The Runners Rehab Program

Why take this Continuing Education Course?

Treatment of the runner is a complex and sometimes an involved process dealing with the interaction of physical and ideological components. This intermediate level course is founded on an evidence based approach for comprehensively evaluating and dynamically treating the running athlete. The focus of this two day seminar will be to identify the mechanisms responsible for inefficiency and injury during a client’s first treatment session and develop evidence based treatment approaches. This course will provide a clear outline for performing functional screening techniques applicable to any clinical setting. Foot and ankle assessment will be presented, including evaluation of rear and forefoot alignment, internal and external drivers of foot posture, and passive and active mobility testing. Foot posture and function will also be correlated to shoe wear and orthoses prescription. A very unique perspective will be taught regarding the assessment of segmental core stability with running patients. Techniques will be demonstrated using manual cueing and Stabilizer ™ biofeedback to facilitate core stability for simple and concise patient education. A specific exercise algorithm and home program will be presented for correcting movement dysfunctions and smoothly transitioning stance phase stability into more dynamic gait patterns. A portion of this course is dedicated to manual treatment approaches that are effective for immediate improvements with function and management of symptoms, including both taping and mobilization/manipulation of the ankle, knee, and hip joint. Specific running pathologies will be addressed, including hip pain, patellofemoral pain, Achilles tendinopathy, plantar fasciitis, and medial tibial stress syndrome. The current literature will be reviewed regarding the trends of barefoot running and minimalist footwear. Video analysis will be presented to allow more dynamic evaluation of lower extremity function. Gait manipulation techniques will be taught including cadence training and verbal cueing. This course is essential for attaining the knowledge base and manual skills needed for the success in treating the running athlete and is designed with the role of the clinician in mind, with easily applicable tools for treatment for even the busiest rehabilitation settings. The information presented in this course is based in part on the newest research generated by the top gait analysis labs in the country. Miriam has modeled her approaches to gait dysfunction based on the concepts advocated by researchers from both the Center for Endurance Sport at UVA and the Spaulding National Running Center at Harvard University.

 

Physical therapy and Occupational Therapy Continuing Education Courses
  • Describe biomechanical differences between running and walking gait.
  • Understand the current literature to ascertain the functional definition of core stability.
  • Demonstrate how to objectively assess core strength with running athletes, and train patients for improved self awareness for lumbopelvic stability.
  • Conduct thorough evidence based functional screening techniques to identify biomechanical faults of the injured runner. Techniques include lateral step down test, lunge test, functional movement screening, active hip abduction test, pelvic firing pattern assessment, swing test, and star excursion balance test.
  • Perform taping techniques for plantar fasciitis, Achilles tendonopathy, knee pain and low back pain.
  • Illustrate foot and ankle anatomy and biomechanical drivers of underpronation and overpronation.
  • Perform foot and ankle screening techniques including navicular drop tests, rearfoot excursion test, active heel raise test, functional hallux limitus test and Jack’s test.
  • Discuss the concepts of barefoot, minimalist, and traditional shoe wear running and how these trends impact lower extremity kinematics, ground reaction forces, and running posture.
  • Develop an evidence based algorithm for exercise prescription specific to running biomechanics, frontal and transverse plane kinematics, and lower extremity pain syndromes.
  • Perform mobilization/manipulation techniques to restore joint motion and decrease pain with running specific pathologies for the ankle, knee and hip. Techniques include talocrural joint, proximal tibiofibular joint, and hip joint mobilization/manipulation.
  • Discuss the etiology and differential diagnosis of the most common running injuries including medial tibial stress syndrome, heel and plantar fascia pain, hip pain, and Achilles tendinopathy.
  • Perform real time facilitation techniques to modify running form to decrease mechanical forces responsible for injury.
  • Understand basic concepts of video analysis of running gait and be able to apply gait analysis to the clinical setting.
  • Perform differential diagnosis of hip pain and screen tests for labral tears, femoroacetabular impingement (FAI) and osteoarthritis.
  • Discuss newer concepts in pain generators for patellofemoral pain syndrome.
  • Instructor name

    Miriam Nelson, MPT, COMT, OCS

    I have developed a systematic results-driven program for runners to maximize their function and minimize their injuries.
    More Instructor Info

    Continuing Education, Dates & Locations


    October 24, 2015 - October 25, 2015

    15.00 hours of CME credit

    Providence St. Vincent Medical Center Portland, OR

    Tuition $ 450.00

    Register          

     


    November 14, 2015 - November 15, 2015

    15.00 hours of CME credit

    UHS-Summerlin Hospital Las Vegas, NV

    Tuition $ 450.00

    Register          

     

    State Continuing Education Course Approvals

    All courses are pre-approved by the state licensing boards for physical therapists, physical therapy assistants and occupational therapists, occupational therapy assistants and athletic trainers for license renewal in the state the course is offered.

    Courses provided by AOTA providers are accepted by NBCOT. 1 hour = 1.25 PDU. North American Seminars is and AOTA provider, provider #4487