Malleolar Fracture

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What does a post lateral malleolar fracture patient look like?

Can you say loss of proprioception? Can you say loss of triceps surae strength? Can you say loss of hip abductor strength?


Whenever we have a fracture and that segment is subsequently immobilized, we usually have damage to joint and muscle Mechanoreceptors as well as some atrophy of the receptors because of the immobilization. Lucky for us, and this patient in particular, those changes are rapidly reversed due largely to initially neural adaptation which is responsible for most of the early strength changes and then later, after a few weeks, muscular hypertrophy.

Podcast 90: The brain: A deeper look at gait and motor control

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Show sponsors:
www.newbalancechicago.com


Other Gait Guys stuff

A. Server links to the podcast:

http://directory.libsyn.com/episode/index/id/3302518

http://traffic.libsyn.com/thegaitguys/pod_90f.mp3

http://thegaitguys.libsyn.com/90

B. iTunes link:
https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138

C. Gait Guys online /download store (National Shoe Fit Certification and more !) :
http://store.payloadz.com/results/results.aspx?m=80204

D. other web based Gait Guys lectures:
Monthly lectures at : www.onlinece.com   type in Dr. Waerlop or Dr. Allen,  ”Biomechanics”

Our Book: Pedographs and Gait Analysis and Clinical Case Studies

electronic copies available here:

Amazon/Kindle:
http://www.amazon.com/Pedographs-Gait-Analysis-Clinical-Studies-ebook/dp/B00AC18M3E

Barnes and Noble / Nook Reader:
http://www.barnesandnoble.com/w/pedographs-and-gait-analysis-ivo-waerlop-and-shawn-allen/1112754833?ean=9781466953895

https://itunes.apple.com/us/book/pedographs-and-gait-analysis/id554516085?mt=11

Hardcopy available from our publisher:
http://bookstore.trafford.com/Products/SKU-000155825/Pedographs-and-Gait-Analysis.aspx


Show notes:

Researchers Identify Important Control Mechanisms for Walking
http://neurosciencenews.com/spinal-cord-activation-neurology-walking-1698/
 “Using statistical methods, we were able to identify a small number of basic patterns that underlie muscle activities in the legs and control periodic activation or deactivation of muscles to produce cyclical movements, such as those associated with walking

People watching: Different brain pathways responsible for person, movement recognition
http://medicalxpress.com/news/2015-01-people-brain-pathways-responsible-person.html
Each time you see a person that you know, your brain seemingly effortlessly and immediately recognizes that person by his or her face and body. Just as easily, your brain understands a person’s movements, allowing you to perform critical skills such as interpreting social cues, detecting threats and determining the difference between skipping and jumping.

Remapping the brian.
http://news360.com/article/273798702/#
Published in the Journal of Neuroscience, 

How Rotation gets you dorsiflexion: Easy solutions for ankle mobility
 http://thenominalist.wordpress.com/2014/12/16/how-rotation-gets-you-dorsiflexion-easy-solutions-for-ankle-mobility/

Wedges: http://www.footfoundation.com/

Its hard to change the neurology of engrained habits……..
Neuromuscular Exercise Post Partial Medial Meniscectomy: Randomized Controlled Trial.
Hall M1, Hinman RS, Wrigley TV, Roos EM, Hodges PW, Staples MP, Bennell KL.
Journal Med Sci Sports Exerc. 2014 Dec 23. [Epub ahead of print]

Doc Martins Boots: Tobias and Curtis
http://www.journeys.com/product.aspx?id=243165&green=157F2C73-F732-5ACF-AC09-89894E6EE1F1
Tobias and Curtis

Relationship between physical impairments and movement patterns during gait in patients with end-stage hip osteoarthritis
Joseph Zeni, Jr.1,2  et al
http://onlinelibrary.wiley.com/doi/10.1002/jor.22772/abstract;jsessionid=E0C246BA281C71A4124C03FEB608C474.f02t02

VAncouver Gait course: http://twinbridgesphysiotherapy.com/courses-events/foot-and-gait-course/