The Pelvis in Gait (SLC)
January 29-30th, 2021
--Instructor Neal O'Neal, PT
Neural and biomechanical integration of the lower extremity, hip, pelvis and lumbar spine into the gait cycle requires detailed knowledge of the anatomy, physiology, neurology, embryology and dynamic force relationships of these various structures. This course provides the participant with an extensive knowledge of these areas as well as the intricacies of dysfunction of the lower extremity as it relates to lumbopelvic dysfunction.
The lumbopelvic joints, ligaments, muscles, fascia, vascular and neural components will be discussed from embryological, vertebral, biomechanical and arthrokinematic standpoints. Assessment and treatment will include Muscle Energy Techniques, Joint Mobilization, Travell concepts, and Myofascial Techniques employed and demonstrated in laboratory session.
Pain is the top reason patients seek treatment. Most pain is not due to acute trauma which poses a problem for the current medical system approach. To successfully treat non-acute onset of pain can be difficult. A deep understanding of the neurological and biomechanical interaction of the lumbopelvis and lower extremity such as occurs in gait must be used as a toll to understand the functional and dysfunctional interaction of these areas.
The lumbopelvis contains the lumbar spine, iliosacral joint, sacrococcygeal joint, sacroiliac joint, and hip, which make it an area of complexity and interrelated dysfunction that can be difficult to fully treat. Couple this area of complex function with its dynamic force relationship to the lower extremity and it is easy to see why lasting success is hard to attain in treatment. This class details the specific relationships of the lower extremity to the lumbopelvis and the acute and chronic conditions that lead to pelvic obliquity, especially those that are resistant to correction, and how to manually treat and develop an effective home program for the biomechanical pelvis.
This class will provide the practitioner the ability to mechanically assess / observe the patient's movement competence through clinical tests and develop an appropriate manual treatment regimen to optimize and improve that patient's relevant lack of range of motion and aberrant motor programming to return to full function.
The Pelvis in Gait
January 29-30th, 2021
Target audience: Licensed healthcare providers including, but not limited to:
PT, AT, DC, MT, RN, OT, LMT, and ND.
16 contact hours – 16 1-A hours anticipated
Instructors: Neal O'Neal, PT
Class is held 9-6 Friday and Saturday.
Fees: $500/student, Associates of Autumn Mayberry may utilize a discount code found on her website for a discount code. Course limited to 24 students.
Learning Objectives: Upon course completion, the participant will be able to-
1) Palpate the discrete structures of the lumbar spine, pelvis, and lower extremity;
2) Ask appropriate patient history questions that take into account new, research-based understanding of lumbopelvic function;
3) Identify, palpate and test motion or irritation of the lumbopelvis to include joints, capsules, muscles, fascia, blood vessels, and lymphatic tissue.
4) Demonstrate various treatment strategies such as Muscle Energy Technique, Counterstrain-positional release, Neurolymphatic and Neurovascular Techniques, and NeuroDynamic Reintegration© (NDR©).
5) Perform appropriate Global and Regional provocation tests for the lumbopelvis and lower extremity.
6) Apply a specific Home Exercise Program based on objectively assessed neuromuscular imbalance and somatic dysfunction.
Materials Provided: A binder of the course materials will be provided to each student to follow along and take notes during the lecture and lab portions of the class.
Purpose: The purpose of this class is to provide the clinical practitioner with the knowledge of how recent research has changed current clinical treatment approaches to the biomechanical pelvis and lower extremity.
Expected outcomes are to develop effective delineation and treatment strategies based upon an integration of new information and the extensive body of knowledge of the anatomy, physiology, and embryology of the lumbopelvis. This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence, and extensive lab-based learning.
9am – 12pm Anatomy and Neurology of the Lumbopelvis and LE (Lecture)
12pm – 1pm Lunch
1pm – 1:45pm Global and Regional Provocation Tests (Lab)
1:45pm – 2:45pm Relation and Testing of LE dysfunction in relation to the Lumbopelvis (Lecture)
2:45pm – 6pm Somatic Treatment of the Lower Extremity- Counterstrain / Mobilization (Lab)
9am – 9:30am Current Research discussion (Interactive Discussion)
9:30am – 10:30am Somatic Treatment of the Lumbopelvis- MET assessment (Lab)
10:30am – 12pm Somatic Treatment of the Lumbopelvis- MET treatment (Lab)
12 – 1pm Lunch
1pm – 2:30pm Somatic Treatment of the Lumbopelvis- STM treatment (Lab)
2:30pm – 6pm Somatic Treatment of the Lumbopelvis- Neurologically based treatments (Lab)