The interactions of the lumbar spine and hip are particularly important to physical therapy for 2 reasons. The first reason is because of the challenge of determining whether pain in the hip region is from the lumbar spine, the hip or both. The second is including examination of the dynamic properties of the hip in patients with low back pain. Examination of the hip is consistent with the properties of the kinetic chain and the kinesiological interaction of the back and hip. When hip joint motion is imprecise nonetheless restricted, lumbopelvic motion is the site of compensatory movement. Thus the interaction of the hip and lumbar spine becomes particularly important. This lecture will describe the movement system Impairment (MSI) syndromes of the lumbar spine and the hip joint. The discussion will include factors contributing to these syndromes particularly as they relate to the passive and active characteristics of muscle and on structural variations of the hip joints. The clinical and laboratory evidence of back and hip interactions will be discussed. The presentation will help clarify how the pain pattern and the examination that includes correcting the offending movement can assist the therapist in determining the regional source of the pain.
At the conclusion of the program, the participant will be able to:
- Describe the Movement System and Movement System Impairment (MSI) syndromes and the factors contributing to development of musculoskeletal pain conditions.
- Discuss concepts of relative flexibility, the joints’ intrinsic motions and the tendency to move readily in a specific direction and relative stiffness, the passive tension of muscle and connective tissues.
- Discuss the MSI syndromes of the lumbar spine
- Discuss the MSI syndromes of the hip joint
- Describe the examination and treatment for the MSI syndromes of the lumbar spine
- Describe the examination and treatment for the MSI syndromes of the hip joint
- Discuss the interactions of the lumbar spine and hip as affected by muscular and structural factors.
- Discuss the evidence for the interactions of the spine and hip.
8:00am Registration and Continental Breakfast
9:00-10:30 Movement System concepts and the Kinesiopathological Model
10:45-12:00 MSI syndromes of the lumbar spine
12:00-12:30 Hip factors contributing MS lumbar syndromes
12:30-1:30 Lunch on your own
1:30-3:00 Demonstration of MSI exam for lumbar syndromes, discussion of treatment program
3:15-4:45 Demonstration of MS exam for lumbar syndromes: participants determine diagnosis and treatment program & Evidence for MSI lumbar syndromes: effect of hip motions
9:00-10:00 Structural and Muscular factors of the hip joint contributing to femoral syndromes
10:00-10:30 MSI Femoral Syndromes – part 1
10:45-11:30 MSI Femoral Syndromes – part 2
11:30-12:30 Demonstration of specific tests MSI femoral syndromes
1:30-3:00 Demonstration of exam for MSI femoral syndrome, discussion of treatment program. Participants determine diagnosis and treatment program
3:15-4:00 MSI hip syndromes
4:00-4:45 Demonstration of MSI exam and development of treatment program of subject with low back and/or hip pain & Evidence for factors in hip syndromes
4:45-5:00 Q&A and adjourn
Shirley Sahrmann, PT, PhD, FAPTA is Professor Emeritus of Physical Therapy at Washington University School of Medicine, St. Louis, Missouri. She received her bachelors degree in Physical Therapy, masters and doctorate degrees in Neurobiology from Washington University. She is a Catherine Worthingham Fellow of the American Physical Therapy Association and is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, and the Kendall Practice award, the Inaugural John H.P. Maley Lecture and Mary McMillan Lecture awards. Dr. Sahrmann has also received Washington University's Distinguished Faculty Award, the School of Medicine’s Inaugural Distinguished Clinician Award and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopedic Section of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter. In addition to her numerous national and international presentations, Dr. Sahrmann has been a keynote speaker at the World Confederation of Physical Therapy, and at the Canadian, Australian, New Zealand and Danish national congresses. Dr. Sahrmann's research interests are in development and validation of classification schemes for movement impairment syndromes as well as in exercise based interventions for these syndromes. Her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Cervical and Thoracic spines and the Extremities, describe the syndromes and methods of treatment.
13.0 contact hours or 1.3 CEUs (approval pending)
Instruction Level: Intermediate
Format: Lecture and demonstration labs
Attire: Comfortable business attire. Please consider dressing in layers as each person has a different comfort level when the air conditioning is on.
Target Audience: Physical Therapists, and PT Students.
Registration received by November 30, 2019
$500 APTA PT members
$315 APTA PTA members
$200 APTA Student members
Add $100 for late registration.
All cancellation requests must be received in writing – no exceptions. A full refund, less 20% service fee, if cancellation is received 14 days prior to the start of the course. No refunds after November 30, 2019.
$5 per day. Cash only.
Mount St. Mary’s University is located near the intersection of I-10 and 1-110
USC Hotel – 3540 S Figueroa Street, Los Angeles, CA (0.8 miles from MSMU). Rate range from $186-$350 per night.
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