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Understanding the relationship between, and within, body regions and the consequences of impaired function of one region on another is complex. Many health practitioners specialize in body regions (low back, neck, knee) and treatment is often based on the practitioner’s training and experience. However, this reductionist approach may not be optimal in that each body region is also integrated, and interdependent, as part of the whole body/person. No studies have correlated persistent pain anywhere in the body to a consistent impairment. Therefore, in persistent pain conditions such as low back pain, pelvic girdle, pain, plantar fasciitis, headache etc., understanding what body region, and system within that region, should be treated requires an individual clinical reasoning approach. This 45-minute lecture will introduce tests to determine when the thorax is playing a critical role for an individual with impaired function of the pelvic girdle (loss of mobility and/or control) with or without associated pelvic girdle pain. The role of manual therapy for articular, neural, myofascial and/or visceral system impairments impacting the various thoracic rings will be outlined as part of the individualized multi-modal treatment approach.

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