presented by Steven Dischiavi
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:
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 served as the team physical therapist and certified assistant athletic trainer for the Florida Panthers of the National Hockey League from 2004 to 2014, where he gained a specialized treatment approach for the hip and pelvis. He holds a relatively rare combination of credentials as a licensed physical therapist and a certified athletic trainer giving him a unique appreciation of the athlete. He also holds a manual therapy certification from the Ola Grimsby Institute. He is board certified by the American Physical Therapy Association as a Sports Clinical Specialist (SCS). Dr. Dischiavi is a faculty member at the Herman & Wallace Pelvic Rehabilitation Institute. He has developed his own course that he presents nationally titled Biomechanical Assessment & Treatment of the Hip & Pelvis. Dr. Dischiavi is currently pursuing his PhD at the University of Ulster in Ireland under the direction of Dr. Chris Bleakley. His current research focus is on optimizing therapeutic exercises for the hip to prevent lower extremity injuries and enhance physical performance. Dr. Dischiavi attended Slippery Rock University, where he earned his bachelors degree in athletic training. He earned a Master of Physical Therapy from SUNY Upstate Medical University and a Doctor of Physical Therapy from A.T. Still University.
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.
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.
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.
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.