Workshop Overview

Clinical instability of the sacroiliac joint can present as acute disabling pain or persistent buttock pain in people of all ages. This practically orientated course focuses on stability dysfunctions and motor control retraining for the SIJ. Motor control issues are discussed from contemporary research literature and the SIJ biomechanics are explained with practical orientation.

When there is failure of automatic locking of the sacroiliac joint to form a stable close pack position in weight bearing, pain can develop in the sacral sulcus and pelvic region. This form of joint instability may be due to lack of efficient muscle control in the deep muscle stability system, or in combination with excessive muscle pull from superficial tight structures.

Pain can also develop in the SIJ due to hypermobility along one of its articular glides in normal function when the joint is not clinically unstable. The participant will learn how to assess for these control deficits in the SIJ complex.

An evidence based clinical reasoning model will be applied to rehab involving motor control retraining strategies for the deep and superficial muscle stability systems. Participants are encouraged to bring appropriate clothing for practical sessions.

Course Objectives

The participant will be equipped to:

• Assess for control deficits in the pelvis

• Diagnose SIJ instability and failure of locking

• Retrain motor control deficits instability/locking failure and global movement control

• Discuss integration of control of movement into normal activities

Course Outline

8:30am – 9:00am

• Registration

9:00 – 10:30am

• Key motor control issues
• Functional anatomy and biomechanics

11:00 – 11:30am

• Clinical guidelines for when to suspect SIJ dysfunction
• Assessment for failure of self locking and failure of load transfer

11.30 – 12:30

• Assessment of articular integrity
• Motor control retraining of the local muscle stability system for joint translation control

1:30 – 2:30pm

• Motor control retraining of the local muscle stability system for joint translation control

2:30 – 3:30pm

• Assessment and motor control retraining for global movement control

4:00 – 5:00pm

• Integration into function and exercise training