Managing Lumbopelvic Hip Complex Disorders: Combining Movement, Taping and Manual Therapy to Release Pain Locally and Globally – Darrell Locket

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With over 4 hours of lab time, this hands-on recording prepares you to:

• Assess and treat chronic back and neck pain, hamstring tendinopathy, psoas pain, sacroiliac dysfunction, and more. Hands-on labs throughout the day show you how to determine the lumbopelvic-hip complex’s (LPHC) force-coupling joint-by-joint, covering key topics such as postural musculature analysis, orthopedic assessment, and testing of functional and dynamic movements patterns.
• Stretch, strengthen, and release tightness in the psoas major and iliacus musculature. Practice combining PNF techniques and multidisciplinary treatments to manage areas of myofibrosis and lengthen/strengthen muscles within the posterior kinetic-chain, both locally and globally.
• Correct upper- and lower-crossed syndromes. Take home evidence-based taping, exercise, and stretching regimens for postural imbalances and chronic musculoskeletal pain, in conjunction with manual therapy and instrument-assisted soft tissue mobilization (IASTM) treatment plans
• Identify and treat muscle chains, while restoring joint stability and muscular balance. Evaluate the roles of synergists, muscle slings, and myofascial trains. Then explore a comprehensive rehabilitation approach in lab, combining PNF stretching and strengthening, functional taping, joint mobilization, trigger point therapy, myofascial release, and other evidence-based interventions.

Repair sacroiliac and lumbosacral junction inter-muscular relationships between the upper and lower extremities. Discover multidisciplinary soft-tissue manipulation interventions that accelerate the healing process by breaking down adhesions, liberating contractures, lengthening tight muscles, strengthening weak muscles, and integrating functional movement patterns.

1. Evaluate relative anatomy, kinesiology, mechanism, and common injuries related to the lumbopelvic hip complex (LPHC)
2. Analyze standing posture, joint dynamic strength, and functional and dynamic movement using tests to identify faulty movement patterns
3. Identify possible therapeutic effects of an orthopedic soft-tissue manipulation with multidisciplinary manual therapy interventions for treatment of postural dysfunctions, such as upper- and lower-crossed syndromes
4. Integrate corrective taping and a home exercise/stretching regimen with manual therapy interventions to facilitate improvement in the LPHC
5. Combine orthopedic massage techniques with neuromuscular stretching and strengthening to release tightness in the psoas
6. Design effective treatment programs for LPHC disorders and musculoskeletal pain, integrating orthopedic soft-tissue manual manipulation, creative corrective strategies, and multidisciplinary interventions

Arthrokinematics, Mechanism of Injury and Common Dysfunctions

• Anatomy of iliofemoral, sacroiliac, and lumbosacral junction
• Kinesiology of structure, function, and CNS
• Relative musculature interaction of upper and lower extremities 
• Force-coupling

ORTHOPEDIC ASSESSMENT OF LPHC

Muscle Analysis of Standing Posture, Alignment, Joint Stability and Mobility

• Base of support and center of gravity
• Faulty alignment – head, torso, pelvis, and lower extremity
• Musculoskeletal framework levers – stress and stain
• Muscular symmetry, contour, and tone
• Manual muscle testing
• Specific orthopedic assessment and special test

Assessment of Dynamic Movement and Identification of Faulty Movement Pattern

• Bridge and planks
• Superman prone, supine and quadruped
• Single-leg balance and squat
• Overhead squat and step-off
• Pre-rehabilitation exercises/stretching and corrective taping

Soft-tissue Manipulation and Manual Therapy for Scars, Adhesions, Contractures, and Trigger Points Treatment

• Muscular-chain: synergists, muscle slings, and myofascial trains
• Agonist-antagonist relationship
• Synergistic dominance
• Soft-tissue objectives
• Massage differentiate – self and manual

Lab: Orthopedic Massage and Multidisciplinary Interventions for Treatment Postural Dysfunctions

• Neuromuscular stretching and strengthening
• Deep tissue and cross-friction massage
• Joint mobilization
• Instrument-assisted mobilization
• Trigger point therapy
• Myofascial release
• Corrective taping

Lab: Lower-Crossed Syndrome

• Weak abdominals
• Weak gluteus maximus
• Tight thoracolumbar
• Tight hip flexors

Lab: Upper-Crossed Syndrome

• Weak cervical flexors
• Weak rhomboid and lower trapezius
• Tight pectorals
• Tight suboccipitals/upper trapezius/levator

FUNCTIONAL TAPING, EXERCISES, AND STRETCHING

SPINAL NEUROMUSCULAR CONTROL AND PROPRIOCEPTIVE COORDINATION

Lab: Multidisciplinary Multi-Intervention Approach for Psoas Major and Iliacus

• Sensorimotor system and compensatory 
• Iliopsoas and gluteal muscle
• Neuromuscular stretching and strengthening
• Deep tissue and cross-friction massage
• Self and manual joint mobilization
• Instrument-assisted mobilization
• Trigger point therapy
• Self and manual myofascial release
• Functional taping
• Functional exercises and stretching