Module: co-ordination efficiency

Coordination efficiency to optimise movement retraining for

the low back & hip

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COURSE INTRODUCTION

The close relationship between the low back and hip during functional and performance tasks is widely acknowledged. This perspective supports the need to assess and retrain these regions as co-ordinated functional units. The focus is on two key elements:

  • progressing people in pain, to a pain free state and return them to a place of more optimal movement health
  • and restoring more optimal movement patterns for all to achieve the best movement outcomes for the best possible quality of life.

This module applies a structured evaluation process to reveal the movement control impairments present within the low back & hip. Once these deficits are made apparent through the movement control tests, retraining options are explored so as to support restoration of a more optimal movement system.

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COURSE OUTLINE

80% of the population will experience a significant episode of back pain that limits their ability to work or participate in their social or recreational activities of daily living. Approximately 60-65% of the population in ‘Western’ countries will also experience significant hip pain or develop early osteoarthritis of this region. Up to 80% of the people in both of these groups also have a high incidence of recurrence for up to 3 years after the resolution of the initial episode. Such figures present the stark need for the ability to manage low back and hip pain so as to positively impact quality of life throughout the entire movement lifespan. This module supplies routes to support this process.

The presence of restrictions, pain and other barriers to optimal movement can lead to movement compensations. When these compensations cannot be prevented from occurring they are classified as uncontrolled movements. This course allows these uncontrolled movements of the low back and hip to be detailed through a highly structured process, allowing for their subsequent effective management.

Additionally, effective assessment and management of movement control impairments has the potential to significantly reduce the incidence and time frame of recurrence. Decision making skills for clinical reasoning are presented so as to support both testing procedures and the retraining strategies that follow. These movement based interventions seek to restore optimal movement function alongside their capacity to manage symptoms. Effective assessment and management of movement control impairments has the potential to significantly reduce the incidence and time frame of recurrence.

Movement impairments of the low back and hip influence function, life style choices and participation in work, social and sporting activities. This course examines in detail how impairments in the control of movement limit movement choices. The course presents movement as the vehicle supplying choice in people’s life, for life; a perspective shifting the emphasis away from pain and pathology, placing movement at the centre of intervention strategies. This module employs this movement focused philosophy to issues related to the low back and hip regions.   

Key Features

  • Low back and hip movement  is evaluated allowing for movement control impairments to be diagnosed and classified
  • Presentation of a systematic assessment, clinical reasoning and movement retraining process to significantly reduce the incidence and recurrence of low back and hip pain
  • Impairment specific retraining of optimal movement control of the low back and hip to optimise movement health and improve function

LEARNING OUTCOMES

At the end of this course the participant should be able to:
  • Acquire skills to evaluate movement and identify impairments of movement control
  • Make a diagnosis of impairments of movement control
  • Relate these impairments to the patient’s goals and priorities
  • Learn effective strategies to optimise movement
  • Consider the neuroscience underpinning the principles of movement evaluation and retraining decision making

PROGRAMME OUTLINE

  • Why movement matters
  • How movement control impairments influence function and symptoms at the low back and hip
  • The importance of identifying uncontrolled compensation as a clinical marker of movement control impairments
  • Principles of testing for movement control impairments and making a clinical diagnosis of uncontrolled movement
  • The neutral training region - making it individual
  • The relationship between restrictions and the control of movement
  • The clinical presentation of movement control impairments of the low back and hip
  • Principles of retraining optimal movement control and long term movement health
  • Cognitive movement control retraining – strategy and application
  • Matching movement retraining solutions to the client’s / patient’s goals and priorities
  • Where next?
We will cover:
  • How to evaluate movement
  • Discover the importance of the relationship between restrictions and the control of movement
  • You’ll learn how to use movement control tests to identify movement impairments
  • Find out how to make a diagnosis of movement control impairments (site and direction)
  • You’ll also consider how these problems affect function and symptoms
  • At the end of the course you’ll be able to undertake movement control retraining to help optimise movement health
Help your patients move better, feel better and do more:
  • We will present the tools necessary to allow the full spectrum of disciplines within physiotherapy to evaluate and retrain movement within their practice.
  • The course offers therapists the ability to identify whether their patient’s current pain/dysfunction is linked to movement control impairments.
  • The course presents movement as the vehicle supplying choice in people’s life, for life; a perspective shifting the emphasis away from pain and pathology, placing movement and movement health at the centre of contemporary intervention strategies.

Kinetic Control courses are designed for medical health professionals such as physiotherapists, osteopaths, chiropractors, podiatrists etc registered with the HPC. In exceptional circumstances experienced non medical health professionals may be allowed to attend Kinetic Control courses but these participants MUST be able demonstrate that the course material is within their scope of practice and that they have appropriate professional liability insurance to cover them for their attendance at the course and the course content.

This course has both theortical and practical elements. Please come prepared for the practical work.