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Herman & Wallace Blog

Biomechanics & Dynamic Lower Extremity Valgus

Dr. Steve Dischiavi, MPT, DPT, SCS, ATC, COMT, a Herman & Wallace faculty member, recently co-authored a peer reviewed manuscript which reviewed hip focused exercise programs. Dr. Dischiavi currently teaches a hip related course in the Herman & Wallace curriculum titled “Biomechanical Assessment of the Hip & Pelvis: Dynamic Integration of the Myofascial Sling Systems.”

"An evidence based review of hip focused neuromuscular exercise interventions to address dynamic lower extremity valgus", published in the Journal of Sports Medicine, presents evidence related to current hip focused interventions within the physical therapy profession. We know that there has been an enormous increase in the amount of hip related diagnoses and surgeries, and this calls for better knowledge from the clinicians on how to manage these particular hip related pathologies. The review finds that insufficient research has been done "to identify and understand the mechanistic relationship between optimized biomechanics during sports and hip-focused neuromuscular exercise interventions... improved strength does not always result in changes to important biomechanical variables, and improved biomechanics in sports-related tasks does not necessarily equal improved biomechanical variables in performance of the sport itself".

Biomechanical Assessment of the Hip & Pelvis is an opportunity to explore manual movement therapy with a skilled researcher and practitioner. Dr. Dischiavi has woven a very creative and innovative philosophy to help clinicians design more comprehensive hip focused therapeutic interventions. His in-depth knowledge of the evidence has allowed him to create a program that will challenge clinicians in new ways to look at the hip, pelvis, and lower extremity and how the kinetic chain can be influenced by approaching it using a new lens.

Participants of his course will learn new ways to activate and strengthen groups of pelvic muscles that will benefit all patients from pelvic health clients, to professional athletes, to your elderly population. “All patients have the same bones, muscles, and gravitational pulls acting on them, its how they use these systems that varies significantly. A philosophical science can be generated, but the art is in implementing that science.”

Participants in the Biomechanical Assessment of the Hip & Pelvis course have enjoyed being challenged to look at the hip and pelvis in a different way. Practitioners will leave the course having learned a whole new way to develop and implement therapeutic exercises which are a different approach from the single plane non-weight bearing exercises that are traditionally prescribed to patients.

There are many courses and philosophies on how to screen for lower extremity injuries and how to evaluate movement dysfunction. What is really lacking for clinicians are options for therapeutic exercises which target the hip and pelvis in a relevant and functional manner. Most hip focused programs currently emphasize single plane movements and are dominated with concentric focused exercise. Dr. Dischiavi’s focus is targeted directly at human movement emphasizing tri-planar movements that are primarily eccentric in nature, recognizing that this is how the human body functions.

Come to the Biomechanical Assessment of the Hip & Pelvis: Manual Movement Therapy and the Myofascial Sling System in Seattle this June, or in Boston this August!

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Upcoming Continuing Education Courses

Boundaries, Self-Care, and Meditation - Remote Course

May 22, 2020 - May 31, 2020
Location: Replacement Remote Course

Oncology of the Pelvic Floor Level 1 - Remote Course

May 26, 2020 - Jun 4, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 Part 1 - Remote Course (SOLD OUT)

May 28, 2020 - May 29, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 - Chicago, IL (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: Advocate Illinois Masonic Medical Center

Boundaries, Self-Care, and Meditation - Columbus, OH (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: The Ohio State University Wexner Medical Center

Pelvic Floor Level 2A - Syracuse, NY (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: SUNY Upstate Medical University

Gender Diversity and Pelvic Health - Livingston, NJ (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: Ambulatory Care Center- RWJ Barnabas Health

Pelvic Floor Level 2B - Maywood, IL (Rescheduled)

May 29, 2020 - May 31, 2020
Location: Loyola University Health System

Sexual Medicine in Pelvic Rehab - Remote Course

May 30, 2020 - May 31, 2020
Location: Replacement Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

May 30, 2020 - May 31, 2020
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Sacroiliac Joint Evaluation and Treatment - Nashua, NH (RESCHEDULED)

May 30, 2020 - May 31, 2020
Location: St. Joseph Hospital Rehabilitative Services

Postpartum Rehabilitation - Foothill Ranch, CA (Rescheduled)

May 30, 2020 - May 31, 2020
Location: Intercore Physical Therapy

Pilates for the Pelvic Floor - Valencia, CA (Rescheduled)

May 30, 2020 - May 31, 2020
Location: Henry Mayo Newhall Memorial Hospital

Building Resilience Through Nourishment

Jun 2, 2020
Location: Short Form Remote Course

Pelvic Floor Series Capstone - Salt Lake City, UT (SOLD OUT)

Jun 5, 2020 - Jun 7, 2020
Location: Rocky Mountain University of Health Professions

Pelvic Floor Capstone - Remote Course

Jun 5, 2020 - Jun 7, 2020
Location: Replacement Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Jun 5, 2020 - Jun 6, 2020
Location: Replacement Remote Course

Pediatric Incontinence - Grand Rapids, MI (RESCHEDULED)

Jun 5, 2020 - Jun 7, 2020
Location: Mary Free Bed Rehabilitation Hospital

Pelvic Floor Level 2A - Kansas City, MO (Rescheduled)

Jun 5, 2020 - Jun 7, 2020
Location: Centerpoint Medical Center

Pelvic Floor Level 1 - Atlanta, GA (RESCHEDULED)

Jun 5, 2020 - Jun 7, 2020
Location: Emory Healthcare

Pelvic Floor Level 1 - Washington, DC (Rescheduled)

Jun 5, 2020 - Jun 7, 2020
Location: The George Washington University

Pelvic Floor Level 1- Canton, OH (Rescheduled))

Jun 5, 2020 - Jun 7, 2020
Location: Aultman Hospital

Restorative Yoga for Physical Therapists - Remote Course

Jun 6, 2020 - Jun 7, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 Part 1 - Remote Course (SOLD OUT)

Jun 6, 2020 - Jun 7, 2020
Location: Short Form Remote Course

Trauma Informed Care - Remote Course

Jun 6, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 - Berrien Springs, MI (Rescheduled)

Jun 7, 2020 - Jun 9, 2020
Location: Andrews University

Pelvic Floor Level 2B - Bay Shore, NY (Rescheduled)

Jun 7, 2020 - Jun 9, 2020
Location: Touro College: Bayshore

Pelvic Floor Level 1 Part 1 - Remote Course

Jun 11, 2020 - Jun 12, 2020
Location: Short Form Remote Course