Functional Mechanics of the Lumbopelvic Region and Lower Extremity
The mechanics and movements of the human body constantly change as it carries out functional tasks. These changes occur according to the activities performed and how we choose to recruit specifi c motor patterns. The research surrounding the manner in which the movement specialist intervenes during the eventual dysfunction of these mechanics is also changing. Altered mechanics of the lower kinetic chain are frequently implicated in overuse injuries and training errors due to compensatory patterns. A working knowledge of how these altered mechanics may contribute to the mechanisms surrounding specific joint and muscle dysfunction is imperative for the evaluation and selection of intervention(s) for common orthopaedic diagnoses.
This two day intermediate level course will analyze the anatomy and mechanics of the lumbar spine and lower kinetic chain. Evidence based research along with clinical assessment data will be presented to illustrate how altered movement patterns within the ankle, knee, hip and lumbar spine can contribute to specific athologies of the system.
The implications for evaluation and treatment of specifi c movement disorders and their subsequent musculoskeletal conditions will be applied. Extensive laboratory sessions focus on movement analysis, faulty mechanics within the lumbar spine and lower kinetic chain, manual skills to promote normal function and a progressive exercise programs to promote function and maintaining gains.
At the conclusion of the course, clinicians will understand how to perform a movement examination and apply critical thinking and objective measurement tools to rule out specific dysfunction coming from the lumbar spine, hip and/or lower extremity regions.
Critical results analysis will enable the clincian to develop progressive rehab programs to promoteoptimal function.
Upon completion of this course, participants will be able to:
- Identify anatomical structures and normal biomechanical motion of the hip, lumbar spine and lower quarter.
- Apply etiological and physiological concepts as they pertain to the hip, lower quarter and lumbar spine function, while recognizing signs and symptoms associated with various conditions.
- Implement a systematic approach to gait assessment and describe common impairments throughout the lower kinetic chain that can lead to movement dysfunction.
- Establish and integrate an accurate treatment classifi cation category into a comprehensive program for treatment of lumbopelvic disorders.
- Perform a differential diagnosis examination to rule out: lumbar stenosis, lumbar facet dysfunction, lumbar strain, lumbar disc herniation, hip bursitis, gluteal tendinitis, piriformis syndrome, ITB Friction Syndrome, patellofemoral pain syndrome, patellar tendinitis, achilles tendonitis, plantar fasciitis, posterior tibialis tendon dysfunction.
- Plan and implement an evidence-based assessment for the lumbopelvic region and correlating structures based on a biomechanical assessment of the lower extremity and trunk.
- Justify and perform specifi c mobilizations and manipulations to the lumbar spine, and lower quarter.
- Incorporate clinical reasoning skills and evidence based research when analyzing the results from a movement analysis examination as it pertains to lower extremity and lumbar dysfunction.
- Develop a progressive exercise programs to decrease pain and promote biomechanically optimal motion within the lumbar spine and lower quarter.
15 contact hours or CCU’s through TPTA and AOTA
Dr. Tvedt received his Bachelor of Science degree in Kinesiology with a minor in Psychology from California Polytechnic State University, in San Luis Obispo, CA, and his Doctor of Physical Therapy degree from the University of Southern California in Los Angeles, CA. As a licensed physical therapist, Dr. Tvedt graduated from an APTA accredited Orthopaedic Clinical Residency, and has earned a board certifi cation in the specialty of orthopaedics (OCS) through the American Board of Physical Therapy Specialties. He continues to be an active member of the American Physical Therapy Association and remains an active member of the Orthopaedic Section.
While attending Cal Poly, SLO, Lukas conducted published research on the topic of Diabetic Peripheral Neuropathy. He continued to assist with research during his doctoral education in the Motor Behavior and Motor Control Laboratory at USC. He has taught locally and nationally on the topics of manual therapy for the spine and sacroiliac joint, as well as the hip/lower extremity. Lukas also developed an anatomy & physiology based curriculum utilized internationally by a renowned Pilates organization for certification of its instructors. Lukas currently serves as a clinical mentor within an APTA accredited orthopaedic residency for licensed physical therapists seeking advanced clinical practice with Team Movement for Life, & the University of Southern California. Dr. Tvedt has 8 years clinical experience in the outpatient realm. He is the clinic director at an outpatient private practice in Tucson, Arizona, and has experience treating Industrial/Tactical, & professional athletes, including MLB, Ballet Dancers, MMA, Tri-Athletes & Golf.
Outside the clinic, Lukas serves to raise money for local charities as a member of the Fiesta Bowl Committee and as a charter member of the Arizona Bowl Committee. Lukas, his wife Mandy, and their three sons Miles, Nolan, and Wyatt enjoy traveling and spending time with family and friends. He and his wife relocated to Tucson in 2007 and continue to enjoy all that Southern Arizona has to offer.
7:30 8:00 Registration
8:00 8:30 Introduction
8:30 9:00 Importance of Clinical Assessment of Movement
- Functional movement analysis
- Use of technology in assessment
9:00 9:30 Red Flags
- Lower Quarter
9:30 10:00 Lumbopelvic and Lower Extremity
- Anatomy and surrounding structures
- Identifying key structures
- Functional anatomy of the kinetic chain
10:00 10:15 Break
10:15 12:30 Biomechanics of the Lumbar Spine Hip and Lower Extremities-Differential Diagnosis(Lab)
- Gait Assessment
- Systematic approach to gait assessment
- Lower Exremity kinetics assessment
12:30 1:30 Lunch (on your own)
1:30 2:30 Pathomechanics of the Lumbar Spine
- Common overuse/acute spinal pathologies
- Proximal biomechanical factors in LE dysfunction
- Lumbar treatment classification system
2:30 4:00 Pathomechanics of the Hip and Lower Extremity (Lec/Lab)
- Foot and ankle: distal factors in LE injury
- Knee: Medial collapse and injury
- Hip: overuse injuries-biomechanical considerations
- Functional testing
4:00 4:15 Break
4:15 5:15 Differential Diagnosis Exam
- Implicating lumbar spine, hip or lower quarter dysfunction
Lower Quarter dysfunction
- Lumbar assessment
- Hip/knee assessment
- Foot/ankle assessment
5:15 6:15 Patient Case: Athlete with Hip Pain
8:00 9:30 Regional Interdepenence Introduction
- Connecting lower quarter dysfunction to LBP
- Hip weakness resulting in LBP
9:30 10:30 Lumbar Spine and SIJ Evidence Based Manual Therapy Approach
- Type I mechanics (neutral gaping)
- Type II mechanics (flexion/extension biased treatment )
10:30 11:30 Manual Therapy Consideration for the Hip/Pelvic Region (Lab)
- Hip mobilizations: flexion, extension, rotations
11:30 12:00 Manual Therapy Consideration for the Lower Quarter (Lab)
- Knee mobility
- Foot and ankle mobilization
12:00 1:00 Lunch (On your own)
1:00 2:00 Lumbar Stabilization Group (Lab)
- Evidence Re: Lumbopelvic Stabilization
- Neuromuscular Re-Education/Stabilization Concepts
-Transversus Activation and Progressions
2:00 3:30 Evidence Review: Hip Weakness Resulting in LE or
Lumbar Dysfunction (Lec/Lab)
- Interventions Strategies for Lower Quarter Dysfunction
- Progressive Hip Stabilization Program
- Non-Weightbearing muscle activation activity
- Weightbearing progressive LE stability program
3:30 4:00 Patient Case: Runner with Hip Bursitis and SIJ Dysfunction/LBP
4:00 4:15 Closing Remarks:
Wyndham Medical Center
Houston, Texas 77030
Nightly rate: $105.00 (price varies based on room availability)
Contact: Jade LeBeauf