Functional Examination & Treatment of the Pelvis – Valencia, CA
Feb 15, 2020 @ 8:00 am – Feb 16, 2020 @ 4:00 pm
Functional Examination & Treatment of the Pelvis
Over the last 25 years, Mark has developed a system of analysis and treatment based on MWM principles that greatly simplifies and clarifies examination and treatment of pelvic dysfunction.
This 2 day program was extensively updated and designed to simplify and enhance the learning experience. By providing an electronic copy of the manual for pre-reading, it has been possible to further expand the “hands on” component of the course. You cannot learn the practical components of this material online!
PTs and PTAs will receive 14 CCUs from Procert: State Board of Physical Therapy (FSBPT) for those holding license in: Alaska, Arkansas, Arizona, California, Colorado, Delaware, District of Columbia, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Wisconsin and Wyoming
- Continuing Education (CE) credits Certificate of attendance for 13 hours
- ATs will receive 13 CEUs from the NATA Board of Certification Approval #P3566
Each agenda item consists of Live Lecture and Lab Participation/Assessment. Typically, at least 50% of the agenda item is dedicated to Lab Participation/Assessment.
The examination component:
This course includes a new generation of functional load transfer tests that can be used to assess various elements of failed load transfer (pelvic dysfunction) across the pelvis. These tests are a critical element of pelvic examination as pelvic dysfunction has the capacity to result in pain being experienced in other parts of the body even when the pelvis is symptom free.
Some of these tests are validated, while others are currently being researched. They include observation based load transfer tests and tests for measuring inhibition, bracing and weakness.
In addition to identifying failed pelvic load transfer, these tests can be used to immediately assess the effectiveness of MWM (and other) interventions. However the true effectiveness of the MWM intervention can only be gauged by how it affects the patient’s presenting complaint. Consequently, the primary examination element taught in this program is how to use MWM to determine appropriate real time treatment. Rather than using pain provocation tests (PPTs) to provoke pain, MWM examination procedures are performed with the aim of eliminating pain on movement as the patient reproduces the previously symptomatic activity. In this way, the clinician is able to ascertain conditions that are required to render a pain provoking activity symptom free or eliminate the element of failed pelvic load transfer that has resulted in a symptomatic maladaptive movement pattern.
The treatment component:
The treatment elements of this course are primarily MWM based techniques directed primarily at the intra-pelvic joints (sacroiliac and pubic symphysis). However the pelvis MWM techniques integrate elements of manual therapy, functional exercise and cognitive therapy with the aim of affecting all components of the pelvic region. This is taught using a combination of practical instruction, real time demonstrations on individuals with PGP or pelvic dysfunction and video case example presentations.
Self-treatment techniques and integration of MWM techniques into what is termed a “no failure” functional exercise approach will be presented. When appropriate, additional treatment strategies and techniques are discussed and demonstrated including identification and management of causative factors.
Gentle, pain-free MWM techniques are ideal for treatment of pelvic dysfunction in women with pregnancy related pelvic girdle pain (PPGP) and these techniques are discussed and demonstrated in this workshop.
Why This Course?
Many clinicians find current examination and treatment options confusing, often contradictory and not particularly effective. The SIJ and PS may not in themselves be pain generators, but by altering relative flexibility and movement patterns may cause or contribute to many clinical problems including low back pain and hip pain, headaches and orofacial disorders.
Based on the Mulligan Concepts mobilization with movement (MWM), a system of movement analysis and treatment has been developed enabling clinicians to easily identify whether or not the SIJ and PS are contributing to functional or pain problems and to establish and execute an effective, clinically reasoned treatment plan.
The major component of the course is detailed supervised hands on practice of new MWM techniques and pelvic examination techniques that assess function and ease rather than provoke pain.
Learning Outcomes / Objectives
At the completion of this course (inclusive of pre-course reading), participants should:
- List at least 2 clinical outcome measures for useful for studies of pelvis, hip and groin pain
- Demonstrate the modified load transfer test (MLTT) to identify failed pelvic force closure
- Demonstrate the active straight leg raise test to identify failed pelvic force closure
- Demonstrate flexion/abduction/external rotation (FABER) test as a pain provocation test
- Demonstrate the active pelvis hike and lengthen (APHAL) test
- Demonstrate the hip adduction and hip abduction tests
- Demonstrate palpation of the long dorsal ligament
- Demonstrate central and unilateral lumbar SNAGs in four-point kneeling to improve ROM and pain on trunk movement
- Demonstrate 3 key variables that may be used to make a SIJ MWM technique effective
- Demonstrate 3 SIJ MWM techniques in standing for trunk and pelvis ROM impairment
- Demonstrate 2 SIJ MWM techniques in four-point kneeling for pelvic girdle pain
- Demonstrate 2 SIJ MWM techniques in standing for hip ROM impairment
- Demonstrate 3 pubic symphysis MWM techniques for hip and pelvis ROM impairment
- Demonstrate 1 technique SIJ MWM technique in sitting for trunk ROM impairment
- Demonstrate 3 self – SIJ MWM techniques for painful loss of trunk movement
- Demonstrate 3 taping techniques for SIJ pain
- Demonstrate integration of a SIJ MWM technique into a conventional functional exercise for pelvic strengthening (advanced)
- Cite at least 2 RCT studies that support the use of SIJ MWM techniques for treatment of sacroiliac dysfunction
COURSE OUTLINE: Two Day Functional Examination and Treatment of the Pelvis using MWM course with lecture, demonstration and lab practice. 8:00AM – 4:00PM (13 hours)
08:00-9:00 Administer pre test
Introduction and overview of MWM related to the pelvis – lectureand case study
09:00-9:45 Functional anatomy, biomechanics and neurophysiology of the pelvis, pelvic dysfunction – lecture
09:45-10:00 Determination of SIJ plane –demonstration and lab practice
10:00-10:15 Morning Break
10:15-10:30 Guidelines for examination and treatment of PGP and discussion of course examination techniques
– Lecture and discussion
10:30-12:00 Functionalexamination procedures for the pelvis – lab practice
13:00-13:10 Functional examination procedures for the pelvis – lab practice
13:10-14:30 Functional examination procedures for the pelvis – lab practice
14:30-14:45 Afternoon Break
14:45-15:45 SIJ MWM treatment techniques – lab practice
15:45-16:00 Video Presentation: Case Studies: Pelvis MWM direction specificity – video and discussion
08:00-8:15 Pubic symphysis MWM guidelines – lecture and discussion
08:15-09:00 Pubic symphysis MWM techniques – lab practice
09:00- 9:15 Pregnancy related pubic symphysis pain case study – video &discussion, lab practice
9:15 – 9:30 Morning Break
9:30- 10:30 Pubic symphysis MWM techniques – lab practice
10:30-12:00 SIJ MWM techniques – lab practice
13:00-13:15 SIJ MWM self-treatment exercises – lab practice
13:15-14:30 SIJ MWM techniques – lab practice
14:30-14:45 Case study pelvis MWMs – integration with functional exercise –video and lab practice
14:45-15:00 Afternoon Break
15:00-15:15 Taping – SIJ & PS – lab practice
15:15-15:30 Advanced lumbar spine and hip MWM techniques – lab practice
15:30-15:45 Case study – SIJ MWM related to MRI visualized lumbar IVD protrusion – video and discussion
15:45-16:00 Practical review session.Administer post test
This course is 50% hands-on so come dressed to learn. You will need to bring:
- Wear loose, comfortable lab clothing (with long hair pulled back)
- Bring your copy of the text, a small hand towel and a Mulligan NAGS & SNAGS Mobilization belt
- Foam mobilization pads are recommended.
- Required Text: Manual Therapy, “NAGS”, “SNAGS”, “MWM’S”, ETC., 6th ed., Brian R. Mulligan, F.N.Z.S.P.,Dip. M.T.
Course Evaluation: Yes
Certificate of Completion: Yes
- Certificate of attendance is provided for Continuing Education (CE) credits
- PT CEUs: This activity is pending approval by Procert for PTs and PTAs and National Board of Certification for Athletic Trainers
Mark Oliver MAppSc(Curtin), GradDipMT(Curtin), DipMT(NZMPA), DipPhysio(NZ), CMP, MCTA
Mark Oliver is a New Zealand and Australian qualified Manipulative Physiotherapist with a private practice in Western Australia. He is a Clinical Educator with more than 30 years clinical experience and Australia’s most experienced accredited Mulligan Concept teacher. Mark has completed a research Masters examining lumbar spine biomechanics, has published in international journals, written textbook chapters and was a lecturer on the Graduate Diploma in Manipulative Therapy and Sports Physiotherapy courses at Curtin University teaching clinical practice, anatomy, pathology and diagnosis. He has developed new methods of evaluation and treatment for sacroiliac joint (SIJ), pubic symphysis (PS) and temporomandibular joint (TMJ) disorders utilizing the Mulligan Concept and has conducted more than 100 lectures and clinical workshops on these subjects in Australia and Internationally.
In 2009, Mark was presented an Australian Physiotherapy Association (WA) award for contribution to physiotherapy education “An award presented to an APA member who has made an outstanding contribution to physiotherapy education”. He has written five textbook chapters and published in peer reviewed journals. Together with Jill McDowell, a fellow Mulligan Concept teacher, he is currently writing two textbooks and completing two papers on the Mulligan Concept in relation to pelvic and orofascial disorders. He is a member of the Australian Physiotherapy Association, a titled Musculoskeletal Physiotherapist (Musculoskeletal Physiotherapy Australia) and a member of the Mulligan Concept Teachers Association.
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