Lumbar Spine

  • New
Neurogenic Claudication using a Multimodal Program for Lumbar Spinal Stenosis  (Award Winning Article, J Manipulative Physiol Ther 2015)

R400.00

3 CEUs

    The purpose of this preliminary study was to assess the effectiveness of a 6-week, nonsurgical, multimodal program that addresses the multifaceted aspects of neurogenic claudication.  This study showed preliminary evidence for improved outcomes in patients with neurogenic claudication participating in a 6-week nonsurgical multimodal Boot Camp Program. (J Manipulative Physiol Ther 2015).


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Back to Basics:  10 Facts Every Person Should Know About Back Pain

R400.00

3 CEUs

    Low back pain (LBP) is the leading cause of disability worldwide, and is often associated with costly, ineffective and sometimes harmful care.  In this short online course, we identify 10 common unhelpful beliefs about LBP and outline how they may influence behavioural and psychological responses to pain. We counter with 10 important facts about LBP, calling on clinicians to incorporate these into their interactions with patients. The infographic is designed for the public use.

    *Fast track = fast track your learning with our short online courses


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  • New
Physiotherapy Management of Sciatica

R400.00

3 CEUs

    This on-line course discusses the following key aspects of sciatica:  what is sciatica, diagnosis, prognosis, conservative management, patient information, advice to stay active, exercise therapy, spinal manual therapy, medication, surgical management and post-operative physiotherapy.


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Treating Low Back Pain - Bridging the Gap between Manual Therapy and Exercise (J Bodyw Mov Ther 2020)

R400.00

3 CEUs

    As therapists, we often recommend exercise to reduce patients’ low-back pain, as well as increase their active range of motion and muscle strength. However, physical therapists face a challenge when recommending exercise to reduce low-back pain because the pain itself often inhibits the patient’s ability to exercise or perform activities of daily living. This situation becomes even more challenging if the prescribed exercise program aggravates the individual’s low-back pain.  

    This article discusses a method which provides for the effective treatment of low back pain by allowing patients to exercise pain free earlier in the rehabilitation process.  The method comprises a unique approach utilizing the following four components simultaneously from the onset of treatment: isometric muscle contraction (IMC); assisted active oscillatory mobilization; end-of-range passive stretch; and mindfulness.


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A Comprehensive Yoga Program Improves Pain, Anxiety and Depression in Chronic Low Back Pain:  RCT

R400.00

3 CEUs

    Previously, outpatient Yoga programs for patients with chronic low back pain (CLBP) lasting several months have been found to reduce pain, analgesic requirement and disability, and improve spinal mobility. This study evaluated changes in pain, anxiety, depression and spinal mobility for chronic LBP patients on short-term, residential Yoga and physical exercise programs, including comprehensive yoga lifestyle modifications.


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Which Specific Modes of Exercise Training are most Effective for Treating Low Back Pain?

R400.00

3 CEUs

    Objective Examine the effectiveness of specific modes of exercise training in non-specific chronic low back pain (NSCLBP). 

    Summary/conclusion There is low quality evidence that Pilates, stabilisation/motor control, resistance training and aerobic exercise training are the most effective treatments, pending outcome of interest, for adults with NSCLBP. Exercise training may also be more effective than therapist hands-on treatment. 


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Prevention and Treatment of Low Back Pain:  Evidence, Challenges and Promising Directions - Part 1

R400.00

3 CEUs

    Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial nonpharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. 

    However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. 

    We have identified effective, promising, or emerging solutions that could offer new directions.


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Prevention and Treatment of Low Back Pain:  Evidence, Challenges and Promising Directions - Part 2

R400.00

3 CEUs

    Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial nonpharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. 

    However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. 

    We have identified effective, promising, or emerging solutions that could offer new directions.


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Treating Low Back Pain – Movement Therapy Approach

R400.00

3 CEUs

    As therapists, we often recommend exercise to reduce patients’ low-back pain, as well as increase their active range of motion and muscle strength. However, biokineticits face a challenge when recommending exercise to reduce low-back pain because the pain itself often inhibits the patient’s ability to exercise or perform activities of daily living. This situation becomes even more challenging if the prescribed exercise progam aggravates the individual’s low-back pain.  

    This article discusses a method which provides for the effective treatment of low back pain by allowing patients to exercise pain free earlier in the rehabilitation process.  The method comprises a unique approach utilizing the following four components simultaneously from the onset of treatment: isometric muscle contraction (IMC); assisted active oscillatory movement; end-of-range passive stretch; and mindfulness.


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Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 1

R400.00

3 CEUs

    Here’s a method that’s been proved to assist millions of people worldwide to reduce and eliminate musculoskeletal disorders - empowering patients to take control of their own symptoms and management, getting them pain free as quickly and cost effectively as possible.

    It can also establish a patient’s directional preference and determine movements likely to help abolish the pain and restore function.

    This three-part course, which must be taken together, is a must for any professional who treats back and neck pain.

     


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Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 2

R400.00

3 CEUs

    Here’s a method that’s been proved to assist millions of people worldwide to reduce and eliminate musculoskeletal disorders - empowering patients to take control of their own symptoms and management, getting them pain free as quickly and cost effectively as possible. 

    It can also establish a patient’s directional preference and determine movements likely to help abolish the pain and restore function. 

    This three-part course, which must be taken together, is a must for any professional who treats back and neck pain.

     

     


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Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 3

R400.00

3 CEUs

    Here’s a method that’s been proved to assist millions of people worldwide to reduce and eliminate musculoskeletal disorders - empowering patients to take control of their own symptoms and management, getting them pain free as quickly and cost effectively as possible. 

    It can also establish a patient’s directional preference and determine movements likely to help abolish the pain and restore function. 

    This three-part course, which must be taken together, is a must for any professional who treats back and neck pain.

     

     


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Movement Based Classification Approaches to LBP - Part 1

R400.00

3 CEUs

    What’s in a name?” Juliet asked. Well, when it comes to Low Back Pain, it could be quite significant. There are several classification schemes, each with its own philosophy and categorizing method that are used to subgroup low back pain (LBP) patients.


    Physiotherapy derived schemes usually have a movement impairment focus, but the extent to which other biological, psychological, and social factors of pain are encompassed should also be considered.

    Furthermore, within the prevailing ‘biological’ domain, the overlap of subgrouping strategies within the orthopaedic examination remains unexplored.


    This course is designed to review the theoretical basis and content of physical movement classification schemes, determine their relative reliability and similarities/differences, and to consider the extent of incorporation of a bio-psycho-social framework within the schemes


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Movement Based Classification Approaches to LBP - Part 2

R400.00

3 CEUs

    What’s in a name?” Juliet asked. Well, when it comes to Low Back Pain, it could be quite significant. There are several classification schemes, each with its own philosophy and categorizing method that are used to subgroup low back pain (LBP) patients.


    Physiotherapy derived schemes usually have a movement impairment focus, but the extent to which other biological, psychological, and social factors of pain are encompassed should also be considered.

    Furthermore, within the prevailing ‘biological’ domain, the overlap of subgrouping strategies within the orthopaedic examination remains unexplored.


    This course is designed to review the theoretical basis and content of physical movement classification schemes, determine their relative reliability and similarities/differences, and to consider the extent of incorporation of a bio-psycho-social framework within the schemes


    read more
Taping for Pain Relief of Spinal Conditions

R400.00

3 CEUs

    Low back pain can be difficult to treat. Management of chronic low back pain and leg pain requires a multifactorial approach. This course will not only help you to identify the underlying causative factors of LBP, but will also provide you with techniques that will enable you to assist patients to increase their active control of the passively unstable and associated areas in a way that will minimise symptom reoccurrences. Add an important modality to your tool box.


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The Effectiveness of Generalised and Specific Lumbar/Cervical Mobilisation on Pain and ROM

R400.00

3 CEUs

    What interventions do you use to treat spinal pain? Joint mobilisation? Anything else? Do you focus on a specific level? Why? Is there perhaps a better way to do things?

    The problem with joint mobilisation is that – on its own – it’s not all that well understood, which could be why it is routinely used in conjunction with other interventions. There is also a great deal of controversy about the role of ‘specific level’ techniques in producing benefit.


    This course will examine the effects of a single session of joint mobilization on pain at rest and with most painful movement, and compare the effects when joint mobilization is provided to a specific or non-specific spinal level.


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Physical Examination of the Lumbar Spine - Part 1

R400.00

3 CEUs

    Because low back pain can involve a multitude of factors, how you examine your LBP patients is critical. 

    In part 1 of this course, we look at the factors that warrant consideration for their possible presence and role in a patient’s low back disorder.We also pay attention to non-musculoskeletal pathology, mechanical factors, ageing and degeneration, structural anomalies and muscle dysfunction. 

    Part 2 covers the objective examination of the lumbar spine and includes observation, interpretation and analysis of active movements, neurological testing, tension tests, manual segmental examination, muscular examination and the interpretation of the conclusion of the examination.


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Physical Examination of the Lumbar Spine - Part 2

R400.00

3 CEUs

    Because low back pain can involve a multitude of factors, how you examine your LBP patients is critical.

    In part 1 of this course, we look at the factors that warrant consideration for their possible presence and role in a patient’s low back disorder.We also pay attention to non-musculoskeletal pathology, mechanical factors, ageing and degeneration, structural anomalies and muscle dysfunction.

    Part 2 covers the objective examination of the lumbar spine and includes observation, interpretation and analysis of active movements, neurological testing, tension tests, manual segmental examination, muscular examination and the interpretation of the conclusion of the examination.


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Proprioceptive Neuromuscular Facilitation for Vertebral Conditions - Part 1

R400.00

3 CEUs

    What role does the muscular system play in the control of activity throughout the body? What are the several causes for abnormal afferent input from the spine? What is the theory behind PNF?

    Part 1 of this course provides the theoretical background to PNF. When discussing the use of PNF techniques for the treatment of patients with vertebral disorders, it is wise to consider the abnormal. Part 1 of this course will provide you with everything you need to know about PNF, including muscle physiology and function; neurophysiology and neuropathology of the neuromusculoskeletal system; and the effect of pain on muscle activity. It also provides a review of PNF techniques and their applications.

    Part 2 helps you put what you have learned in part one into practice. It is fully illustrated with most of the PNF techniques for the cervical, thoracic and lumbar spine as well as peripheral joints. All figures contain detailed explanations for the use of each technique. It also covers the effect pain has on muscle activity and how PNF techniques address this problem.


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Proprioceptive Neuromuscular Facilitation for Vertebral Conditions - Part 2

R400.00

3 CEUs

    What role does the muscular system play in the control of activity throughout the body? What are the several causes for abnormal afferent input from the spine? What is the theory behind PNF?

    Part 1 of this course provides the theoretical background to PNF. When discussing the use of PNF techniques for the treatment of patients with vertebral disorders, it is wise to consider the abnormal. Part 1 of this course will provide you with everything you need to know about PNF, including muscle physiology and function; neurophysiology and neuropathology of the neuromusculoskeletal system; and the effect of pain on muscle activity. It also provides a review of PNF techniques and their applications.

    Part 2 helps you put what you have learned in part one into practice. It is fully illustrated with most of the PNF techniques for the cervical, thoracic and lumbar spine as well as peripheral joints. All figures contain detailed explanations for the use of each technique. It also covers the effect pain has on muscle activity and how PNF techniques address this problem.


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Clinical Instability of the Lumbar Spine - Part 1

R400.00

3 CEUs

    The successful management of chronic low back pain conditions greatly depends on the accurate identification and classification of subgroups within the population who respond to specific interventions. An individual motor learning exercise approach, designed to enhance segmental spinal control for patients with clinical stability, is a logical management strategy for this condition.

    The success of this approach depends on the skill and ability of the physiotherapist to accurately identify the clinical pattern and specific motor control dysfunction present and to facilitate the correction of the faulty movement strategies. It will also be greatly influenced by the severity of the patient’s condition and their level of compliance. Research is currently ongoing to determine the validity of the different movement disorders proposed. Evidence for the efficacy of this approach is growing.


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Clinical Instability of the Lumbar Spine - Part 2

R400.00

3 CEUs

    The successful management of chronic low back pain conditions greatly depends on the accurate identification and classification of subgroups within the population who respond to specific interventions. An individual motor learning exercise approach, designed to enhance segmental spinal control for patients with clinical stability, is a logical management strategy for this condition.

    The success of this approach depends on the skill and ability of the physiotherapist to accurately identify the clinical pattern and specific motor control dysfunction present and to facilitate the correction of the faulty movement strategies. It will also be greatly influenced by the severity of the patient’s condition and their level of compliance. Research is currently ongoing to determine the validity of the different movement disorders proposed. Evidence for the efficacy of this approach is growing.


    read more
Clinical Instability of the Lumbar Spine - Part 3

R400.00

3 CEUs

    The successful management of chronic low back pain conditions greatly depends on the accurate identification and classification of subgroups within the population who respond to specific interventions.An individual motor learning exercise approach, designed to enhance segmental spinal control for patients with clinical stability, is a logical management strategy for this condition.

    The success of this approach depends on the skill and ability of the physiotherapist to accurately identify the clinical pattern and specific motor control dysfunction present and to facilitate the correction of the faulty movement strategies. It will also be greatly influenced by the severity of the patient’s condition and their level of compliance. Research is currently ongoing to determine the validity of the different movement disorders proposed. Evidence for the efficacy of this approach is growing.


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The Sacro-Iliac Joint - Part 1

R400.00

3 CEUs

    We all know that physical factors impact joint motion. But what factors influence the actual mechanics of the joint? Are they purely “mechanical”, or could something else be at play?

    This course briefly outlines the assessment findings and the principles for management of the various factors that impact function of the SIJ. It also provides a comprehensive methodology for the effective management of pelvic pain and dysfunction.

     


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The Sacro-Iliac Joint - Part 2

R400.00

3 CEUs

    We all know that physical factors impact joint motion. But what factors influence the actual mechanics of the joint? Are they purely “mechanical”, or could something else be at play?

    This course briefly outlines the assessment findings and the principles for management of the various factors that impact function of the SIJ. It also provides a comprehensive methodology for the effective management of pelvic pain and dysfunction


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Low Back Related-Leg Pain

R400.00

3 CEUs

    Low back pain and leg pain, like love and marriage, usually go together like a horse and carriage. The key for the practitioner is to differentiate between the two in order to make an appropriate diagnosis and identify the underlying pathology.

    This course introduces a systematic approach to assist with the diagnosis and classification of LBP patients in order to provide a more effective, appropriate treatment.


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Stabbed in the Back:  Taking the Knife out of Back Pain

R400.00

3 CEUs

    Are common treatments for low back pain - more MRIs, strong pain medication, injection therapy and surgery working? And if they are, why has the number of LBP sufferers remained stagnant? Is it because LBP care is becoming progressively discordant with clinical guidelines? Is there more to LBP than meets the eye? 

    This course will critically reassess LBP and consider other factors that could be influencing your patients’ LBP – and give you tools to approach LBP differently.


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It’s time for a change with the Management of Low Back Pain.

R400.00

3 CEUs

    Management of chronic low back pain and leg pain requires a multifactorial approach. Low back pain can be difficult to treat as the clinician not only has to identify the underlying causative factors to restore homeostasis to the system, but also has to ensure that the treatment does not unnecessarily exacerbate the symptoms. 

    The aim of treatment is to increase the active control of the passively unstable and associated areas so that the patient can operate within an increased envelope of function, and with minimised symptom recurrences. The training must be simple, requiring minimal equipment so that it is readily accessible to the individual and can be practised frequently. As chronic problems are never cured, only managed, therapists and patients must manage the symptoms over the long term.


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Lumbar Degenerative Disk Disease Part 1

R400.00

3 CEUs

    Part 1 includes:  Etiology, Morphological Alternations and Imaging/Degenerative Disc Changes/

    Degenerative Morrow Changes.

    Disk degeneration is a complex subject as it could involve mechanical, traumatic, nutritional, and genetic factors. Complicating matters still further is the fact that the presence of degenerative change is by no means an indicator of symptoms or the level of pain experienced by the patient.

    What role does imaging play in this scenario? Is it only to provide accurate morphologic information which could influence therapeutic decision making? Or is there more that therapists can and should be doing to provide their patients with the most appropriate treatment possible? This course will provide some fresh answers. 

     


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Lumbar Degenerative Disk Disease Part 2

R400.00

3 CEUs

    Part 2 includes:  Degenerative Facet and Ligamentous changes, Instability, Disc Herniation and Spinal Stenosis.

    Disk degeneration is a complex subject as it could involve mechanical, traumatic, nutritional, and genetic factors. Complicating matters still further is the fact that the presence of degenerative change is by no means an indicator of symptoms or the level of pain experienced by the patient.

    What role does imaging play in this scenario? Is it only to provide accurate morphologic information which could influence therapeutic decision making? Or is there more that therapists can and should be doing to provide their patients with the most appropriate treatment possible? This course will provide some fresh answers.


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Lumbar Degenerative Disk Disease:  Part 3

R400.00

3 CEUs

    Part 3 includes:  Symptoms, Importance of Imaging Findings and Surgery.


    Disk degeneration is a complex subject as it could involve mechanical, traumatic, nutritional, and genetic factors. Complicating matters still further is the fact that the presence of degenerative change is by no means an indicator of symptoms or the level of pain experienced by the patient.

    What role does imaging play in this scenario? Is it only to provide accurate morphologic information which could influence therapeutic decision making? Or is there more that therapists can and should be doing to provide their patients with the most appropriate treatment possible? This course will provide some fresh answers. 


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Muscle Energy Techniques:  Lower Quarter: Piriformis and Quadratus Lumborum

R400.00

3 CEUs

    This illustrated on-line course covers the assessment, interpretation and treatment of the following short/tight muscles:

    • Piriformis
    • Quadrates lumborum

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Deep Dry Needling of the Thoracic / Lumbar

R400.00

3 CEUs

    This illustrated Dry Needling online course covers the clinical relevance of trigger points in syndromes related to the thoracic lumbar.

    Illustration and needling instructions of Dry Needling techniques for the following thoracic lumbar muscles are provided:

    • Clinical relevance of trigger points (TrPs) in syndromes related to the trunk
    • Dry needling of the trunk muscles
    • Longissimus thoracis muscle
    • Iliocostalis thoracis and lumborum muscles
    • Thoracic and lumbar multifidus muscles
    • Serratus posterior inferior muscle
    • Quadratus lumborum Rectus abdominus muscle
    • External and internal oblique muscles

    Their anatomy, function, innervation and contra-indications for Dry Needling are also included.


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Integrated Approach for Spinal Joints - Part 1

3 CEUs

    Low back pain is a common disabling disorder that affects almost every individual at least once in their life time.

    This on-line course provides insight into several treatment techniques that can be applied to spinal pain patients through the use of clinical examples.

    This course reflects on the possible role that this methodology can play within a constantly changing physiotherapy practice.


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Integrated Approach for Spinal Joints - Part 2

3 CEUs

    Low back pain is a common disabling disorder that affects almost every individual at least once in their life time.

    This on-line course provides insight into several treatment techniques that can be applied to spinal pain patients through the use of clinical examples.

    This course reflects on the possible role that this methodology can play within a constantly changing physiotherapy practice.


    read more

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