Quick Links! | Modern Manual Therapy Blog

Quick Links!

Today's Quick Links come from Better Movement, Kettlebell Therapy, and Dynamic Chiropractic via Dr. Perry Nickelston.

a Rafflecopter giveaway Todd over at Better Movement wrote a great post on kinesiotaping and his theories for why it works. Between that and taping techniques like Mulligan taping, I completely agree, there is no way there is a mechanical component. Great post, be sure to check it out, but don't bother with the SS links, those guys are elitist and the complete opposite of an open forum.

Dr. Ben Fung recently completed his review of his Vibrams after 5 months of wearing them. Has it really been that long? As usual it's written with his flair for physics (I was a physics tutor in college, so I can really appreciate it).

I have mentioned assessing rolling in previous posts, which has been very valuable in patients who have plateaued in their improvement. I have used rolling as an assessment and self treatment/audit in everyone from marathon runners to office workers. Sometimes it's that missing piece. Dr. Perry Nickelston breaks down the rational behind upper and lower body rolling patterns. Check it out!


  1. Thank you for the interesting links. I agree that the mechanisms involved with kinesio taping are not mechanical and nor is the original hypothesis i.e. lifting of the skin etc. There are however some interesting studies by Franettovich, Vicenzino, Kelly et al and others that have shown that rigid taping (not kinesio) which increases medial longitudinal arch height also reduces tibialis anterior and tibialis posterior activity and also changes plantar pressures in running both in subjects with and without exercise induced lower limb pain. Here we see a demonstrable change in biomechanics (increased navicular height) and a concurrent change in muscle activity. No doubt the tape on the skin is providing an input into the system which may influence the pain system but one could argue that the mechanical change in navicular height is what is resulting in the change in muscle activity. If the tape's stimulus alone resulted in the reduction in activity of these muscles wouldn't the arch height actually decrease as a result - hence I would think that the tape itself must be contributing to a passive maintenance of the arch height thereby reducing the necessary contribution from the muscles. There is obvious overlap between mechanical and neurophysiological mechanisms but do you think that this may provide some evidence for a mechanical effect of some taping applications (not kinesio) or would you suggest something else is going on?

  2. I haven't read that study, but have been taping like that with Kendall Wet-pruf for years, it seems to work really well when it does and I think just gives feedback similar to the postural taping as I posted for upper and lower quarter. It's passive but provides feedback for when to activate normal supportive mechanisms. Is this Ryan Tedrick?

  3. Hi again, yes, Ryan Kendrick - are you getting sick of me?? Don't worry, I don't normally post much.

    I find these studies interesting. It has been demonstrated that they can maintain the navicular height (at least for a few hours or so) using the augmented low-dye technique. One possibility is that the feedback from the tape is prompting the muscles responsible for maintaining the navicular height/medial longitudinal arch height to activate except that the major muscles responsible for this show a reduction in activity. Also, when you are wearing it you feel a definite restriction of movement in certain directions and this is consistent with what is seen in the plantar pressures studies. I don't think that the changes that we see when we video these people's gait is purely a function of sensory input into the system causing changes in muscle activation (although this is also involved - one study showed that both a piece of rigid athletic tape or a piece of kinesio applied over the VMO region produced similar changes in activation and timing of VMO relative to VL). With certain tape, applied correctly, we can restrict certain movements or provide force in certain directions seemingly to have a direct mechanical effect on the kinematics.

  4. No, these and the FB posts make me want to mentor you more. When are you getting in the clinic, you read more than I do!

  5. Ha, yes. Just working with a few elite athletes at present and mainly teaching and R & D.

  6. Ryan, regardless of what tape you use, be it flexible or
    rigid, you cannot rule out the effects of the tape on the skin in a living,
    breathing human organism. Based on what
    I've learned about the mechanosensory properties of skin, a neurophysiological
    mechanism is the most plausible and parsimonious explanation for the effects of
    tape on a patient population.

    I couldn't find your reference with a Pubmed and CINAHL
    search, so I can't speak to the specific findings of that study. Do you have a title or PMID# on that study?

    It's unfortunate that you resort to disparaging the members
    of SomaSimple as "elitist". As
    a moderator at that site, I think I have a good sense of the diversity of
    viewpoints and approaches to treatment that are represented. For instance, there are moderators, like
    myself, who continue to use spinal manipulation-albeit with a much updated
    explanatory model- while there are others who have abandoned this intervention
    entirely. Some continue to use
    electrotherapy to treat pain while others don't even have a machine in their

    So, to make the remark that SS
    is "the opposite of an open forum" run by a group of elitists that
    dictates how patients in pain should be treated belies the varied points of
    view that are represented and debated there on a regular basis.

    The one thing that all of the moderators at SS agree on is
    that our profession persistently fails to embrace current pain neuroscience,
    and that a "chasm" exists between what the science tells us about
    treating pain and the dated explanatory models that we rely on to direct our
    interventions. In turn, we all agree
    that this failure to update our knowledge base comes at the expense of our
    patients and, as a profession dedicated to helping patients in pain, that is

    I don't see that as an "elitist" position; rather,
    I consider that the proper, indeed the required, role of a professional.

    If you have a specific example of elitism at SS, rather than
    make a general “shot across the bow” at “those guys”, then I invite you to come
    over and express your specific concerns.
    In the end, we are all trying to improve the science-based integrity of
    the profession, and it’s only through honest, vigorous and respectful debate
    that we will make progress in that direction

  7. I only have my experience plus the experience of some colleagues of mine to go on. One year ago, one of the bigger SS contributors said he liked my site, was good friends with Rocabado and "invited" me to come over to somasimple. I joined, lurked for a bit, and decided it's not for me, since I do so much "tissue" work. When I lurked around and decided there was too much negativity and arguing, I never posted. The person who "invited" me then reached out to me and asked me why I decided not to post on SS. I stated I did not have the time with a new clinic and maintaining my new blog, plus web store, teaching etc... He asked was I not a scientist, and then called me pathetic Not very scientifc or forward thinking.. I did nothing more than say I was too busy.

    I don't have the time, but everyone once in a while, I hope I can make a difference and give sites that deserve good exposure just that. I'm just not into the "forum" mentality.

    Now I am in the Rubbish Cube for "partially agreeing" to a good comment. Here's https://docs.google.com/open?id=0B4EzQ5-8mgyHQURhMVFJQXBXZzQ the pdf I saved of that thread. That was going on long before I decided to open call SS elitist. Glad I could spark up some discussion almost 1 year to the date of the guy who started the thread, who I am apparently now doing clinical research with. .

    Someone in that thread even says what most people outside of SS think. Someone comments on an outside site, they get disagreed with, and they come back to SS and get a whole gang of people to argue. No one from Rehab Edge, myself, Mike Reinold, or others well respected sites just randomly start arguing on say, Tom Myer's facebook page, https://www.facebook.com/AnatomyTrainsFans/posts/307142686001451 - only SS. Just because your a mod, doesn't mean you're impartial. It just means you're preaching to the choir. I'm all for improving the profession, which is what I try to do with an open blog that is for teaching and learning.

    I guess those in SS think it's ok, and have the time to argue back and forth. I'd rather teach and move on. Have a good day!