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Rehabilitation
Dr. Gary Baker is
certified in Chiropractic Rehabilitation.
Sports Chiropractic and Rehabilitation Chiropractic are specialty branches
of Chiropractic. They focus on injuries and conditions unique to the active
patient, as well as promoting principles of physical fitness. Restoring
kinetic chain functioning is fundamental to the sports or rehabilitation
chiropractor.
Manual methods are used,
such as spinal manipulation, extremity manipulation and mobilization, and
myofascial release and muscle energy techniques. Exercise programs focus on
stabilizing posture by addressing issues such as balance, core, stretching
tightened postural muscles and strengthening reciprocally weakened muscles.
The concepts can be applied to everyone, of course, not just the athlete.
Evaluation attempts to identify mechanical sensitivities and muscle or joint
dysfunctions that are responsible for a patient's inability to achieve a
demand minimum functional capacity. Basic skills that patients use in their
jobs, sports or activities of daily living are evaluated (DOT) to establish
those minimum demands for return to work. Typically, examination proceeds
from active to passive tests. Inspection of posture, range of motion and
basic skills (DOT) may come first. This can be followed by active
provocative maneuvers such as McKenzie or orthopedic testing (i.e., Kemps).
Muscle strength, coordination or endurance tests would then come. These are
followed by passive tests of joint play and muscle length. Finally, passive
provocative maneuvers, such as orthopedic tests or soft tissue palpation,
would occur last. The goal of evaluation is to achieve diagnostic triage,
monitor outcomes, find key functional pathologies and identify work
capacity. All these goals should be met by a chiropractic rehabilitation
specialist.
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