April 23-24, 2022
8-5 PM Saturday
8-3:45 PM Sunday
The concepts, principles, and best available evidence associated with movement system impairments (MSI) and their role in musculoskeletal pain syndromes will be presented. This course will enable the clinician to discuss the kinesiopathological model and the concepts of relative flexibility, relative stiffness, and motor learning as related to the path of least resistance for movement. The role of repeated movements and sustained alignments will be discussed. The course will provide instruction in examination methods used to identify movement system impairments, which include: 1) assessments of alignment, 2) tests of movement, 3) tests of muscle length, 4) tests of muscle strength, and 5) analysis of movement patterns during both specific joint motions and tasks. The most common MSI syndromes of the lumbar spine, hip and shoulder will be covered. The program will include demonstrations of examinations, determination of a diagnosis, selection of corrective exercises and instruction in correcting movement patterns during daily, work and fitness tasks. A lab will be offered to provide supervised performance of the examination and guidance in linking the exam findings to treatment.
Learning outcomes will be assessed by attendance verification, pretest, and post-test. You will also be asked on post-test to reflect on how this information will change or add to your current practice.
At the conclusion of this course, participants should be able to:
· Describe the kinesiopathological model, concepts and principles of movement system
· Describe the adaptations of muscle, nerve, and bone associated with repeated
movements and sustained alignments.
· Describe the concepts of relative flexibility, relative stiffness, and motor learning as
determinants of the path of least resistance which is associated with changes of precision
· Describe the importance of a systemic examination which includes specific tests and task
· Describe the relationship between alignment and neuromusculoskeletal impairments.
· Identify impaired patterns of movement.
· Identify movement system impairment syndromes associated with painful conditions of the
lumbar spine, hip and shoulder.
· Identify the contributing factors to the movement system impairment syndrome.
· Describe the examination to diagnose movement system impairment syndromes of the
lumbar spine, hip and shoulder.
* Describe how the results of the examination guide the development of a treatment program with an emphasis on task performance.
Nancy Bloom, PT, DPT, MSOT, is a professor of physical therapy and orthopedic surgery at Washington University School of Medicine. She received both her master's degree in occupational therapy and her clinical doctorate in physical therapy from Washington University. Nancy teaches in a wide variety of courses and treats multiple types of musculoskeletal problems, but the primary focus of her teaching, clinical practice, and research is the diagnosis and treatment of disorders of the hip and lumbar spine. She currently serves as the Education Chair for the Orthopedic Section of the American Physical Therapy Association. Nancy has taught numerous continuing education courses on the topic of Diagnosis and Treatment of Movement System Impairment Syndromes and has made several national and international presentations.
Nancy receives an honorarium from Texas Children's Hospital for teaching this course. There are no significant nonfinancial disclosures.
07:30-08:00 Course Registration & Sign-in/Continental Breakfast
08:00-09:00 Principles and concepts of Movement System Impairments
09:00-09:30 Lab: Demonstration and practice tests of standing alignment and movement
09:45-10:45 Principles and concepts of Movement System Impairments (continued)
10:45-11:30 Lab: Demonstration and practice tests in standing, supine, and side lying
11:30 12:30 MSI Syndromes of the Lumbar Spine
01:30-02:00 Lab: Video case presentation of person with low back pain
02:00-02:45 Demonstration and practice tests in prone, quadruped, and sitting
03:00-04:15 MSI Syndromes of the Hip
04:15-05:00 Lab: Demonstration and practice selected tests of the hip in supine
07:30-08:00 Course Sign-in/Continental Breakfast
08:00-09:00 MSI Syndromes of the Hip (continued)
09:00-10:00 Lab: Demonstration and practice selected tests of the hip standing, sitting, prone, side lying, and quadruped
10:15-11:00 Lab: Demonstration of a complete exam of the hip on a volunteer with pain
11:00-12:10 MSI Syndromes of the Shoulder and Implications for the Cervical Spine
12:40-01:40 Lab: Demonstration and practice of standing tests of alignment and movement for the shoulder girdle
01:40-02:40 MSI Syndromes of the Shoulder and Implications for the Cervical Spine (continued)
02:40-03:30 Lab: Demonstration and practice of shoulder tests in supine, prone, and Quadruped
Texas Children's Hospital Feigin Center
14th Floor Conference Room D
1102 Bates Street
Houston, TX 77030
Click here for directions
PTs, PTAs, OTs, OTAs
14 contact hours or CCU's through TPTA. Texas Children's Hospital is a preferred provider for the Texas Physical Therapy Association, APS #2303051TX.
Texas Children's Hospital is an AOTA-Approved Provider of professional development, #00387. This in-person course is pending AOTA approval for 14 contact hours, 14 CEUs (intermediate, OT Service Delivery). AOTA does not endorse specific course content, products or clinical procedures.