Explore the role of movement and muscle imbalances on pain and dysfunction in the spine and lower extremities by using gait, posture, functional movement analysis, and simple clinical tests.
Sue DuPont – Advances in Treating Spinal Instability
BACK PAIN: WHY IT’S A PROBLEM
Biotensegrity: The Anti-Gravity Model
Role of the “Core†stiffness or movement?
Myofascial connections and their role in stabilization and function
LAB #1 — MYOFASCIAL MOBILIZATIONS
BACK PAIN: ARE WE CHASING THE PAIN?
Structural vs. functional pathology
Effects of sustained postures and forces
Effects of chronic pain and dysfunction on movement
WHAT IS SPINAL INSTABILITY?
Ambiguity of term spinal instability
Disconnect between medical diagnosis and clinical signs and symptoms
Historical perspective of spinal instability
Muscle dysfunction and lumbar spinal instability
Functional vs. pathological muscle imbalances
Rehab goal for muscle imbalances
KINETIC CHAIN REHAB FOR FUNCTIONAL MOVEMENT
Kinetic chain rehab principles
Functional coupling between muscles and fascia
Components for optimal functional movement
Myofascial slings and common dysfunctions
Biomechanical link between lower kinetic chain and spinal instability
IS SPINAL INSTABILITY JUST ABOUT STIFFNESS?
Static vs. dynamic spinal instability
Synergist, agonist, and antagonist effects of muscles and force vectors
WHERE ARE WE NOW?
Motor control vs. general exercise
Clinical prediction rules for back pain
Influence of posture and body type
Muscle sling dysfunctions – “Gluteal Amnesia,†Quadratus Lumborum Syndrome, etc.
Importance of dynamic functional movement analysis
LAB #2 – POSTURE, ROM, & MUSCLE LENGTH
SPINAL INSTABILITY: CLINICAL PRESENTATION & OBSERVATIONS
Patient case studies
Finding myofascial imbalances and compensatory patterns
Best clinical tests for spinal instability
Clinical “pearls†for determining weak quadrant
LAB #3 — DYNAMIC FUNCTIONAL MOVEMENT OBSERVATIONS & CLINICAL ANALYSIS
CORRECTIVE EXERCISE PROGRESSIONS FOR SPINAL INSTABILITY
Motor control of local stabilizers
Adding tri-planar stabilization
Turning on the gluteal muscles
Progression of Spinal Stabilization Exercises
EMG evidence-guided progressions
Adding equipment and unlevel surfaces
5 functional tasks to ALWAYS include
LAB #4 — PRACTICE CORRECTIVE EXERCISE PROGRESSIONS LIVE CASE STUDY
Identify and develop a treatment plan
Myofascial sling dysfunction and spinal instability
RESOLUTION
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Description:
The Next Level of Spinal Education
Nearly 80% of adults will experience Low Back Pain, (LBP) and seek care in outpatient clinics. Evidence has been inconclusive for the best treatment techniques – especially for spinal stabilization programs. However, new research from electromyography (EMG) studies has provided an improved understanding of how functional movement, muscle imbalances, and ineffective load transfer through the lumbo-pelvic-hip complex increase risk of injury along the entire lower kinetic chain.
Explore the role of movement and muscle imbalances on pain and dysfunction in the spine and lower extremities by using gait, posture, functional movement analysis, and simple clinical tests. Identify true lumbar instability, myofascial sling, and joint dysfunctions that may be contributing to your patient’s pain. Discover the latest clinical prediction rules for LBP to guide your treatment planning, and incorporate manual therapy, stabilization, and exercise into your treatment.
Take core, balance, and proprioceptive training to the next level with an interactive, hands-on lab — learn manual techniques to rebalance tissue dysfunctions and how to develop an effective corrective exercise program utilizing inexpensive equipment such as foam rollers. With a more focused approach you will get better outcomes in less time — and you and your patient will have fun in the process!
