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Course Description: 4 Hours (.4 CEUs)

This course is addressing the evidenced based physical assessment and treatment of the lumbar spine.  This presentation can benefit physical therapists and physical therapy assistants involved in the recovery of patients with lumbar spine pathology. It will include specifically the epidemiology and prevalence of lumbar spine pathology, the functional anatomy and biomechanics, and the pathophysiology and clinical course of the various lumbar spine pathologies. The proper assessment of the lumbar spine, including: properly conducting motion testing, properly conducting muscular function testing, and outcome measure testing. The evidence on treatment, including: manual therapy, therapeutic exercises, lower quarter mobilization, specific centralizing movement, and traction. In addition, evidenced based treatment based on each specific phase of healing acute, sub-acute, and chronic. 

Course Outline

Course Outline:
 1.Course Introduction  
 2. Objectives 
 3. Background and Prevalence 
 4 & 5. Functional Anatomy of the Lumbar Spine (Intervertebral Disc, Ligaments, Joint, and Innervation) 
 6. Normal range of motion Lumbar Spine 
 7. Fryette’s Law of Spinal Biomechanics 
 8. Pathophysiology 
 9. Clinical Course 
10. Subjective Examination and Patient History  
11. Differential Diagnostics 
12-15. Red Flags 
16-19.  Yellow, Orange, Blue, and Black Flags 
20. Activity Limitations and Participation Restriction 
21-24. Motion testing (Gross Motion, Segmental Motion, Centralization and Hip Motion Testing) 
25-26. Muscle Power Testing (Core Muscular Power Testing and Hip Muscular Power Testing) 
27. Special Testing (Dermatomes, Myotomes, Dural Tension (SLR and Slump Testing)) 
28-29. Outcome Measures (Ronal Morris, Oswestry, and Bio-Psychosocial Cognitive Screens). 
30-36. Treatments and Evidence (Manual Therapy, Trunk Coordination and Strength, Lower Quarter Neural Mobilizations, Specific Movement (Flexion Based Exercises), Directional Preference (centralization exercises), Traction.  
37. Presentation of the Subclassification Approach Evidence Based Treatment Paradigm.  
38-46. Acute Phase (Examination and Specific Treatment) 
47-56. Subacute Phase (Examination and Specific Treatment) 
57-64. Chronic Phase (Examination and Specific Treatment) 
65-72.  Citations 

Course Objectives:

Following completion of this course, the learner will demonstrate:
-After completing this course you will have a better understanding of the following:
-The relevant epidemiological background and prevalence with lumbar spine pathology. 
-The functional anatomy and biomechanics of the spine. 
-The pathophysiology and clinical course in the management of the lumbar spine. 
-How to conduct motion testing for the spine and the hip, proper muscular testing, special tests, and outcome measures to determine the functional capabilities of each patient. 
-The evidence on manual therapy, therapeutic exercise, lower quarter nerve mobilizations, specific centralizing movement, and traction.  
Evidenced based treatment on each sub-classification based on each specific phase of healing acute, sub-acute, and chronic.   

Presenter: Comet Mekonen PT, DPT, OCS, ACSM CPT

Graduated from the University of St. Augustine DPT program in 2014 with 3 years of clinical experience. Garnered the Orthopedic Clinical Specialist Certification in 2017. I have a great deal of passion for orthopedics, teaching, and evidenced based clinical practice. I currently work for Sentara Rockingham Memorial Hospital as a physical therapist performing rehabilitation on orthopedic, neuromuscular, and vestibular patients. My clinical focus is on orthopedics, extremities and spine, and post-operative patients. The presenter has been an instructor in human anatomy as lab teaching assistant at the University of Alabama-Birmingham, and additionally as a clinical instructor having facilitated students at the University of Shenandoah. I have also been invited to present my theory report on lumbar spine pain at the Virginia Physical Therapy Association National Conference en-titled, “Addressing chronic non-specific low back pain by addressing the nervous system primarily is key in regards to helping patients reduce their pain, and requires further specific research.”

Target Audience: Physical Therapists, Physical Therapy Assistants
Instructional Level: Beginner/Intermediate
*Handouts available for downloading/printing to all PTwebucation.com courses.
This course is presented in an online video format with audio lecture for each slide. Approximate length to take the course, including audio lecture, videos and all written material, is 3 hours.

Take Course $59
30 Days Unlimited Access