The most interesting study I’ve read this week was an old one conducted by Professor Brian Rothbart (Rothbart 2008). Professor Rothbart is well know for his understanding of the effects the feet can have on superior structures. On my reading of his work he tends to focus on ascending patterns but also writes on descending patterns. If you’re interested in these relationships I suggest you check out his website, which has an excellent array of articles.
http://www.rothbartsite.com/
In this study Rothbart examined the correlations between foot alignment and vertical face dimensions in 22 Mexican...
“It is well recognized that radiculopathy, usually due to pressure on the dural sleeve of one of the lumbar nerve roots, can be responsible for this pain (Sciatica). On the other hand, ‘sciatica’ is more often due to referred pain from the sacrotuberous ligament”
Dorman (1999)
Sacro-illiac ligament referral patterns (Hackett 1958)
I re-read this statement after flicking through my notes on “Movement stability and low back pain” by Vleeming et al (Dorman 1999) trying to find solutions to a client’s long standing radicular pain that was not resolving. His primary symptom was radicular pain...
This blog is a synopsis of the excellent review on the topic by Ludewig and Reynolds (2009).
Assessment
During shoulder flexion the scapula should upwardly rotate and posteriorly and externally rotate at the acromioclavicular joint (Fey et al 2007, van der Helm 1994).
The clavicle elevates and increasingly retracts during shoulder flexion.
For typical alterations in shoulder pathologies see (Ludewig and Reynolds 2009).
Treatment
Which muscles to strengthen?
The serratus anterior is the only muscle that can produce all three desired scapula motions during shoulder flexion and abduction (Ludewig...