Mastering Movement of the Hip and Pelvis

Mastering Movement of the Hip and 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 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 EMG levels above 40% of a maximal voluntary contraction are required for strength development, 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.

MASTERING MOVEMENT OF THE HIP & PELVIS PracticalWorkshop (1Day)

Learning Objectives: Upon completion of this course, participants should be able to:

  • Perform 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

  • Determine the most appropriate exercise approach to target specific impairments in:

    • Muscle size & strength

    • Muscle endurance – global or regional

    • Kinematic patterns

    • Muscle recruitment patterns

    • Power, rate of force development, plyometric ability, agility

  • Progress an exercise program in an appropriate & timely manner, using key markers for

    exercise effect & tolerance.

Online Learning Component (4-5hours)

Learning Objectives: The online component aims to

  • Provide detailed information on muscle function and dysfunction for each group of synergists around the hip – hip flexors, abductors, extensors, external rotators, adductors

  • Present this information in a clinical context to allow participants to understand potential clinical implications and applications

  • Enhance clinical reasoning skills required for optimal assessment and development of therapeutic exercise for the hip & pelvis

  • Challenge participants to re-examine their own clinical practice in the light of the presented evidence base

  • Stimulate 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.

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