Movement System Impairment Syndromes of the Lumbar Spine and Hip
$150 – $400
Movement System Impairment Syndromes of the Lumbar Spine and Hip

Movement System Impairment Syndromes of the Lumbar Spine and Hip

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Arcadia University

450 South Easton Road

Glenside, PA 19038

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Course Description:

The interactions of the lumbar spine and hip are particularly important to physical therapy for two reasons. The first reason is the challenge of determining whether pain in the hip region is from the lumbar spine, the hip or both. The second is that movements of the hip affect the lumbar spine and thus contribute to movement impairments. Therefore examination of the hip is consistent with the properties of the kinetic chain and the kinesiologic interaction of the back and hip. This lecture will describe the movement system impairment (MSI) syndromes of the lumbar spine and hip joint. The discussion will include factors contributing to these syndromes particularly as they relate to the passive and active characteristics of muscle and to the structural variations of the hip joints. The clinical and laboratory evidence of back and hip interactions will be discussed. The presentation will help clarify how the pain pattern and the examination that includes correcting the offending movement can assist the therapist in determining the regional source of the pain.

Course Objectives:

Upon completion of the course the participant should be able to:

  • Describe the Movement System and Movement System Impairment (MSI) syndromes of the lumbar spine and hip joint.
  • Discuss the factors contributing to development of musculoskeletal pain conditions.
  • Discuss concepts of relative flexibility, the jointsintrinsic motions and the tendency to move readily in a specific direction and relative stiffness, the passive tension of muscle and connective tissue.
  • Discuss the MSI syndromes of the lumbar spine.
  • Discuss the MSI syndromes of the hip joint.
  • Describe the examination and treatment for the MSI syndrome of the lumbar spine.
  • Describe the examination and treatment for the MSI syndrome of the hip joint.
  • Discuss the interactions of the lumbar spine and hip as affected by muscular and structural factors.
  • Discuss the evidence for interactions of the spine and hip

Course Faculty:

Shirley Sahrmann PT, PhD, FAPTA

Dr. Sahrmann is Professor Emeritus of Physical Therapy 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, athe Kendall Practice award, the Inaugural John H.P. Maley Lecture and Mary McMillan Lecture awards.

Course Schedule:

Day 1

8:30 - 9:00 Registration

9:00 - 10:30 Movement System concepts and the kinesiopathologic Model

10:30 - 10:45 Break

10:45 - 11:50 MSI syndromes of the lumbar spine

11:50 - 12:30 Hip factors contributing MS lumbar syndromes

12:30 - 1:30 Lunch

1:30 - 3:00 Demonstration of MSI exam for lumbar syndromes, discussion of treatment program

3:00 - 3:15 Break

3:15 - 4:30 Demonstration of MSI exam for lumbar syndromes: participants determine diagnosis and treatment program & Evidence for MSI lumbar syndromes: effect of hip motions

4:30 – 5:00 Review of research and discussion


Day 2

9:00 - 10:30 Structure and muscular control of hip joint

10:30 - 10:45 Break

10:45 - 12:30 MSI hip joint syndromes: femoral (arthokinematic)

12:30 - 1:30 Lunch

1:30 - 3:00 Demonstration of exam for MSI femoral syndrome, discussion of treatment program; Participants determine diagnosis and treatment program

3:00 - 3:15 Break

3:15 - 4:30 Demonstration of MSI exam and development of treatment program of subject with low back and/or hip pain & Evidence for factors in hip syndromes

4:30 - 5:00 Review of research and discussion


Formal brochure and mail-in registration details can be found here:

https://www.arcadia.edu/college-health-sciences/departments-faculty/physical-therapy/continuing-education

No processing fee on mail-in registration.


Confirmation emails and directions will be sent out when payment is received.

Written notice of cancellation is required.

Refund minus $50 processing fee provided for requests prior to March 11, 2017.

No refunds available for cancellations received after March 11, 2017.


Earn 13 contact hours for physical therapy licensure recertification. Arcadia University is an approved sponsor for contact hours in PA and NY. Pending approval by State boards of NJ, and DE.

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Arcadia University

450 South Easton Road

Glenside, PA 19038

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