The SI Joint and Pelvic Girdle

Course Outline

This two-day seminar is designed to provide the medical professional with a simplified evidence-based approach to managing dysfunctions of the pelvic girdle.
Anatomy of the SI and pelvic girdle region and the evidence-based treatment theory forms the foundation of the lecture. In-depth analysis of the biomechanics of the SI and pelvic girdle region is presented and forms the basis for evaluation of alignment within the SI and pelvic girdle. The participants, through extensive lab exercises, will be led through the development of treatment plans by applying muscle energy, joint mobilization, and muscle re-education techniques.
Course instruction will also focus on developing a working knowledge of the theory behind muscle energy and joint mobilization techniques combined with supporting evidence from the current literature. The practical application labs will be supplemented by lecture and group discussions. Efficacy of the various techniques for SI and pelvic girdle dysfunction will also be discussed in order to allow the participant to determine the best evidence based treatments for their clients. A course manual with illustrations and step-by-step instructions will assist the clinician in immediately and confidently applying these skills to their clinical setting. This information is essential to develop a comprehensive evaluation and treatment program for the SI and pelvic girdle region.


Course Objectives

• Understand the functional anatomy of the pelvic girdle.
• Recognize common pelvic girdle dysfunction and demonstrate comprehensive evaluation techniques.
• Explain the theoretical foundation of muscle energy technique.
• Explain the theoretical foundation of joint mobilization techniques.
• Describe the current findings in the peer-reviewed literature that impact pelvic girdle diagnosis and treatment.
• Describe the indications and contraindications for using muscle energy technique.
• Describe the indications and contraindications for using joint mobilization.
• Identify key elements of a patient’s history to assist in the diagnostic process.
• Identify muscle length imbalances of the lumbopelvic-hip complex.
• Perform appropriate muscle energy and joint mobilization techniques for pelvic girdle dysfunction.
• Develop evidence based rehabilitation programs for specific dysfunctions that are based on current scientific literature.

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 8:00 8:30 Review and Questions
8:00 9:45 Differential Diagnosis of Pelvic Girdle Dysfunction 8:30 9:00 Pubic Dysfunction Diagnosis (Lecture/Lab)
  • Subjective history of pelvic girdle dysfunction   • Static anatomical position testing
9:45 10:00 Break 9:00 9:45 Treatment and Exercise Prescription
10:00 11:00 Muscle Function of the Pelvic Girdle (Lecture/Lab)   • Inferior and Superior Pubic Dysfunction
  • Lower crossed syndrome   - Muscle energy techniques
  • Local and global muscle stabilization   - Manual therapy techniques
  • Muscle Length testing   - Muscle imbalance correction techniques
11:00 12:00 Palpation Review (Lab) 9:45 10:00 Break
  • Identify appropriate anatomical bony and soft tissue structures of the pelvic girdle 10:00 11:30 Sacral Dysfunctions
(Lecture/Lab)
Diagnosis: Signs and Symptoms
  Pelvic Girdle Diagnosis (Lab)   • Subjective history as discussed in the literature
  Pelvic Girdle Diagnosis (Lab)
• Review of signs and symptoms		   • Objective findings as discussed in the literature
  • Static anatomical position testing 11:30 12:30 Lunch (on your own)
  • Motion palpation testing 12:30 2:15 Sacral Dysfunctions: Treatment and Exercise Prescription (Lecture/Lab)
12:00 1:00 Lunch (on your own)   • Sacral torsions
1:00 1:45 Pelvic Girdle Diagnosis
(Lab continued) 		  • Flexed Sacrum
  • Continue with motion palpation testing and start pain provocation testing of the pelvic girdle   • Extended Sacrum
1:45 4:00 Innominate Dysfunctions: Treatment Prescriptions
(Lecture/Lab)		   • SI Joint hypermobility
  • Anterior and posterior rotations 2:15 3:45 Case Study Presentations
  • Ilium inflares and outflares   • Sacral hypomobility
  • Upslips and Downslips   • Sacral hypermobility
4:00 4:15 Break   • Normal sacral mobility with pain
4:15 5:45 Case Study Presentations 3:45 End of Session
  • Pelvic girdle diagnosis    
  • Muscle imbalance dysfunction    
  • Innominate dysfunction    
5:45 6:00 Review and Questions    
       

Downloads

Course Brochures are in Adobe PDF format. Right click and choose "Save Target As" to download brochure. If you would like to open the brochure in your browser windows, select the link.

Course Brochure for The SI Joint and Pelvic Girdle

Scheduled Dates and Locations

Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotel
Jan 24, 09Jan 25, 09Legacy Emanuel Hospital, Portland, OR$399.0015.00View Hotels
Mar 07, 09Mar 08, 09Tampa General Hospital, Tampa, FL$399.0018.00View Hotels
Jun 06, 09Jun 07, 09MultiCare Health System, Tacoma, WA$399.0015.00View Hotels
Jun 27, 09Jun 28, 09CJW Medical Center, Richmond, VA$399.0015.00View Hotels
Nov 07, 09Nov 08, 09Riverside Health Center, Columbus, OH$399.0015.00View Hotels
Nov 21, 09Nov 22, 09Palomar Medical Center, Escondido, CA$399.0015.00View Hotels

 

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Course Instructor
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Michael P. Reiman PT, MEd, ATC, CSCS is an Assistant Professor in the Doctoral Physical Therapy Program at Wichita State University in Wichita, Kansas where he teaches the entire Spine, Pelvic Girdle, and Hip joint curriculum. Mike earned a B.S. in Natural Science from Doane College, a B.S. in Physical Therapy from Wichita State University, and a Master of Education degree in Physical Education in 2003 from Wichita State University. He is presently working on his DPT from Massachusetts General Institute of Health Professions, as well as pursuing a manual therapy fellowship from The Manual Therapy Institute in San Marcos, Texas. Mike is also a certified athletic trainer (ATC) through the National Athletic Trainer’s Association, a certified strength and conditioning specialist (CSCS) through the National Strength and Conditioning Association, a Level 1 coach through the US Olympic Weight Lifting Association, and a Level 1 coach through the US Track and Field Association. Prior to accepting a full time teaching position, he spent 15 years in clinical practice (with part time teaching responsibilities) in orthopedic and sports medicine settings.

Mike has published articles in peer- reviewed journals including The American Journal of Sports Medicine and The Journal of Orthopedic and Sports Physical Therapy, and has published 2 book chapters in clinical orthopedic texts. He has presented on various orthopedic subjects with an emphasis on spinal and pelvis pathology, as well as muscle retraining/conditioning at the state and national level. Research interests include areas of the spine, muscle endurance and strength, as well as athletic enhancement techniques. In his clinical practice Mike emphasizes evidence based treatment principles from his ongoing research. Utilizing his clinical and educational skills allows Mike to use a presentation approach that is very interactive and “hands on”, giving the clinician the ability to actively participate in their educational experience.

 
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