Doctor of Physical Therapy Seminars
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| Seminars |
Mobilize or Stabilize
An Evidence Based Approach to Low Back Pain
Simeon Lao PT,DPT,MTC,CFC, CFCE
Objectives:
• Define the basic segment and structural stability of the spine based on physical therapy profession
specific published articles.
• Recognize the need for developing basic skill requirements for mobility assessment of spinal segment
in management of low back pain patients
• Identify clinically significant specific muscular stabilizers of the spine that impact the recovery process.
• Demonstrate pertinent specific exercises for proper recruitment of selected stabilizers of the spine for the
clinician
Course Outline
7:30-8:00 Registration
8:00-8:30 Introduction
• About the Author
• Objectives
• Pre test
8:30-9:00
The Clinical Dilemma in today’s Healthcare Environment
• Facts about Spinal Stability & LBP
• Incidence of LBP
• Contributing Research to the Body of Knowledge
9:00-9:30
Common Elements between Hypermobility and Instability
• Distinguishing Factors Instability vs. Hypermobility
• Paris Mobility Scale
• Other Postural Stresses Result in Instability
9:30-10:00
Anatomy Review
• Muscle System Concept
Global muscle system
Local muscle system
10:00-10:30
System/Structures Providing Spinal Stability
• Passive System Component
• The Active system Components
• The Neural system Components
10:00-12:00
Current Research
Manipulation & Mobilizations
Clinical Prediction Rule in Manipulation
Dynamic Stabilization of the Lumbar Spine
a. Various Types of Loading & Associated Risk Factors
b. Functional Basis Spinal Stabilization
c. Functional Significance of the Thoraco-Lumbar Fascia
d. Functional Significance of IAP
e. Intra abdominal pressure
f. Compressive Loading Increases Stability
12:00-1:00 LUNCH PROVIDED
1:00-2:30
Current Research
• Altered Abdominal Muscle Recruitment in Patients with Chronic LBP following Specific Exercise Intervention
• Preliminary Development of a Clinical Prediction Rule for Determining
Which Patients With LBP Will Respond to a Stabilization Exercise Program
• Lumbar Spine Segmental Mobility Assessment: An Examination of Validity for Determining Intervention
Strategies in Patients With LBP
2:30-3:00
Review Basic Spinal Assessment
LECTURE
• Structural Assessment
• Postural Examination
• Active Mobility Testing
• Passive Segmental Mobility testing
3:00-4:30
LAB
• Gross Anatomy and Landmarks
• Muscle State
• Passive Segmental Mobility testing
> Chicago Roll
> Muscle energy Techniques
4:30-5:30
Exercise Prescription & Training
Lecture
• Implications for Rehabilitation
• Clinical Decision Making
• Requirements in Intervention
Lab
• Lumbar Stabilization
• Level 1: Isolation
• Level 2: Control Training
• Level 3High Level Stabilization Exercise
5:30-6:00
Case Study
Summary
Post Test
Question and Answer
What is included in the Course:
Bound Course Manual
Exercise Progression Guide
Case Study Discussion
7:30-8:00 Registration
8:00-8:30 Introduction
• About the Author
• Objectives
• Pre test
8:30-9:00
The Clinical Dilemma in today’s Healthcare Environment
• Facts about Spinal Stability & LBP
• Incidence of LBP
• Contributing Research to the Body of Knowledge
9:00-9:30
Common Elements between Hypermobility and Instability
• Distinguishing Factors Instability vs. Hypermobility
• Paris Mobility Scale
• Other Postural Stresses Result in Instability
9:30-10:00
Anatomy Review
• Muscle System Concept
Global muscle system
Local muscle system
10:00-10:30
System/Structures Providing Spinal Stability
• Passive System Component
• The Active system Components
• The Neural system Components
10:00-12:00
Current Research
Manipulation & Mobilizations
Clinical Prediction Rule in Manipulation
Dynamic Stabilization of the Lumbar Spine
a. Various Types of Loading & Associated Risk Factors
b. Functional Basis Spinal Stabilization
c. Functional Significance of the Thoraco-Lumbar Fascia
d. Functional Significance of IAP
e. Intra abdominal pressure
f. Compressive Loading Increases Stability
12:00-1:00 LUNCH PROVIDED
1:00-2:30
Current Research
• Altered Abdominal Muscle Recruitment in Patients with Chronic LBP following Specific Exercise Intervention
• Preliminary Development of a Clinical Prediction Rule for Determining
Which Patients With LBP Will Respond to a Stabilization Exercise Program
• Lumbar Spine Segmental Mobility Assessment: An Examination of Validity for Determining Intervention
Strategies in Patients With LBP
2:30-3:00
Review Basic Spinal Assessment
LECTURE
• Structural Assessment
• Postural Examination
• Active Mobility Testing
• Passive Segmental Mobility testing
3:00-4:30
LAB
• Gross Anatomy and Landmarks
• Muscle State
• Passive Segmental Mobility testing
> Chicago Roll
> Muscle energy Techniques
4:30-5:30
Exercise Prescription & Training
Lecture
• Implications for Rehabilitation
• Clinical Decision Making
• Requirements in Intervention
Lab
• Lumbar Stabilization
• Level 1: Isolation
• Level 2: Control Training
• Level 3High Level Stabilization Exercise
5:30-6:00
Case Study
Summary
Post Test
Question and Answer
What is included in the Course:
Bound Course Manual
Exercise Progression Guide
Case Study Discussion
Why should you take this course?
In the rehabilitation of the LBP patient we can not
keep repeating treatment that DO NOT work!
Finally a method to ascertain what works and
what does not-based on research and clinical
data!
- Do you want to be able to monitor
and document strength and progress
in your LBP patients?
- Do you want a consistent method of
progressing your spinal exercises?
- Do you want your patients to be
accountable & responsible for their
progress?
This course is the first step towards
achieving your goals.
Register now!
Register Now by e-mail, phone, or fax,
Question?
Simply call us at
813 610 1999
Fax 813 964 9226
Send us an email at
slaodpt@manualorthpaedics.com and
MFL@manualorthopaedics.com
Question?
Simply call us at
813 610 1999
Fax 813 964 9226
Send us an email at
slaodpt@manualorthpaedics.com and
MFL@manualorthopaedics.com
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