In this course by Dr. Alexis Wright, users will gain an understanding of SIJ and pelvic related pain patterns and be introduced to a number of components of SIJ and pelvis involvement. Learners will be introduced to the best forms of self reported outcomes measures and identify key components of patient history associated with specific pathologies of the SIJ and pelvis. Both sensitive and specific diagnostic tests will be reviewed and discussed to assist with differential diagnosis. A pelvis specific examination will be covered including active and passive physiological movements, and pain provocation tests. The learner will be introduced to evidence based information regarding the utility of a palpatory motion tests. Pelvic girdle pain and SIJ classifications will be discussed along with appropriate manual therapy, strengthening, and atypical treatment approaches. This course is part of a 19 course comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.
Dr. Alexis Wright is a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT), and a frequent research presenter at state, national, and international meetings. Dr. Wright is widely published including 1 book chapter, over 20 peer-reviewed manuscripts on orthopaedics, manual therapy, and outcomes measures issues. She currently serves on 2 journal editorial boards and reviews for over 6 peer-reviewed journals. Dr. Wright has received several small research grants including the AAOMPT Cardon Research Grant and the University of Otago Postgraduate Publishing Bursary. Awards include the American Physical Therapy Association (APTA) Dorothy Briggs Memorial Scientific Inquiry Award, the APTA Emerging Leader Award, and the Duke University Health System Service Champion Award. Dr. Wright continues to maintain an active research agenda in the areas of spinal and extremity mobilization and manipulation, hip disorders, femoroacetabular impingement, and prognostic research. Dr. Wright received her PhD in clinical research from the University of Otago, a Doctor of Physical Therapy degree from Duke University, and a Bachelor of Science degree in kinesiology from the University of Illinois at Urbana-Champaign. Dr. Wright currently serves as an Assistant Professor and Director of Continuing Education in the Department of Physical Therapy at High Point University. In addition to her position as Assistant Professor in the Department of Physical Therapy at High Point University, she practices clinically for Targeted Enhanced Athletic Movement (TEAM). TEAM is a community-based health and wellness program designed to improve athletic performance and prevent injury.
Define sacroiliac joint/pelvic girdle pain. Gain an understanding of SIJ/pelvic related pain patterns.
Discuss key components of patient history during a SIJ/pelvic examination. Discuss the “best” forms of self-reported patient reported outcome measures for SIJ/pelvis.
Describe how you would “rule out” the low back. Discuss the techniques used to rule out the pelvis (sensitive procedures). Discuss the technique used to rule in the pelvis.
Discuss pelvic girdle pain and SIJ classifications. Outline appropriate manual therapy treatment approaches. Outline appropriate strengthening treatment approaches. Discuss a-typical conservative treatment approaches.
Compare and contrast the effectiveness of non-conservative interventions for pelvic pain or dysfunction.