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A Differential Diagnosis Approach to the Examination and Treatment of the Lumbar Spine and SI Joint

Learn more about this OT PT ATC Online Course

 

Why Take This Course?

This course presents the most current evidence-based information used in the evaluation and treatment of the sacroiliac joint and lumbar spine. Clinical reasoning skills and clinical prediction concepts will be introduced when deciding on the treatment options of mobilizations, manipulations, and stabilizations. Regional interdependence concepts related to the thoracolumbar junction as well as the hip, and the influences of those regions on the lumbopelvic region and spine will be presented as well as discussion about a few special tests that have been utilized in the literature to help derive and lead you to the techniques that are proven effective in treatment.

Groups of exercises will be presented from a fairly cognitively-based, motor control emphasis with transverse abdominis activities, towards more functional weight bearing and sport-specific activities for stabilization of the lumbar spine and sacroiliac joint.

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$ 160.00 USD

CE Hours: 8.5 Delivered: Online

Instant Online Access, Color 90 Page PDF Manual for Download, 365 days of access, Mobile Ready

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Highlights to this Online Continuing Education Courses

PT OT Online continuing education course objectives

Course Objectives

Upon successful completion of this course the participant will be able to
  • Identify the evidence-based practice as it relates to the evaluation and treatment of the sacroiliac joint and lumbar spine.
  • Perform a comprehensive physical examination combining research, clinical expertise and extrapolations of information from previous patient outcomes.
  • Evaluate the sacroiliac joint with respect to active movement testing, symmetry and pain provocation.
  • Identify the exercises proven by research to provide significant improvement with specific diagnoses of the lumbar spine and sacroiliac joint.
  • Identify patients that will benefit from mobilization and stabilization treatment approaches for the sacroiliac joint and lumbar spine.
  • Understand clinical prediction rules and how they relate to your physical examination and treatment.
  • Utilize Type I and Type II techniques for the lumbar spine.
  • Develop a comprehensive treatment program incorporating mobilizations, manipulation, muscle energy techniques and exercises.

Learn from an Expert - Robert Klingman, MPT, OCS, FAAOMPT

Introduction to the Educator

Robert Klingman, MPT, OCS, FAAOMPT,received his Bachelor of Science in Exercise Science from California State Polytechnic University in Pomona, CA, his Master’s in Physical Therapy from Mt. St. Mary’s College in Los Angeles, CA and is a graduate of the Orthopaedic Physical Therapy Residency Program at Kaiser Permanente in Los Angeles, CA. He continues to serve as a mentoring faculty member and guest lecturer for the Southern California Kaiser Permanente Orthopaedic Residency Program.

Mr. Klingman is a Board Certified Clinical Specialist in Orthopaedic Physical Therapy (OCS) with the American Physical Therapy Association and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT). Robert has published articles that have appeared in such journals as Journal of Orthopaedic and Sports Physical Therapy and The Journal of Manualand Manipulative Therapy. In 2000, Mr. Klingman was the winner of The Journal of Manual and Manipulative Therapy and Ball Dynamics Award for Excellence in a published case study. Additionally, Mr. Klingman is a member of the Foot/Ankle Special Interest Group for the Orthopaedic section if the APTA. He has conducted several courses on topics such as lower quarter mechanics, foot/ankle pathology, and manual therapy of the spine and shoulder. Currently he practices, conducts research, and provides mentoring in outpatient orthopaedics in Tucson, AZ.

A Differential Diagnosis Approach to the Examination and Treatment of the Lumbar Spine and SI Joint

A Differential Diagnosis Approach to the Examination and Treatment of the Lumbar Spine and SI Joint
  • Current Evidence used in evaluation and treatment of the sacroiliac joint and lumbar spine
  • Clinical reasoning-What determines the decisions for treatment
  • Physical examination techniques
  • Combining the evidence with the clinical expertise
  • Modifying based on patients needs

Examination for the SI Joint

Examination for the SI Joint
  • Movement exam
  • Special tests
  • Symmetry palpation
  • Positional testing
  • Positional faults
  • Mobility Impairments
  • Discussion of the clinical findings
  • How to progress the evaluation based on the clinical findings
  • Ligament testing
  • Ligaments and pain pattern

Treatment of the SI Joint

Treatment of the SI Joint
  • Mobilization techniques
  • Manuipulation
  • General approach
  • Specific techniques
  • Isometric mobilizations
  • Muscle energy
  • Passive movements combined with muscle energy
  • Active movements

Examination for the Lumbar Spine

Examination for the Lumbar Spine
  • Active Movement
  • Accessory joint mobility
  • Pain provocation
  • Sagittal plane movements
  • Frontal plane movements
  • Palpation-passive accessory intervertebral movements “spring testing”

Treatment of the Lumbar Spine

Treatment of the Lumbar Spine
  • Type I and II mechanics and techniques
  • Manual therapy interventions
  • Talking through the progression based on findings and results from treatment techniques
  • Treating a patient towards a closing dysfunction

Treatment of the Thoracic Spine

Treatment of the Thoracic Spine
  • Discussion of regional interdependence-how does the thoracic spine affect the lumbar area?
  • Hypomobility in lower thoracic region
  • Rotation component of treatment

Treatment of the Hip Region

Treatment of the Hip Region
  • Regional interdependence -how does the hip influence the lumbar spine?
  • Internal rotation technique
  • Flexion, abduction and external rotation techniques

Summary of the Evaluation and Technique Results

Summary of the Evaluation and Technique Results
  • What have we covered so far and how do we progress?
  • Review of techniques, results and progression
  • Research that supports usage of lumbar spine stabilization exercises

SI Clinical Prediction Rule

SI Clinical Prediction Rule
  • Description of the clinical prediction rule
  • Special tests:
    • Distraction
    • Gaenslen Test
    • Thrust Test
    • Compression Test
    • Sacral Thrust Test

Treatment to Improve Spinal Stabilization

Treatment to Improve Spinal Stabilization
  • Improving stabilization for lumbar spine and SI
  • Exercise progressions

Course Test - Evaluate your knowledge

Evaluate your understanding of the online continuing education course material
  • Use the Healthclick proprietary online education system which provides the online student with:
    • Worldwide access to high definition video, anatomical animations and images, and written information
    • The highest quality film in the industry, you can see the difference!
    • Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
    • Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
  • Evaluate your knowledge with the course test on any device.
  • Print your state course certificate for CE credit.
  • Take the online test as many times as need in order to achieve a 70 % or greater score.