Sacroiliac Joint Course Details
Course Rational:
It is well established that the sacroiliac joints are potent sources of low back and lower limb pain. According to recent injection studies some 20% of chronic low back pain is attributable to SIJ dysfunction, and it is a secondary source of symptoms in many more patients. Additionally, it is increasingly evident that the shock absorbing torsional control provided by the sacroiliac joints is vital to the health of the spine and a key influence in the performance of the stabilising musculature of the trunk, pelvis and hips. Consequently, as well as influencing lumbar biomechanics and therefore lumbar mediated symptoms, it is clinically related to a wide variety of lower-limb disorders such as patellofemoral pain, ITB and hip problems, tibial and foot pain, and disorders further up the kinetic chain. The degree of movement may be small, but disruption of the normal control mechanisms around the pelvis can have far-reaching consequences. The course provides a clinically orientated, evidence-based structure to the management of disorders of the pelvis so that participants are better able to deal with this wide variety of presentations.
Course Objectives:
- To enhance the participants' knowledge of sacroiliac functional anatomy, biomechanics and pathomechanics in view of recent research findings and current treatment strategies.
- To enhance participants' manual skills in the effective management of sacroiliac dysfunction
- Upon completion of the course, participants should be able to perform the following:
- Assess and interpret patterns of pelvic dysfunction
- Effectively utilise muscle energy techniques, mobilisation and manipulation to optimise pelvic function
- Identify sacroiliac instability
- Effectively utilise manual and adjunctive therapies to enhance pelvic stability and optimise stabilising muscle function.
- Integrate management of sacroiliac motion dysfunction with management of adjacent dysfunction
- Recognise the contribution of SIJ dysfunction to lower limb and other disorders.
Course Tutors:
Howard Turner BSc BAppSc MCSP (click to go to bio)
Hugh Jenkins BSc(HONS) MCSP graduated from the University of East London in 1991. He worked in London both in the NHS and private sector before moving to Devon. He is now a partner in Exeter Physio & Sports Clinic and has been teaching this course since 1999.
Course Timetable
Day One
8.45- REGISTRATION
9:00- Introduction / clinical relevance / applied anatomy & biomechanics of the pelvis and pelvic girdle dysfunction
9:45- Assessing movement dysfunction of the pelvis
10:30- Break
10:45- Assessing myofascial disorders of the pelvis - a modified "osteopathic" approach
12:30- Lunch
1:15- Treatment of myofascial presentations
4:00- Break
4:15- Clinical relevance and assessment of "piriformis syndrome" & the use of positional release and taping techniques to improve muscle function around the pelvis.
5:00- Close
Day Two
9:00- Review of day one & key issues / integrating pelvic treatment
10:00- Break
10:15- Assessment of SIJ dynamic stability and the use of stabilisation belts and taping techniques to improve stability and enhance rehabilitation.
10:45- Assessment & treatment of intra-articular SIJ dysfunction
12:30- Lunch
1:15- Passive movement assessment of the SIJ: Identifying articular restriction, fibrosis and inner-core function in SIJ hypermobility
2:30- Assessment & treatment of intra-articular SIJ dysfunction
3:00- Break
3:15- Overview of treatment, demonstration and patient practical
4:00- Conclusion
