Pelvic and Lower Limb Disorders Course
Pelvic and Lower Limb Disorders Course

Pelvic and Lower Limb Disorders Course

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Queen Mary Hospital

Roehampton Lane


SW15 5PN

United Kingdom

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DATE: 4 days, 26th November 2016 – 29th November 2016, 9am – 5pm, 28 CPD hours 

TUTOR: Dr Richard Smisek

AUDIENCE: Physiotherapists, Osteopaths, Chiropractors, Medical doctors, Massage therapists, Health & Fitness professionals, General Public

PRICE: New Course Attendees £569, Previous Course Attendees: £469

BOOKING: Please visit and click Booking to complete your registration form.


• Clarify the optimal function of the pelvis and lower limb
• Clarify the optimal coordination and stabilization of gait with an emphasis on the pelvis and lower limb function
• Demonstrate the main pelvis and lower limb disorders
• Treatment of pelvis and lower limb disorders

Doctors, therapists and practitioners will be informed about effective treatment of the above disorders and taught therapeutic exercise program and manual therapy techniques using spiral muscle chains. They will be then able to begin using Spiral Stabilization method in their respective practises.

The course exercise and manual therapy techniques can also be applied to different conditions apart from the above. Please visit and click on What does it treat? for a list of other conditions.


DAY 1 – Pelvis & Lumbar spine – Urogenital tract

Urogenital system

  • Myofascial pain - lumbar region, abdomen, pelvis
  • Chronic inflammation of the urogenital area, infection
  • Impotence, functional sterility, incontinence

Thoracic, lumbar spine and pelvis – Arthrosis in facet joints, SI, hip joints - structural disorders

Internal organs – Nutrition, innervation and mobility failure of internal organs

Failure of the immune system – Psychosomatic illness

Regeneration, prevention and treatment

  • Elimination of muscle imbalances within the pelvic girdle
  • Spiral Stabilization (SPS) manual therapy and exercise techniques - relaxation, stretching, strengthening, reciprocal inhibition, coordination, stabilization
  • Correction of muscle chains function, Latissimus Dorsi-E muscle chain (activates and stretches pelvic floor muscles), Latissimus Dorsi-A, B, C, E muscle chains (spirally stabilized gait)

Pelvic muscles and myofascial pain 


  • Exercises to eliminate the main muscle imbalances in the pelvic girdle, shoulder girdle and torso
  • Exercises for individual muscle groups
  • 60 minutes Spiral Stabilization group exercise session

DAY 2 – Pelvis & Lumbar spine – Urogenital tract 

Muscle groups

Lumbar area and pelvic girdle - erector spinae, quadratus lumborum, multifidus

Posterior pelvis - biceps femoris, semitendinosus, semimembranosus, adductor magnus

Anterior pelvis – pectineus, adductor brevis, adductor longus, iliacus, psoas major

Hip joint - gluteus maximus, medius and minimus, obturator externus, gemellus superior, gemellus inferior, obturaror internus, piriformis, quadratus femoris

Pelvic floor - levator ani, transversus perinei, coccygeus

Muscle groups (above)

  • Trigger point and referred pain
  • Effects on CNS blood circulation
  • Manual techniques in lying position
  • Active manual techniques in sitting position
  • Targeted anatomical relaxing massage with muscle stretching
  • Manual traction of the spine
  • Palpation
  • Reciprocal relations to other muscles
  • SPS exercises (relaxation, stretching, strengthening)
  • Muscle activation within the muscle chains

Muscle chains and pelvis, lumbar spine, pelvic girdle disorders

  • Dynamic muscle chains (body stabilization during movement) - latissimus dorsi (LD), trapezius (TR), serratus anterior (SA), pectoralis major (PM)
  • Static muscle chains (body stabilization at rest) - erector spine (ES), iliopsoas (IP), quadratus lumborum (QL), rectus abdominis (RA)

60 minutes group exercise for the treatment of urogenital disorders (muscle chain activation)

DAY 3 – Lower limbs

Optimally coordinated and stabilized gait

Lower limb

Foot arch

  • Anatomy and function
  • Creating foot arch using muscle chain activation (LD, TR, SA, PM)
  • SPS manual therapy techniques - leg flexors and extensors stretching, foot joints mobilization 
  • SPS exercises for foot arch

Knee joint

  • Anatomy and function
  • Stabilization
  • SPS manual therapy techniques in relation to the knee joint, knee joint mobilization 

60 minutes group exercise session – emphasis on lower limbs, gait coordination, foot and knee stabilization

DAY 4 – Lower limbs

Foot disorders

  • Pedes Plani (flat feet), Hallux valgus (bunion), Digiti mallei, Calcar calcanei (heel spur)
  • SPS manual therapy techniques – stretching, mobilization
  • SPS exercises – strengthening, stretching, stabilization

Knee disorders

  • Meniscus and ligaments disorders/injuries, gonarthrosis
  • Preparation for a total endoprosthesis (TEP) and aftercare
  • SPS manual therapy techniques – stretching, mobilization
  • SPS exercises – strengthening, stretching, stabilization

Hip disorders

  • Functional unit - pelvis, hip joint, symphysis, SI joint, lumbar spine, lower limbs
  • Hip joint disorders - etiology, treatment plan, correction of a movement pattern
  • Coxarthrosis, Developmental dysplasia, Hip impingement syndrome, Leg length discrepancy
  • Preparation for a hip joint TEP and aftercare

60 minutes group exercise session – muscle chain activation, exercises for upper and lower limbs, gait coordination and stabilization, pelvis stabilization, pelvic floor exercises



To ensure that you fully grasp and perform Spiral Stabilization exercises correctly, there will be continual assessment throughout the course, Dr Smisek and Jana Mitackova will examine, correct and provide feedback for the duration of the course, particularly during the exercise and manual therapy section.

All course participants (except general public) will receive a certificate for attendance and completion of the Spiral Stabilization course, allowing them to introduce and begin using the Method in their respective practises.

The course will start at 9am and finish at 5pm every day with tea breaks and lunch break incorporated. Refreshments will be provided.

We will be going through exercises every day, so please ensure that you bring suitable clothing to enable you to perform the practical part of the course comfortably. Female course participants are advised to wear a sports bra or bikini top for manual therapy techniques. We recommend not wearing jewellery for these parts of the course.

We advise all course attendees to have professional liability insurance to cover them for the practical part of the course.

Should you wish to take notes during the course, we recommend that you bring your own note pad or tablet.

Exercise equipment and Spiral Stabilization equipment will be available for use only during the course. But exercise merchandise will be available to purchase. Both cash and card payments are acceptable on the day.

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Queen Mary Hospital

Roehampton Lane


SW15 5PN

United Kingdom

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