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Advanced Orthopedic Assessment for the Pelvic Health Therapist

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this program, participants will be able to:
1. Assess torsions within the system and correlate them to the patient’s complaints
2. Determine which area of the body is driving dysfunction through rationalization of the system
3. Determine where to start and which treatments to use
4. Review joint mobilizations, particularly the theory of Maitland
5. Review the use of the Mackenzie method, muscle energy techniques of the pelvis, soft tissue work and myofascial release and how they relate to patient’s symptoms
5. Begin and progress the patient through core training
6. Review the current literature relating to lumbar stabilization/core stabilization training programs, diastasis correction and progression
7. Discuss leg length discrepancy and how that correlates up/down the chain along with the use of heel lifts

Target Audience

This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

Agenda

Day One:
8:00 Registration 8:30 Introductions/Objectives, background of highlighted physical therapy interventions 9:00 Leg Length Discrepancy: old and new ways of assessment 10:00LAB: Assessment of LLD and use of heel lifts; LLD & assymetrical pelvic floor overactivity, discussion of orthotic use 10:45 Break 11:00Torsions within the system, fulcrums of movement, increased thoracic kyphosis and lumbar lordosis, pronated feet: where to start? 11:30 LAB: Observe for torsions: look for junction where rotations are opposite and rationalize through treatment techniques 1:00 Lunch 2:00 LAB: Head to Toe Orthopedic Scan Sit to Stand Movement Assessment: what changes with sitting and standing? 3:00 What is fascia? Discussion of fascial shortening, scar tissues, wounds, healing and fascial dysfunction. Understanding the use of the myofascial clock. Joint arthrokinematics and mobilizations of the hip, knee, foot 3:30 Break 3:45 Joint mobilization review of pertinent hip, knee, foot mobilizations 5:00 Adjourn

Day Two:
7:30 Review of day 1, Q&A 8:00 Introduction to the Hesch Method. Ilial and sacral springing. 10:00 Break 10:15 Cranial corrections: upgrade of the occipital release, position of C1 & C7, review of cranial vertebral mechanics and joint mobilizations 11:30 LAB: Assessment of cranial position and its relationship to the sacrum, sacral position and changes of the sacral position during sitting. 12:30 Lunch 1:15 Diastesis & core training: where do we start and where do we end? 2:00 Top 8 core training exercises with progressions 3:00 Putting it together: Lab review 3:30 Adjourn

Description

Understanding the biomechanics of the pelvis is necessary for all women’s health practitioners. However, looking at the patient from the cranium to the feet for other causes of chronic pain or pelvic pain is a necessary skill-set for the complicated patient that is driven to seek care from a pelvic health practitioner. This two-day course focuses on the integration of biomechanical alignment, changing and normalizing bony joint alignment, observing and correction of dysfunctional fulcrums of motions. This course also includes basic review and implementation of Maitland, Mackenzie, Cyriax methods are osteopathic points of view of manual therapy. Looking at the cervical, thoracic, lumbar spine, pelvis, lower extremities and feet are necessary for treating the complicated patient as a whole. Implementation of muscle energy techniques of the pelvis, the Hesch Method, and the Integrated System Model are discussed and introduced. Diastesis assessment, core and lumbar stabilization strengthening and progressions are instructed with taking into account the chronic pain, pelvic pain and pelvic organ prolapse type-patients. What to do with an uneven bony alignment in the pelvis? How do you correct a sacrum that returns to a dysfunctional position after each treatment? Does a leg length discrepancy matter? Does cranial sidebending or a foot in overpronation change the entire system which became the catalyst leading to chronic pelvic pain? How does a diastasis change the forces within the abdomen relating to low back pain and pelvic pain? This course is designed for the pelvic rehab therapist seeking to add these evaluation and treatment techniques to their clinical toolkit.

Date And Locations
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