You are now viewing our public site. Back to Dashboard

Lower Extremity Alignment: A Proximal Rehabilitation Approach

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

Accrediting Body:

Target Audience:

Levels:
Disclosure Statement:

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

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:

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

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…

Read full bio

Chapters & Learning Objectives

Download Learning Objectives Download Learning Objectives

Enter your information to unlock the learning objectives.

Thank you!

Download the learning objectives for Lower Extremity Alignment: A Proximal Rehabilitation Approach.

Download Learning Objectives

1. Historical Review of a Hip Focused Proximal Control Theory

Hip impingement surgery rate has increased by over 600% among newly trained surgeons from 2006-2010. It will be expected that the physical therapist become an expert in the prevention and rehabilitation of the hip, particularly with the growing post-operative population. This chapter will describe local, regional, and proximal interventions and discuss the evidence for each.

2. Dynamic Lower Extremity Alignment

Dynamic lower extremity alignment refers to the position of the lower extremity under certain dynamic conditions. The literature has different names and ways of describing the way this dynamic alignment is quantified; these concepts are discussed in this chapter.

3. Functional Anatomy and EMG Literature

This chapter will outline the functional anatomy related to the hip and its surrounding musculature. Particular attention is paid to the three dimensional nature of muscular control on the skeletal system, and how the pelvis is stabilized functionally in three planes. The chapter concludes with a review of EMG literature and how it impacts exercise selection.

4. Evidence-Based Review of Hip Focused Literature

The final chapter of this course will discuss the current state of the literature for hip focused exercise interventions. The concept of strength as a non-linear progression is presented and will be a tenet of the following courses. The course concludes with the introduction of the Global Dynamic Functional Stability paradigm and the concept of Dynamic Kinetic Chain Integration.

Sign up to get free evidence-based articles, exclusive discounts, and insights from industry-leaders.

Join our newsletter to get the latest updates delivered straight to your inbox.

MedBridge blog posts and emails

Request a Demo

For groups of 5 or more, request a demo to learn about our solution and pricing for your organization. For other questions or support, visit our contact page.