LPET: Lumbo Pelvic Examinations and Treatments
This course covers clinical examination, manual therapy and exercise treatment interventions for the lumbo-pelvic region utilizing a clinical reasoning approach. The course considers the current literature and compares and contrasts the varying classification systems from competing schools of thought. Further emphasis is placed on tissue differential diagnosis and the influence of the hip and thoracic spine on movement dysfunction. The course covers management of common musculoskeletal conditions for diagnoses such as instability, discogenic pain, radiculopathy, facet syndrome, SI joint pain and myofascial pain syndromes associated with movement dysfunction. The lab intensive course covers a variety of proven manual therapy interventions and exercise prescription utilized to achieve optimum patient outcomes. All required prereading material will be sent in a link via your registration confirmation email.
Course Objectives
- The therapist should be able to identify at least 7 different musculoskeletal tissues to treat. He should be able to explain at least 5 different scientific rationales for each tissue treated.
- The therapist should be able to identify at least 5 classification systems that are used to identify low back pain. He/she should be able to explain how each system arrives at their clinical decision.
- He/she should then be able to describe at least 5 studies that explain the evidence for and against manual therapy treatments for low back pain.
- The therapist should be able to demonstrate the 7 steps in the procedural flow used to diagnose musculoskeletal pathologies. The therapist should then be able to discuss the rationale for using each step.
- After the therapist has identified the 7 tissues responsible for musculoskeletal symptoms, he should be able to present at least 1 pattern to identify each tissue.
- They should be able to demonstrate proficiency in at least 4 lumbar mobilization techniques in at least 3 different positions. He should also be able to perform at least 4 soft tissue techniques and be able to discuss at least 4 rationales for using each technique.
- After identifying any of the 7 musculoskeletal tissue lesions the therapist should be able to demonstrate at least 5 treatment options for each pathology. Each treatment option should have at least 3 evidence based scientific rationales for why the treatment is being performed.
- The therapist should be able to demonstrate at least 3 exercises for each musculoskeletal lesion identified. He should be able to discuss and explain at least 3 rationales for why each exercise is being performed
General Schedule
Day 1
- 7:30-8:00 – Registration
- 8:00-8:15 – Introduction / Course Overview
- 8:15-9:15 – Classification Systems / Evidence for Treatment
- 9:15-10:00 – Clinical Reasoning Approach / Procedural Flow
- 10:00-10:15 – Break
- 10:15-11:00 – Clinical Reasoning Lab-Patient Examination
- 11:00-12:00 – Lumbar Anatomy and Biomechanics
- 12:00-1:00 – Lunch
- 1:00-2:00 – Lumbar Clinical Examination
- 2:00-3:00 – Lumbar Segmental Testing / Palpation Lab
- 3:00-3:15 – Break
- 3:15-4:15 – Lumbar Joint Mobilization Lab
- 4:15-5:00 – Thoracic Mobilization Lab
- 4:45-5:30 – Soft Tissue Mobilization Lab
Day 2
- 8:00-8:15 – Review/Questions
- 8:15-9:00 – Medical Screening / Associated Structures / Visceral Referral Lecture
- 9:00-9:45 – Myokinetics Lecture
- 9:45-10:00 – Break
- 10:00-11:30 – Exercise Prescription
- 11:30-12:00 – Sacroiliac Joint Anatomy / Biomechanics
- 12:00-1:00 – Lunch
- 1:00-2:00 – Sacroiliac Functional Examination
- 2:00-3:00 – Sacroiliac Segmental and Palpation Exam
- 3:00-3:15 – Break
- 3:15-4:15 – SI Joint Mobilization Lab
- 4:15-5:00 – Hip Screening
- 5:00-5:30 – Closing Remarks/Reviews