Hip & Lower Limb

Hip & Lower Limb

Movement Analysis, Sub-classification & Neuromuscular Retraining for the Hip & Lower Limb

This course covers the analysis of movement of the lower limb.  Hip instability and impingement is detailed along with the relationship to lumbo-pelvic stability. Lower limb movement and alignment is assessed with relation to functional and structural restrictions that need to be compensated for to maintain function.  The diagnosis of an abnormal movement pattern allows the development of a specific retraining program to regain functional stability of the hip and lower limb.  The exercise progressions are described and strategies for the integration into function are discussed with participant examples and case studies.

Overuse injuries, and common lower limb diagnoses are described within the framework of analysing and correcting movement.  Proprioception and sensory motor function for the lower limb is discussed.  The requirements for orthotics, the need for proximal stability for lower limb stability are also described.  The evidence for neuromuscular exercise for lower limb rehabilitation is discussed.  This is an evidence based course.

Course Objectives:

After the course the participant will be able to:

  • Identify restrictions in the lower limb and the resultant compensations
  • Make a clinical diagnosis of an abnormal movement pattern and relate it to tissue pathology in the lower quadrant         
  • Use the movement pattern diagnosis as a clinical reasoning tool to help guise manual therapy and other techniques        
  • Problem solve to prescribe appropriate exercises that relate to controlling the direction of strain and to regain muscle balance
  • Understand the importance of proximal stability and sensory motor function for lower extremity function

WHAT WILL YOU GET FORM THIS COURSE THAT YOU MAY NOT ALREADY HAVE?

Popliteus is one of the missing links in rehab of anterior knee pain and lower limb dysfunction. What does it do? How do we retrain it?

Gluteus maximus is a multitasking muscle!
It has three functional subdivisions. The Deep Sacral Gluteus Maximus only crosses the sacroiliac joint and is ideally suited for SIJ stability.  Why don’t some people progress with glut max training and what can we do about it?

Calf and Achilles Problems
Why do some people have calf or achilles tightness? This isn’t always due to short muscles.  They can also be too long, or due to alignment.  What do we do about this?

Functional Hallux Limitus
This is a common restriction of the lower limb which can lead a many compensatory movements and dysfunctions.  The only treatment is not orthotics.  It can be easily rehabilitated with dynamic stability & movement function. Do you know how to assess and treat this problem?

Glut Med "Clam Shell Exercise"
Did you notice that some people do not seem to progress with this exercise?   Three groups have been identified and strategies to overcome this developed.  Did you know that Gluteus Medius experiences specific hypertrophy and atrophy?

Understanding Psoas Major
Psoas major barely flexes the hip! – Its main function is to stabilize the lumbar spine, SIJ and hip. Research shows that it has segmental atrophy similar to multifidus and needs specific rehab.  We can also use psoas major for pelvic floor rehab!

Orthotics
Not every one with abnormal foot biomechanics needs orthotics.  Many of these problems are functional and not structural.  When functional, they can be rehabilitated with specific motor control retraining. A simple test can give us the answer!

Proprioception
We always address proprioception in rehabilitation, especially with the lower limb.  However new research shows how we can be more specific and include areas of proprioception that are paramount to our function.

Hamstrings
Why do some people never get the length back in their hamstrings? Or why do they always feel stiff.  We can help this common problem.

VMO & Knee Pain
There are different types of anterior knee pain (some may surprise you).  There are also better ways to train VMO. 

 


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