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1. Analyze basic anatomy and the pathomechanics of low back pain
2. Identify the principles of manual therapy for the lower back and SI joints
3. Demonstrate proper manual therapy techniques for a lower back patient
4. Review the most common low back dysfunctions
5. Discuss the appropriate application of “progression of forces” concept
6. Integrate stabilization exercises for maintenance of manual corrections

PRINCIPLES OF ORTHOPEDIC EVALUATION

• Goals of the first visit
• Empathy vs sympathy
• Establishing consistency
• Avoiding clinical blindness
• Who should be referred to therapy
• Red flags
• Keys to subjective and objective evaluations

EPIDEMIOLOGY OF LOW BACK PAIN

• Predisposing factors
• Bony Anatomy of the Lumbar Spine
• Soft tissue anatomy of the Lumbar Spine
  • Ligamentous support
  • Muscular support
  • Intervertebral disc
• Biomechanics of the Lumbar Spine
• Common Diagnoses
  • Degenerative Joint Disease
  • Spondylosis
  • Spondylolysis
  • Spondylolisthesis
  • Disc protrusion
  • Herniated Nucleus Pulposis

EVALUATION OF LUMBAR SPINE DYSFUNCTION

• The key to subjective history
• Posture assessment
  • Sitting, Standing, dynamic, lordosis, lateral shift
• Movement loss
  • How much
  • Quality of the movement
  • Willingness to move
  • Lateral deviation
• Repeated Movements
  • What happens during movement
  • What happens because of the movement
• Static tests
• Neurological
  • Motor/sensory deficit
  • Reflexes
  • Dural signs
• Other considerations
  • Hip/SI joint clearing tests
  • Spondylolisthesis
  • Intermittent claudication tests

TREATMENT OF LUMBAR SPINE DYSFUNCTION

• Treatment of the acute patient
  • Modalities
  • Mid-range movement techniques
• Sub-acute/chronic patient
  • Postural syndrome
  • Dysfunction syndrome
  • Adherent Nerve Root
  • Derangement
• Treatment
  • Reduction
  • Maintain
  • Recovery of function
  • Prevention
• Manual Therapy techniques
  • Prone extension with manual overpressure
  • Prone Lumbar extension mobilization
  • Flexion Rotation mobilization

Shane Malecha, PT, DPT, MS, CSCS, has been a physical therapist for the past 14 years, practicing in a variety of settings, including out-patient, in-patient, neurological rehabilitation, and sports medicine. One of his areas of specialization is in spinal assessments and rehabilitation along with falls prevention.

Dr. Malecha has practiced for Aegis Therapies since 2009. His other experiences include being a director of a home health agency and a staff clinician for an orthopedic/sports medicine clinic. Dr. Malecha has lectured extensively in the areas of medical screening for physical therapy, Lumbar/Thoracic and Cervical evaluation and treatment, vestibular rehabilitation, and falls prevention.

Speaker Disclosures:

Financial: Shane Malecha has an employment relationship with Aegis Therapies. He receives a speaking honorarium from PESI, Inc.

Non-financial: Shane Malecha is a reviewer for the Journal of Orthopedic and Sports Physical Therapy. He is a member of the American Physical Therapy Association’s Advisory Panel of Education.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Massage Therapists
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers