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Courses on Diagnosis and Treatment of Movement System Impairment Syndromes


"Diagnosis & Treatment of Movement System Impairment Syndromes"
Shirley A. Sahrmann, PT, PhD, FAPTA and Associates
Program in Physical Therapy
Washington University School of Medicine
Campus Box 8502
4444 Forest Park Blvd
St Louis, MO 63108


Instructor Contacts

Shirley A. Sahrmann, PT, PhD, FAPTA

Nancy Bloom, PT, MSPT, DPT

Cheryl Caldwell, PT, DPT, CHT

Suzy Cornbleet, PT, DPT

Marcie Harris Hayes, PT, DPT

Mary Hastings, PT, DPT, ATC

Greg Holtzman, PT, DPT

Renee Ivens, PT, DPT

Debbie McDonnell, PT, DPT

Mary Kate McDonnell, PT, DPT, OCS

Theresa Monaco Spitznagle, PT, DPT

Staff Contact

Janelle Hizer


(To host a course at your site, contact Shirley Sahrmann. To add a course that you are hosting to the Master Calendar, contact Janelle Hizer)

Course Information
Introduction to Concepts and Application (description may change based on requirements of host)
The concepts and principles of the Movement System Impairment Syndrome (MSI) theory and its relationship to mechanical musculoskeletal pain will be presented. This course will enable the clinician to identify impairments in movement, alignment, muscle length, stiffness, and performance, and pattern of movement and their relationship to movement system impairment syndromes. The signs and symptoms of syndromes to be diagnosed by physical therapists will be described. The course will include instruction in the tests that comprise the examination that is designed to develop and confirm the diagnosis as well as identify the contributing factors. Discussion will focus on the importance and means of developing a diagnosis, identifying muscle and movement impairments, developing and teaching a precise therapeutic exercise program, correcting alignment and movement patterns associated with functional and fitness activities.

The course will cover movement system impairment syndromes of the low back and shoulder. The program will include demonstrations of examinations, determination of a diagnosis, selection of corrective exercises, and instruction in correcting movement patterns during functional, work, and fitness activities. A lab will be offered to provide supervised performance of the examination and development of a corrective exercise program.


Upper Quarter Advanced Application (description may change based on requirements of host)
Prerequisite: Completion of Level I.

This course will provide a review and update of the concepts and principles of the Movement System Impairment Syndrome (MSI) theory and its relationship to musculoskeletal pain syndromes. The course includes both lecture and lab experience. It is designed to improve the clinician's skills in the performance of the examination procedures and the recognition of signs and symptoms of upper quarter movement impairment syndromes. The course will emphasize the selection and performance of corrective exercises based on the results of the examination. Discussion will also include description of the diagnoses of shoulder, cervical, and thoracic spine movement impairment syndromes.

Upon completion of this course the participant should be able to describe the impairments induced by repeated movements and sustained postures, the importance of active performance of precise joint motion, and the most common movement impairment syndromes of the shoulder, cervical, and thoracic spines. Discuss how impairments in muscle length, strength, stiffness, and pattern of recruitment contribute to a joint developing a directional susceptibility to movement (DSM). Develop a tentative movement impairment diagnosis, perform an examination to confirm/disconfirm the diagnosis, identify contributing factors, develop a corrective exercise program, and provide instruction in correcting the performance of daily activities.

Lower Quarter Advanced Application (description may change based on the requirements of the host)
Prerequisite: Completion of Level I.

This course will provide a review and update of the concepts and principles of the Movement System Impairment Syndrome (MSI) theory and its relationship to musculoskeletal pain syndromes. The course includes both lecture and lab experience. It is designed to improve the clinician's skills in the performance of the examination procedures and the recognition of signs and symptoms of lower quarter movement impairment syndromes. The course will emphasize the selection and performance of corrective exercises based on the results of the examination. Discussion will also include description of the diagnoses of the low back and hip.
Upon completion of this course the participant should be able to describe the impairments induced by repeated movements and sustained postures, the importance of active performance of precise joint motion, and the most common movement impairment syndromes of the lumbar spine, hip, and knee. Associated pelvic pain syndromes will also be discussed. Discuss how impairments in muscle length, strength, stiffness, and pattern of recruitment contribute to a joint developing a directional susceptibility to movement (DSM). Develop a tentative movement impairment diagnosis, perform an examination to confirm/disconfirm the diagnosis, identify contributing factors, develop a corrective exercise program, and provide instruction in correcting the performance of daily activities.

Recommended Reading Material
"Diagnosis & Treatment of Movement Impairment Syndromes" by Shirley Sahrmann, Publisher-Harcourt Health Sciences, ISBN 0-8016-7205-8. Approximate cost $65.95 plus shipping charges. May be purchased from any bookstore or via Publisher website at: http://www.us.elsevierhealth.com/fcgi-bin/displaypage.pl?isbn=0801672058. You may also contact the publisher at: 1-800-545-2522.

"Muscles: Testing and Function" 4th Edition by Florence Kendall et al, Publisher-Williams & Wilkins, ISBN 0-6830-4576-8

Video/CD/DVD Exercises
"The Shirley Sahrman Exercise Series I" video (30 minutes) or CD may be purchased by contacting:
Videoscope, Inc
7701 Forsyth Blvd, Ste 900
St. Louis, MO 63105-1813
PH: 314-933-3877

The cost is:
$35 for 1-9 copies
$20 for 10 or more copies
plus tax, shipping & handling

MSI Brochure 09 and 10 v2.pdf

mailto:ptprog @wustl.edu