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Full Course Description

Demystify the Hip Joint: Best Practices to Connect Anatomy, Functional Biomechanics and Evidence-Based Interventions

Traditional hip therapeutic approaches often fall short due to a lack of specialized knowledge, leading to misdiagnoses or suboptimal treatment plans. This training will help you break free from such limitations and guide you towards the right interventions and techniques, ultimately enhancing clinical outcomes for your patients.

Tailored to empower clinicians with the essential knowledge they need to make informed, evidence-based decisions that can significantly impact clinical outcomes. You’ll gain a comprehensive understanding of hip joint anatomy and biomechanics, enabling you to diagnose and treat hip conditions with precision.

Dive into the common misconceptions and practices that may be hindering your progress as a clinician, allowing you to make the necessary changes in your approach. Explore the intricacies of femoroacetabular impingement (FAI), a condition that often goes unrecognized or mistreated, and showcase the role of rehabilitation in its management. Our goal is to equip you with the latest clinical guidelines and special diagnostic tests to ensure that your patients receive the best care possible. So, invest your time and money wisely in this session, and watch as your practice is elevated to new heights, fostering better clinical outcomes and improved patient care.

Program Information

Objectives

  1. To understand the basic anatomy of the hip joint as it pertains to diagnosis and treatment of hip conditions.
  2. To explore the biomechanics of the hip joint and how it affects movement and function.
  3. To provide an overview of evidence-based practice and its importance in evaluating and treating hip conditions.
  4. To discuss the etiology of femoroacetabular impingement (FAI) and the role of rehabilitation in its management.
  5. To review clinical practice guidelines for the diagnosis and treatment of hip conditions, including FAI.
  6. To examine the use of special tests for diagnosing hip conditions and their relevance to clinical practice.

Outline

I. Understanding Hip Joint Anatomy and Biomechanics 

  • Key anatomical features of the hip joint
  • How hip biomechanics affect movement and function
  • Techniques for precise diagnosis based on anatomy
  • Clinical applications: Improved diagnosis and treatment planning

II. Harnessing Evidence-Based Practice

  • The importance of evidence-based techniques
  • Integrating evidence into clinical routines
  • Common pitfalls in traditional approaches
  • Clinical applications: Improved clinical decision-making

III. Demystifying Femoroacetabular Impingement (FAI)

  • Unraveling the etiology of FAI
  • Rehabilitation's role in managing FAI
  • Innovative techniques for FAI treatment
  • Clinical applications: Effective FAI management

IV. Clinical Practice Guidelines for Hip Conditions

  • Overview of the latest clinical guidelines
  • Applying guidelines to patient care
  • Ensuring quality care and patient satisfaction
  • Clinical applications: Enhanced patient outcomes

V. Special Diagnostic Tests for Hip Conditions

  • Exploring specialized diagnostic tests
  • When and how to use these tests
  • Interpreting test results
  • Clinical applications: Improved accuracy in diagnosis

VI. Elevating Patient Care and Clinical Practice

  • Synthesizing knowledge into practice
  • Overcoming common clinical challenges
  • Delivering superior patient care
  • Clinical applications: Enhanced patient care and practice improvement 

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers
  • Chiropractors
  • Massage Therapists
  • Other Rehab Professionals

Copyright : 02/05/2024

Practical Screening and Assessment Strategies for the Hip

Whether you're a new grad or you've been working the clinic for decades - the hip and its relationship with the pelvic complex can be, well, complex! Within this recording, we discuss clinically practical screening and assessment strategies for the hip. These findings and information you collect from the assessment is critical in setting the tone for your treatment strategies or interventions. With an accurate and thorough assessment, you will no longer have to wonder what the next treatment step is.

Program Information

Objectives

  1. Evaluate current research on pathology and etiology of hip anatomy and injuries.
  2. Determine normal and abnormal hip range of motion as it relates to producing athletic movement for clients or patients.
  3. Utilize both local and global assessment methods for the hip, pelvis, core, and overall lower limb stability and mobility.
  4. Choose and illustrate assessment concepts for the body and its entire kinetic chain.

Outline

  • Hip Anatomy and Injuries
    • Pathology and etiology
    • Subclinical explanation
    • Range of motion
    • Common Symptoms and Diagnoses
      • Hip, groin or low back pain
      • Bursitis
      • Stiffness or Tautness
      • Tendonitis
      • Labral tears
      • Strains/Sprains
      • Hip Impingement
      • Snapping Hip
  • Global and Local Assessment Strategies
    • Range of motion + approximating joints
    • Active, passive and restrictive tests
    • Which tests are the most effective?
    • Does the order matter?
    • Tips and tricks for tissue and joint palpation

Target Audience

  • Athletic Trainers
  • Chiropractors
  • Massage Therapists
  • Physical Therapists
  • Physical Therapy Assistants

Copyright : 05/13/2022

The Lumbopelvic Hip Complex Conference: Release Pain and Restore Function Up and Down the Kinetic Chain

Conditions of the Lumbopelvic Hip Complex are complicated to assess, difficult to pinpoint, and can move up or down the kinetic chain from day-to-day. 

Today your patient is complaining of knee pain, tomorrow it’s sciatica, and the following week its low back pain…  

But with a clear plan of care, tested assessment strategies and multi-intervention techniques, you can say goodbye to getting lost chasing symptoms.  

Learn how you can mitigate pain and unlock function locally and globally.  

Join forces with Darrell Locket, MAT, ATC/L, LMT, CSCS, a seasoned, multi-licensed clinician that has worked in nearly every facet of human performance, injury prevention, and functional restoration.   

From Olympic Athletes to Army Fighter Pilots, Darrell has provided decades of top tier rehabilitative care with exceptional outcomes. Learn and apply his best kept Lumbopelvic secrets with you!  

Dive into a full day of experiential learning brought to you live with 4 hours of hands-on lab demonstrations diving into…  

  • PNF Stretching and Strengthening  

  • Corrective neuromuscular exercises  

  • Functional therapeutic taping  

  • Mobilization combined with movement  

  • IASTM and soft tissue strategies  

  • Deep tissue and cross friction massage 

  • Trigger point therapy  

  • Myofascial release techniques  

 

With over 4 hours of lab time, this hands-on training prepares you to: 

  • Assess and treat chronic back and neck pain, hamstring tendinopathy, psoas pain, sacroiliac dysfunction, and more - Hands-on labs throughout the day show you how to determine the lumbopelvic-hip complex’s (LPHC) force-coupling joint-by-joint, covering key topics such as postural musculature analysis, orthopedic assessment, and testing of functional and dynamic movements patterns. 

  • Stretch, strengthen, and release tightness in the psoas major and iliacus musculature -  Practice combining PNF techniques and multidisciplinary treatments to manage areas of myofibrosis and lengthen/strengthen muscles within the posterior kinetic-chain, both locally and globally. 

  • Correct upper- and lower-crossed syndromes - Take home evidence-based taping, exercise, and stretching regimens for postural imbalances and chronic musculoskeletal pain, in conjunction with manual therapy and instrument-assisted soft tissue mobilization (IASTM) treatment plans 

  • Evaluate the roles of synergists, muscle slings, and myofascial trains. Explore a comprehensive rehabilitation approach in lab, combining PNF stretching and strengthening, functional taping, joint mobilization, trigger point therapy, myofascial release, and other evidence-based interventions. 

  • Repair sacroiliac and lumbosacral junction inter-muscular relationships between the upper and lower extremities -  Discover multidisciplinary soft-tissue manipulation interventions that accelerate the healing process by breaking down adhesions, liberating contractures, lengthening tight muscles, strengthening weak muscles, and integrating functional movement patterns. 

Program Information

Objectives

  1. Assess chronic back and neck pain, hamstring tendinopathy, psoas pain, sacroiliac dysfunction to improve function.
  2. Choose techniques to stretch, strengthen, and release tightness in the cervical, thoracic, and lumbar musculature to improve participation in physical activity.
  3. Determine corrective exercises for the upper- and lower-crossed syndromes to improve participation in activity and occupation.
  4. Identify muscle chains and slings, while restoring joint stability and muscular balance up and down the kinetic chain, to increase independence with functional goals.
  5. Examine sacroiliac and lumbosacral junction inter-muscular relationships between the upper and lower extremities.
  6. Integrate soft-tissue manual mobilization, innovative corrective strategies, and multidisciplinary therapeutic interventions to enhance execution of ADLs.

Outline

INTRODUCTION  

ARTHROKINEMATICS, MECHANISM OF INJURY AND COMMON DYSFUNCTIONS  

  • Anatomy of iliofemoral, sacroiliac, and lumbosacral junction  
  • Kinesiology of structure, function, and CNS 
  • Relative musculature interaction of upper and lower extremities   
  • Force-coupling 

ORTHOPEDIC ASSESSMENT OF LPHC 

MUSCLE ANALYSIS OF STANDING POSTURE, ALIGNMENT, JOINT STABILITY AND MOBILITY   

  • Base of support and center of gravity 
  • Faulty alignment – head, torso, pelvis, and lower extremity 
  • Musculoskeletal framework levers - stress and stain 
  • Muscular symmetry, contour, and tone 
  • Manual muscle testing  
  • Specific orthopedic assessment and special tests 

 

MORNING BREAK 

ASSESSMENT OF DYNAMIC MOVEMENT AND IDENTIFICATION OF FAULTY MOVEMENT PATTERN 

  • Bridge and planks  
  • Superman prone, supine and quadruped 
  • Single-leg balance and squat  
  • Overhead squat and step-off  
  • Pre-rehabilitation exercises/stretching and corrective taping  

LAB: ORTHOPEDIC MASSAGE AND MULTIDISCIPLINARY INTERVENTIONS FOR TREATMENT POSTURAL DYSFUNCTIONS  

  • Neuromuscular stretching and strengthening 
  • Deep tissue and cross-friction massage 
  • Joint mobilization  
  • Instrument-assisted mobilization 
  • Trigger point therapy  
  • Myofascial release  
  • Corrective taping  

LAB: LOWER-CROSSED SYNDROME 

  • Weak abdominals 
  • Weak gluteus maximus 
  • Tight thoracolumbar 
  • Tight hip flexors   

LAB: UPPER-CROSSED SYNDROME  

  • Weak cervical flexors 
  • Weak rhomboid and lower trapezius 
  • Tight pectorals 
  • Tight suboccipitals/upper trapezius/levator  

 

FUNCTIONAL TAPING, EXERCISES, AND STRETCHING 

SPINAL NEUROMUSCULAR CONTROL AND PROPRIOCEPTIVE COORDINATION 

LAB: MULTIDISCIPLINARY MULTI-INTERVENTION APPROACH FOR PSOAS MAJOR AND ILIACUS 

  • Sensorimotor system and compensatory   
  • Iliopsoas and gluteal muscle  
  • Neuromuscular stretching and strengthening 
  • Deep tissue and cross-friction massage 
  • Self and manual joint mobilization  
  • Instrument-assisted mobilization 
  • Trigger point therapy  
  • Self and manual myofascial release  
  • Functional taping  
  • Functional exercises and stretching 

CONCLUSION, QUESTIONS AND ANSWERS  

Target Audience

  • Athletic Trainers
  • Physical Therapists
  • Physical Therapist Assistants
  • Certified Strength and Conditioning Specialists
  • Exercise Physiologists
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Massage Therapists
  • Personal Trainers
  • Orthopedic and Sports Medicine Physicians

Copyright : 10/01/2024

Orthopedic Manual Therapy For The Lumbar Spine

Chronic. Debilitating. Challenging.  Clinicians are often stumped by the wide array of diagnoses and presentation of low back pain. With the myriad of impairments related to LBP, you need streamlined evaluation techniques and interventions that get results fast. 

Many patients do not respond favorably to the typical exercise regimens prescribed for LBP.  No time for manual therapy?  Think again - there’s a reason patients are willing to pay for massage therapy sessions out of pocket! In this training, you’ll discover  

  • Fast and easy techniques that you can use immediately 
  • How to quickly pinpoint lumbar spinal impairments and restricted areas 
  • Techniques that save your hands!  

This training will shine a light on providing patient-centered care while utilizing CPGs to inform decisions and stay within reimbursement guidelines.  You’ll learn what exam tools to use based on the CPGs for fast classification of LBP categories that will benefit from tissue mobilization, and specific techniques to free up restrictions and ease pain.  Discover fast and easy methods to release mobility restrictions in the low back to get people moving freely without pain rapidly. 

Program Information

Objectives

  1. Assess eight examination methods to identify mobility impairments in people with LBP.
  2. Incorporate select manual therapy strategies to address participation restrictions and mobility impairments backed by APTA’s CPGs and patient preferences for people with subacute and chronic LBP and LBP with leg pain.
  3. Investigate the latest research on the benefits of joint and soft tissue mobilization and positional release to improve function and quality of life for people with low back pain.

Outline

Patient Centered Care & CPGs 

  • Diagnostic categories of LBP where manual therapy is recommended 
    • Subacute and chronic LBP 
    • LBP with LE referred pain 
  • Including CPGs for reimbursement  
Examination Methods to Identify Mobility Impairments & Streamline Treatment 
  • Roland-Morris 
  • Oswestry 
  • Quebec disability scales 
  • SLR 
  • Burns 
  • Prone knee flexion 
  • Patrick FABERE 
  • SI tests (flexion/march/hip rotation) 
  • Slump test 
  • Soft tissue provocative tests: 
    • Fascial glide 
    • Trigger points 
    • Taut bands 
Targeted Techniques for Lumbar Spine 
  • Myofascial and positional Release 
    • Lumbosacral decompression 
    • Crosshand release 
    • Skin roll 
    • Psoas release 
    • Leg distraction 
    • QL release 
  • Foundational joint mobilization 
    • P/A glide 
    • Transverse rotation 
    • Lateral glide 
  • Case reports and research review 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 09/15/2021

Core and Pelvic Floor – Identifying and Treating Pelvic Floor Dysfunction from Outside of the Pelvis

Spoiler alert: it’s not just a mom problem!!  1 in 3 women seen in a primary care setting will have pelvic floor dysfunction (PFD). With symptoms ranging from lower urinary tract issues and incontinence to pelvic pain and sexual problems, you need simple assessments that quickly pinpoint the problem. With the large co-incidence of other pain conditions such as low back and abdominal pain, learn practical exercises to reduce symptoms and enhance function. Walk away with straight forward techniques to identify and treat pelvic floor dysfunction externally, as well as when and where to refer if needed.

Program Information

Objectives

  1. Investigate strategies to appropriately screen for pelvic floor dysfunction in their patient population.
  2. Demonstrate treatment techniques and exercises to normalize function of the pelvic floor and improve body awareness.
  3. Determine which patients are appropriate for a pelvic floor physical therapy referral.

Outline

Pelvic Floor & Anatomy overview

  • Pelvic floor muscle (PFM) function
  • Other Muscles that Work with the Pelvic Floor
Screening for Pelvic Floor Dysfunction (PFD)
  • Pregnancy and Postpartum
  • PFD Symptoms Overview
  • Subjective Exam
External PFM Assessment
  • PFD Treatments
  • Kegel overview
  • To Kegel or not to Kegel?
  • Other exercises for the PFM
  • Dilators, Pelvic Wands, Vaginal Weights – oh my!
Appropriate Referrals
  • Red flags and when to refer
  • Where to find referral partners

Target Audience

  • Athletic Trainers
  • Chiropractors
  • Nurses
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants

Copyright : 04/14/2023

Prevent Sacroiliac Joint Pain

Gain the expertise to effectively diagnose, treat, and prevent SI joint issues, one of the most frequently treated yet often misunderstood conditions in clinical practice. Discover what areas of the body need to be mobilized, and what areas need to be stabilized. Learn to identify motor control dysfunctions, master the "Hip Hinge" technique, and build a toolbox of practical exercises for immediate relief. Say goodbye to guesswork and hello to evidence-based SI joint pain management. Practical, real-world knowledge you can apply with confidence on Monday morning.

Program Information

Objectives

  • Perform a comprehensive assessment of sacroiliac joint (SI joint) function, including the identification of motor control dysfunctions and related movement patterns. (Heneghan, 20018)
  • Evaluate and distinguish between various exercises and techniques that mobilize and stabilize the SI joint, thus improving treatment outcomes for clients with SI joint pain. (McGill, 2015)
  • Develop evidence-based treatment plans for clients with SI joint pain, incorporating effective "anti-movements" and a clear understanding of the hip hinge technique to prevent and manage lower back and pelvic injuries. (Carroll, 2022)

Outline

Foundations of SI Joint Function 

  • Unpacking SI Joint Function Theories: A brief overview
  • Vleeming's Model: Insights into joint function
  • Commonality of SI Joint Pain: Why it's prevalent
  • Risks and limitations

Guiding with Joint-by-Joint Theory: Effective Treatment Approach

  • Spine Savers: Thoracic spine drills
  • Foam Rolling
  • Cat & Camel
  • Kneeling Thoracic Extension
  • Elbow-to-Wrist Drill
  • The Brettzel

Hip Health: Mobility drills to protect SI Joints

  • Rolling on the LAX/Tennis Ball
  • Kneeling Hip Flexion
  • Windshield Wipers
  • Fire Hydrants

Mastering Motor Control 
Screening for Dysfunction: Motor control assessments
Activate the Glutes: Glute activation exercises

  • Prone Leg Raises
  • Glute Bridge Variations
  • Hip Thrust Variations

Strengthen the Core: Core Strengthening Techniques

  • Bracing Techniques
  • Anti-Movements for Stability

Unlock the Hip Hinge: Techniques and Applications
Teaching the Hip Hinge

  • Kneeling Hip Hinge
  • "Butt-to-Wall" Drill
  • Dowel Drill

Loading the Hip Hinge

  • Kneeling Hinge with Band
  • Cable Pull-Through
  • Kettlebell Mastery
  • Deadlifts
  • One-Leg Kettlebell Deadlifts
  • Kettlebell Swings
     

Target Audience

  • Athletic Trainers
  • Chiropractors
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants
  • Strength and Conditioning Coaches
  • Other Rehabilitation and Fitness Professionals

Copyright : 08/08/2024

Current Concepts in Hip Arthroscopy & Endoscopy: Addressing Common Intraarticular and Extraarticular Problems

Our understanding of hip pain and its causes has increased dramatically in the past 20-30 years with the advent of hip MRI arthrograms, and hip arthroscopy.  We are now able to diagnose and treat teenagers and adults with common hip problems, well before they develop arthritis, with the goal of preserving their hips and active, athletic lifestyles, and avoiding the need for hip replacement surgery later in life.  This session will delve into the most common causes of hip pain in an active patient population, excluding arthritis.  We will review biomechanics of the hip to diagnose and treat these problems based on their location: anterior, lateral, and posterior.  Specific attention will be paid to the physical examination of the hip, with several instructional videos.

Program Information

Objectives

  1. Discover how labral tears occur in active patients, including the anatomy and biomechanics of femoroacetabular impingement (FAI).
  2. Examine a hip with FAI, and how to order and evaluate appropriate radiographic studies.
  3. Manage patients with FAI and labral tears, including non-surgical and arthroscopic surgical management.
  4. Analyze extraarticular hip problems, specifically trochanteric pain and hamstring injuries, including non-surgical management, and the role of endoscopic surgery.

Copyright : 08/08/2024