Course Description

Functional Relationships of The Lower Half

Designed to give you an understanding of lower half functional relationships, in order to accurately assess and treat common syndromes and dysfunctions.

Developed for manual therapists with an understanding of spinal, extremity and pelvic girdle assessment and treatment, this seminar helps you to integrate this knowledge with current clinical insights. Following the course, you will understand and appreciate how the lower half of the body functions as a single, functioning unit.

You will be able to evaluate the joints of the lower half statically and dynamically for normal and abnormal function and describe their functional interdependence. Treatment techniques such as soft tissue and joint mobilization, as well as rehabilitative exercises, will be studied.

  • Gait Cycle/Gait Lab – Gait components as they relate to lower half function
  • Subtalar, Ankle & Midtarsal Joints – Anatomy, analysis, eval & treatment
  • First Ray And First MP Joints – Anatomy, mechanics, eval & treatment
  • Superior Tib/Fib Joint – Anatomy, mechanics, eval & treatment
  • Orthotics – Management Issues: Prefab vs. Custom
  • The Leg – Anatomy, palpation and treatment
  • The Knee & The Hip – Evaluation Lab
  • The Pelvic Girdle – A basic review
  • Dysfunction Analysis I – Quadrant length, stride and limb length analysis
  • Dysfunction Analysis II – Long & short leg syndromes
  • The Lower Half – Case studies, lower half evaluation

Additional Course Information

Special Instructions: The Functional Causes of Low Back Pain seminar runs Friday, Saturday & Sunday. Saturday and Sunday are primarily lab practicals. Shorts or swimsuits are required of men and two-piece swimsuits or halter tops and shorts are required of women.

Continuing Education: Richard Jackson Seminars is recognized by the Board of Certification to offer continuing education for Certified Athletic Trainers. Please call to learn about APTA approval for your state.

Course Description

The Human Pelvis: Crossroads of Function
*Approved by the Virginia Physical Therapy Association – CEUL015783

During the past 40 years, there has been debate in the medical community about the influence of the Sacroiliac Joints (SIJ) on lower back pain, lower extremity dysfunction, and performance of functional activities including sports (1). Extensive multidisciplinary research has contributed to an improved understanding of treatment based classification of the SIJ and pelvic girdle complex, although these concepts are not widely used in clinical practice by Athletic Trainers or Physical Therapists(1,4,5). The underutilization is due in large part to lack of exposure to the latest evidence, which this course will aim to provide. Participants will learn about reliability and validity of functional pelvic girdle evaluation techniques which will improve their ability to accurately interpret the results and guide their treatment. Participants will also learn about best current evidence surrounding manual therapy to the region, which can significantly improve pain and functional performance both on the sideline and in the training room.

The program consists of a combination of lectures (7 hours) and labs (4 hours) that will incorporate an evidence based approach to allow participants to use current research to solve on-field and rehabilitation issues related to pelvic girdle movement screening and treatment based classification of athletes and rehabilitation candidates with lower back pain and/or lower extremity dysfunction. Participants will receive hands-on experience with pelvic girdle evaluation tools including but not limited to SIJ provocation testing and movement screening clusters.

The speaker will provide historical and current evidence regarding on-the-field management, clinical evaluation, and return to play decision making following lower back pain and/or lower extremity dysfunction. Up to date research regarding the functional pelvic girdle’s role in lower back pain and/or lower extremity dysfunction will be presented to clearly illustrate the need to adapt current practice to match the evolution of our understanding of the impact on functional outcomes and return to sport.

At the conclusion of the course participants should be able to:

    1. Explain (Bloom’s Taxonomy level 2):
      1. The functional interdependence of the pelvic girdle with the spine and lower extremities in normal body mechanics.
      2. The importance of the functional pelvic girdle in assessment of low back pain.
      3. The importance of the mobility of the sacroiliac joint, pubic joints and the factors that influence this mobility.
    2. Distinguish (Bloom’s Taxonomy level 2):
      1. The normal movements of the joints of the pelvic girdle
      2. The functional anatomy of the muscles, ligaments and joints involved in pelvic girdle function.
      3. The role of local and global muscles and the ligament system in the stabilization of the pelvic joints
    3. Evaluate (Bloom’s Taxonomy level 6):
      1. The pelvic joints for normal and abnormal function using current concepts and evidence based guidelines.
      2. The SIJ with a cluster of findings to implicate it as a pain generator.
      3. An appropriate corrective treatment program, including mobilization, for pelvic joint dysfunction.
      4. An accurate assessment/classification based on the results of the evaluation.
    4. Compose (Bloom’s Taxonomy level 5):
      1. Appropriate manual treatments to restore stability and functional mobility to the lumbopelvic region, (locally and globally).
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    Richard Jackson, P.T., O.C.S.
    PO Box 1769
    Middleburg, Virginia 20118