Discover the Pelvis: Level 1
Integrating Clinical Expertise and Research for Restoring Optimal Pelvic Function
16.2 Contact Hours (1.6 CEU's)
Diane Lee, BSR, FCAMPT, CGIMS
Diane graduated from the University of British Columbia with a Bachelor degree in the Science of Rehabilitation in 1976. She has been a fellow of the Canadian Academy of Manipulative Therapy since 1981 (FCAMPT) and completed her certification in Intramuscular Stimulation (IMS) in 2001. Diane is a co-founder of Discover Physio (along with Linda-Joy Lee) and is the owner, director and a practicing physiotherapist at Diane Lee & Associates in White Rock, BC, Canada. Diane also serves as an editorial advisor for the journal Manual Therapy and a Scientific Committee member for the Interdisciplinary World Congress on Low Back and Pelvic Pain. In addition, she is an advisory board member for Chicago’s Woman’s Health Foundation.
Diane is well known both nationally and internationally for her clinical work on thoracic, lumbar and pelvic disability and pain. She holds the North American patent for an innovative sacroiliac belt – The Com-pressor. Her writing journey began in 1989 when Elsevier published the first edition of The Pelvic Girdle, which has been translated into several languages and updated in three subsequent editions. The latest edition (2011, 4th edn.) presents a new model, The Integrated Systems Model, and the Clinical Puzzle, co-developed with Linda-Joy Lee, which is the foundation of the series of courses offered by Discover Physio. Discover Physio strives to educate, inspire, and support clinicians to be evidence-based and highly effective through high-quality education experiences both online and hands-on.
Course Description
Discover the Pelvis: Level 1 will be delivered in lecture format, using video and real time ultrasound demonstrations. There will be minimal lab opportunity, but there will be patient demonstrations.
Pelvic girdle pain is a common problem seen in clinical practice. Research in the last decade has greatly increased our understanding of muscle and joint function, leading to the development of multi-modal, evidence-based approaches. The model upon which this course has evolved considers the evidence and the interplay of multiple systems.
Discover the Pelvis – Level 1 is an evidence based course (Sackett et al 2002) that reviews the recent advances in science, and presents a clinical application for assessment and treatment based on the integrated model. This course presents a structural framework for clinical decision making which enables the therapist to decide when and why different treatment interventions should be applied for successful rehabilitation.
This course is based on the functional model, as opposed to one which seeks to identify pain generators. It lays the foundation for understanding and restoring movement and control within the pelvic girdle, and how this impacts the rest of the body.
Course Objective
This course will cover the:
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Principles of this integrated approach and the evidence that supports it
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Biomechanics of the pelvis
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Clinical tests to assess functional load transfer strategies, joint mobility/stability and common patterns of dysfunction
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Analysis of the recruitment patterns of the muscles involved in lumbopelvic stabilization
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Real time ultrasound in clinical practice
At the conclusion of this 2 day course, the participant will have an understanding of how to design a multimodal, evidence-informed treatment program specifically for the restoration of function and performance of the pelvic girdle.
Course Preparation
To get the most from this course it is advised that you review your anatomy.
Course Schedule
October 9, 2010
7:30 - 8:00 Registration and breakfast
8:00 - 10:00 Deciding what to do with patients: The Clinical Puzzle and The Integrated Systems Model for Disability and Pain. Understanding the patient’s story subjective examination demonstration
10:00 - 10:30 Vendor break
10:30 - 11:30 Postural analysis and functional analysis of load transfer through the pelvic girdle (Strategies for function & performance) – is the pelvis mobile/stable? – lecture and patient demonstration of objective tests
11:30 - 12:00 Questions and Answers
12:00 - 1:00 Lunch- vendor break
1:00 - 3:00 Articular system analysis (pubic symphysis & sacroiliac joint) including mobility and stability tests – lecture and patient demonstration followed by discussion on how to clinically reason the findings according to The Integrated Systems Model – how to chart using the Discover Physio Clinical Puzzle
3:00 - 3:30 Vendor Break
3:30 - 4:30 Is it possible to be too stable? A review of the evidence and clinical theories around core stability – lecture.
Following Class The Winner Creek Trail Run/Walk
October 10, 2010
7:00 - 8:00 AKAPTA Business Meeting and breakfast
8:00 - 10:00 Myofascial and Neural system analysis (tests for diastasis rectus abdominis and function of the abdominal wall muscles and pelvic floor (core)) – lecture and patient demonstration using clinical tests and ultrasound imaging.
10:00 - 10:30 Vendor break
10:30 - 12:30 Principles for treatment according to The Integrated Systems model - RACM (release, align, connect & move) – how to develop a prescriptive treatment plan according to reflection on the patient’s completed Clinical Puzzle – lecture and case study examples.
12:30 - 1:30 Lunch – Vendor break
1:30 - 2:30 Principles and demonstration of a new release technique – Release with Awareness (RAW techniques - Lee & Lee) for muscles compressing the lumbar spine, SIJ/hip – lecture and demonstration. Manual therapy treatment techniques for mobilization of the stiff sacroiliac joint and alignment of the pelvis. (Release and align the pelvis) – lecture and patient demonstration
2:30 - 3:00 Questions and Answers
3:00 - 3:30 Vendor Break
3:30 - 4:30 Training for restoring optimal strategies of muscle activation of the deep and superficial muscles of the abdomen/core and integration into functional task training (meaningful task training) (connect and move). This session will include specifics on how to use Diane Lee’s patented sacroiliac belt – The Com-Pressor – lecture and patient demonstration.
