PGP: The Pelvic Girdle Puzzle

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PGP: The Pelvic Girdle Puzzle
Identifying the Pelvic Link to Pain and Total Body Function 

Prerequisites: None

Required Course Preparation
Prior to the classroom portion of this course, all students must complete required course preparation.  The preparation for PGP includes two short videos and a quiz. Plan to spend approximately half an hour learning this important information. Once enrolled in a course, required course preparation can be found by logging on to your IPA account and selecting "My Upcoming Courses."  If you have any trouble accessing the required course preparation please call our office at 970-870-9521 for assistance.  Please note that approved CEUs may vary depending on individual states' treatment of Online vs. Classroom Instruction.

Self review of pelvic girdle anatomy.

It is recommended that each participant reviews the Bibliography and read any article they are unfamiliar with prior to the course.  All Course Bibliographies

Additionally, please have your fingernails clipped back and filed, as some techniques require fingertip pressure.

Required Equipment:  
All participants should bring: Half Foam Roll (12" x 6" which measures 3" tall at the apex since the 6" round is cut in half) to use during the course.  You may order from IPA or a number of other venders.  Orders that are received three weeks prior to a course, and clearly request shipment to a course, may be shipped directly to the course.  All other orders will be shipped to the address given on the order.  Order Half Foam Roll


This course is a lab-intensive introduction to the Functional Manual Therapy® system for the management of the pelvic girdle. Explore the biomechanical and functional impact of the pelvis on the kinetic chain both above and below the pelvis.  In the Functional Manual Therapy® (FMT) treatment approach, management of the pelvic girdle an essential aspect of patient care for the restoration of efficient mobility, alignment and motor control of the human system.  Participants will be instructed to utilize a clinical reasoning framework for examination, evaluation, and treatment planning for the management of the patient with decreased function secondary to neuro-musculoskeletal impairments of the pelvic girdle. The systematic FMT® treatment approach allows for seamless transitions between evaluation and treatment of identified impairments as an ongoing process in a session-to-session (reflection-on-action) and moment-to-moment (reflection-in-action) basis.

The participants will be guided through the utilization of Functional MobilizationTM for treatment of mechanical dysfunctions including joints, soft tissues, visceral and neurovascular structures. Functional MobilizationTM is a dynamic, three-dimensional treatment strategy which utilizes active, resisted and/or passive movements to specifically mobilize mechanical restrictions.  FMT® is rooted in the principles of Proprioceptive Neuromuscular Facilitation (PNF), which is the foundation for the manual handling skills which will be instructed for the management of the neuromuscular function impairments (decreased efficiency of muscular initiation, strength and endurance) and motor control deficits. Additionally, participants will be trained to utilize observation of gait as an essential component of examination/evaluation and re-evaluation.


Participants will develop an understanding of:

  • The biomechanical and functional relationship of the pelvis to the trunk and extremities. 
  • The 8 specific biomechanical motions of the innominate 
  • The specific functional and accessory motions of the sacrum in relationship to L5 and in relationship to each innominate 
  • The specific functional and accessory motions of coccyx, and implications on kinetic chain and whole body function 
  • Structural and functional goals for treating the pelvic girdle

Participants will develop the hands on skills to:

  • Palpate and evaluate the mechanical capacity of the coccyx, sacrum, innominate, L5, hip and surrounding soft tissues, neurovascular structures and viscera
  • Assess the neuromuscular function and motor control of the lumbo-pelvic region
  • Utilize advanced manual therapy treatment skills of FMT to enhance function of the pelvic girdle
  • Integrate immediate neuromuscular re-education and motor control training following treatment of mechanical capacity 

Participants will develop the ability to:

  • Link the information gathered through objective evaluation with structural and functional deficits observed in the patient to create rational explanations of the impact of identified dysfunctions with patient reported complaints.
  • Synthesize the information gained through objective and subjective evaluations with the goal of treating towards a more efficient pelvic girdle structure and function to create a realistic prognosis for each patient
  • Utilize patient education and novel concepts for home exercise programs to empower patients to help themselves
  • Correlate current literature related to treatment of the pelvic girdle.

Instructor Note  
The instructors advertised for the course are the intended instructors.  The final number of instructors will be determined by course enrollment.  Every effort is made to hold the course with the scheduled instructors.  Course refunds or transfers will not be granted based on a change of instructors.  Please note there may be instructor changes without prior notice.

Multiple instructors are scheduled for each course.  However, the actual number of instructors at a course will be determined by final enrollment

2 Days, 16 Contact Hours

PGP requires attendees to complete online course preparation before attending the classroom instruction. Approved CEUs for this course may vary depending on individual states' treatment of Online vs. Classroom Instruction. Before registering for a course you should verify approved CEUs with your state licensing board or association. State rules are subject to change. IPA courses are approved for PTs for the state in which the course is held.  OTs and PTAs should check with their approving body to determine if the PT approval will be accepted.

Break food will not be provided during the course.  Lunch for both days will be on your own. We suggest you bring a water bottle and feel free to bring your own snacks.  

Attendees agree to utilize all skills of evaluation, assessment and treatment learned in this course to the extent allowed under the regulations of their professional practice act. By registering you acknowledge that your attendance does not represent authorization by the IPA, or any of its officers, to utilize any of the material learned which may lie outside of the strict interpretation of your practice act.

Each attendee is expected to attend all hours of instruction to receive a Certificate of Completion. Any exceptions to this policy must be pre-approved in writing by the IPA Directors.

Lab Clothing
Each participant's body must be accessible for observation and treatment.  Sports bra or halter-top and shorts are appropriate for women.  Shorts or swim trunks for men.  Please refrain from wearing large or sharp jewelry.  A sweat suit is advisable between demonstrations, as temperatures may vary in the room.

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