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

Outline

Arthrokinematics, Mechanism of Injury and Common DysfunctionsArthrokinematics, Mechanism of Injury and Common Dysfunctions

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

ORTHOPEDIC ASSESSMENT OF LPHCORTHOPEDIC ASSESSMENT OF LPHC

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

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

Assessment of Dynamic Movement and Identification of Faulty Movement PatternAssessment of Dynamic Movement and Identification of Faulty Movement Pattern

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

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

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

Lab: Orthopedic Massage and Multidisciplinary Interventions for Treatment Postural DysfunctionsLab: Orthopedic Massage and Multidisciplinary Interventions for Treatment Postural Dysfunctions

• Neuromuscular stretching and strengtheningNeuromuscular stretching and strengthening
• Deep tissue and cross-friction massageDeep tissue and cross-friction massage
• Joint mobilizationJoint mobilization
• Instrument-assisted mobilizationInstrument-assisted mobilization
• Trigger point therapyTrigger point therapy
• Myofascial releaseMyofascial release
• Corrective tapingCorrective taping

Lab: Lower-Crossed SyndromeLab: Lower-Crossed Syndrome

• Weak abdominalsWeak abdominals
• Weak gluteus maximusWeak gluteus maximus
• Tight thoracolumbarTight thoracolumbar
• Tight hip flexorsTight hip flexors

Lab: Upper-Crossed SyndromeLab: Upper-Crossed Syndrome

• Weak cervical flexorsWeak cervical flexors
• Weak rhomboid and lower trapeziusWeak rhomboid and lower trapezius
• Tight pectoralsTight pectorals
• Tight suboccipitals/upper trapezius/levatorTight suboccipitals/upper trapezius/levator

FUNCTIONAL TAPING, EXERCISES, AND STRETCHINGFUNCTIONAL TAPING, EXERCISES, AND STRETCHING

SPINAL NEUROMUSCULAR CONTROL AND PROPRIOCEPTIVE COORDINATIONSPINAL NEUROMUSCULAR CONTROL AND PROPRIOCEPTIVE COORDINATION

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

• Sensorimotor system and compensatory Sensorimotor system and compensatory
• Iliopsoas and gluteal muscleIliopsoas and gluteal muscle
• Neuromuscular stretching and strengtheningNeuromuscular stretching and strengthening
• Deep tissue and cross-friction massageDeep tissue and cross-friction massage
• Self and manual joint mobilizationSelf and manual joint mobilization
• Instrument-assisted mobilizationInstrument-assisted mobilization
• Trigger point therapyTrigger point therapy
• Self and manual myofascial releaseSelf and manual myofascial release
• Functional tapingFunctional taping
• Functional exercises and stretchingFunctional exercises and stretching