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Spine Health & Trunk Stability-Influence of the Thorax & Respiration by Debra Dent,
Salepage link: At HERE. Archive:

Faculty:: Debra Dent
Duration:: 6 Hours 21 Minutes
Format:: Audio and Video
Copyright:: Oct 26, 2016

Description

An Evidence-Based Practice Solution for Spinal Health, Stabilization, & Posture

The thorax is a vital component of spinal function, as the center of trunk rotation. Its function is significant in shifting weight from lower extremities (LE) and upper extremities (UE) through regions of the spine. It is a prime base for muscle and fascial connections that affect the cervical/ UE and lumbo/pelvic/LE regions. The diaphragm’s dual functions are in posture and respiration. Its muscular and neurological connections to the lumbar spine, abdominals, and pelvic floor, along with its ability to maintain intra-abdominal pressure, are both vital for spinal stability and functional posture.

Dysfunction of the respiratory complex, trunk muscular imbalances, muscular inhibition and weakness, myofascial restrictions, loss of axial rotation, and chronic hyperventilation all have significant effects on posture, trunk stability, chronic pain, motion, and upper and lower extremity function.

This recording improves your knowledge and skill set regarding spinal health, stabilization, and posture. Ms. Dent demonstrates the vital integration of the thorax and diaphragm into a functional spinal program for long-term, successful patient outcomes. Participants will discover how normal breathing patterns are regained and maintained for spine health and overall patient well-being. Practice these techniques in an interactive, hands-on lab and leave with the confidence to immediately implement them into practice.

Handouts

Outline

Clinical Observations & Implications

Evidence-based practice and clinical observation
Clinical implications for patient populations
- Chronic low back and SI joint pain
- Scoliosis and trunk weakness in the elderly
- Chronic hip and lateral knee pain
- Chronic cervical pain and headaches
- Shoulder impingement
- Thoracic outlet syndrome
- Fibromyalgia
- Balance and gait deviations
- Athletic performance
Case histories — Could this be your patient?
- Chronic pain
- Marathon runner/triathlete
- Chronic low back and neck pain

Anatomy

Respiratory and thoracic anatomy/biomechanics
- Thoracic anatomy
- Rib anatomy
- Thoracic biomechanics
- CT junction biomechanics
- TL junction biomechanics
  - Trunk musculature
    - Core-inner group
    - Outer group
    - Posterior oblique
    - Deep longitudinal
    - Anterior
    - Lateral
    - Psoas/hamstring integration
    - Scalenes, SCM, C spine muscles
  - Muscles of inspiration
  - Muscles of expiration
- Mechanics of respiration
  - Normal breathing-mechanical effects
- Physiology of respiration
  - Lung volumes
  - Lung perfusion
  - Hyperventilation/alkalosis
Fascial integration
- Thorocolumbar fascia
- Lateral femoral fascia/IT band
- Abdominal fascia
- Cervical/UE and Pelvis/LE biomechanical relationships

Neuromuscular Control

Central nervous system on muscle tone and movement
Sympathetic and parasympathetic responses

Lab Demonstration

Evaluation and treatment techniques
Evaluation of posture as it relates to respiratory function, UE, pelvis and lumbar function

Mechanics of respiration
Diaphragmatic, lateral costal, sternal, apical breathing
Diaphragm position
Seated arm raise
Seated trunk rotation
Standing torque
Muscle function testing
- Supine active SLR
- Prone active SLR and active arm raise
  - TA, multifidus, and pelvic floor function
  - Posterior oblique system
  - Anterior oblique system
  - Lateral system
Rib position and mobility testing and active mobilizations
Length testing and lengthening techniques
Core facilitation entry training program
Case histories evaluations, treatments, and outcomes

Theory & Evidence-Based Practice

Suboptimal breathing patterns
- Over-inflation
- Upper chest breathing
Diaphragm and thoracic restrictions effects on the lumbar spine/hips/LE, C spine and UE- trunk rotation, or lack of trunk rotation effects
- Posture and flawed load transference
- Trunk stability and the diaphragm/core/incontinence
- Hypertonicity/over activation of the superficial trunk muscle
- Chronic low back and SI joint pain with poor control
- Scoliosis and trunk weakness in the elderly
- Chronic hip and lateral knee pain
- Chronic cervical pain and headaches
- Shoulder impingement issues
- Thoracic outlet syndrome
- Fibromyalgia
- Balance and gait deviations
- Athletic performance
Respiratory alkalosis/hyperventilation and the consequences
Chronic fatigue, fibromyalgia, chronic pain

Faculty

Debra Dent, BPT, Dip Manip PT, OCS, FCAMPT, Related seminars and products: 1

Debra Dent, BPT, Dip Manip PT, OCS, FCAMPT, has nearly 40 years of experience specializing in manual therapy of the spine. She is a graduate of the University of Manitoba, Canada where she received her Diploma of Physiotherapy and her Bachelor of Physical Therapy. Ms. Dent also received her Advanced Diploma of Manual and Manipulative Physiotherapy and is a Fellow of the Canadian Academy of Manual Therapists (FCAMPT). She is certified as a Part B Manual Physical Therapist from the Canadian Physiotherapy Association and is an Orthopedic Certified Specialist (OCS).

Ms. Dent was an instructor for the Canadian Physiotherapy Association prior to moving to the U.S. She has been a guest clinical instructor at the University of South Florida, teaching the Spinal Manual Therapy Program for the MScPT undergraduate program and has taught a large number of manual therapy courses in the U.S. and Canada.

Ms. Dent is the owner of Cross Border Seminars and presently works as a consultant and contract PT in Palm Harbor, Florida. Her primary case load is rheumatology/fibromyalgia patients and she works with a multitude of related dysfunctions, as well as aging and osteoporosis.

Speaker Disclosures:

Financial: Debra Dent is the owner of Cross Border Seminars. She receives a speaking honorarium from PESI, Inc.

Non-financial: Debra Dent has no relevant non-financial relationship to disclose.

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