Clinical Pilates in Practice: Locomotion & Dynamic Posture (June 2022)

This review article explains the networks that the trunk in vertebrates with limbs, and also how the central nervous system acts dynamically on the musculoskeletal system.

 

Guillaud E, et al. Locomotion and dynamic posture: neuro-evolutionary basis of bipedal gait. Neurophysiologie Clinique/Clinical Neurophysiology (2020),  https://doi.org/10.1016/j.neucli.2020.10.012

 

KEY POINTS: LOCOMOTION & DYNAMIC POSTURE

  • Dynamic control of gait is supported by:
    • Locomotor activity that is produced by specialized rhythmogenic spinal circuits called central pattern generators (CPGs), and which cyclically drive axial and leg muscle activity (p.8)
    • Posture control systems which involve long spinal/supraspinal loops, and the integration of various sensory inputs (e.g. proprioceptive, visual and vestibular) at various supraspinal levels resulting in long latency responses (p.8).

  • Dynamic balance in limbed vertebrates requires proper coordination of all...
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Clinical Pilates in Practice: Migraines (April 2022)

This Masterclass / review article discusses current literature and clinical practice for physiotherapists working with patients with migraines.

 

Carvalho, Gabriela F., Annika Schwarz, Tibor M. Szikszay, Waclaw M. Adamczyk, Débora Bevilaqua-Grossi, and Kerstin Luedtke. "Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice." Brazilian Journal of Physical Therapy 24, no. 4 (2020), 306-317. doi:10.1016/j.bjpt.2019.11.001.

 

KEY POINTS: MIGRAINES

  • Migraines are under-diagnosed and under-treated.

  •  Patients may present with episodic, highly frequent, or chronic migraines.

  • Neck pain is common as part of the migraine cycle, and is related to worse clinical presentations.

  • Most patients present with at least three of the following:

    • Increased prevalence of cervical trigger points.
    • Decreased cervical ROM.
    • Decreased cervical flexion and extension strength.
    • Decreased upper...
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