Lumbar Spine and Pelvis

Evidence-Based Assessment and Treatment Utilizing Classification Systems, Manual Therapy and Exercise

Course Description

Live - 1/5 Certification Course

As physical therapists, we have the tools to be the most effective group treating this body region. Using evidence and syndrome based practice this course brings together the proven rationales from New Zealand and combines them with what is known in the USA.

 The participant is introduced to the Treatment-Based Classification System based on McKenzie’s three syndromes but expanded to six to include the pelvis and others. Classification systems have been shown to be more effective than the traditional medical pathological assessment system.

A comprehensive subjective examination system is introduced. This subjective system allows the patient to be placed into one of the six syndromes. (They almost classify themselves) 

 The treatment concepts taught include proven techniques and rationale, such as mobilization, direction-specific exercise, core stability, centralization rationale, and pelvic positional fault correction. An effective, functional, and valid treatment system for the lumbar spine and pelvis is presented and can be used immediately in a clinical setting.

This course combines the best of both worlds in an effective and clinic-ready format.

Handouts and videos are available to course participants.

This material relates to physical therapy by providing the participant with the most up-to-date evidence-based practice and management of lumbar spine and pelvic problems seen in the outpatient physical therapy setting. 

Course Objectives:

· Apply a clinical and evidence-based manual therapy approach to the lumbar spine and pelvis

· Effectively treat common conditions of the lumbar spine and pelvis, seen daily in the clinical setting, with proven techniques.

· Evaluate pain and dysfunction arising from the hip, lumbar spine, and pelvis

· Effectively evaluate and treat lumbar derangement, dysfunction, combination, stenosis and instability syndromes

· Effectively evaluate and treat pelvic girdle dysfunctions, such as innominate rotations, bilateral sacral lesions, and torsions, by utilizing new practical muscle energy techniques based on movement restrictions instead of small palpation abnormalities

· Apply derangement centralization rationale, mobilization, muscle energy, postlation, and manual traction as treatment for the most effective results possible.

· Progress treatment as it is appropriate to a specific patient’s condition

Schedule:

DAY ONE        

 07:15   Sign in and breakfast

 08:00   What is evidence-based practice?                                                                

 08:30   Current clinical guidelines                                                                            

 09:00   What the evidence tells us about manual therapy                                     

 09:30   Evidence-based classification of conditions                                               

 10:00  Break

 10:10   Underlying conditions                                                                                  

 11:00   Subjective examination                                                                                

 12:00  Lunch (on own)

 01:00   Objective examination, including basic and advanced options      Lab     

 03:00   Break

  3:10    Treatment concepts, Maitland mobilization, disc centralization rationale, physiological overpressure mobilization, muscle imbalance and a stability program                                                                                                                                                                                                                                       

 03:45   Derangement syndrome treatment, evidence-based approach    Lab     

  5:00   End of Day One. 460 min

           

DAY TWO

 07:30   Sign in

 08:00    Pelvic Girdle Dysfunction Syndrome Lab                                                    

10:00    Break

10:10     Pelvic Girdle Treatment                      Lab                                                    

12:00     Lunch

12:30     Combination syndrome treatment. Lab                                                     

01:00   lumbo-pelvic instability, evidence-based treatment approach and discussion of spondylolisthesis treatment Lab                                                                 

 02:00  Stenosis treatment                                                                                       

  3:00   End of Course              380 min.         14 hours

 

Educational Level:  Beginner to intermediate

Instructional Methods: PowerPoint Presentation, Video examples, Live demonstration, Supervised practicum

Lumbar Spine and Pelvis:

A mobilization technique to correct a sacrum held in flexion restricting trunk flexion.

Cervical Spine and Ribs:

Flexion Passive Overpressure Mobilisation technique to treat Stenosis Syndrome