Course title:Level 2 - Movement Efficiency for the Low Back and Hip
Description:Movements of the low back and hip are both anatomically and biomechanically linked with many of the muscles responsible for producing or managing movement at one region producing or controlling movement at the other. Due to this interdependent relationship effective assessment and retraining of movement requires these regions to be considered in concert. It also is becoming increasingly apparent in the literature all functional movement utilises synergistic patterns of recruitment with a varied mix of contribution between one-joint stabiliser and multi-joint mobiliser muscles. Predictable and consistent impairments in the co-ordinated activation of these synergists has been associated with both pain and the site and direction of uncontrolled movement. Changes in the length tension properties of these synergists also alters the efficiency of their ability to produce or control movement.


Predictable changes in length and recruitment of global one-joint stabiliser and multi-joint mobiliser synergists are related to pain and impairment of the low back and hip
Based on a diagnosis of uncontrolled movement of the low back and hip, the anatomical location of stabiliser and mobiliser synergists can be used to prioritise the assessment of recruitment and length of the synergists
Testing and retraining recruitment efficiency of global stabiliser muscles of the low back and hip is established
Testing extensibility and inhibitory retraining options of the global mobiliser muscles is presented
Impairment specific retraining of optimal movement control of the low back and hip is established

At the end of this course the participant should be able to:

Relate movement and synergistic recruitment patterns and consider how changes to these patterns influence pain, recurrence and function
Display an enhanced understanding of some physiological changes associated with aberrant synergistic recruitment patterns
Demonstrate an understanding of the differences and implications of low threshold slow motor unit recruitment and high threshold fast motor unit recruitment
Demonstrate an awareness of the factors that influence muscle stiffness and discuss how these factors can be used in movement retraining to influence function
Display an ability to analyse the interactions between restrictions and compensations to maintain function in the low back and hip, from an intra-articular, inter-articular and regional perspective
Demonstrate the ability to assess the recruitment efficiency of the global stability muscles that control the range of movement at the low back and hip
Demonstrate the ability to assess for loss of extensibility and aberrant recruitment substitutions of the global mobility muscles that contribute to movement control impairments of the low back and hip
Display options for movement retraining in addition to acquiring the ability to match the level of retraining to your patient’s abilities and goals

A structured and systematic process of assessment, leading to a diagnosis of movement control impairment, allows for a clinical reasoning approach to prioritise which synergists are more relevant to retrain. Assessing and retraining these muscles so as to manage their length and recruitment deficiencies can help manage pain, recurrence of pain and improve function.
Tutor:Pablo Marinho
Date(s):2-3 July 2016
Duration:2 days
Cost:Contact organiser
Contact name:Bphysio
Telephone:+57 311 897 7138
Contact email:[email protected]