Case Study Integration: Hip–Hamstring Syndrome
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Instructors
Valerie Phelps
PT ScD OCS FAAOMPT
Graduated with a degree in physical therapy from the University of Minnesota in 1981. She was certified by the International Academy of Orthopedic Medicine, IAOM, in orthopedic manual therapy in 1989, and became an international instructor for the IAOM in 1994. Dr. Phelps became a Board-Certified Orthopedic Specialist, OCS, through the American Board of Physical Therapy Specialties in 2003. She is a Fellow with the American Academy of Orthopedic Manual Physical Therapists, FAAOMPT since 2004. She graduated with a terminal professional degree, a Doctor of Science, ScD, in Physical Therapy from Texas Tech University, Lubbock TX, in December 2011. Along with being the founder and current senior faculty of the IAOM-US, (www.iaom-us.com) she has lectured throughout the United States and Europe. Dr. Phelps has co-authored several books, book chapters, and numerous peer review journal articles. She is the founder of, and currently practices at, Advanced Physical Therapy (www.aptak.com) in Anchorage.
Jean-Michel Brismée
PT ScD OCS FAAOMPT
Jean-Michel graduated in 1985 from the Catholic University of Louvain, Belgium. In 2000 Jean-Michel completed his IAOM-US certification in Diagnostics and Orthopaedic Manual Therapy. He completed a MS in Sports Medicine – Exercise Physiology from Texas Tech University. In 2003, Jean-Michel completed his ScD in Physical Therapy from TTUHSC. He is a Professor of the Doctor of Science (ScD) Program in Physical Therapy at TTUHSC. He is the director of the IAOM-US Fellowship Program, Editor-in-Chief of the Journal of Manual and Manipulative Therapy, and practices at University Medical Center in an outpatient orthopedic clinic in Lubbock, Texas. He is full time faculty in the Doctor of Science in Rehabilitation Sciences program at Texas Tech University in Lubbock Texas. Dr. Brismée has authored and co-authored research articles, book chapters, numerous international conference platform and poster presentations.
Haley Main
DPT OCS COMT GTS
Haley earned her Bachelor of Natural and Applied Sciences while excelling as an Academic All-American Cross-Country Athlete. She went on to get her Doctor of Physical Therapy at Harding University in Searcy, AR. Haley certified in Orthopedic Manual Therapist in the spine and extremities through the IAOM-US and is a Graston Technique Specialist (GTS). She has been faculty with the IAOM-US since 2018 and has been instrumental in developing online lectures for the IAOM NEXT series as well as teaching IAOM-US Hybrid courses throughout the United States. She is a full-time clinician and Director of Clinical Education at Searcy Physical Therapy in Arkansas.
Jacqueline Doidge
PT
Jackie trained in Canada, Jackie has worked as a physical therapist for 46 years specializing in orthopaedics, chronic pain, manual therapies and since 2018, pelvic rehab. She lived in South Africa from 1983 to 1993, and began studying dry needling and medical acupuncture with Claire Waumsley in 1985. Jackie spent 5 years as a lecturer with the University of Cape Town teaching manual techniques, including trigger point therapy, to physiotherapy undergraduates. She has studied superficial dry needling under Dr. Peter Baldry and IMS with Dr. Chan Gunn. For the past 26 years, she has lived in Tucson, Arizona, and has helped to bring dry needling to a large hospital system there. She began bringing ODNS lecturers to teach dry needling courses in the US in 2013, and began teaching the ODNS courses in 2015. Since that time she has taught throughout the US, in Kenya, Oman, UAE, Romania and Bulgaria. ODNS partners with IAOM-US to present their courses in North America; Jackie is a faculty member with IAOM-US and has taken the lead in bringing dry needling to practitioners in the US
Description
7.6 Contact hours/ 0.76 CEU’s – Online Course This online self-paced course provides the learner with keys and steps to solve a complex patient case of hamstring syndrome with potential double crush syndrome related to the lumbar spine. The case examines advanced concepts in anatomy and pathology specific to the history, clinical diagnosis, and differential diagnoses. Extensive instruction is provided around a comprehensive plan of care that includes soft tissue and joint mobilization, dry needling, and sensorimotor control. Special topics include 1) evidence plus in conservative management of the pelvic deltoid and functional implications, 2) femoroacetabular micro-instability and ischiofemoral impingement as well as 2) biopsychosocial approach to communication for building rapport, compliance, and optimal outcomes. Target Group: PT, PTA, ATC Educational Level: Intermediate
Course outline PDFObjectives
- Analyze patient history based on pathoanatomy and biomechanics of the hip and pelvic ring to formulate a working hypothesis of pathology prior to initiating the clinical examination.
- Establish a sound clinical diagnosis for physical therapy by thorough interpretation of clinical examination findings.
- Select specific clinical tests that are the most informative for confirming diagnosis, causal factor(s), and perpetuator(s) in a patient with buttock and thigh pain.
- Create a comprehensive plan of care that includes all the following: soft tissue and joint-specific manual therapy, dry needling, and appropriate sensorimotor control strategies focused on lower extremity control of motion and load.
- Prioritize selective functional testing that supports the specific exercise program prescribed for a patient with persistent buttock pain that refers laterally to the hip and posteriorly in the thigh to the knee.
- Practice evidence-based psychosocial approaches, to engage and promote the patient-clinician relationship that leads to building rapport, optimal compliance, and better functional and clinical outcomes.
- Examine a patient’s condition for comorbidities based on the contributions of a history of participation in karate and several instances of falls on the buttocks.
- Optimize a patient’s condition by means of a well-rounded and comprehensive approach to healing by appreciating the interplay of pain generator(s) with various types of dysfunction in the kinetic chain of the lower quarter.
CEU Approval Notice: It is the learner's responsibility to confirm that this course meets the continuing education requirements of their state licensing board or professional association. Pre-approvals listed reflect the organizations that have reviewed and approved this activity; approval in your specific jurisdiction is not guaranteed.
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