Lumbar Spine and SI Joint Dysfunction Continuing Education

Highlights to this Online Continuing Education Courses

Course Objectives

• 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

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.

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

• 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

• Lumbar spine and SI joint dsyfunction mobilization techniques
• Manuipulation
• General approach
• Specific techniques
• Isometric mobilizations
• Muscle energy
• Passive movements combined with muscle energy
• Active movements

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

• 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

• 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

• 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

• 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

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

Treatment to Improve Spinal Stabilization

• Improving stabilization for lumbar spine and SI
• Exercise progressions
• lumbar spine stabilization exercises

Course Test - Evaluate your knowledge

• 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.