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 with particular emphasis on performance and incorporation of the deadlift. 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, cognitive functional therapy, psychologically informed language, and lumbar spine examination based on clinical practice guidelines.
Physical Therapists / Physical Therapy Students / Occupational Therapists / Occupational Therapy Students / Chiropractors / Doctors of Medicine / Doctors of Osteopathy /University Faculty
Contact Hours: 16 CEUs
8:00am-8:30: Patient expectations
8:30-9:30: Mechanisms of manual therapy and exercise intervention
9:30-11:00: Persistent pain: How to subgroup and treat
11:00-12:00pm: Pain Science Introduction
1:00pm – 1:30: SIJ diagnosis and treatment
1:30-2:00: Lab – SIJ thrust and pregnancy modification
2:00 – 2:30: Repeated motions evaluation and treatment principles
2:30 – 3:30: The hip and LBP
3:30 – 4:30: Lab: Selected Hip techniques
4:30 – 5:00pm: Round Robin
8:00am-9:00: Subjective exam and clinical reasoning
9:00-9:30: Lumbar physical examination
9:30-10:00: Examination lab
10:00-10:30: Subgrouping low back pain
10:30-11:00: Lumbar manipulation safety
11:00-12:00pm: Lab – Lumbar HVLAT
1:00-1:30: Lumbar mobilization lab
1:30pm-2:30: Exercise: State of the evidence and future direction
2:30-3:30: Lab – Low thoracic manipulation
3:30-4:30: Thoracic mobility/motor control
4:30-5:00pm: Lab – Student demonstration
Perform a thorough subjective and objective examination using clinical practice guidelines and current best evidence to maximize efficiency and accuracy
Understand how to incorporate repeated movement testing and treatment in patients presenting with radiculopathy/radiculitis
Understand the role of patient expectations, the associated research, and how to leverage these components in clinical practice
Understand the role of key lifestyle factors such as sleep and stress in the causing and maintenance of low back pain
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
Demonstrate proper technique with lumbar mobilization and thrust manipulation to the lumbar and lower thoracic regions.
Be able to incorporate therapeutic neuroscience in the care of patients with persistent pain, central sensitization, and fear related pain.