The Lumbopelvic Region - A Systematic Approach Utilizing Manual Therapy, Therapeutic Exercises and Muscle Energy Techniques

Course Outline

This intermediate level two-day seminar is designed to provide the medical professional with the information needed to develop a comprehensive evaluation and treatment program for the lumbopelvic region. This course begins with a review of the functional anatomy of the lumbar spine, lumbo sacral junction, and the pelvic girdle. The biomechanical and musculoskeletal relationships between the structures are explored and an in-depth analysis of functional and dysfunctional biomechanics is thoroughly covered.

By engaging the participants in laboratory exercises, the fundamentals of lumbopelvic dysfunctions are exposed.
In-depth analysis of the biomechanics of the lumbar spine, iliosacral, and sacroiliac are presented as the basis for evaluation of alignment within the lumbopelvic region. Through extensive lab exercises, the participants are led through a systematic approach to identifying functional versus dysfunctional motion and are led through a series of hands on activities to develop comprehensive management approaches to restoring optimal biomechanical function. Each dysfunction discussed is followed by treatment solutions that include a systematic manual therapy approach utilizing joint mobilizations, muscle energy and stabilization exercises. Dysfunctions such as hypo/hypermobility, disc disorders, facet arthropathy, positional faults, stenosis, compression fractures, muscle imbalances, upslips, downslips and pelvic rotations are thoroughly covered.

Through use of extensive manual techniques and exercises, participants will learn to restore a patient’s function and spinal alignment. The illustrated course manual provides step-by-step instructions that assist the clinician to immediately and confidently apply the new skills to their clinical setting. By combining this comprehensive assessment and treatment approach participants will understand the importance of identifying specific dysfunctions in a timely manner. Proper timing of specific rehabilitation techniques will facilitate effective treatment outcomes. Participants of this course will be able to effectively treat lumbopelvic dysfunction by achieving significant results in fewer treatment sessions.


Course Objectives

• Understand the functional anatomy and biomechanics of the lumbopelvic region.
• Describe the indications and contraindications for using muscle energy and joint mobilization techniques.
• Assess lumbar, sacral, innominate, and pubic dysfunctions and make appropriate diagnoses.
• Differentiate between dysfunctions originating from facets, discs, or musculoskeletal origins.
• Identify specific dysfunctions in the lumbopelvic region and understand when and how to apply appropriate treatment solutions.
• Utilize a combination of techniques (joint mobilizations, muscle energy, therapeutic exercises) to effectively treat dysfunctions of the lumbopelvic region.
• Provide appropriate home exercise prescription for patients to maintain normal and correct alignment.
• Provide step-by-step treatment programs for each dysfunction.

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 8:00 8:15 Review and Questions
8:00 9:00 Lumbar Anatomy and Physiology 8:15 9:45 Treatment of the Lumbar Spine (Continued)
9:00 9:45 Biomechanics of the Lumbar Spine (Lecture)   • Manual techniques, disc traction, facet traction and gliding, muscle stretching
  • Coupled vs. noncoupled movement   • Techniques for maintaining neutral pelvis with ADL’s
  • Movement of normal and hypermobile segments   • HEP, flexibility and strengthening
  • Effects of the thoracic and hip muscles on the lumbar spine 9:45 10:00 Break
9:45 10:15 Lumbar Dysfunctions, Diagnosis, Signs and Symptoms (Lecture) 10:00 11:00 Treatment of the Lumbar Spine (Continued)
  • Hypermobility   • Lumbar stabilization exercises from beginning to advanced
  • Hypomobility   • HEP
  • Postsurgical 11:00 11:30 Anatomy, Physiology, and Biomechanics: Pelvis/Sacrum (Lecture)
  • Spondylosis, spondylolisthesis, disc bulge or herniation, facet arthropathy, stenosis   • Normal biomechanics and dysfunctional movements
10:15 10:30 Break   • Effects of lumbar spine and hips on pelvis
10:30 12:30 Evaluation: Lumbar Hypermobility and Hypomobility Dysfunctions
(Lecture/Lab) 		11:30 12:00 Lunch (on your own)
  • A Step-by-step process of evaluation
 12:00 1:15 Pelvis/Sacrum Evaluation/Treatment
(Lecture/Lab)
  - Posture, palpation of key structures - AROM   • Posture, palpation of key structures
  - AROM
   • AROM, PROM/joint play testing
  - Provocation/alleviation between segments, facet, and muscle   • Provocation and alleviation testing
12:30 1:30
Lunch (on your own)   • Assessment for nutation and counternutation
1:30 3:30 Evaluation Continued:
(Lecture/Lab)		   - corrections/treatment using joint mobilization and muscle energy techniques
  • PIVM, muscle energy techniques for positional faults 1:15 2:45 Pelvis/Sacrum (Lecture/Lab)
Evaluation continued with Treatment and Exercise Prescription
  • Joint play (facet and disc/gliding and traction)   • Assessment for positional fault: sacral torsions, pelvic rotations, upslips/downslips, inflairs/outflairs
  • DTR’s, sensation, myotome/muscle testing palpation   • Corrections/treatments utilizing joint mobilizations and/or muscle energy techniques
3:30 3:45 Break   • Stabilization program
3:45 4:45 Evaluation Continued: Lumbar (Lecture/Lab) 2:45 3:00 Typical Case Studies
  • Continuation of neurological testing, assessing muscle tightness and joint testing of other areas   • Lumbar stenosis
  • Continuation of joint play, multiple positions   • Lumbar post surgical
4:45 5:45 Treatment of the Lumbar Spine (Lecture/Lab)   • SI/pelvis problems
  • Joint mobilizations   • Lumbar bulge or herniation
  • Treatment techniques /progression of treatment 3:00 3:15 Review and Questions
  • Manual techniques: STM, functional massage    
5:45 6:00 Review and Questions    
       

Downloads

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Course Brochure for The Lumbopelvic Region - A Systematic Approach Utilizing Manual Therapy, Therapeutic Exercises and Muscle Energy Techniques

Scheduled Dates and Locations

Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotel
Sep 12, 09Sep 13, 09Aurora Medical Center Kenosha, Kenosha, WI$399.0015.00View Hotels

 

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Course Instructor
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Brian Nalazek, OMPT, PT, CWT, graduated with department honors with a bachelor of science in physical therapy from the Oakland University in Rochester, MI in 1990. He completed his orthopedic manual physical therapy residency program (based from the Kaltenborn/Evjenth Nordik System) in 1999. He received his certificate of completion from the IWA as a certified weight trainer in October of 2003. He is also in the process of completing his advanced masters degree in orthopedics. Brian combines his extensive orthopedic background to the systematic approach of his teachings. He has been educating in a variety of orthopedic topics for over eight years. Brian successfully set up an orthopedic clinic and has established a community network of physicians and therapists. He also set up a consistent referral base with local physicians due to the successful outcomes he obtains with his orthopedic clients.

Brian’s approach to orthopedic dysfunction combines an eclectic approach of joint mobilizations, muscle reeducation, manual therapy, exercise and education.
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