While there is much that can be learnt from video tutorials, an in-person learning experience will always be infinity richer, particularly when learning practical aspects of physiotherapy and musculoskeletal healthcare. With respect to exercise therapy, there is a wealth of knowledge that can be gathered from live demonstrations, practicing a technique yourself and having your own technique evaluated.
A live environment also allows for impromptu case reflections and troubleshooting sessions that go beyond the standard patient presentation, discussing more complex presentations and practice issues participants may have encountered.
All practical workshops include access to an online learning component as pre-course e-learning, ensuring you have the background knowledge to maximise out time together in practical applications.
Alison runs practical workshops each year in Brisbane, Australia & hosts courses at a variety of international locations.
Mastering Movement of the Hip & Pelvis Workshop
Focusses on the practical aspects of assessment and optimisation of muscle function and movement of the hip & pelvis
Do 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?
Do you find yourself prescribing the same exercises for every hip & groin pain patient, regardless of their presentation?
Do your patients perform the same program for weeks or months without progressions or an understanding of what they are attempting to achieve and why?
Would you like to Fast Track your hip and groin Rehab?
Movement 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.
Choosing an exercise with highest %MVC
– in a disadvantageous length-tension relationship
– while encouraging poor recruitment patterning and efficiency
– with high load imposed on underlying joints or soft tissues
- may not be in the best interests of achieving optimal or painfree function.
Anterior Hip & Groin Pain
Upskill in practical applications of assessment and management of joint, tendon and nerve related anterior hip and groin pain.
Do you find yourself using the same management approaches for patients with hip pain, regardless of their presentation?
Do you have a clear understanding of how morphology, loading patterns and muscle dysfunction may be driving anterior hip and groin pain?
Would you like to learn how to address these issues to optimise and FAST-TRACK YOUR OUTCOMES?
An 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.
Lateral Hip & Buttock Pain
Upskill in practical applications of assessment and management of joint, tendon and nerve related lateral hip and buttock pain.
Do you have a list of possible diagnoses that jump to mind when someone presents with lateral hip or buttock pain?
Do you consider posterior joint stability, extra-articular impingements of the lesser or greater trochanter or peripheral nerve entrapments?
What is your strategy for working through the differential diagnoses and which markers from your patient interview and physical examination determine your pathway towards each particular diagnosis?
Once you have determined the most likely diagnosis, are you also able to identify and develop a plan to address the most potent drivers for each individual’s presentation?
Would you like to Fast Track your lateral hip and buttock Rehab?
Lateral hip and particularly buttock pain can often present a diagnostic dilemma. The lumbar spine and sacroiliac joints may refer into these regions; intra-articular hip pathologies may be accompanied by lateral hip &/or buttock pain; local soft tissues & neural structures may be primary sources of nociception. The first step is determining the most likely contributors to the patient’s pain presentation. Developing an optimal management program with positive effects past the short term, will also require an evaluation of physical & psychological drivers. Intrinsic & extrinsic factors should be considered within the overall context of workload. While non-modifiable factors (e.g. bony morphology) are by nature unable to be modified, awareness of these factors can be integral to providing advice and interventions (active or passive) that ‘do no harm’ and development of strategies that allow maximal function with minimisation of adverse effects.
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