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X-WR-CALNAME:Dr Alison Grimaldi
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DTSTART;TZID=Australia/Melbourne:20200718T081500
DTEND;TZID=Australia/Melbourne:20200718T163000
DTSTAMP:20260416T205653
CREATED:20190729T141509Z
LAST-MODIFIED:20200625T230809Z
UID:10000032-1595060100-1595089800@dralisongrimaldi.com
SUMMARY:Anterior Hip & Groin PainContemporary diagnostic & management strategiesBrisbane July 18th 2020
DESCRIPTION:Anterior Hip & Groin Pain\nContemporary diagnostic & management strategies\n  \nSynopsis\nDo you find yourself using the same management approaches for patients with hip pain\, regardless of their presentation? \nDo you have a clear understanding of how morphology\, loading patterns and muscle dysfunction may be driving anterior hip and groin pain? \nWould you like to learn how to address these issues to optimise and FAST-TRACK YOUR OUTCOMES? \nAn exploration of the available anterior hip and groin pain literature reveals a minefield of inconsistent diagnostic labels and a high volume of imaging and surgical papers describing a myriad of pathologies which may or may not be associated with a patient’s presenting signs and symptoms. In recent years there have been some positive advances in defining clinical entities and diagnostic processes. Yet there is a persistent lack of clarity and evidence around best management. This may be related to undue focus on remediating a particular structural pathology or physical impairment\, without adequate consideration of mechanisms or drivers of pain and load intolerance. Within the contemporary biopsychosocial model\, health professionals acknowledge that patients may present with varying combinations of psychological and physical overload. While the psychosocial components of management are of high importance\, these will not be addressed in detail within this forum\, but much education is widely available on this topic. The primary focus will be on understanding and addressing mechanisms of physical overload and impairments associated with anterior hip and groin pain. \nLearning Objectives\nThis course aims to: \n\nEnhance clinical reasoning\, and skills for assessment of nociceptive sources\, clinical entities and drivers associated with anterior hip & groin pain\nProvide a framework for development of optimally effective\, targeted interventions for each individual that considers\n\nMorphological variants & implications for load management advice\, exercise therapy and manual therapy\nAdverse joint or soft tissue loading associated with kinematics and neuromotor function\nIndividual goals and functional demands\n\n\n\n\nProvide opportunity to practice some useful manual therapy and nerve mobilisation techniques\n\nLearning Objectives: Upon completion of this course\, participants should be able to: \n\nPerform diagnostic tests for anterior hip and groin pain and use that information for differential diagnosis of the most likely source of nociception or a primary clinical entity\nPerform tests that aim to elicit important information regarding potential contributors or drivers of the presenting condition\, such as:\n\nbony morphology\njoint range-of-motion & stability\nneurodynamics\nposture & key movement patterns\n\n\n\n\nDetermine the most appropriate management approach for an individual’s presenting condition using:\n\n\nKey information from the patient interview & physical examination\nTreatment direction tests\nClinical reasoning\nLoad management strategies\nExercise therapy\nManual therapy and nerve mobilisations as appropriate\n\nOnline Theory\nThe substantial theoretical component of this course is presented in an online learning format for your flexibility and optimal learning experience. \n\n4-6 hours of PowerPoint lectures with printable notes.\nLearn anywhere\, at your own pace\, in your own time.\nRewind and revise as many times as you like.\nOnline forum for discussion.\nSelf-assessment quiz.\n3 months of unlimited access to video content\n\nThe online component aims to: \n\nClarify definitions of anterior hip and groin pain\nExplore factors which may influence intra-articular hip joint loads\n\nmorphological variants (eg FAI\, acetabular dysplasia\, femoral version\, capsulo-labral deficits)\nadverse joint loading associated with kinematics and neuromotor function\nthe adequacy of joint protection mechanisms\n\n\nExplore factors which may influence extra-articular loads in the anterior hip region\n\nmorphological variants (eg. AIIS/Subspine Impingement)\nadverse soft tissue loading associated with kinematics and neuromotor function (focus on hip flexors)\n\n\n\n  \n\nProvide an overview of key load management and therapeutic exercise strategies for anterior hip pain\, particular to the patient presentation and associated difficulties with mechanical load transfer.\nProvide an update on groin pain clinical entities and where the literature sits with regard to prevention and management.\n\n[wpcourse course=”8″ module_desc=”true” show_title=”false” show_desc=”false” /] \nPractical Workshop\nThe one-day practical workshop will include: \n\nDiagnostic\, pain provocation tests for intra & extra-articular sources of nociception\nAssessment of bony morphology\, joint stability and neurodynamics\nAssessment of posture & key movement patterns for specific pain & load intolerance presentations\nExamples of treatment direction tests (passive & active) & clinical reasoning strategies to determine best approach for reducing pain & improving load tolerance for the patient’s specific presentation\nLoad management advice & key exercise strategies for specific presentations\n\n(Please Note – this course will not include detailed muscle assessment and retraining strategies. That information is provided in the Mastering Movement of the Hip & Pelvis course\, which can then be applied in this course to specific conditions and clinical presentations) \n\nManual therapy – some useful techniques for specific range gaining and improving painfree ROM\n\nManual will be supplied. \nIncludes light refreshment for morning and afternoon tea. \nBring your own lunch or there are plenty of nearby options to explore.
URL:https://dralisongrimaldi.com/event/anterior-hip-groin-paincontemporary-diagnostic-management-strategiesbrisbane-july-18th-2020/
LOCATION:Soul Space Brisbane\, 23 Parker Street\, Newmarket\, QLD\, 4051\, Australia
CATEGORIES:Workshop
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BEGIN:VEVENT
DTSTART;TZID=Australia/Melbourne:20200717T081500
DTEND;TZID=Australia/Melbourne:20200717T163000
DTSTAMP:20260416T205653
CREATED:20190727T030610Z
LAST-MODIFIED:20200712T041505Z
UID:10000031-1594973700-1595003400@dralisongrimaldi.com
SUMMARY:Mastering Movement of the Hip & PelvisBrisbane July 17th 2020
DESCRIPTION:Mastering Movement of The Hip & Pelvis\n\nSynopsis\nDo you have a clear understanding of when\, why and how to assess and address muscle dysfunction around the hip and pelvis\, in order to optimise and expedite patient outcomes? \nDo you find yourself prescribing the same exercises for every hip & groin pain patient\, regardless of their presentation? \nDo your patients perform the same program for weeks or months without progressions or an understanding of what they are attempting to achieve and why?\n \nWould you like to Fast Track your hip and groin Rehab? \n\nMovement patterning and muscle function around the hip and pelvis are key considerations for any lumbopelvic or lower limb problem and may even impact on upper limb function. Assessment and retraining in this region require a specific and targeted approach that should consider the multifaceted requirements for optimal function and the limitations of an individual’s musculoskeletal system. With respect to current practices around muscle testing and exercise prescription\, often strength is the only consideration. While this is an important consideration\, normal results on strength testing may be returned from a muscle synergy within which significant dysfunction exists. If weakness is not the primary deficit\, generic strengthening may worsen rather than improve the situation by reinforcing poor recruitment strategies or imbalance in the contribution of muscles within a movement synergy e.g. TFL within the abductor synergy. In exercise literature\, often maximal EMG is the sole indicator used for exercise selection. EMG levels are not reflective of force generation and high levels of EMG may simply reflect active insufficiency where the muscle is not at an optimal range to generate force efficiently. This premise also assumes that maximal recruitment is optimal for muscle retraining and musculoskeletal health. While higher EMG levels may be required for enhancing strength or more particularly for hypertrophy\, other factors should be considered. \nChoosing an exercise with highest %MVC \n–  in a disadvantageous length-tension relationship \n– while encouraging poor recruitment patterning and efficiency \n– with high load imposed on underlying joints or soft tissues may not be in the best interests of achieving optimal or painfree function. \nLearning Objectives\nThis course aims to: \n\nEnhance clinical reasoning\, and skills for development of therapeutic exercise for the hip & pelvis\nChallenge participants to re-examine their own clinical practiced in the light of the presented evidence base\nStimulate new thought & provide direction for those who may be interested in contributing to the research base that is shaping contemporary clinical practice in this field.\n\nLearning Objectives\nUpon completion of this course\, participants should be able to: \n\nPerform a multifaceted assessment of muscle function for each group of synergists around the hip – hip flexors\, abductors\, extensors\, external rotators and adductors\, using standardised\, objective measures\nDetermine the most appropriate exercise approach to target specific impairments in:\n\n\nMuscle size & strength\nMuscle endurance – global or regional\nPower\, rate of force development\, plyometric ability\, agility\nNeuromotor function – kinematic and muscle recruitment patterns\n\n\nProgress an exercise program in an appropriate & timely manner\, using key markers for exercise effect & tolerance.\n\nOnline Theory\nThe substantial theoretical component of this course is presented in an online learning format for your flexibility and optimal learning experience. \n\n4 hours of PowerPoint lectures with printable notes.\nLearn anywhere\, at your own pace\, in your own time.\nRewind and revise as many times as you like.\nOnline forum for discussion.\nSelf-assessment quiz.\n3 months of unlimited access to video content\n\nThe content of this online component covers: \n\nDetailed review of functional anatomy of hip & pelvic musculature\nChanges in muscle function associated with joint pathology & unloading\nImplications for prescription of therapeutic exercise\n\n[wpcourse course=”2″ module_desc=”true” show_title=”false” show_desc=”false” /] \nPractical Workshop\nThe one-day practical workshop will provide opportunity to develop skills in: \n\nAssessment of the different aspects of muscle function for each group of synergists around the hip – hip flexors\, abductors\, extensors\, external rotators and adductors\, using standardised\, objective measures\nDevelopment of a therapeutic exercise program that addresses specific dysfunction within a muscle synergy while considering\n\nOptimal efficiency and load-sharing within a muscle synergy and across the kinetic chain\nImpact on health of musculoskeletal tissues such as the underlying joint\, local tendons and transiting nerves\nSpecific needs of the individual\nIndividual morphology or pathology\n\n\n\nManual will be supplied. \nIncludes light refreshment for morning and afternoon tea. \nBring your own lunch or there are plenty of nearby options to explore. \n 
URL:https://dralisongrimaldi.com/event/mastering-movement-of-the-hip-pelvisbrisbane-june-17th-2020/
LOCATION:Soul Space Brisbane\, 23 Parker Street\, Newmarket\, QLD\, 4051\, Australia
CATEGORIES:Workshop
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