EXPERIENCE. ENGAGE. EMPOWER.

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1 EXPERIENCE. ENGAGE. EMPOWER. Diane Lee PT, BSR, FCAMT, CGIMS presents a 4-Day course The Thorax & Pelvis - Understanding the Relationship between the Thorax & Pelvis when Treating the Whole Person using The Integrated Systems Model March 24-27, 2015 Pearl Country Club Kaonohi Street, Aiea, Hawaii (Pearl 1 Conference Room, Lobby Level) CLASS SIZE LIMITED SIGN UP EARLY! THIS COURSE INTENDED FOR PHYSICAL THERAPISTS ONLY. Course Description Do you see patients with recurrent problems and, in the face of limited evidence, question if you are being the most effective you can be in your approach to treatment? Do you know how to determine if the thorax, lumbar spine and/or pelvis (essentially the trunk) is playing a role in the clinical presentation and if so what to do or where to begin treatment? Scientific evidence suggests that function of the pelvis is essential for the performance of almost every task. However, how do we know if the loss of pelvic function is the cause of the patient s primary complaint (the criminal) or merely the victim of an impairment elsewhere. How do we know if the loss of function of the thorax is the cause of the loss of pelvic function? How do we know if the relationship between the thorax & the pelvis is responsible for the failure of the lumbar spine to transfer loads optimally? The restoration of function and performance depends on being able to identify and treat the underlying source of the problem and it is common to find the pelvis as the criminal in some cases and the victim in others. The same is true for the thorax. Do you have a way of knowing when to treat the pelvis, when to treat the thorax, when to treat the lumbar spine and when to look elsewhere? This course will introduce the functional interplay between the thorax and the lumbopelvic-hip region and how The Integrated Systems Model for Disability & Pain can facilitate the understanding and interpretation of each patient s unique clinical picture. The Integrated Systems Model for Disability & Pain The Integrated Systems Model for Disability & Pain (Lee & Lee) is a framework to help clinicians organize knowledge (evidence and experientially based) and develop clinical continued

2 Course Description, continued reasoning skills to facilitate best decisions for treatment. A key feature of this approach is Meaningful Task Analysis and Finding the Primary Driver. Briefly, this involves choosing tasks to assess that are relevant to the patient s story (meaningful to the patient s complaints and functional difficulties), assessing the whole body (strategy analysis of the task) to find the criminal (the driver), and then developing sound hypotheses as to how the criminal relates to its multiple victims. Objectives & Learning Outcomes At the conclusion of this 4 day course (5 days with translation), you will understand: 1. How The Integrated Systems Model is used to assess function of the trunk, and thus the relationship between the thorax and pelvis. 2. How to find the primary driver. When there are multiple regions that are impaired, how do you determine which one should be the focus of your intervention? Is this a hip problem that is causing the pelvic joints to lose control and become painful (or alternately a thorax or foot problem), or is the impairment intrinsic to the pelvis itself (i.e. stiff SIJ or altered motor control of pelvic floor/transversus abdominis a pelvic driven pelvis)? 3. When to choose specific system tests (articular, neural, myofascial, visceral, physiological etc) to further identify the cause and effect of various impairments within and between regions of the body so you are able to do the right thing at the right time. 4. How to design a multimodal treatment program (including education, manual therapy, neuromuscular release, and movement training) to restore function and performance for any patient (from postpartum moms to elite level athletes) since the principles of the ISM approach are applicable to all groups of patients. Course Preparation To get the most from this course it is advised that the participant review their anatomy! Course Requirements Wear comfortable clothing including shorts/sports bra which are suitable for examination of the low back, pelvis and lower extremity.

About Diane Lee Diane is the owner, director, educator and physiotherapist at Diane Lee & Associates (www.dianelee.ca) in White Rock, BC, Canada.

3 About Diane Lee Diane is the owner, director, educator and physiotherapist at Diane Lee & Associates ( in White Rock, BC, Canada. She is well known for her clinical work on the thorax and pelvis and for helping clinicians understand the relationships between regions of the body. Diane has been a keynote and conference speaker at many conferences including The World Congress on Low Back and Pelvic Pain, has contributed chapters to several books and self-published the book The Thorax An Integrated Approach. The Pelvic Girdle, first published by Elsevier in 1989 is now in its 4th edition and has been translated into multiple languages. Diane holds the North American patent for an innovative sacroiliac belt, The Com-Pressor, and is the innovator and manufacturer of the new belt for pregnancy, The Baby Belly Belt. With respect to research, she is currently investigating the behaviour of the abdominal wall in women with diastasis rectus abdominis and has received a grant from the Clinical Center of Research Excellence from the University of Queensland to further these studies. General Information Date March 24-27, 2015 Location Pearl Country Club, Kaonohi Street, Aiea, Hawaii (Pearl 1 Conference Room, Lobby Level) Time Continuing Education Units 8:30 am* - 4:30 pm *(Day 1 March 24, 2015 Registration at 8:00 am) 25 contact hours, 2.5 CEU s Tuition & $800.00** Registration Make check payable to: Orthopedic Rehabilitation Specialists, Inc. Mail registration form & payment to: Orthopedic Rehabilitation Specialists, Inc Kapiolani Blvd., Suite 600 Honolulu, Hawaii ** Tuition includes a non-refundable registration fee of $ Refund requests must be submitted in writing 14 days prior to the course. No refunds will be made after that time or in the case of non-attendance. Only in the case of a substitution will tuition be refunded in full. Registration Deadline: February 28, 2015 For more information, please call Craig B. Nagata at (808) or cnagata@ors-pt.com Orthopedic Rehabilitation Specialists, Inc. (ORS) reserves the right to alter or cancel the scheduling of the course due to unforeseen circumstances. If cancellation is necessary, all payments will be refunded in full. ORS is not responsible for costs incurred due to travel, airfare, lodging, etc.

4 The Thorax & Pelvis - Understanding the Relationship between the Thorax & Pelvis when Treating the Whole Person using The Integrated Systems Model Schedule Day 1 Tuesday, March 24, :00 am - 4:30 pm 8:00 am - 8:30 am Registration 8:30 am - 10:30 am Intro and Introductory Lecture ISM 10:30 am - 10:45 am Break 10:45 am - 12:00 pm Terminology Spine & Pelvis, Pelvis Ligaments & Nutation/counternutation, Ant Post Rotation and IPT Surface Anatomy and Land marking the Pelvis 1:00 pm - 1:45 pm Surface Anatomy Land marking continued 1:45 pm - 2:30 pm Standing Posture 2:30 pm - 2:45 pm Break 2:45 pm - 4:30 pm Squat Day 2 Wednesday, March 25, :30 am - 4:30 pm 8:30 am - 9:30 am Questions and Debrief Day 1 - Squat Review by assessing someone with LBP and sitting is MT 9:30 am - 10:45 am How Time, Evidence & Experience Change Paradigms - The Thorax 10:45 am - 11:00 am Break 11:00 am - 12:00 pm Demo Surface Anatomy Thorax 1:00 pm - 2:45 pm Ring Position Screen, Seated Trunk Rotation 2:45 pm - 3:00 pm Break 3:00 pm - 4:15 pm Revisit Squat Task 4:15 pm - 4:30 pm Close day

5 Day 3 Thursday, March 26, :30 am - 4:30 pm 8:30 am - 9:30 am Questions & Review by assessing someone with OLS as MT - i.e. pain with running 9:30 am - 10:30 am How Evidence & Experience Change Paradigms - The Pelvic Girdle (Part 1) 10:30 am - 10:45 am Break 10:45 am - 12:00 pm How Evidence & Experience Change Paradigms - The Pelvic Girdle (Part 2) 1:00 pm - 2:00 pm Pain Provocation Tests SIJ (discussion only) Vector Analysis SIJ 2:00 pm - 2:45 pm Principles of Treatment and Release SIJ 2:45 pm - 3:00 pm Break 3:00 pm - 4:30 pm Finish SIJ, Taping, Belts, Vector Analysis of the hip Day 4 Friday, March 27, :30 am - 3:30 pm 8:30 am - 9:30 am Questions Vector Analysis and release of the hip joint 9:30 am - 10:30 am Thoracic Ring Vector Analysis and ring stack and breathe MET, ring and scapular taping 10:30 am - 10:45 am Break 10:45 am - 12:00 pm Principle of treatment part 2 connect and move piece Abdominal wall assessment, release and cues with PD corrected 1:00 pm - 3:00 pm Back muscle assessment, release and cues with PD corrected, Thoracic ring connect cues and impact of controlling the PD on meaningful task and NZ motion 3:00 pm - 3:30 pm Questions summary and close course

The Thorax & Pelvis - Understanding the Relationship between the Thorax & Pelvis when Treating the Whole Person using The Integrated Systems Model Presented by DIANE LEE PT, BSR, FCAMT, CGIMS March

6 The Thorax & Pelvis - Understanding the Relationship between the Thorax & Pelvis when Treating the Whole Person using The Integrated Systems Model Presented by DIANE LEE PT, BSR, FCAMT, CGIMS March 24-27, 2015 Pearl Country Club, Kaonohi Street, Aiea, HI (Pearl 1 Conference Room, Lobby Level) THIS COURSE INTENDED FOR PHYSICAL THERAPISTS ONLY. Registration Form (PLEASE PRINT CLEARLY) Name (Last) (First) Address City State Zip Code Business Phone No. Residence Phone No. Employer Position Address City State Zip Code Method of Payment My check is enclosed. (Please make check payable to: Orthopedic Rehabilitation Specialists, Inc.) By checking this box, I authorize release of contact information (Name/Address/Phone No./ Address) to Diane Lee PT, BSR, FCAMT, CGIMS. Signature Date Registration Deadline: February 28, 2015 Sign up early seating is limited! Please mail completed registration form and payment to: Orthopedic Rehabilitation Specialists, Inc Kapiolani Blvd., Suite 600 Honolulu, Hawaii Payment must be received to reserve your place in the course.

Engage. Experience. Empower. The Integrated Systems Model & the Head, Neck and Upper Thorax

Engage. Experience. Empower. The Integrated Systems Model & the Head, Neck and Upper Thorax In ancient Hawai i, the kukui nut was burned to provide light. The tree has a spiritual meaning of light, hope and renewal. Engage. Experience. Empower. Diane Lee PT, BSR, FCAMT, CGIMS presents a 4-Day