Course Philosophy
Low back pain is the second most common ailment next to common cold in frequency. One of the major contributor of LBP is the Lumbo-pelvic dysfunctions, this view has been implicated as a possible cause of low back pain by many authors (Grieve 1976; Erhard & Bowling 1977; Weismantel 1978; Mitchell et al. 1979; DonTigny 1985; Bernard & Kirkaldy 1987; Bourdillon et al. 1995; Schwarzer et al. 1995; Shaw 1992, Maigne et al. 1996).In the lumbopelvic region for proper functioning the bony alignment(form closure) and the muscular and Ligamentous factors(force closure)are de rigueur. Research in the past decade has indicated that the pelvic girdle, rather than being an inherently stable structure, maintains its stability by regulated activation of surrounding myofascial components(Snijders C, Vleeming A,1993).It is well acknowledged that chronic lumbopelvic pain disorders are complex and multi-dimensional in nature. |
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The Lumbopelvic Dysfunction is a 2 day evidence based course 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.
Based on specific assessment tests, the clinician will learn how to integrate joint mobilization techniques, myofascial release techniques, stabilization exercises as well as functional integration exercises into a complete multimodal program that is patient specific i.e. prescriptive - and thus most effective. On this course, this model of assessment and treatment will be applied to dysfunction within the lumbar spine and pelvic girdle. This course is based on a functional model, as opposed to one which seeks to identify pain generators. In this way, movement and control are optimized within and between the lumbar spine, pelvis, and hip. The ultimate goal is to restore function such that there is mobility as well as stability without rigidity of posture and without episodes of collapse: “Restoring Stability with Mobility”.
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Course Outline/Objectives:
This course will cover the:
- research which led to the development of the Integrated Model of Joint Function – Vleeming/Lee (Incorporating the findings of world reknowned researchers such as Vleeming & Snijders, Richardson, Jull, Hodges, Hides, Hungerford, Sturesson, Panjabi, Danneels, Damen and O’Sullivan).
- biomechanics of the lumbar spine and pelvis.
- current knowledge on how stability is achieved for effective load transfer through the low back and pelvis.
- clinical tests which examine:
- posture – learn how to perform regional and segmental postural assessment
- functional movement - identify the sites (segments) of failed load transfer in the low back and pelvis.
- joint mobility/stability (form closure - specific segmental mobility and stability tests for the joints of the lumbar spine and pelvic girdle).
- the muscle systems: local and global muscle systems of the lumbopelvis (the core and the slings for force closure/motor control).
- common patterns of dysfunction including those of excessive compression (stiff joints, hypertonic global muscle system, joint fixation) and insufficient compression (loose joints, insufficient recruitment of the local muscle system).
- development of an effective treatment program including when and how to use manual therapy, education and exercise.
- specific mobilization techniques for the joints of the lumbar spine and pelvis including direct mobilization and indirect segmental and regional myofascial release techniques – reducing rigidity using manual therapy and breath work.
- the protocol for an evidence-based stabilization exercise program and the role of external supports such as lumbar braces, sacroiliac belts, and taping in augmenting stabilization therapy.
- exercises for restoring a neutral spine.Techniques to restore neutral spine position in supine, sitting, supported standing, and standing will be practiced with a focus on the lumbopelvic alignment.
- motor control training for the local muscle system – isolation and awareness training which extensively uses imagery and touch for facilitation. The focus will be on how to find the optimal strategy (best patient position, image, manual and verbal cues) for your patient.
- cues and techniques to facilitate coordination of the local and global muscle systems during functional activities and exercises
At the conclusion of this 2-day course, the participant will have an understanding of how the “Integrated Model of Function” applies specifically to the low back and pelvic girdle. In addition, the participant will have an increased understanding of how to design a multimodal treatment program that includes manual therapy and exercise from early rehabilitation to functional integration.
Resource Person:
Prof. Umasankar Mohanty, B.P.T (Hons), M.P.T (Manual Therapy), S.R.P (U.K), M.I.A.P, F.A.G.E, (PhD) [Trained under faculties of Loma Linda University(USA), Orthopedic Medicine International (Belgium), University of Queensland (Australia), Mc Kenzie Institute (USA), Chartered Society of Physiotherapy (U.K)]
Member, International Society of Educators in Physiotherapy (Under WCPT).
Programmes conducted successfully by resource person at Delhi, Ahmedabad, Hyderabad, Bhopal, Coimbatore, Surat, Erode, Warangal, Phagwara, Baroda, Bangalore, Chennai, Mangalore, London and Manila.
Dates: May 22nd and 23rd,2010.
Contact Hours: 16 Hrs
Timings: 9.00a.m.-5.00p.m.
Seats:40 ( Max.) (First come first serve basis)
Eligibility: Physiotherapists/ Physiotherapy Students(B.P.T 3rd year onwards) from reputed Institutions. There is no pre-requisite of any manual therapy experience.
Venue: Will be notified to the registrants by 15th May, 2010
Fees: Rs.2,250/- per participant till April 15th , 2010
Rs.2,500/- till April 30th , 2010
Rs.2,750/- till May 15th,2010
Spot registration Rs.3,000/-( If seats are available)
Above fee is applicable for participants of SAARC Countries(India, Sri Lanka , Bangladesh, Bhutan, Maldives, Pakistan, Afghanistan and Nepal)
200USD for International Registrants.
(The fee includes study materials, Certificate, Transcript, and two Video CD containing important techniques).
Registration:
The Registration Form can be downloaded from the website www.mtfi.net (home page).
Payments:
You may follow any one method for payments for registration to the course.
1.The payments to be made in form of DD in favor of "Manual Therapy Foundation Of India" payable at "Mangalore". No cheques accepted.
2. You may transfer from any bank in India with CBS facility using NEFT/ RTGS to our account . You have to take the following details for transfer.
Bank Name: Bank of Maharashtra, Bharat Building, P.M.Rao Road,Mangalore-1,Karnataka, India.
Account Name: Manual Therapy Foundation of India.
Account Number: 20065016289
IFSC Code: MAHB0000381
The International registrants can transfer by using the Swift Code of Bank of Maharashtra "MAHBINBB" in addition to the details provided above.
Once you transfer your payments you may send an e-mail to info@mtfi.net with details of transaction along with the registration form downloadable from www.mtfi.net.
For sending DD prepare the DD favoring “ Manual Therapy Foundation of India” payable at “Mangalore” and send to “Manual Therapy Foundation of India”, Flat No:806, Vajreshwari Apartments, Vitobha Temple Road, Near Car Street, Mangalore-575001, Karnataka. The payment must be accompanied with registration form downloadable from www.mtfi.net.
For further queries contact the course co-ordinators Dr. Jagjeet(9845303805) / Dr. Uttam (9343037189) or MTFI office, Mangalore (Ph: 9448104132, 9901659074,9448696414, 0824-2496249) .
More details: Email: info@mtfi.net Web: www.mtfi.net
Please Note:
1.Limited Seats. Register early to secure your seat.
2.The dates mentioned for fees are as per the reach in mtfi office.
3.All disputes are subjected to Mangalore jurisdiction only.
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