Static Manual Release: Trunk Muscles (for Lumbo Pelvic Hip Complex Dysfunction)

This course describes static manual release techniques for trunk and low back muscles that are commonly assessed as over-active and prone to trigger point development. Unfortunately, it is easy to be confused by a large number of synonyms for these terms. For example, the techniques described in this course could be considered refinements of massage therapy techniques, deep tissue massage, sports massage, trigger point therapy, static compression techniques, soft tissue mobilization, muscle inhibitory techniques, and manual therapy techniques. Even the term trigger point is referred to by a variety of synonyms including muscle knots, nodules, adhesions, over-active muscle fibers, hypertonic fascicles, spasms, and acute points of hyper-contractility, and the trigger point phenomenon is likely part of every reference to short muscles, tight muscles, "locked" muscles, muscle strains, muscle spasm, etc. Part of the reason there are so many synonyms is the rich history of scientific inquiry, from multiple disciplines and cultures, that have contributed to our understanding of these techniques and the information in this course.

This course includes techniques for the erector spinae, multifidus, psoas, iliacus, and quadratus lumborum. Release techniques for these muscles are commonly included in an integrated program designed to address acute lower back pain, chronic lower back pain, and sciatic nerve symptoms. These techniques may also aid in addressing posture correlated with lumbopelvic hip complex dysfunction; for example, an anterior pelvic tilt, asymmetrical weight shift, excessive forward lean, a loss of hip internal rotation range of motion, loss of pain-free lumbar flexion, etc. Last. these techniques may be beneficial when included in an integrated program designed to address signs of cervical dysfunction (e.g. neck pain), sacroiliac joint dysfunction (e.g. upper buttock pain), or lower extremity dysfunction. 

The techniques in this course are recommended for all clinical human movement professionals (physical therapists, physical therapy assistants, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) with the intent of developing an evidence-based, systematic, integrated, patient-centered, and outcome-driven approach.

Techniques Covered in this Course:

• Erector Spinae and Multifidus Static Manual Release
• Psoas and Iliacus Static Manual Release
• Quadratus Lumborum Static Manual Release
  
  

Additional Static Manual Release Courses

• Static Manual Release: Upper Trapezius, Levator Scapulae and Splenii
• Static Manual Release: Suboccipitals, Sternocleidomastoid (SCM), Scalenes and Cervical Extensors
• Static Manual Release: Scapular Muscles
• Static Manual Release: Shoulder Muscles
• Static Manual Release: Trunk Muscles
• Static Manual Release: Hip Flexors
• Static Manual Release: Hip Internal Rotators
• Static Manual Release: Hip External Rotators
• Static Manual Release: Tibia External Rotators
• Static Manual Release: Lower Leg Muscles

For a review of muscle fiber dysfunction and trigger point etiology:

• Muscle Fiber Dysfunction and Trigger Points
• Trigger Point Assessment and Palpation

Pre-approved credits for:

• Integrated Manual Therapist (IMT) Certification

Pre-approved for Continuing Education Credits for:

• Athletic Trainers
• Chiropractors
• Massage Therapists
• Occupational Therapists
• Physical Therapists
• Physical Therapy Assistants

This Course Includes:

• AI Tutor
• Study Guide
• Text and Illustrations
• Audio Voice-over
• Research Review
• Technique Videos
• Sample Routine
• Practice Exam
• Pre-approved Final Exam

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   • Infraspinatus and Teres Minor
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    • Psoas and Iliacus (and 54)
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86. Kim, D. S., Jeong, T. Y., Kim, Y. K., Chang, W. H., Yoon, J. G., & Lee, S. C. (2013). Usefulness of a myofascial trigger point injection for groin pain in patients with chronic prostatitis/chronic pelvic pain syndrome: a pilot study. Archives of physical medicine and rehabilitation, 94(5), 930-936.
87. Iguchi, M., Katoh, Y., Koike, H., Hayashi, T., & Nakamura, M. (2002). Randomized trial of trigger point injection for renal colic. International journal of urology, 9(9), 475-479.
88. Lee, D. W., Lim, C. H., Han, J. Y., & Kim, W. M. (2016). Chronic pelvic pain arising from dysfunctional stabilizing muscles of the hip joint and pelvis. The Korean journal of pain, 29(4), 274.
89. Lee, Woo Sung, et al. "A Case of Myofascial Pain Syndrome of the Iliopsoas Muscle Undiagnosed for 3 Years with Chronic Abdominal Pain." Korean Journal of Family Medicine 31.2 (2010): 134-139.
90. Itoh, K., Hirota, S., Katsumi, Y., Ochi, H., & Kitakoji, H. (2008). Trigger point acupuncture for treatment of knee osteoarthritis–a preliminary RCT for a pragmatic trial. Acupuncture in Medicine, 26(1), 17-26.
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93. Kim, D. H., & Kim, H. S. (2007). Epidural and Psoas Abscesses Recognized after Paravertebral Trigger Point Injection-A case report. The Korean Journal of Pain, 20(1), 74-77.
94. Bell, J. (2008). Massage therapy helps to increase range of motion, decrease pain and assist in healing a client with low back pain and sciatica symptoms. Journal of bodywork and movement therapies, 12(3), 281-289.
95. Lugo, M. The Effects of Massage Therapy on Reducing Pain, Improving Sleep Quality, and Increasing Breathing Function on a Sciatica Patient: A Case Study.
96. LeBeau, R. T., & Nho, S. J. (2014). The use of manual therapy Post–Hip arthroscopy when an exercise-based therapy approach has failed: a case report. journal of orthopaedic & sports physical therapy, 44(9), 712-721.
97. Mosler, A. B., Blanch, P. D., & Hiskins, B. C. (2006). The effect of manual therapy on hip joint range of motion, pain and eggbeater kick performance in water polo players. Physical Therapy in Sport, 7(3), 128-136.
98. Feinberg, B. I., & Feinberg, R. A. (1998). Persistent pain after total knee arthroplasty: treatment with manual therapy and trigger point injections. Journal of musculoskeletal pain, 6(4), 85-95.
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100. Donnelly, J. M. (2002). Physical therapy approach to fibromyalgia with myofascial trigger points: a case report. Journal of Musculoskeletal Pain, 10(1-2), 177-190.
101. Quinn, S. L., Olivier, B., & Wood, W. A. (2016). The short-term effects of trigger point therapy, stretching and medicine ball exercises on accuracy and back swing hip turn in elite, male golfers–A randomised controlled trial. Physical Therapy in Sport, 22, 16-22.
102. Lee, M., Kim, M., Oh, S., Choi, Y. J., Lee, D., Lee, S. H., & Yoon, B. (2017). A self-determination theory-based self-myofascial release program in older adults with myofascial trigger points in the neck and back: A pilot study. Physiotherapy theory and practice, 33(9), 681-694.
103. Cummings, M. (2003). Referred knee pain treated with electroacupuncture to iliopsoas. Acupuncture in Medicine, 21(1-2), 32-35.
     • Quadratus Lumborum
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