Dynamic Movement Training & MCE – Low Back & Pelvis

Dynamic Movement Training & Motor Control Exercise

Low Back & Pelvis

Course Description

This active movement course includes a substantial lab component, featuring 7 hours of high-quality video—combining 1 hour of movement observation with 6 hours of actual movement training. Broken down into 20 videos all interspersed into the text/lecture. You’ll observe, analyze and participate in movement sequences/exercises while learning new treatment strategies based on motor control principles. This approach goes beyond strengthening muscles and emphasizes teaching Integrated Movement Patterns that simultaneously:

• Elicit core muscle activation
• Stretch & strengthen relevant hip muscles
• Facilitate proprioceptive self-awareness
• Teach posture & body mechanics optimization

Since recent Regional Interdependence research has shown a clear correlation between hip limitation and low back pain, we know the hips need to be mobilized in one or more directions to reduce lumbar hypermobility stresses. Yet, because of the complex regional inter-relationships in this area and the repetitive and unconscious nature of human movement, muscle stretching and strengthening alone does not guarantee success. Nor does it force a change in the habitual and suboptimal movement and postural patterns that created the dysfunction in the first place. This course utilizes Dynamic Integrated Movement concepts to improve patient compliance, outcomes and extrapolation to daily activities—as connecting the dots between exercise and ADLs is imperative for long lasting results.

Course Objectives

At the completion of the course, participants will be able to:

• List 2 Phases of Motor Learning in which rehabilitation professionals play an important role when working with people with low back pain.
• Define Regional Interdependence & Relative Flexibility—giving 2 examples of hip-lumbar relationships and 1 lumbar-thoracic relationship example.
• Explain differences between Static Integration & Dynamic Integration exercises in terms of pelvic control and lumbar stabilization.
• List 3 Principles of Optimal Movement & give examples of common lumbar conditions resulting from sub-optimal movement or postural patterns.
• Define Global & Differentiated movement/postural patterns—and explain the importance of language specificity in a Movement Model of LBP.
• Explain the importance of Internal Attentional Focus when working with chronic or degenerative low back pain patients.
• List 4 integrated movement Teaching Strategies suggested by Motor Control Principles that make exercise ‘informational’.
• Define a Pelvic Force Couple & explain its’ relevance to Rotation-Related low back pain.

Course Outline

Video recorded lab sessions include experiential movement, modifications & observations.

Section 1: Housekeeping

• Introduction, Instructions & Overview
• Before You Start—Introduction to Integrated Movement Theme
  (Reading Material, 6 pgs.)

Section 2: Background Information

• Movement as Professional Identity
• Movement is Integrated vs Isolated
• The Language & Science of Integrated Movement
• Principles of Optimal Movement & Informational Exercise
• Competing Styles of Integrated Movement
  (Reading Material, 10 pgs.)

Section 3: Paradigms & Philosophy

• Pain Models
• Course Parameters
• Overview of Regions
• Safety Reminders
• Outline of Lab Themes
  (Reading Material, 7 pgs.)

Section 4: Lumbo-Pelvic AP (1st Approx)

• Common AP Lumbar Stressors
• Categorization of Low Back Pain
• Flexion Related Low Back Pain—Video
• Extension Related Low Back Pain—Video
• First Exercise Trio—Video
• Second Exercise Trio—Video
• Multi-Directional Related Low Back Pain
• Lab #1 Variations & Manual Cuing—Video
  (Reading Material, 16 pgs.)

Section 5: Lumbo-Pelvic Rotation (1st Approx)

• Common LR Lumbar Stresses
• Rotation Related Low Back Pain—Video
• Solo Exercise Trio—Video
• Lab #2 Variations & Manual Cuing—Video
  (Reading Material, 7 pgs.)

Section 6: Lumbo-Thoracic Relationships

• Common Thoracic-Related Low Back Pain
• How the Thorax Influences the Low Back—Video
• First Exercise Trio—Video
• Second Exercise Pair—Video
• Lab #3 Variations & Manual Cuing—Video
  (Reading Material, 9 pgs.)

Section 7: Lumbo-Pelvic AP (2nd Approx)

• First Exercise Pair—Video
• Second Exercise Trio—Video
• Lab #4 Variations & Manual Cuing—Video
  (Reading Material, 4 pgs.)

Section 8: Lumbo-Pelvic Rotation (2nd Approx)

• Solo Exercise Pair—Video
• Lab #5 Variations & Manual Cuing—Video
  (Reading Material, 1 pg.)

Section 9: Conversation Starters

• Demonstrating Contrasts & Facilitating Control of Postural Stresses
• Demonstrating Contrasts & Facilitating Control of Rotation Against Resistance Stresses
• Demonstrating Contrasts & Facilitating Control of Weight in Front Stresses
• Conversation Starters—Video
  (Reading Material, 3 pgs.)

Section 10: Movement Practice Material

• Movement Practice Possibilities Organized by Type
• Movement Practice—Video
  (Reading Material, 6 pgs.)

Section 11: Research, Pelvic Floor & Core Facilitation

• Research Implications
• Pelvic Floor & Core—Video
  (Reading Material, 9 pgs.)

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