nlm.nih.gov/m/pubmed/27339181/ Telemeres and aging http://well.blogs.nytimes.com/2015/10/28/does-exercise-slow-the-aging-process/?_r=0&module=ArrowsNav&contentCollection=Health&action=keypress®ion=FixedLeft&pgtype=Blogs Using Virtual Reality in Paraplegics: https://www.theguardian.com/science/2016/aug/11/brain-training-technique-restores-feeling-and-movement-to-paraplegics-virtual-reality Above ankle brace: https://www.edgemobilitysystem.com/products/brace2play-above-the-joint-ankle-brace?variant=21314299587 Weak toe grip strength https://www.researchgate.net/publication/304271421_Weak_TGS_Correlates_with_Hallux_Valgus_in_10_12_Year_Old_Girls_A_Cross-_Sectional_Study Altra Lone Peak 3.0 https://www.altrarunning.com/men/lone-peak-3-neoshell-mid
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https://www.youtube.com/watch?v=m180yi78L_A
Sleight of Hand
We noticed this patient had a cross over gait while running (1st few seconds of video). We noted she was crossing her arms over her body as well. We than had her run her hands and arms straight out. See the crossover disappear? We the had her do the same while walking. Easier to see, eh?
The arms are essentially adducting when the arms cross over. The arms are reciprocally paired with the contralateral lower extremity. When you make a change in one, you often will make a change in the other.
Subtle. Yes. Pay attention, the answer is often right there if you look closely enough.
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https://www.youtube.com/watch?v=PDUxk32Kkkk
Gait Video Case of the day: The Frontal Plane Hinging Knee.
This is both a simple case, and difficult one. Simple because the diagnosis is easy. Difficult because there is not much you can do for it. But you still have to recognize it.
This person came to see us with a chief complaint of left hip and knee pain and right medial foot pain. It should be simple to see that the left knee is degenerative particularly in the medial compartment of the knee. You can see with the person walking that when the left leg is loaded there is a frontal (sideways) shift of the knee to the outside. This gives the appearance of a bowed (genu varum) knee. What you need to see and understand is that when they load the limb the knee moves laterally to the outside and this is going to challenge the left hip, particularly the gluteus medius, but it it is also going to press the lateral trochanter bony prominence of the hip into the bursae and soft tissue structures like the IT band. Both of these soft tissue structures can become quite inflamed and painful. Fatigue failure of the left gluteus medius in this kind of case will lead to pelvic obliquity and abdominal asymmetry and difficulties with symmetrical core stabilization of the spine. Low back pain is not uncommon in these types of cases. the rest is on our blog. http://thegaitguys.tumblr.com/post/14356471620/gait-video-case-of-the-day-the-frontal-plane
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https://www.youtube.com/watch?v=_hOqK85Uqv0
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
In this segment of Neuromechanics weekly, Dr Waerlop discusses those wonderful little volume controls for muscles, and their function
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https://www.youtube.com/watch?v=9gybSQc3Ct4
A brief (and silent) case study in low back pain, ab engagement and shoe drop.
Join us on the blog: http://thegaitguys.tumblr.com or on Facebook: The Gait Guys
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https://www.youtube.com/watch?v=nuhB3i_aga8
Key Tagwords:
neuroscience, hip pain, tendonopathy, DNA, running, injuries, achilles, tendonitis, gait, shoecue
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: Neuroscience: New neuron science http://trendintech.com/2017/04/05/groundbreaking-study-reveals-neurons-communicate-in-a-way-we-never-imagined/ Exercise strengthens you DNA http://www.mensfitness.com/training/build-muscle/exercise-strengthens-your-dna Development of overuse tendinopathy: A new descriptive model for the initiation of tendon damage during cyclic loading Tyler W. Herod, Samuel P. Veres https://twitter.com/stijnbog/status/875270547562692608 The neuromechanical adaptations to Achilles tendinosis. J Physiol. 2015 Aug 1;593(15):3373-87. doi: 10.1113/JP270220. Epub 2015 Jun 30. Chang YJ1, Kulig K1. Hip muscle strength is decreased in middle-aged recreational male athletes with midportion Achillestendinopathy: A cross-sectional study. Phys Ther Sport. 2017 May;25:55-61. doi: 10.1016/j.ptsp.2016.09.008. Epub 2016 Sep 13. Habets B1, Smits HW2, Backx FJG3, van Cingel REH4, Huisstede BMA5. Changes of gait parameters and lower limb dynamics in recreational runners with achilles tendinopathy. Kim S1, Yu J2. J Sports Sci Med. 2015 May 8;14(2):284-9. eCollection 2015 Jun. Vibrations and strides http://www.popsci.com/measuring-vibrations-runners-strides-could-prevent-muscle-injuries ShoeCue product: https://www.shoecue.com/?gclid=CKL1mI_e8tQCFZi4wAodgXMPJA RULES of tendonopathies: https://pbs.twimg.com/media/C3BbmWlXgAAg-ZA.png:large Roger Enoka http://www.humankinetics.com/products/all-products/neuromechanics-of-human-movement-5th-edition http://onlinelibrary.wiley.com/doi/10.1002/jor.23629/abstract?campaign=wolacceptedarticle
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https://www.youtube.com/watch?v=ktuP9mk70hM