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Global Dynamic Functional Stability for the Hip & Pelvis

presented by Steven Dischiavi

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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This course will explore the evidence with regard to proximal control rehabilitation programs. As noted in course 1, strength is not a linear progression to achieving improved biomechanical efficiency of lower extremity alignment, particularly with regard to sports related tasks. This course will identify the missing components in todays evidence based hip focused programs and will present a comprehensive approach to achieving Global Dynamic Functional Stability. Utilizing the concept of Dynamic Kinetic Chain Integration, the clinician will learn to integrate multiple polyarticular muscular chains to achieve complex orchestrated functional movements.

This course is part of a three part series with Steve Dischiavi. View the courses in the following sequence:
  1. Lower Extremity Alignment: A Proximal Rehabilitation Approach
  2. Global Dynamic Functional Stability for the Hip & Pelvis
  3. Exercise Prescription for Hip & Pelvis Movement: Part 1
  4. Exercise Prescription for Hip & Pelvis Movement: Part 2

Meet Your Instructor

Steven Dischiavi, PT, DPT, SCS, ATC, COMT

Dr. Steven Dischiavi is an assistant professor in the Department of Physical Therapy at High Point University (HPU), as well as the Director of Rehabilitation for the Department of Athletics at HPU. Dr. Dischiavi brings over 20 years of experience in sports medicine to MedBridge, including 10 years with a professional sports team. Dr. Dischiavi…

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Chapters & Learning Objectives

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1. Proximal Control Theory

The role of the hip during a proximal control rehabilitation program will be discussed. The most current systematic review evidence supporting the use of a proximal control approach will be reviewed.

2. Evidence-Based Review of Proximal Control Programs

The specific exercises that are included in current evidence-based hip-focused programs will be discussed. The various components involved in the Global Dynamic Functional Stability paradigm will be outlined.

3. Global Dynamic Functional Stability

The concept of Global Dynamic Functional Stability is described and defined. The specific elements comprised within this concept are clearly illustrated and compared to the current evidence related to hip-focused therapeutic exercise programs.

4. Tensegrity and the Kinetic Chain

The concept of tensegrity and its impact on the kinetic chain is discussed. The current evidence supporting the idea of tensegrity is provided and how it pertains to human movement. The chapter concludes with the clinical implications of adopting the idea of a globally connected polyarticular kinetic chain.

More Courses in this Series

Lower Extremity Alignment: A Proximal Rehabilitation Approach

Presented by Steven Dischiavi, PT, DPT, SCS, ATC, COMT

Lower Extremity Alignment: A Proximal Rehabilitation Approach

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Utilizing the hip to influence dynamic lower extremity alignment has gained considerable attention within the physical therapy related literature. There is evidence to support a proximal control theory, but there also appears to be a limit to its effectiveness, particularly with regard to sport related tasks. This course will examine the proximal control approach to rehabilitating the hip. There will be a brief functional anatomy review as well as a review of the EMG activity of some commonly utilized hip exercises. The course concludes with the introduction of the idea of expanding from a proximal theory and adopting a more global and dynamic approach to organizing human movement.

This course is part of a three part series with Steve Dischiavi. View the courses in the following sequence:
  1. Lower Extremity Alignment: A Proximal Rehabilitation Approach
  2. Global Dynamic Functional Stability for the Hip & Pelvis
  3. Exercise Prescription for Hip & Pelvis Movement: Part 1
  4. Exercise Prescription for Hip & Pelvis Movement: Part 2

View full course details

Exercise Prescription for Hip & Pelvis Movement: Part 1

Presented by Steven Dischiavi, PT, DPT, SCS, ATC, COMT

Exercise Prescription for Hip & Pelvis Movement: Part 1

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The concept of Dynamic Kinetic Chain Integration is implemented into the design of hip-focused therapeutic exercise programs. The global connectivity of the human kinetic chain is considered as exercises are designed with the goal of increasing efficiency of movement by utilizing the hip and pelvis. The goal of integrating the kinetic chain in a dynamic method makes the athlete utilize multiple muscular myofascial chains in an orchestrated manner while being in a position of greater stability. The organizational challenge of the exercises is increased as the exercises are progressed from a position of increased stability to positions requiring the athlete to learn how to improve stability independently.

This course is part of a three part series with Steve Dischiavi. View the courses in the following sequence:
  1. Lower Extremity Alignment: A Proximal Rehabilitation Approach
  2. Global Dynamic Functional Stability for the Hip & Pelvis
  3. Exercise Prescription for Hip & Pelvis Movement: Part 1
  4. Exercise Prescription for Hip & Pelvis Movement: Part 2

View full course details

Exercise Prescription for Hip & Pelvis Movement: Part 2

Presented by Steven Dischiavi, PT, DPT, SCS, ATC, COMT

Exercise Prescription for Hip & Pelvis Movement: Part 2

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The concept of Dynamic Kinetic Chain Integration is implemented into the design of hip-focused therapeutic exercise programs. The global connectivity of the human kinetic chain is considered as exercises are designed with the goal of increasing efficiency of movement by utilizing the hip and pelvis. The goal of integrating the kinetic chain in a dynamic method makes the athlete utilize multiple muscular myofascial chains in an orchestrated manner while being in a position of greater stability. The organizational challenge of the exercises is increased in Part 2 to reflect movement in the upright position and to challenge the clinician to create exercises in a progressive manner with a return to sport as the goal.

This course is part of a three part series with Steve Dischiavi. View the courses in the following sequence:
  1. Lower Extremity Alignment: A Proximal Rehabilitation Approach
  2. Global Dynamic Functional Stability for the Hip & Pelvis
  3. Exercise Prescription for Hip & Pelvis Movement: Part 1
  4. Exercise Prescription for Hip & Pelvis Movement: Part 2

View full course details

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