Module 4 - Most Common Patterns

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Speaker

Jerry Hesch hesch, MHS, DPT, PT Related seminars and products

The Hesch Institute

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For over 40 years, Jerry Hesch, DPT, MHS, PT, has specialized in treating individuals suffering from acute and chronic pain from hypomobility and dysfunction in joints throughout the body, integrating care within a BPS and Neuro-biomechanical framework. He founded The Hesch Institute for Treatment, Research, and Education in Aurora, CO to treat complex patients and share is evidence-based whole-body approach. A fundamental effort of the Institute is to demystify manual therapy providing simple, effective, user-friendly interventions. This practical approach is one of the safest, most effective methods you will find that dramatically improves cervical spine dysfunction with brief treatment.

Jerry has presented over 100 workshops in the USA, Canada, and Europe, including state, national, and international conferences. He has published books on treating the whole-body and the lumbopelvic complex. In 2020, he published a third book chapter on the upper cervical spine (in Human Movement, Lundgren, Johansson).

Speaker Disclosures:
Financial: Dr. Jerry Hesch is the president of the Hesch Institute. He is a published author and receives royalties. He receives a speaking honorarium from PESI, Inc. Dr. Hesch has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Jerry Hesch has no relevant non-financial relationships.

Additional Info

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Objectives

1. Analyze the significant limitation of the malalignment theory of SIJD, and the limitation of the Muscle Energy Model.
2. Evaluate asymmetrical and symmetrical movement dysfunction and effectively intervene.
3. Analyze the traditional model with the Hesch Model.
4. Integrate evidence-based practice in patient care.
5. Demonstrate the principle of regional dependence in providing integrated treatment of the SIJ, pubic joint, hip joint, and lumbar spine.
6. Determine painful and non-painful movement impairments.
7. Utilize evidence-based practice principles for evaluation and treatment.
8. Analyze research and theoretical literature related to sacroiliac joint dysfunction.
9. Appraise distal compensations within a whole-body perspective.
10. Analyze joint, neuromuscular, posture, and movement models.
11. Distinguish that micromotion testing has greater relevance than gross motion landmark testing.
12. Perform palpation and spring testing and effectively treat hypomobility and hypermobility.
13. Demonstrate self-mobilization, making patients independent of manual therapy with 1-3 visits.
14. Evaluate and treat common patterns of symmetrical and asymmetrical dysfunction.
15. Prescribe effective exercises and self-care for patients with SIJD.

Outline

• The traditional model vs. the Hesch Method
• Macromotion and micromotion
• What the traditional model misses that the Hesch Method gets right
• Reviewing the evidence: support for the Hesch Method

• Practice today’s best evaluation for:
  • Hip joint
  • Most common pattern of sacroiliac joint dysfunction
  • Anterior ilium
  • Posterior ilium
  • Sacral torsion
  • Sciatica
  • Pubic joint
  • Upslip
  • Downslip
  • Inflare
  • Outflare
  • Symmetrical patterns

• Practice effective techniques you can use immediately to:
  • Restore function
  • Increase range of motion
  • Alleviate chronic pain
  • Regain stability and mobility
  • Resolve joint hypomobility
  • Remove reflex inhibition
  • Improve leg length inequality

• Practice combining:
  • A simpler model of mobility testing and grading
  • Gentle method of joint mobilization
  • Home exercise program
  • Self-mobilization for the patient

• Coding and billing updates for SIJD rehab
• Justify rehab with the right progress measures and documentation
• Avoid denials and adults with these tips

• Case study 1: Evaluate and treat downslip ilium that presents as upslip
• Case study 2: Reflex connection between the pelvis and the upper cervical
• Case study 3: False positive pelvic instability in pregnancy
• Case study 4: Joint spring test with pudendal neuropathy with coexisting SIJD

• The insider’s guide to specialization and professional networking
• Build referrals faster: effectively market your SIJ program

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Massage Therapists
• Athletic Trainers
• Certified Strength and Conditioning Specialists
• Exercise Physiologists
• Chiropractors
• Personal Trainers

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