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Introduction
In clinical practice, it is common to see complex patients with a
combination of impairments in multiple systems including the
musculoskeletal, urogynecological, respiratory and
sensory/equilibrium. A thorough evaluation often reveals many
movement habits, past injuries, thoughts/beliefs, and emotional
states that have collectively led to changes in strategies for posture,
movement, continence and organ support. Should the location of
pain, or the primary region of impairment, direct the location and
focus of treatment? In other words, does pelvic girdle pain, with or
without incontinence and/or prolapse mean that the pelvis
requires treatment? Can approaches that classify pain states and
behavior always predict treatment outcomes? Butler notes that,
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function of the primary driver (4th thoracic ring in this case) and
thus impact the function of the whole body/person.
This keynote presentation will go deeper into the various aspects of
The Integrated Systems Model for Disability & Pain (Lee & Lee)
through short clinical case reports. The principles for treatment
will also be outlined. For more information The 4th Edition of The
Pelvic Girdle (Lee D 2011) is now translated into Japanese and is a
valuable resource for more information.
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References
Jull G 2012 Management of cervical spine disorders: where to
now? IFOMPT Quebec City, Canada
Butler D S 2000 The sensitive nervous system. NOI Group
Publications, Adelaide, Australia
Jones M A, Rivett D 2004 Introduction to clinical reasoning. In:
Jones M A, Rivett D A (eds) Clinical reasoning for manual
therapists. Elsevier, Edinburgh p 3
Lee D 2011 The Pelvic Girdle, An Integration of Clinical Expertise
and Research, Churchill Livingstone, Elsevier, Edinburgh
Lee L-J, Lee D 2011 Clinical Practice The Reality for Clinicians.
Chapter 7 in: 2011, The Pelvic Girdle, 4th edn. Elsevier, Edinburgh
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