Movement System Syndromes of the back and hip:
Interactions and best available evidence
Shirley Sahrmann, PT, PhD, FAPTA
12 Contact Hours (1.2 CEs)
Course Description:
Based on knowledge of kinesiology, physical therapists are especially qualified to appreciate the interactions between the lumbar spine and the hip joint. These interactions are key to the development of musculoskeletal pain conditions in many individuals. Movements that should be occurring primarily in the hip joint often are imposed on the spine because of a variety of factors. Those factors include muscle length, stiffness and recruitment patterns as well as structural characteristics. Also one of the challenges of clinical practice is when a patient has pain in the hip region to determine whether the pain is from the lumbar spine, the hip or both. Besides the determination of the region generating the pain is the issue of the kinesiological interactions. This presentation will discuss the muscular and structural characteristics of the hip and lumbar spine that contribute to impaired movement patterns that contribute to pain problems. The movement system syndromes of the low back and hip will also be described and the best available evidence describing the interaction between these two regions. The presentation will also demonstrate the movement system examination of the low back and hip.
Course Objectives:
Upon completion of this course the participant will be able to:
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Describe the muscular factors that cause movement at contiguous joints
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Discuss the implications of the body taking the path of least resistance for motion
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Discuss relative flexibility/stiffness
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Discuss hypermobility as the primary factor in musculoskeletal pain
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Describe structural variations of the hip and lumbar spine that contribute to impaired movements at the contiguous joints
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Discuss the movement system syndromes of the low back
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Discuss the movement system syndromes of the hip
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Discuss the best available evidence for classification of low back syndromes and the interaction of the back and hip
Course Schedule: see full pdf by clicking here:
BIOGRAPHICAL SKETCH FOR SHIRLEY A. SAHRMANN, PT, PhD, FAPTA
Dr. Sahrmann is Professor of Physical Therapy/ Neurology/ Cell Biology and Physiology at Washington University School of Medicine, St. Louis, Missouri. She received her bachelors degree in Physical Therapy, masters and doctorate degrees in Neurobiology from Washington University. She is a Catherine Worthingham Fellow of the American Physical Therapy Association and is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, and the Kendall Practice award, the Inaugral John H.P. Maley Lecture and Mary McMillan Lecture awards. Dr. Sahrmann has also received Washington University's Distinguished Faculty Award, the School of Medicine’s Inaugral Distinguished Clinician Award and an honorary doctorate from the University of Indianapolis She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Section of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter.
In addition to her numerous national and international presentations, Dr. Sahrmann has been a keynote speaker at the World Confederation of Physical Therapy, and at the Canadian, Australian, New Zealand and Danish national congresses.Dr. Sahrmann's research interests are in development and validation of classification schemes for movement impairment syndromes as well as in exercise based interventions for these syndromes. Her book, Diagnosis and Treatment of Movement Impairment Syndromes describes the syndromes and methods of treatment. She maintains an active clinical practice specializing in patients with musculoskeletal pain syndromes.
