Relationship hip lumbar spine

In their literature review (https://pubmed.ncbi.nlm.nih.gov/32158082/), Masahiro et al. (2020) found a significant correlation between low back pain or leg pain and degenerative diseases of the hip joint in gluteus…

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Current course offer

Course offer

PhysioNovo - Course content

  • Introduction to the concept, its origin and possibilities for rehabilitation and sport. 

Theoretical part. 

  • Anatomy and (pathophysiology) physiology of peripheral nerve fibres with respect to their excitability, sensibility and mechanical strain (elongation, tension and pressure) - how real is e.g. pain as a neuropathic symptom? - radicular symptomatic.
  • Articular pathophysiology - from occasional, vague muscle pain to tendon and muscle tear - articular - "pseudoradicular" symptomatic. 
  • Differential diagnostics radicular - pseudoradicular - articular symptomology.
  • Biomechanics - motor and sensory aspects of vertebral functional movement segments - how real are foraminastoses, how real is peripheral nerve entrapment? 
  • Biomechanics of the double S-shape.
  • Scoliosis - biomechanical properties - relationship with function of the large joints.
     
  • Clinical versus radiological diagnostics 
  • Back, joint and muscle pain - when is pain an indication / contraindication for training/exercise therapy?
     
  • The articular-neurological system - AMI: Arthro-Myogene-Inhibition / AMF: Arthrogen Myogenic Fascilitation.
  • The role of the articular neurological system in muscle strength, muscle length and joint mobility. 
  • Biomechanical properties of peripheral and vertebral joints - motor load capacity of different directions of movement.
  • Sacroiliac - (SI) joint - scapulothoracal (ST) joint - biomechanical connection with hip and shoulder joint.
  • Motor compensation - causes - consequences.
  • Hip-Spine-Syndrome - motor connection between hip joint and lumbar spine -early coupling.
  • Schoulder-Spine-Syndrome - motor connection between shoulder joint and cervical and thoracic spine - shrugging - winging - tipping - dyskinesia scapulocostal symptom. 
  • Hull stability - connection with shoulder and hip joints.
     
  • Integral motor abilities - cohesion vertebral and articular motor abilities.  
  • Dual functions of different muscle groups - motor acticity of the scapula / thoracical spine and hip joint / lumbar spine.
  • The central function of the paradoxical functioning of the abdominal muscles
  • Force couple, force closure, closed packed / loose packed position, muscle synergy, force chain: their significance for the active stability, mobility and load-bearing capacity of joints and of the spine. 

Development / basics of different exercise concepts:

  • Motor control exercise: one-size-fits-all training concept. Classical non-specific training programs focus mainly on restoring the function of the deep and superficial trunk muscles. 
  • Movement control: motor control of the lumbar spine as a training concept (O'Sullivan 2005, Luomajoki 2018).
  • Movement system impairment (MSI) syndrome - Sahrmann 2017: insufficient motor function causes back pain.
  • PhysioNovo - insufficient joint function causes back pain - principle of force couple - striving for final articular movement and for a medium, relieving position of the vertebral joints.

Practical part.

Clinical motor diagnostics

  • Taking an anamnesis, possibly supplemented with a physical examination to exclude a contraindication (neurological - organic) for exercise therapy. 
  • Determination of the exact ROM of both the WC and the large joints - active, passive, resistive - determine the course of movement of both parts of the coxal and/or glenohumeral joint.
  • Exact localization of the place, time and duration of any pain at which vertebral/articular movements.
  • Recognizing (subtle) motor compensations.
  • Determination of muscle strength of back, scapula, shoulder, abdominal and hip muscles by selective muscle function tests.
  • Demonstration palpation technique as a diagnostic instrument.
  • Analysis of walking and running pattern - lateral shift thorax / pelvis - sign of Trendelenburg - sway back - foot, knee and hip rolling movements.

Motor treatment - converting the results of clinical motor diagnostics into realistic motor treatment goals - basics: The pillars for right sport and right therapy.

Motor skills of the arm

  • Improve the predominantly static motor skills of the scapula and the dynamic motor skills of the humerus.
  • Functional coupling of the arm motor skills with the active extension of the thoracic spine and the posterior tilt motor skills of the scapula. 
  • Selection of the direction of movement with the least joint strain - build-up to more strenuous directions of movement.

Motor skills of the leg

  • Improvement of the predominantly static pelvic and dynamic motility of the leg 
  • Functional coupling dynamic leg motor with the stabilization of the lumbar spine (force couple) by targeted abdominal muscle activity .
  • Selection of the direction of movement with the least joint strain - build-up to more strenuous directions of movement.
  • Training in running and going - because of the great functional therapeutic and preventive importance of locomotion, training is given in optimizing gait and running motor skills through postural correction and improvement of the gait and/or interest technique (settlement) on the basis of its physiological development. 

Hull and cervical spine motor skills

  • Optimizing the static motor abilities of the lumbar and thoracic spine - postural training. 
  • Optimizing the dynamic motor abilities of the cervical spine as a movement organ - choosing the right directions of movement.
  • Integration of arm, leg and trunk motor skills - integration into ADL and sport.
  • Special attention to professional training of the abdominal muscles due to their complex paradoxical function and significance for the load-bearing capacity of the entire spine - connection with dorsal trunk / shoulder blade muscles. 

Conclusion

© Paul Geraedts 2020

Current advanced training courses PhysioNovo

Cologne

 

Date:                                          Friday, 06.09.2019 - saturday, 07.09. 2019
Ort:                                             PHYSIO CUM LAUDE in the Eduardus Hospital
                                                   Custodisstr. 3-17 (3.OG) Haus A, 50679
                                                   Köln Deutz
Host:                                           Physio-Deutschland - Landesverband Nordrhein-Westfalen e.V.
Education points:                       16
 

Registration: at professsional body:  https://nrw.physio-deutschland.de/landesverband-nrw/fortbildungen/details/seminar/physionovo-ein-innovatives-physiotherapeutisches-2.html/

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Arnstadt

Date:                                           Monday 16 September - Tuesday 17 September
Place:                                          Dammweg 1, 9310 Arnstadt
Host:                                           Landesverband Thüringen der Physiotherapeuten e.V. im ZVK
Course charges:                         M: € 325, NM:€ 375
Education points:                       17

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Stuttgart 

Date:                                              Friday 8 Nove  - Samday 9 September 2019
Place:                                             Rotebühlstr. 63, 70178 Stuttgart
Host:                                              Physio-Deutschland - Landesverband Baden-Württemberg
Course charges:                            M: € 265,00 NM: € 295,00
Education points:                          20

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Höhr-Grenzhausen
Date:                                             Friday, 29.11.2019 - Saturday, 30.11.2019.
Place:                                            Gesundheitszentrum Thewalt, Ärztehaus,
                                                      Römerberg 2, 56203 Höhr-Grenzhausen
Host:                                              Landesverband Rheinland-Pfalz/Saarland e.V.
Education points:                          17
Course charges:                            M: € 210,00 - NM: € 252,00

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