Sacroiliac Joint Treatment

Herman & Wallace Pelvic Rehabilitation Institute

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy
Contact Hours:   15
Registration Fee:   $475.00

Objectives

Upon completion of this course, the participant will be able to:
1. Identify the unique anatomical and functional characteristics of the sacroiliac joints.
2. Describe the role of aging on the various epiphyseal joints of the innominate bones.
3. Perform movement impairment and pain provocation maneuvers for the SIJ and pelvic ring.
4. Perform clinical testing procedures used to rule in/out the SIJ and pelvic ring in a patient’s pain.
5. Perform joint specific mobilization techniques to address pain or dysfunctions.
6. Instruct patients on a series of SIJ- specific stabilization exercises.
7. Design a plan of care specific to a patient's dysfunction.

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.

Confirmation Notes

Required Readings: This course has no required readings, but a practitioner who is new to pelvic rehabilitation may find it useful to renew the anatomy and physiology of the pelvic floor/pelvic girdle prior to the course.

Lab Attire: Comfortable, loose-fitting clothes. Course attendees will be participating in labs as both practitioner and practice patient. There is no internal evaluation in this course.

What to bring: Mobilization Belt, Yoga Mat, Foam Roller

Agenda

Day One:
8:00 Introduction/Course Objectives 8:15 Anatomy 9:30 Lab: Palpation of anterior pelvis 10:30 Lab: Palpation of posterior pelvis and SIJ 12:00 Lunch 12:30 Injury and dysfunction of the SIJ and pelvisL 1:30 Evaluation of SIJ - Lecture 2:30 Lab: Evaluation of SIJ 4:00 Treatment lecture: concepts 5:00 Adjourn

Day Two:
8:00 Treatment musculotendons 9:30 Treatment Pelvic and SIJ ligaments 10:30 Treatment Joint Mobilizations 12:00 Lunch 1:00 Treatment: Stabilization of SIJ 2:30 Lab: Treatment - Stabilization of SIJ 4:00 Final questions/case studies 4:30 Adjourn

Description

Sacroiliac joint pain prevalence has been estimated to be as high as 30% in patients with low back and buttock pain. (Schwarzer et al., 1995) Local causes of sacroiliac joint pain can be created from the joint itself, the dense ligaments that cover the joint surfaces, surrounding muscles, or nerves. Pain in the sacroiliac region can also be referred from the low back, buttock muscles, abdominal organs, or the hips. The SI joint is frequently injured by a fall or trauma, and is at increased risk of dysfunction during pregnancy and postpartum. One in four women who have pelvic girdle pain (PGP) during pregnancy may develop chronic postpartum PGP. (Ostgaard, 1991)

This two-day course will present a reference-based, clinically applicable approach to the evaluation and treatment of the sacroiliac joint and pelvic ring. Pain in the lumbopelvic-hip complex can be challenging as there are many potential sources of biomechanical dysfunction and pain generation. The course will cover the direct and indirect anatomy that influences the sacroiliac joint, and provide a means of deducing the source of pain and dysfunction. Direct treatment of symptoms and techniques for symptom amelioration will be presented. During lecture and laboratory sessions, participants will have the opportunity to practice two different SIJ tests; movement impairment vs. symptom reproduction. The participants will also analyze which spinal joints may be referring pain, and assess the role that sacral discs play in initiating and perpetuating pain. The information presented is immediately applicable to the clinician's patient population and the techniques presented will be able to be incorporated seamlessly into the participant’s clinical practice.

An emphasis on specific exercise and stabilization approaches will be instructed throughout the course. As research by Hungerford et al (2003) has pointed out that patients who have sacroiliac joint pain have altered patterns of muscle recruitment that may affect load transfer strategies, movement re-training, muscle awareness training, and muscle activation strategies will be instructed for both clinical application and home program management..