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How to teach movement skills with Gabriele Wulf and Rebecca Lewthwaite

By Become a better instructor

Dr. Rebecca Lewthwaite received her PhD in kinesiology (what in Australia we call exercise science or human movement) from UCLA. She is Director of Research and Education in Physical Therapy and Director of Rehabilitation Outcomes Management at Rancho Los Amigos National Rehabilitation Center in Los Angeles, and an adjunct faculty member in biokinesiology and physical therapy at the University of Southern California (USC).

Dr. Lewthwaite’s research focuses on the role of confidence and autonomy support in motor performance and learning, in a variety of individuals, from those undergoing physical rehabilitation to developing and high-performing athletes. Recent work includes the facilitation of confidence building in individuals recovering from stroke. As an investigator in the recent ICARE clinical trial in stroke rehabilitation, Dr. Lewthwaite co-designed with Carolee Winstein the investigational Accelerated Skill Acquisition Program (ASAP) around skill acquisition principles common to OPTIMAL theory. She was an intercollegiate athlete in two sports and a coach on a national championship softball team at UCLA. She and Gaby Wulf co-authored the OPTIMAL theory of motor performance and learning.

Dr. Gabriele Wulf is a sport scientist with PhDs from the German Sports University in Cologne and the University of Munich. She is a UNLV Distinguished Professor in the Department of Kinesiology at the University of Nevada, Las Vegas (UNLV).

Dr. Wulf has conducted research in motor learning for more than 30 years. She studies factors that influence the learning of motor skills, including attentional focus and motivational variables. She has published approximately 200 journal articles and book chapters, as well as two books, both of which I have read, and they are both excellent!

Dr. Wulf has received various awards for her research, including UNLV’s Barrick Distinguished Scholar Award. She was elected Fellow of the National Academy of Kinesiology and given the North American Society for the Psychology of Sport and Physical Activity’s (NASPSPA) Distinguished Scholar Award. She has served as President of NASPSPA and the Founding Editor of two journals in the movement sciences. Dr. Wulf has given keynote addresses to national and international societies in movement science and physical therapy. She and Rebecca Lewthwaite co-authored the OPTIMAL theory of motor performance and learning.

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The Female Athlete with Antony Lo

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Antony Lo is a Sydney based physiotherapist who specialises in female athletes, and in particular female Crossfit athletes.

Having successfully grown 2 private practices, Antony sold these to concentrate on his Specialisation Training Program and developing educational courses for health professionals and the general public. He still consults at 2 locations in Sydney seeing everyone from children to the elderly, as well as his sports-specific patients. He also travels around Australia to deliver seminar information for his course The Female Athlete, and to provide consultations for those interested in his approach.

I have been friends with Antony since 2006 when we worked together. Every time I talk with Antony I learn something valuable, he is one of the practitioners I admire the most, and who I have learned the most from.

In this conversation we talk about pelvic health, urinary incontinence, low back pain, making quick changes and Antony’s approach to evidence-based practice.

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Pelvic Instability – Not A Thing

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Read the Research:

Relaxin levels during pregnancy are not related to pelvic pain

  1. Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review (Aldabe et al., 2012)
  2. Association between the serum levels of relaxin and responses to the active straight leg raise test in pregnancy (Vøllestad et al., 2012)

The sacroiliac joint basically doesn’t move – even in people with diagnosed “pelvic instability”

  1. Movement of the sacroiliac joint during the Active Straight Leg Raise test in patients with long-lasting severe sacroiliac joint pain (Kibsgård et al., 2017)
  2. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test (Sturesson et al., 2000)

Pregnancy is characterised by widespread tissue hypersensitivity

  1. Pregnancy is characterized by widespread deep-tissue hypersensitivity independent of lumbopelvic pain intensity, a facilitated response to manual orthopedic tests, and poorer self-reported health (Palsson et al., 2015)

You can’t palpate movement of the pelvic joints (even if you think you can)

  1. Manual palpation of lumbo-pelvic landmarks: a validity study (Kilby et al., 2012)
  2. Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction (Holmgren et al, 2008)
  3. Clinical tests of the sacroiliac joint: a systematic methodological review. Part 1: reliability (van der Wurff et al., 2000)(a)
  4. Clinical tests of the sacroiliac joint: a systematic methodological review. Part 2: validity (van der Wurff et al., 2000)(b)

The biggest predictor of recovery from pelvic pain is – belief that you will recover

  1. Prognostic factors for recovery from postpartum pelvic girdle pain (Vøllestad et al., 2009)
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