HIP & Pelvis - The Mulligan Concept- Mark Oliver
The examination component:
This course includes a new generation of functional load transfer tests that can be used to assess various elements of failed load transfer (pelvic dysfunction) across the pelvis. These tests are a critical element of pelvic examination as pelvic dysfunction has the capacity to result in pain being experienced in other parts of the body even when the pelvis is symptom free.
Some of these tests are validated, while others are currently being researched. They include observation based load transfer tests and tests for measuring inhibition, bracing and weakness.
In addition to identifying failed pelvic load transfer, these tests can be used to immediately assess the effectiveness of MWM (and other) interventions. However the true effectiveness of the MWM intervention can only be gauged by how it affects the patient’s presenting complaint. Consequently, the primary examination element taught in this program is how to use MWM to determine appropriate real time treatment. Rather than using pain provocation tests (PPTs) to provoke pain, MWM examination procedures are performed with the aim of eliminating pain on movement as the patient reproduces the previously symptomatic activity. In this way, the clinician is able to ascertain conditions that are required to render a pain provoking activity symptom free or eliminate the element of failed pelvic load transfer that has resulted in a symptomatic maladaptive movement pattern.
The treatment component:
The treatment elements of this course are primarily MWM based techniques directed primarily at the intra-pelvic joints (sacroiliac and pubic symphysis). However the pelvis MWM techniques integrate elements of manual therapy, functional exercise and cognitive therapy with the aim of affecting all components of the pelvic region. This is taught using a combination of practical instruction, real time demonstrations on individuals with PGP or pelvic dysfunction and video case example presentations.
Self-treatment techniques and integration of MWM techniques into what is termed a “no failure” functional exercise approach will be presented. When appropriate, additional treatment strategies and techniques are discussed and demonstrated including identification and management of causative factors.
Gentle, pain-free MWM techniques are ideal for treatment of pelvic dysfunction in women with pregnancy related pelvic girdle pain (PPGP) and these techniques are discussed and demonstrated in this workshop.