1. health and fitness
2. therapy

Treatment of Pelvis & Lumbar Spine Level 1 and
Retraining Lumbo-Pelvic Stability & Functional Recovery by
Dr Barbara Hungerford
PhD, B.App.Sci. Physiotherapy, APAM, SMA
WORKSHOP 1
27-28 March 2015 (2 days)
Treatment of Pelvis & Lumbar Spine Level 1: An Introduction to Functional Assessment,
Manual Therapy & Muscle Energy Techniques for the Lumbo-Pelvic Region
This 2 day practical course reviews current research in lumbo-pelvic anatomy, biomechanics & treatment in
order to explain current concepts of joint stability and the mechanisms that assist load transfer through the
lumbo-pelvic region. A biomechanical framework is used to introduce comprehensive assessment &
treatment techniques for the pubic symphysis, sacroiliac joint, and lumbar spine articulations.
Clinical assessment tests that provide information about functional stability and mobility of the pelvic
articulations and lumbar spine will be used to assist diagnosis of articular, myofascial and motor control
dysfunctions in the lumbo-pelvic region. Application of muscle energy techniques and articular techniques
are then practiced in relation to this biomechanical assessment framework, in order to provide a patient
specific treatment plan for pelvic & lumbar spine dysfunctions.
Course Outline
 Review anatomy and biomechanics of the pelvis and lumbar spine, with interpretation of current
research findings in this area of science
 Review the definitions of joint stability and functional load transfer through the lumbo-pelvic region
 Apply a biomechanical model in order to define dysfunction in the lumbo-pelvic region including
definition of stiff joints, fixated joints, overactive global muscle activation, compressed joints or
insufficient compression (loose joints, insufficient or altered recruitment of the local muscle system).
 Present a biomechanical framework as a basis for assessment of articular and muscular function in the
lumbar spine and pelvic region
 Provide practical sessions during which muscle energy and articular techniques are applied to specific
Musculo-skeletal dysfunctions of the lumbar spine, pubic symphysis, and sacroiliac joints.
 Discuss common dysfunctional patterns found in the lumbo-pelvic region, and how to use clinical
findings to develop an effective treatment plan that incorporates appropriate manual therapy, specific
exercise rehabilitation, and effective education.
WORKSHOP 2
30 March 2015 (1 day)
Retraining Lumbo-Pelvic Stability & Functional Recovery for Back Pain Patients
Retraining lumbo-pelvic stability in patients with back pain is often difficult due to the severity and
complexity of their symptoms. Postural habits, poor movement control, and altered timing of muscle
recruitment can perpetuate pain and difficulty regaining functional stability. Rehabilitation is therefore
complex and requires an understanding of the changes that occur in a patient’s body and mind due to
pain, and requires the correct tools to retrain them towards optimal movement and stability.
This highly practical 1 day course reviews anatomy & biomechanics, and the science of motor control
retraining in order to create a framework for assessment of lumbo-pelvic stability and motor control. It then
provides a practical framework to address your patient’s dysfunction and determine how to release and
turn off overactive muscles in the low back, pelvis, and hips. We then focus on retraining postural
awareness, and improve your patients understanding of their movement patterns and pain so that they
can be actively involved in their rehabilitation. Retraining core stability and gluteal function is then
integrated into a progressive rehabilitation program.
Course Outline
 Introduction
A model of lumbo-pelvic function & stability
Anatomy of the lumbo-pelvic region
Low back pain and altered motor control
 Practical session 1
Clinical assessment of functional stability for:
Lumbo-pelvic region
Pelvis on hip
Theory of core muscle rehabilitation
 Practical session 2
Unwinding overactive muscles
Core control and retraining
 Practical session 3
Integrating core activation into movement
 Practical session 4
Retraining postural control during functional activities
 Practical Session 5
Integration of core and gluteal muscle function
Gluteus Medius muscle retraining
Gluteus Maximus activation and functional progressions
 Progression of exercises in the clinical setting
 How to set homework for patients and timeframes for improvement
About the Trainer
Dr Barbara Hungerford PhD, B.App.Sci. Physiotherapy, APAM, SMA
Current Positions
2002 -current
2003-current
Consultant musculo-skeletal physiotherapist for North Sydney Sports Medicine
Specialist Centre, St Leonards, Sydney
Director & Principal physiotherapist at Sydney Spine & Pelvis Physiotherapy
Centre, Sydney, Australia.
Publications
2003
Evidence of altered lumbo-pelvic muscle recruitment in the presence of posterior
pelvic pain & failed load transfer through the pelvis. Spine, 28 (14), 1593-1600
2004
Altered Patterns of pelvic bone motion determined in subjects with posterior
pelvic pain using skin markers. Clinical Biomechanics, 19, 456-464.
2007
The Pattern of intra-pelvic motion & lumbo-pelvic muscle recruitment alters in the
presence of pelvic girdle pain. Book Chapter for Movement Stability & Low Back
nd
Pain 2 ed.
2007
Evaluation of the ability of Physical Therapists to palpate intra-pelvic motion with
the stork test on the support side. Journal Physical Therapy, 87(7), 879-887
2010
The use of prolotherapy in the sacro-iliac joint. British J Sports Medicine, 44, 100104
Presentations have included @ World Congress of low back and pelvic Pain, Australian Physiotherapy
th
Biannual Conference, WCPT, and 7 National Singapore Conference, Singapore, 2009.
Details
Venue: Nanyang Polytechnic
180 Ang Mo Kio Avenue 8
Singapore 569830
Block J, Rm 204/205
Registration Details
Price
Early Bird (by 15 Dec 2014)
Normal
SPA Member (by 15 Feb 2015)
Workshop 1
S$ 950
S$ 1,000
S$ 850
Workshop 2
S$ 550
S$ 600
S$ 500
Workshop 1 & 2
S$ 1,400
S$ 1,450
S$ 1,250
Closing date for Registration: 15 February 2015
To register, please email [email protected] with the following:
Name:
SPA No. / Expiry Date:
Mailing Address:
Email Address:
Contact Number:
Organization:
Workshop:
Registration is on a first-come-first-serve basis subjected to availability. Limited to only 20 participants per
workshop.
Prior payment is required to secure the seat after registration.
Please make payment only after your registration has been acknowledge by us.
Payment Method
Payment can be made via fund transfer to
Enhance Physiotherapy
OCBC Corporate Account
626022511001
Cheque payment make payable to
Enhance Physiotherapy
Mailing address:
35 Rochester Drive, Rochester Mall
Unit 02-25
Singapore 138639
Attention: Marc Chionh
Cancellation Policy and Disclaimer Clause
Enhance Physiotherapy must be informed of any cancellation or replacement in writing via email. A full
refund will be made if such notice is received by Enhance Physiotherapy before 31 December 2014. There
will be no refund of registration fee for cancellation after 31 December 2014.
SPA and Enhance Physiotherapy reserve the right to cancel or postpone the workshops, subjected to take
up rate of participants for the workshops. SPA, Enhance Physiotherapy and Instructors will not be held
liable for any injuries, disabilities, death or loss of properties during the course of session.
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