The Lumbopelvic Hip Complex Conference: Release Pain and Restore Function Up and Down the Kinetic Chain

Credit

Handouts/Brochure

Speaker

Darrell Locket, MAT, ATC/L, LMT, CSCS, MSCA-CPT, GT, Cert.DN Related seminars and products

D-LOCK MUSCULOSKELETAL SPECIALIST, LLC

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Darrell Locket, MAT, ATC/L, LMT, CSCS, MSCA-CPT, GT, Cert.DN, is the owner of D-Lock Musculoskeletal Specialist Inc as an Air National Guard Pre-habilitation subcontractor through the Optimizing Human Weapon System Services (OHWS) for the 187th Fighter Wing “Red-Tails” at Dannelly Field, Alabama Air National Guard. Mr. Locket holds certifications as an athletic trainer, certified strength and conditioning specialist, and certified personal trainer. He is a Graston Technique® Provider; certified in dry needling from American Academy of Manipulative Therapy; certified in therapeutic massage and bodywork from NCBGTMB; and trained in Beijing China with traditional Chinese medicine doctors. Mr. Locket’s unique combination of education, experience, and passion translates into highly innovative and effective rehabilitation solutions.

 

Speaker Disclosures:
Financial: Darrell Locket is the owner and director of The Musculoskeletal Specialist, LLC and has employment relationships with the Alabama Air National Guard 187th Fighter Wing, Edward Waters College, and the Chinese Olympic Committee. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Darrell Locket has no relevant non-financial relationships.

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Objectives

1. Assess chronic back and neck pain, hamstring tendinopathy, psoas pain, sacroiliac dysfunction to improve function.
2. Choose techniques to stretch, strengthen, and release tightness in the cervical, thoracic, and lumbar musculature to improve participation in physical activity.
3. Determine corrective exercises for the upper- and lower-crossed syndromes to improve participation in activity and occupation.
4. Identify muscle chains and slings, while restoring joint stability and muscular balance up and down the kinetic chain, to increase independence with functional goals.
5. Examine sacroiliac and lumbosacral junction inter-muscular relationships between the upper and lower extremities.
6. Integrate soft-tissue manual mobilization, innovative corrective strategies, and multidisciplinary therapeutic interventions to enhance execution of ADLs.

Outline

INTRODUCTION  

ARTHROKINEMATICS, MECHANISM OF INJURY AND COMMON DYSFUNCTIONS  

• Anatomy of iliofemoral, sacroiliac, and lumbosacral junction  
• Kinesiology of structure, function, and CNS 
• Relative musculature interaction of upper and lower extremities   
• Force-coupling 

ORTHOPEDIC ASSESSMENT OF LPHC 

MUSCLE ANALYSIS OF STANDING POSTURE, ALIGNMENT, JOINT STABILITY AND MOBILITY   

• Base of support and center of gravity 
• Faulty alignment – head, torso, pelvis, and lower extremity 
• Musculoskeletal framework levers - stress and stain 
• Muscular symmetry, contour, and tone 
• Manual muscle testing  
• Specific orthopedic assessment and special tests 

MORNING BREAK 

ASSESSMENT OF DYNAMIC MOVEMENT AND IDENTIFICATION OF FAULTY MOVEMENT PATTERN 

• Bridge and planks  
• Superman prone, supine and quadruped 
• Single-leg balance and squat  
• Overhead squat and step-off  
• Pre-rehabilitation exercises/stretching and corrective taping  

LAB: ORTHOPEDIC MASSAGE AND MULTIDISCIPLINARY INTERVENTIONS FOR TREATMENT POSTURAL DYSFUNCTIONS  

• Neuromuscular stretching and strengthening 
• Deep tissue and cross-friction massage 
• Joint mobilization  
• Instrument-assisted mobilization 
• Trigger point therapy  
• Myofascial release  
• Corrective taping  

LAB: LOWER-CROSSED SYNDROME 

• Weak abdominals 
• Weak gluteus maximus 
• Tight thoracolumbar 
• Tight hip flexors   

LAB: UPPER-CROSSED SYNDROME  

• Weak cervical flexors 
• Weak rhomboid and lower trapezius 
• Tight pectorals 
• Tight suboccipitals/upper trapezius/levator  

FUNCTIONAL TAPING, EXERCISES, AND STRETCHING 

SPINAL NEUROMUSCULAR CONTROL AND PROPRIOCEPTIVE COORDINATION 

LAB: MULTIDISCIPLINARY MULTI-INTERVENTION APPROACH FOR PSOAS MAJOR AND ILIACUS 

• Sensorimotor system and compensatory   
• Iliopsoas and gluteal muscle  
• Neuromuscular stretching and strengthening 
• Deep tissue and cross-friction massage 
• Self and manual joint mobilization  
• Instrument-assisted mobilization 
• Trigger point therapy  
• Self and manual myofascial release  
• Functional taping  
• Functional exercises and stretching 

CONCLUSION, QUESTIONS AND ANSWERS  

Target Audience

• Athletic Trainers
• Physical Therapists
• Physical Therapist Assistants
• Certified Strength and Conditioning Specialists
• Exercise Physiologists
• Occupational Therapists
• Occupational Therapy Assistants
• Massage Therapists
• Personal Trainers
• Orthopedic and Sports Medicine Physicians