In the manual therapy video below, I discuss the functional use of the hip muscles, and demonstrate one of my favorite exercises that I use with patients who want to return to trail running after an injury.
It can be difficult to get enough speed to perform an effective lumbar gapping manip on larger patients. In the manual therapy video below taken during a recent Manip Like a Girl: Work Smarter Not Harder course, NAIOMT's Stacy Soappman demonstrates ways to overcome that challenge .
The manual therapy video below, NAIOMT's faculty member Michael Lucido, PT, DPT, OCS, COMT, FAAOMPT demonstrates spinal engine with the goal of correcting sacral dysfunction.
Do you see patients with SI joint pain? In the video below, NAIOMT faculty member, Stacy Soappman, discusses her approach to testing and treating a 27-year-old male who came into the clinic with SI Joint pain.
The lumbar scan was done to rule out neurological involvement and serious pathology. As part of her lumbar exam she did a biomechanical exam including joint and muscular assessment. What she found was the patient had a lot of muscular imbalance between sides.
Since he experienced stability problems of the SI joint, she choose stability work that involved stance activities, as the SIJ is designed to be more stable in a loaded position. For example, she had him stand on the wobble board and balance, do squats on the flat side of the BOSU, and single leg activities while moving the non WBing leg. To wean him off the SI belt she had him start by doing short duration activity without it and gradually increased the time each day he was out of the belt.
In the manual therapy video below, NAIOMT faculty member Stacy Soappman explains why it's useful to have three different muscle testing approaches for the lumbar spine. Essentially, each has a different intent:
For neurological conductivity, fatiguing versus consistent weakness.
Looking at the power position, and giving it a manual muscle test grade to document in chart to use an objective measure to show how they've improved and gained strength over the course of physical therapy.
To pick up minor tissue damage, if looking for grade one strain.
In the manual therapy video below, NAIOMT’s Stacy Soappman provides a brief review of Sacroiliac Joint assessment and treatment.
In order to determine if gapping manip of the SI Joint is appropriate for a patient, she performs a standing weight bearing assessment. If the tests are symmetrical and patient presents with the same dysfunction both in standing and in non weight bearing tests, she moves forward with the manipulation. If there's a discrepancy between the two components of the test, she does not use manipulation, but instead employs another approach such as soft tissue, exercise or needling to help with the neuromuscular balance component.
Ever run into challenges performing a lumbar gapping manipulation on a patient larger than yourself? In the video below, NAIOMT faculty member Stacy Soappman demonstrates ways to improve effectiveness--as well as safety for yourself--despite the size of your patient. Get more tips and guidance from Stacy directly in her upcoming Manip Like a Girl: Work Smarter Not Harder course (not just for girls!) in Dallas March 31, 2019 or in San Diego on May 19, 2019.
Ever get to a point while treating a patient, where it feels like maybe you've exhausted all the tools in your tool box? Every PT has been there. We may see some promising results, but eventually end up back where we started. Yes, it's frustrating. But it's also an opportunity for our clinical reasoning to really kick in. And if you've put the time into developing those skills, they will guide you forward when you--and your patients--need them most.
In the video below, NAIOMT faculty member, Stacy Soappman, discusses a patient case of low back pain, where she ultimately decided to combine treatment--working the mutifidus with the quadratus lumborum simultaneously--to get her patient feeling better.
In the manual therapy video below, NAIOMT’s Dallas-based faculty member, Michael Lucido, demonstrates a treatment of the sacroiliac joint for mechanical dysfunction. Let us know if you have any questions at all–we understand that each physical therapist that participates in our programs and courses is unique, so we design our con ed to meet you where you and your skills are at, focusing on clinical reasoning at every step.
The manual therapy video below is a recent moment in one of our courses. In it, NAIOMT teaching faculty member, Michael Lucido, performs a biomechanical assessment of the sacroiliac joint. We realize every physical therapist is at a different point in their professional skill set, so please let us know if you have any questions at all. We design courses to meet you where you're at, and take you where you want to go in strengthening your manual therapy and clinical reasoning skills for your patients.