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The Combined Approach: Sacroiliac Joint and Pelvis

An integrated approach to the treatment and management of pelvic movement and stability dysfunction in back, hip and pelvic pain, pregnancy and sports injuries

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About the course


Low back and pelvic pain, hip, groin and lower limb symptoms are amongst the most common symptoms seen in the sporting and general patient population alike, and are often chronic and recurrent. The manual therapist faces the challenge of identifying and attempting to correct the myriad predisposing causes of these presentations.


Interposing the forces affecting the trunk and the lower limb is the pelvis, and research is gradually clarifying its role in attenuating the load transfer through this area. The sacroiliac joints and pubis are well-established sources of pain in their own right but in addition, alteration of the normal functional dynamics of the pelvis has been shown to be associated with increased hamstring activity, inhibition of the glutei, alterations in coordination of the vastii at the knee, and changes to coordination and control around the trunk, so can be involved in a wide variety of trunk and lower limb pathologies.


Treatment to the pelvis is clinically effective in improving movement and control and a precise assessment of the pelvis can reveal valuable information about the nature of neuromuscular deficit that requires specific rehabilitation.


This intensively practical and clinically orientated course will guide participants through the assessment treatment and management of pelvic movement and control dysfunction.


Course Timetable


09:00   Introduction / clinical relevance / applied anatomy and biomechanics of the pelvis and pelvic girdle dysfunction
10:30   BREAK
10:45   Assessing movement dysfunction of the pelvis and myofascial presentations
12:00   The relevance of leg-length discrepancy and assessment
12:30   LUNCH
13:15   Treatment of myofascial presentations
16:00   Break
16:15   Clinical relevance and assessment of "Pirformis Syndrome" and myofascial techniques to improve trunk and pelvic muscle function
17:00   CLOSE
09:00   Review of key issues in integrated pelvic treatment
09:15   SIJ pain: Differential diagnosis
10:00   BREAK
10:15   The Active Straight Leg Raise test: Identifying and specifying control deficiencies around the pelvis
10:45   Assessing and treating articular presentations
12:30   LUNCH
13:15   Passive movement testing of the pelvis
14:30   Assessing and treating articular presentations ctd
15:00   Break
15:15   Review, overview and Q&A
16:00   CLOSE