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Part of the Anatomy Trains Australian Women’s Health Symposium Live Online
Each two hour MasterClass will be presented live over zoom – we encourage you to join us live! We will have exclusive contests for those who attend live, with fun prizes awarded to the winners. However if you cannot attend live, you can relax in the knowledge that each webinar will be recorded, and the recording will be made available for you to enjoy for 45 days.
Early bird price of $50 USD held until Jan. 21st, 2022. Jan. 26th, 2022. $75 USD thereafter. Purchase is made in USD, exchange rates apply.
Bio matters in Pregnancy-related Pelvic Girdle Dysfunction & Pain: An update on the form and force closure mechanisms and motor control of the post-partum pelvic girdle, presented by Diane Lee
In spite of evidence suggesting that “No study to date has demonstrated a direct relationship
between pathology and pain for any pain related condition” (Clauw 2015) and that “Neither the
presence or absence of pain nor the intensity of pain can be accurately predicted by the
presence or absence of pathology” (Catley, Moseley & Jones 2019) there is a recent trend in
physiotherapy to ignore biomechanics and control of the joints of the pelvic girdle in those with
persistent nociceptive pelvic girdle pain states. In other words, the location of pain alone does
not assist in treatment planning for individuals with persistent nociceptive pain in the pelvis. A
nociceptive pain state is one whereby pain is provoked by certain postures or movements and
relieved by others and not dominated by psychological or social contributors. For these
individuals, pain can persist when mobility and control of the joints of the pelvis are impaired
due to altered form or force closure mechanisms (Snijders, Vleeming, Stoeckart 1993a,b) and
motor control deficiencies, regardless of their psychological or emotional state. However, altered
mobility and control of the pelvic joints may be secondary to impairments elsewhere in the body.
When is the pelvis the victim of impairments elsewhere and when is it the criminal for the noted
loss of function? This presentation will review:
- the principles of the Integrated Systems Model (Lee 2015) which is a regional
interdependent model that facilitates identifying when the pelvis is a victim secondary to
impairments in other body regions or truly the impaired region required treatment, as
well as - the Integrated Model of Function (Lee & Vleeming 1998) and the associated assessment
tests for mobility and control of the joints of the pelvic girdle which then determine the
multimodal treatment program specific to each individual presenting with persistent
nociceptive pelvic girdle pain.
References
Clauw D J 2015 Diagnosing and treating chronic musculoskeletal pain based on the underlying
mechanism(s). Best Pract Res Clin Rheumatol. 2015;29:6-46119
Catley M, Moseley L, Jones M 2019 Understanding pain in order to treat patients in pain. In:
Clinical Reasoning in Musculoskeletal Practice. Eds Jones M, Rivett D Elsevier
Snijders C J, Vleeming A, Stoeckart R 1993a Transfer of lumbosacral load to iliac bones and
legs. 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for
treatment and exercise. Clinical Biomechanics 8:285
Snijders C J, Vleeming A, Stoeckart R 1993b Transfer of lumbosacral load to iliac bones and
legs. 2: Loading of the sacroiliac joints when lifting in a stooped posture. Clinical
Biomechanics 8:295
Lee D 2015 Highlights from an Integrated Approach to the Treatment of Pelvic Pain &
Dysfunction. Chapter 17 In: Pathology and Intervention in Musculoskeletal
Rehabilitation, 2 nd edn. Eds Magee D, Zachazewski, J E, Quillen W S Manske R C,
Elsevier
Lee D G, Vleeming A 1998 Impaired load transfer through the pelvic girdle – a new model of
altered neutral zone function. In: Proceedings from the 3rd interdisciplinary world
congress on low back and pelvic pain. Vienna, Austria
Lecture schedule:
10:00 PM – 12:00 AM EST Friday, 25th / 11:00 AM – 1:00 PM AWST Saturday, 26th
Click here to purchase access to the full symposium MasterClass package.