HIP, PELVIS AND GROIN PAIN course with Dr Alison Grimaldi - it a series of 3 x 1 day courses, which can be taken as a series of three or each of the day seperately:
1. Mastering Movement of the Hip and Pelvis (it is fundation course to the whole series, as teach how to assess muscles)
2. Anterior Hip and Groin Pain
3. Lateral Hip and Buttock Pain
Each of the day of the course contain 4-6 hours of online pre-course study
DAY 1: MASTERING MOVEMENT OF THE HIP AND PELVIS - Online Learning Component (4-5 hours):
- Provide detailed information on muscle function and dysfunction for each group of synergists around the hip – hip flexors, abductors, extensors, external rotators, adductors
- Present this information in a clinical context to allow participants to understand potential clinical implications and applications
- Enhance clinical reasoning skills required for optimal assessment and development of therapeutic exercise for the hip & pelvis
- Challenge participants to re-examine their own clinical practice in the light of the presented evidence base
- Stimulate new thought & provide direction for those who may be interested in contributing to the research base that is shaping contemporary clinical practice in this field.
MASTERING MOVEMENT OF THE HIP AND PELVIS : Practical Workshop (Day 1):
- Perform a multifaceted assessment of muscle function for each group of synergists around the hip – hip flexors, abductors, extensors, external rotators and adductors, using standardised, objective measures
- Determine the most appropriate exercise approach to target specific impairments in:
- Muscle size & strength
- Muscle endurance – global or regional
- Kinematic patterns
- Muscle recruitment patterns
- Power, rate of force development, plyometric ability, agility
- Progress an exercise program in an appropriate & timely manner, using key markers for exercise effect & tolerance.
DAY 2: ANTERIOR HIP AND GROIN PAIN - Online Learning Component (4-6 hours):
- Clarify definitions of anterior hip and groin pain
- Explore factors which may influence intra-articular hip joint loads – a. morphological variants (eg FAI, acetabular dysplasia, femoral version, capsulo-labral deficits), b. adverse joint loading associated with kinematics and neuromotor function, c. the adequacy of joint protection mechanisms.
- Explore factors which may influence extra-articular loads in the anterior hip region – a. morphological variants (eg. AIIS/Subspine Impingement), b. adverse soft tissue loading associated with kinematics and neuromotor function (focus on hip flexors).
- Provide an overview of key load management and therapeutic exercise strategies for anterior hip pain, particular to the patient presentation and associated difficulties with mechanical load transfer.
- Provide an update on groin pain clinical entities and where the literature sits with regard to prevention and management.
ANTERIOR HIP AND GROIN PAIN: Practical Workshop (Day 2):
The practical workshop first provides participants with ‘the tools’ for assessment of anterior hip & groin pain – diagnostic test procedures for intra and extra-articular sources of nociception and assessment of drivers such as FAI, femoral version, hypermobility, focal instability and key postures and movement patterns. Standardised measurement of key impairments will also be covered, important for reliable measurement of outcomes.
Armed with a full toolkit and a clear understanding of how morphology, loading patterns and muscle dysfunction may be driving anterior hip and groin pain, participants will then be guided through a clinical reasoning model to help determine the key drivers and optimal management approach for each individual.
DAY 3: LATERAL HIP AND GROIN PAIN - Online Learning Component (4-5 hours):
- Clarify definitions and diagnoses of lateral hip and buttock pain
- Explore factors which may influence loads and integrity of the posterior capsuloligamentous structures.
- Explore factors which may influence extra-articular loads in the lateral hip and buttock region a. morphological variants (e.g. bony structure, soft tissue - neural relationships); b. adverse soft tissue loading associated with kinematics and neuromotor function (focus on hip abductors and short external rotators).
- Provide an overview of key load management and therapeutic exercise strategies for lateral hip and buttock pain, particular to the patient presentation and associated difficulties with mechanical load transfer.*Practical Workshop (1 Day)
LATERAL HIP AND GROIN PAIN : PRACTICAL WORKSHOP (DAY 3).
- The practical workshop will guide participants through diagnostic tests and management strategies for lateral hip and buttock pain. There is now high-quality evidence for assessment and management of gluteal tendinopathy from the ‘LEAP’ lateral hip pain randomised clinical trial, of which Alison was a key investigator.
- Participants will receive first-hand instruction on techniques, advice regarding how best to apply this approach in clinical practice and valuable troubleshooting for slow or non-responders. The workshop with then delve into the other lesser-known problems associated with buttock pain that may present diagnostic and management challenges – posterior joint instability, bony impingements, peripheral nerve entrapments and musculotendinous overload, particularly of the proximal hamstring tendon and deep hip external rotators.
Tutor: Dr Alison Grimaldi PhD, MPhty(Sports), BPhty
Alison completed a Bachelor of Physiotherapy at the University of Queensland in 1990, a Masters of Sports Physiotherapy in 1997, and her Doctorate in Philosophy in the Field of Physiotherapy (PhD) in 2008. Her PhD studies were concerned with improving our understanding of hip muscle function and the relationship with hip joint pathology and weightbearing stimulus. These studies involved research collaboration with the European Space Agency.
Alison continues to be passionate about extending our understanding of why we develop problems around the hip and pelvis, and what we can do to most effectively prevent and manage these problems. She is currently involved with research studies through the University of Queensland and University of Melbourne, co-supervises a number of PhD students, and has pioneered the use of Real Time Ultrasound technology for the assessment and retraining of muscle function around the hip & pelvis. Due to her voluntary contributions to research at the University of Queensland, Alison has been awarded the title Adjunct Research Fellow in the School of Health & Rehabilitation Sciences.
It is one of Alison’s core beliefs that research should be relevant to clinical practice and helping the patients we treat every day, and that physiotherapists in the community should have access to this valuable information to allow them to transfer this knowledge into clinical practice as quickly as possible. To this end, Alison continues to publish, present and provide practical workshops for other health professionals. Alison has published a number of papers in scientific journals, has contributed detailed information freely accessible via podcasts by PhysioEdge (itunes) and the British Journal of Sports Medicine (SoundCloud), and has recently contributed to 3 leading physiotherapy and sports medicine text books.
Alison continues a clinical load, working with patients with complex hip and lumbopelvic conditions, and across a broad spectrum of sports, including elite level triathlon, running, dance, cricket, athletics & swimming. She also spends a considerable amount of time mentoring her excellent staff, ensuring they are up-to-date and able to provide a high level of clinical expertise for management of musculoskeletal problems.