SLO Rolf I offer Rolfing Structural Integration, bodywork that address issues of pain and performance.

07/13/2024
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02/05/2024

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Pain Referral & Differentiating Shoulder v Neck Pathology: Analysis by Physio Meets Science

🤷 Physical examination can help differentiate shoulder from neck pathology although there can be significant overlap. (https://pubmed.ncbi.nlm.nih.gov/32206519/)

👉 For identifying a cervical aetiology, the absence of biceps muscle stretch reflex is highly specific for cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/12544957/

👉 Spurling’s test has also been shown to have a high specificity (0.93) for cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/11805661/)

👉 Shoulder abduction plays a key role in the differentiation of shoulder and spine. Davidson et al showed that 68% of patients with cervical radiculopathy had relief with abduction of the arm, which elevates the dorsal root ganglion away from osteophytes and varicosities causing compression. (https://pubmed.ncbi.nlm.nih.gov/7302677/)

👉 In addition, Viikari-Juntura et al showed that Spurling’s test and the shoulder abduction test were both specific for cervical radiculopathy but were not sensitive. (https://pubmed.ncbi.nlm.nih.gov/2711240/)

👉 Caliş et al showed that shoulder abduction pain was highly specific for rotator cuff related shoulder pain, with a drop arm test having a specificity of 0.97 and a painful arc test having a specificity of 0.80. (https://pubmed.ncbi.nlm.nih.gov/10627426/)

👉 Gumina et al proposed the “arm squeeze test,” which hypothesizes that compression of brachial plexus nerves affected by radiculopathy in the middle arm results in increased pain compared with various shoulder pathologies. They showed a 0.96 sensitivity and 0.90 specificity using this test for the detection of cervical radiculopathy. (https://pubmed.ncbi.nlm.nih.gov/23604976/)

👉Rosedale and colleagues used end-range repeated movements and loading strategies in patients presenting with extremity pain and documented that over 40% of patients with extremity pain responded to spinal intervention and thus were classified as having a spinal source of symptoms. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550529/)

🤕 Pain referral patterns:

▶︎Cervical facet joint C3-6: https://pubmed.ncbi.nlm.nih.gov/13211692/
▶︎ Cervical disc C3-6: https://pubmed.ncbi.nlm.nih.gov/10828920/
▶︎ Musculotendinous Interspace: https://pubmed.ncbi.nlm.nih.gov/13211692/
▶︎ AC Joint &Subacromial : https://pubmed.ncbi.nlm.nih.gov/9752643/
▶︎ C8 Radiculopathy: https://pubmed.ncbi.nlm.nih.gov/16924193/, https://pubmed.ncbi.nlm.nih.gov/38191741/

📸 The following figure summarizes pain referral patterns and differentiating exam findings. (https://pubmed.ncbi.nlm.nih.gov/32206519/)

How to find a Rolfer.
01/02/2024

How to find a Rolfer.

Have you been curious about Rolfing® Structural Integration, or had it recommended as a treatment? Finding a Certified Rolfer® in your area has never been easier with our Find a Rolfer® feature on rolf.org.

Our directory allows you to search by zip code to find the practitioner closest to you.

Great video about Rolfing Structural Integration
12/25/2023

Great video about Rolfing Structural Integration

For more information, visit clinic.rolf.org.

How Foam Rolling can help you!
12/05/2023

How Foam Rolling can help you!

Why a foam roller is the number one tool for self care and many of the ways to use a foam roller as either a workout by itself or in preparation for exercise.

Interested in Fascia tissue?
12/02/2023

Interested in Fascia tissue?

Part 1: What is fascia and why is it important? Synopsis: Join Scientist Robert Schleip and a team of experts on a fascinating journey exploring the missing…

11/30/2023

The deep dark dirty secret about Rolfing. It feel good!!

For your enjoyment:
11/28/2023

For your enjoyment:

Psychology Today Casette Tape Tape Blue 1Dr Ida Rolf Interview - Psychology Today - 1978Full Interviewwww.RolfingToporek.com 484-744-1868 Robert@RolfingTopor...

Here is an article about the importance of gravity, especially for future space flights. Rolfing Structural Integration ...
11/16/2023

Here is an article about the importance of gravity, especially for future space flights. Rolfing Structural Integration reminds us how important it is on Earth.

Multiple transitions between gravity levels will occur during planetary exploration missions. In reaction to these gravitational transitions, physiolo…

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