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Biomechanics & Dynamic Lower Extremity Valgus

Dr. Steve Dischiavi, MPT, DPT, SCS, ATC, COMT, a Herman & Wallace faculty member, recently co-authored a peer reviewed manuscript which reviewed hip focused exercise programs. Dr. Dischiavi currently teaches a hip related course in the Herman & Wallace curriculum titled “Biomechanical Assessment of the Hip & Pelvis: Dynamic Integration of the Myofascial Sling Systems.”

"An evidence based review of hip focused neuromuscular exercise interventions to address dynamic lower extremity valgus", published in the Journal of Sports Medicine, presents evidence related to current hip focused interventions within the physical therapy profession. We know that there has been an enormous increase in the amount of hip related diagnoses and surgeries, and this calls for better knowledge from the clinicians on how to manage these particular hip related pathologies. The review finds that insufficient research has been done "to identify and understand the mechanistic relationship between optimized biomechanics during sports and hip-focused neuromuscular exercise interventions... improved strength does not always result in changes to important biomechanical variables, and improved biomechanics in sports-related tasks does not necessarily equal improved biomechanical variables in performance of the sport itself".

Biomechanical Assessment of the Hip & Pelvis is an opportunity to explore manual movement therapy with a skilled researcher and practitioner. Dr. Dischiavi has woven a very creative and innovative philosophy to help clinicians design more comprehensive hip focused therapeutic interventions. His in-depth knowledge of the evidence has allowed him to create a program that will challenge clinicians in new ways to look at the hip, pelvis, and lower extremity and how the kinetic chain can be influenced by approaching it using a new lens.

Participants of his course will learn new ways to activate and strengthen groups of pelvic muscles that will benefit all patients from pelvic health clients, to professional athletes, to your elderly population. “All patients have the same bones, muscles, and gravitational pulls acting on them, its how they use these systems that varies significantly. A philosophical science can be generated, but the art is in implementing that science.”

Participants in the Biomechanical Assessment of the Hip & Pelvis course have enjoyed being challenged to look at the hip and pelvis in a different way. Practitioners will leave the course having learned a whole new way to develop and implement therapeutic exercises which are a different approach from the single plane non-weight bearing exercises that are traditionally prescribed to patients.

There are many courses and philosophies on how to screen for lower extremity injuries and how to evaluate movement dysfunction. What is really lacking for clinicians are options for therapeutic exercises which target the hip and pelvis in a relevant and functional manner. Most hip focused programs currently emphasize single plane movements and are dominated with concentric focused exercise. Dr. Dischiavi’s focus is targeted directly at human movement emphasizing tri-planar movements that are primarily eccentric in nature, recognizing that this is how the human body functions.

Come to the Biomechanical Assessment of the Hip & Pelvis: Manual Movement Therapy and the Myofascial Sling System in Seattle this June, or in Boston this August!

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Upcoming Continuing Education Courses

Mobilization of Visceral Fascia 2: The Reproductive System - Medford, OR Satellite Location

Oct 1, 2021 - Oct 3, 2021
Location: Asante Rogue Valley Medical Center

Oncology of the Pelvic Floor Level 2A - Remote Course

Oct 2, 2021 - Oct 3, 2021
Location: Replacement Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Oct 2, 2021 - Oct 3, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2A - Marietta, GA Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 2A - Self-Hosted

Oct 9, 2021 - Oct 10, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2A - Livonia, MI Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Mendelson Kornblum Physical Therapy

Pelvic Floor Level 1 - Torrance, CA Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Women's Advantage Inc

Pelvic Floor Level 2A - Smyrna, TN Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Benchmark Physical Therapy - Smyrna, TN

Pelvic Floor Level 2A - Columbia, MO Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Mizzou Therapy Services

Pelvic Floor Level 1 - Little Rock, AR Satellite Course

Oct 9, 2021 - Oct 10, 2021
Location: Core Pelvic Physical Therapy

Inclusive Care for Gender and Sexual Minorities - Remote Course

Oct 9, 2021 - Oct 10, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2A Satellite Lab Course - Tacoma, WA - Octomber 9-10 2021 (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Olympic Sports and Spine

Sacral Nerve Manual Assessment and Treatment - Remote Course

Oct 9, 2021 - Oct 10, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Doylestown, PA Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Doylestown Hospital

Pelvic Floor Level 2A - Tallahassee, FL Satellite Course

Oct 9, 2021 - Oct 10, 2021
Location: Be Strong Therapy

Pelvic Floor Level 2A - Kenosha, WI Satellite Course

Oct 9, 2021 - Oct 10, 2021
Location: Aurora Sports Health Pershing

Pelvic Floor Level 2A - Birmingham, AL Satellite Course (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: TherapySouth

Pelvic Floor Level 1 - Baltimore, MD Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Sparks Physical Therapy

Pelvic Floor Level 1 - Syracuse, NY Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Onondaga Physical Therapy

Pelvic Floor Level 1 - El Paso, TX Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Border Physical Therapy

Pelvic Floor Level 1 - Self-Hosted

Oct 9, 2021 - Oct 10, 2021
Location: Self-Hosted Course

Mobilization of Visceral Fascia: The Gastrointestinal System - Self-Hosted

Oct 15, 2021 - Oct 17, 2021
Location: Self-Hosted Course

Mobilization of Visceral Fascia: The Gastrointestinal System - Medford, OR Satellite Location

Oct 15, 2021 - Oct 17, 2021
Location: Asante Rogue Valley Medical Center