Course Description

This course will cover current best evidence in the physical therapy management of low back pain. Laboratory sessions will focus on the safe and effective delivery of thrust and non-thrust manipulation to the lumbar spine, sacroiliac joint, thoracolumbar spine, and lower ribs.
Additional labs will cover an introduction to the McKenzie approach, pain science application, and progressive exercise concepts. Mobility and motor control exercises will be included to complement the manual therapy techniques. Lecture material will summarize the developing
body of literature regarding the subgrouping of lumbar spine patients, differential diagnosis of lumbar conditions, psychologically informed practice, and lumbar spine examination based on
clinical practice guidelines.

Target Audience:
Physical Therapists / Doctors of Medicine / Doctors of Osteopathy /University Faculty

Contact Hours:
16 CEUs

Course Objectives

1. Understand the risk factors associated with spinal manipulation and be able to screen patients properly using a thorough history and targeted physical examination.

2. Perform a thorough objective examination using clinical practice guidelines and current best evidence to determine necessary data

3. Demonstrate an excellent understanding of current best evidence in regards to manual therapy, thrust and non-thrust joint mobilization techniques, in the treatment of patients with low back pain.

4. Demonstrate proper technique with lumbar mobilization and thrust manipulation to the lumbar and lower thoracic regions.

5. Demonstrate proper technique with all thoracic and lumbar mobility exercises and their home exercise counter parts

Course Schedule

Day One:

 8:00am-9:00: Subjective exam and clinical reasoning

 9:00-9:30: Lumbar examination

 9:30-10:00: Examination lab

 10:00-10:30: Subgrouping and manual therapy

 10:30-11:00: Lumbar manipulation safety

 11:00-12:00pm: Lab – Lumbar HVLAT

 Lunch 12:00pm-1:00pm

 1:00-1:30: Lumbar mobilization lab

 1:30pm-2:30: Lumbar mobility/motor control

 2:30-3:30: Lab – Low thoracic manipulation

 3:30-4:30: Thoracic mobility/motor control

 4:30-5:00pm: Lab – Student demonstration

Day Two:

 8:00am-8:30: Patient expectation and HEP

compliance, legislative update

 8:30-9:30: Open Lab

 9:30-11:00: Chronic Low Back Pain

 11:00-12:00pm: Pain Science Introduction

 Lunch 12:00pm-1:00pm

 1:00pm – 1:30: SIJ diagnosis and treatment

 1:30-2:00: Lab – SIJ thrust and pregnancy


 2:00 – 2:30: MDT Principles

 2:30 – 3:30: The hip and LBP

 3:30 – 4:30: Lab: Selected Hip techniques

 4:30 – 5:00pm: Open lab: Student


Speaker Bio: Dr. Jeff Moore

Dr. Jeff Moore received his doctorate of physical therapy degree with high honors from the University of

St. Augustine for Health Sciences. After graduation, Jeff obtained the manual therapy certification

(MTC) from St. Augustine and the certification in spinal manipulation (Cert-SMT) from Dr. James

Dunning and the American Academy of Manipulative Therapy. Most recently Jeff completed his

Fellowship training in orthopedic manual therapy through Evidence In Motion. Clinically, Dr. Moore has

spent the past six years working exclusively in outpatient orthopedics. From 2008 to 2011 he practiced in

Bozeman, MT at Excel Physical therapy and since 2011 has been working in outpatient physical therapy

in Iron Mountain, Michigan. Jeff launched the Institute of Clinical Excellence in 2012 and now teaches

at conferences around the country with both the Institute and Evidence In Motion.