The Inner Dimensions of the Human Pelvis and its Relationship with the Thorax and Cranial System – IDHP

CPD/CPE: 18hrs

Full Fee: $1900inc GST. Saver Price of $1700inc GST available to the 7th April 2018.

Course Description

Gail Wetzler and Diane Lee are leaders in the field of physiotherapy and have combined forces to present this comprehensive course. The Barral Institute Australia is proud to sponsor this course for the first time in Australia. Gail Wetzler is a BI curriculum developer and the head of faculty and Diane Lee is the co-developer of The Integrated Systems Model for Disability & Pain (ISM) series.

Do you see patients with recurrent problems and, in the face of limited evidence, question if you are being the most effective you can be in your treatment approach? Do you know how to decide if the thorax, lumbar spine and/or pelvis (i.e. trunk) is playing a role in the clinical presentation and if so what to do or where to begin treatment?

Increasingly, scientific evidence suggests that pelvic function is essential for the performance of almost every task. However, how do we know if the loss of pelvic function is the cause of the patient’s main complaint or secondary to an impairment elsewhere.

  • How do we determine if the loss of thorax function has caused of the loss of pelvic function?
  • How do we know if the thorax-pelvis relationship is responsible for the failure of the lumbar spine to transfer loads optimally?

The restoration of function and performance depends on being able to identify and treat the underlying source of the problem, which at times is the pelvis, and others the thorax. Do you have a way of knowing when to treat the pelvis, the thorax, the lumbar spine or when to look elsewhere?

This course will introduce the functional interplay between the thorax and the lumbopelvic-hip region, and how the current Integrated Systems Model can facilitate the understanding and interpretation of each patient’s unique clinical picture to determine:

  • How to develop an assessment that ‘cuts to the chase’, choosing only meaningful tasks/tests that pertain to the story being told. All stories are unique; there are no protocols or recipes in the ISM approach for any impairment or pain pattern.
  • The location of the primary driver. When there are multiple regions that are impaired, how do you determine which one should be the focus of your intervention? Is this a hip (or thorax, or foot) problem that is causing the pelvic joints to lose control and become painful, or is the impairment intrinsic to the pelvis itself (e.g. stiff SIJ or altered motor control of pelvic floor/transversus abdominis – i.e. a pelvic driven pelvis)?
  • Whether persistent overuse of the hamstring or adductor muscles are causing loss of pelvic control, or if the muscle imbalance is driven by factors far distant.
  • When to choose specific system tests (articular, neural, myofascial, visceral, physiological etc) to further identify the cause and effect of various impairments within and between regions of the body so that you are able to ‘do the right thing at the right time’.
  • How to apply clinical reasoning to multiple findings.

This course emphasises practical assessment (manual and visual) and treatment skills, with ample time devoted to practice and discussion

Objectives & Learning Outcomes

At the conclusion of this course, you will have new skills to assess function of the trunk from the 3rd thoracic ring to the hips. You will understand how various impairments impact function of the pelvis and the thorax,and have skills to perform segmental thoracic, pelvic and hip analysis for mobility and control. You will understand how to design a multimodal treatment program that includes education, manual therapy, neuromuscular release, and movement training to restore function and performance for any patient. The principles of the ISM approach are applicable to all groups of patients from postpartum moms to elite level athletes. Illustrate how the Integrated Systems Model (ISM) provides a framework to find the underlying driver for the patient’s problem – whether this is pain, loss of stability, loss of performance, or other disability.

  • Demonstrate and practice key clinical tests for the pelvis, hip and thorax to determine whether a patient is using an optimal strategy performance for their chosen task. When there are multiple sites of impairment, you will be able to determine the ‘primary driver’ i.e. the impairment best addressed first.
  • Discuss the clinical reasoning process required to determine if the pelvis, hip or thorax is the primary driver for loss of optimal function.
  • Demonstrate and practice key clinical tests for the articular, neural, and myofascial systems pertaining to the ‘primary driver’.
  • Discuss the clinical reasoning process used to develop of a treatment program that targets interventions to the various system impairments that pertain to the ‘primary driver’.
  • Demonstrate and practice manual therapy and movement retraining techniques to release, align, connect and move the trunk and hips in order to restore strategies for better function and performance.

Prerequisite: Registered Physiotherapist, Osteopath or Chiropractor.

Advance Preparation: To prepare for the course it is recommended that you have attended Abdomen 1 (VM1) and Listening Techniques 1 (LT1). Follow this link for Course Options.

The Inner Dimensions of the Human Pelvis and its Relationship with the Thorax and Cranial System - IDHP Course Dates

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