Super Psoas: Psoas major is a key muscle for joint control in the lumbar spine, SIJ and hip - Sometimes the most important

Fact 1:

Psoas Major is a "good guy" muscle. It does not get habitually short. It is not the dominant hip flexor. This popular belief is just that - a belief passed down through generations.

Fact 2:

Psoas Major creates force closure in the SIJ via compression and posterior rotation of the innominate. It does not anteriorly rotate the innominate. This is a myth.

Fact 3:

Psoas Major produces a small amount of movement at the rotation is too close to the lumbar spine to produce large movements. Psoas Major produces and controls the normal lumbar lordosis. It does not cause an excessive lumbar lordosis. This is a myth.

Fact 4

The research shows that it: experiences segmental atrophy like lumbar multifidus; and is ideally suited to resist and control translation at the lumbar spine, SIJ and hip.

When is Psoas a priority for rehab?

Frequently the lumbar spine, SIJ and hip fail together. When someone can learn, Super Psoas should be at the top of your list for rehab since it can control translation in each region.

Want to Learn?

We are doing this course in:

• Calgary, Alberta, Canada: April 20-22, 2018 ( )
• Moncton, New Brunswick, Canada: May 25-27, 2018
• Montreal, Quebec, Canada: Sept 21-24, 2018

Email for a course brochure: [email protected]

Interested in hosting a course? Contact us: [email protected]

Testimonial

“I can't recommend Sean Gibbons and Smarterehab courses enough. I have found the sub-classification system to be easy to use and revolutionary in removing a lot of the guesswork in my patient management. The courses have been transformative in my practice in that it has wide applicability across a spectrum of conditions that would normally constitute ‘difficult’ patients. I can't recommend these courses highly enough!

Chris Barber MCSP BSc (Hons) Musculoskeletal & Sports Physiotherapist, Director: Advanced Physiotherapy Centres Ltd.

As a clinic owner and have seen a trend in Canadian physiotherapy towards spinal manipulation and needling techniques. While these techniques are valuable, the transformative learning that takes place in a SmarteRehab course is the direction I am dedicated to bringing our profession. As Physiotherapists, if we wish to distinguish ourselves from chiropractors, massage therapists, athletic therapists, osteopaths etc., we need to move away from technique based therapy. Sean is masterful at explaining the complex relationship between Central Sensitization, Central Pain, Sensori-Motor Function and how it relates to Motor Control dysfunction and pain. No other approach I have seen, heard of, or even read about does such a complete job of integrating neurological rehabilitation techniques and orthopaedic treatment. I now have junior therapists who are able to reason their way through the most complex of chronic pain cases and can formulate treatment plans that are effective and get results. Most importantly they can explain to these patients the nature of their problem in a way that they can understand. It is so rewarding to see patients, empowered with this knowledge, resolve problems that have sometimes existed for decades. Equally as rewarding is watching a junior Physio quickly solve an orthopaedic complaint by identifying the underlying movement dysfunction and easily explaining it’s cause. Thank for what you have done and continue to do for our Profession.

Dave Holmes Owner and Physiotherapist at Tower Physiotherapy & Sports Medicine

If you find yourself stuck and frustrated with chronic, generalized, weird pain patients who don't respond to usual treatments, this is what this course is all about. Sean's courses are truly unique and bring practical, guidelines that are untouched by other institutions. Places are limited.

Jean-Michel Cormier, Physiotherapist Max Health Institute, Shediac, NB, Canada

Testimonial- Pelvic Floor Therapist

The courses that I have taken with Sean have completely changed my pelvic floor practice and the way I practice as a physical therapist! Sean's courses are a must in order to help a variety of clientele and especially those who do not respond to conventional treatments! He has researched and developed new techniques that are essential for pelvic floor therapists.

Erica Lafontant, pht, B. Sc, M.Sc.A

?Rééducation périnéale et

Action Sport Physio

Ville Mont-Royal, QC,

Facilitator

Sean Gibbons graduated from Manchester University in 1995. He has been rehabilitating movement patterns for over 20 years. He is an international expert in specific motor control exercise and has researched and developed numerous advances the cognitive control of movement to make the rehab process better. These include predicting who can learn, understanding who can learn but will not respond, and integrating which postural and primitive reflexes influence movement and key aspects neurodevelopment. His PhD was on the development of a prescriptive clinical prediction rule for specific motor control exercises in low back pain. Key new sub-classifications were identified: Neurological Factors, which are related to poor movement and the ability to learn; Midline as a sensory system which is critical to Body Image Pain; and Neuro-Immune dysregulation, which is critical for Central Sensitization and Psychosocial Factors. His current work involves further researching the sub-classification model. His dissection and research into psoas major, gluteus maximus and other muscles led to the development of new rehabilitation options. He has presented his research at national and international conferences and has several journal publications and book chapters. He is an Assistant Clinical Professor (Adjunct) at McMaster's Advanced Orthopaedic Musculoskeletal / Manipulative Physiotherapy specialization and lectures at Manchester Metropolitan University's Masters in Advanced Physiotherapy program.

References:

Gibbons SGT 2007 The role of psoas major and deep sacral gluteus In: Vleeming A, Stoeckhart R and Mooney V. Movement, Stability and Lumbopelvic Pain, 2nd Edition, Churchill Livingstone, Edinburgh

This can be found at:

https://www.academia.edu/13603040/Clinical_anatomy_and_function_of_psoas_major_and_deep_sacral_gluteus_maximus

Gibbons SGT, Strassl H 2012 Can altered movement pattern and muscle imbalance be related to FAI and other hip disorders? Manuelletherapie. (German). 16(3): 119-131. DOI: 10.1055/s-0032-1322424

Gibbons SGT 2007 Assessment and rehabilitation of the stability function of psoas major. Manuelletherapie. (German) 11:177-187. DOI: 10.1055/s-2007-963466 NOTE: English version available on Research Gate:

Gibbons SGT, Comerford MJ and Emerson P 2002 Rehabilitation of the stability function of psoas major. Orthopaedic Division Review. Jan / Feb. 7-16

Conference Proceedings:

Gibbons SGT 2016 Psoas major: Myths, misconceptions and strategies for rehabilitation. 2nd Congresso International Fisioterapy Movimento. Malaga, Spain, Oct 8-9

Gibbons SGT 2009 The role of psoas major and deep sacral gluteus The Second International Congress on and Rehab. May 13-16; Belo Horizonte, Brazil

Gibbons SGT 2008 The role of proprioception & function in rehabilitation, cognitive function & outcome prediction. The 7th National Symposium of the Kuwaiti Physical Therapy Association. November 12-13; Kuwait City, Kuwait

Gibbons SGT 2005 Integrating the psoas major and deep sacral muscles into the lumbar cylinder model. Proceedings of: “The Spine”: World Congress on Manual Therapy. October 7-9; Rome, Italy.

Gibbons SGT 2005 Muscle function and a critical evaluation. Proceedings of: The 2nd International Conference on Movement Dysfunction. “Pain and Performance: Evidence & Effect”. September 23-25; Edinburgh, Scotland

Gibbons SGT 2004 The anatomy of the deep sacral part of the gluteus maximus and the psoas muscle: a clinical perspective. Proceedings of: The 5th Interdisciplinary World Congress on Low Back Pain. November 7-11; Melbourne, Australia.

Gibbons SGT 2004 Integrating original research findings of muscle dysfunction into clinical practice. Proceedings of: The 16th Annual Orthopaedic Symposium. Canadian Physiotherapy Association Orthopaedic Division. September 11-12; St. John’s, Canada

Gibbons SGT, Whalen B 2003 Computed Tomography Imaging of Posterior Psoas Major. Proceedings of: The 52nd Annual Conference of the Newfoundland and Labrador Association of Medical Radiation Technologists. May 1-3; St. John’s, Newfoundland.

Gibbons SGT, Comerford MJ and Whalen B 2002 Inter and reliability of posterior psoas major. Proceedings of: The 13th Annual Orthopaedic Symposium. Canadian Physiotherapy Association Orthopaedic Division. September 21-22; Saskatoon, Canada

Gibbons SGT 2001 The model of psoas major stability function. Proceedings of: The 1st International Conference on Movement Dysfunction. September 21-23; Edinburgh, Scotland

Gibbons SGT, Pelley B and Molgaard J 2001 Biomechanics and stability mechanisms of psoas major. Proceedings of: The 4th Interdisciplinary World Congress on Low Back Pain. November 9-11; Montreal, Canada.

Gibbons SGT 1999 A review of the anatomy, physiology and function of psoas major: A new model of stability. Proceedings of: The 11th Annual Orthopaedic Symposium. Canadian Physiotherapy Association Orthopaedic Division Nov 6-7; Halifax, Canada.