OMM for the Sacrum:  The Mitchell Model vs. The Strachan Model

Diagnosing and treating the sacrum can be complicated. The Mitchell Model of sacral mechanics is the primary model taught in the Osteopathic Medical schools in the United States and this model primarily discusses the motions of the sacrum in relation to the lumbar spine. The somatic dysfunctions of the Mitchell model are sacral torsions, bilateral sacral flexion or extension, or unilateral sacral flexion or extension.

But, the Strachan Model of sacral mechanics focuses more on the motions of the sacrum in relation to the ilium or innominate, and takes into account the shape of the sacroiliac joints. It emphasizes the L-shape of the SI joint surface, and the fact that there is a superior branch and an inferior branch to this articulation that meet in the middle at the level of S2 that coincides with the transverse axis on which the sacrum flexes and extends. As a result of sacral motion in relation to the innominate a restriction may occur at the superior pole or the inferior pole of the SI joint on one side or the other. The somatic dysfunctions of the Strachan Model are either an anterior or a posterior sacrum again in relation to the ilium.

Target Audience:

1. For CME’s: DO’s, MD’s and other medical providers.

CME’s:

1. 2, 1B

Videos:

1. 1

Approximate time to complete the Course:

• Sacral Mechanics: Mitchell vs. Strachan Models is 2 Hours
• This includes watching the video course, and taking the post-tests.

Requirements for CME Credits:

1. Review the Mitchell Model and the Strachan Model of assessing sacral mechanics.
2. Review and demonstrate the Muscle Energy techniques to address The Mitchell Model diagnoses of sacral mechanics
3. Review and demonstrate the Lateral Sims articulatory technique to address The Strachan Model diagnoses of sacro-iliac mechanics.
4. Review and Discuss research article entitled Construct Validity and Reliability of tests for Sacroiliac Dysfunction: Standing Flexion Test and Sitting Flexion Test.

Faculty

1. Patricia E Murray, D.O,

BIO:

1. Dr. Patricia (Trish) Murray received her Doctor of Osteopathic Medicine degree in 1999 from UNECOM. Prior to medical school she was a high school teacher for ten years. She completed an osteopathic internship in 2000 at UCONN, followed by a traditional internal medicine residency at UCONN.  After residency she practiced primary care internal medicine along with Osteopathic Manipulative Medicine from 2003-2005, and then went on to become a specialist in Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine (NMMOMM).  She has taught CME courses in manual medicine for many years and has been asked numerous times to produce a video series that focuses on the lab demonstrations of the different manual medicine techniques taught at the live courses. Dr. Murray has primarily taught manual medicine CME courses at UNECOM in Biddeford, Maine.

CME Information:

1. UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE DEPARTMENT OF CONTINUING MEDICAL EDUCATION Accreditation Language for Jointly Sponsored Manual Medicine Demo Series:  OMM for the Sacrum:  The Mitchell Model vs. The Strachan Mode. The University of New England College of Osteopathic Medicine (UNECOM) is accredited by the American Osteopathic Association (AOA) and the Maine Medical Association’s Committee on Continuing Medical Education and Accreditation to provide continuing medical education for medical providers. The AOA Council on Continuing Medical Education approved this online CME activity for a maximum of 2.0 hours of AOA Category 2-B CME credits. UNECOM designates this online CME activity for a maximum of 1.0 AMA PRA Category 2 Credit(s)TM. Practitioners should only claim credit commensurate with the extent of their participation in this activity. Upon verification by the activity organizer, the University of New England College of Osteopathic Medicine will submit the osteopathic credits to the AOA. This activity has been planned and implemented in accordance with the AOA Standards of Accreditation and the Accreditation Council for Continuing Medical Education (ACCME) Essential Areas and Policies through the joint sponsorship of University of New England College of Osteopathic Medicine and the T. Murray Wellness Center, Inc. UNECOM is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for medical providers.

Release Date:

1. March 21, 2016

Expiration Date:

1. October 20, 2023

Speaker Disclosure

1. 1. The following speaker of this activity has indicated that she is the creator, sponsor, and benefactor of all in this course: as well as being one of the creators of sponsor benefactor of Discover Movement membership, Patricia E Murray D.O.[/vc_column_text][/vc_column][/vc_row]

*NOTE: For technical support downloading / accessing your video(s) email: tmwellness.om@gmail.com