PT Course Details

Course # 1235
Updates on Mechanical Low Back Pain

Cost: This course is included in a $99 CEU Total Access package.
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CEUs/Hours Offered: See All State Associations

CA/1.0; IL/1.0; KY/1.0; MN/1.0; MS/1.0; NV/0.1; NY/1.0; OH/1.0; OK/1.0; TX/1.0; AK/1.0; AR/1.0; CO/1.0; CT/1.0; DE/1.0; GA/1.0; HI/1.0; ID/1.0; IN/1.0; IA/1.0; ME/1.0; MA/1.0; MI/1.0; MO/1.0; MT/1.0; NE/1.0; NH/1.0; NC/1.0; ND/1.0; OR/1.0; RI/1.0; SD/1.0; TN/1.0; UT/1.0; VT/1.0; VA/1.0; WA/1.0; WI/1.0; WY/1.0

Course Abstract

This course addresses updated concepts of mechanical treatment for patients with unspecific low back pain. Two classification systems are widely used for the treatment of patients with lumbar impairments (i.e. Treatment Based Classification [TBC] and Mechanical Diagnosis and Treatment [MDT]). TBC guides physical therapists in daily practice through identification of clinical patterns called clinical prediction rules. The use of clinical prediction rules constitutes a controversial topic in our field. While some clinicians consider this approach to be “too simplistic", others advocate its use based on promising emerging evidence. On the other hand, MDT, uses, among others, two common examination findings to classify patients in subgroups (i.e. directional preference and centralization). Both systems have interpreted these clinical findings inconsistently leading to variable results in terms of prevalence and predicted validity. Even though these two approaches appear to be very different, there are interesting commonalities that can be used in clinical practice. The intent of this presentation is far from advocating one system over the other; instead, it is an invitation to consider integrating validated constructs used in both systems in clinical decision-making. This is an advanced level course, recommend background knowledge for understanding of this update.
Disclosure: This learning event does not focus exclusively on any specific product or service.


Handouts

Handouts are available for this course. You must be signed in and registered for this event to access them.

Course Learning Outcomes

Preview Exam
  • Recognize the importance and limitations of classifying patients in subgroups based on clinical presentations
  • Identify chances of success when applying specific interventions based on clinical prediction rules (CPR)
  • Recognize different interpretations of common clinical presentations

Time-ordered Agenda

0-10 Minutes Introduction and overview
10-20 Minutes Background
20-25 Minutes Evidence based research
25-30 Minutes Application to clinical practice
30-55 Minutes Techniques and Treatment
55-60 Minutes Q & A

Average Rating (114 Reviews)

Most Recent Comments

Review by: Member on June 2, 2013
Good references
Review by: Member on May 16, 2013
Thorough research. A great presenter for the course.
Review by: Member on May 2, 2013
research based course
Review by: Member on March 20, 2013
Good EBP
Review by: Member on March 10, 2013
new information or approach to treatment of LBP
Review by: Member on February 7, 2013
Good information that made me think
Review by: Member on February 5, 2013
Makes you want to investigate more which protocol is most effective.
Review by: Member on February 5, 2013
provides good information
Review by: Member on January 31, 2013
Clear explanations
Review by: Member on January 15, 2013
it was very informative
Review by: Member on January 14, 2013
material based on evidence
Review by: Member on December 20, 2012
I follow the Maitland approach and was not as familiar with some of this material
Review by: Member on December 10, 2012
There must be more to these approaches. I guess this is an "update". So I appreciate the work presented as such.
Review by: Member on November 27, 2012
Updated information included
Review by: Member on November 26, 2012
Informative
Review by: Member on November 16, 2012
content and presentation
Review by: Member on November 15, 2012
Tons of information, but with applications given throughout course.
Review by: Member on November 14, 2012
It provided updated research on multiple approaches in classification, identification, and treatment of patients with LBP.
Review by: Member on November 12, 2012
Giving evidence based practice guidelines, and using the body chart
Review by: Member on October 19, 2012
Tough subject, tough test, handeled subject well, Test hard but, fair.
Review by: Member on September 29, 2012
enjoyed discussion of similarities and differences of MDT and TBC
Review by: Member on September 19, 2012
Lots of evidence, easy to understand, engaging to read.
Review by: Member on September 11, 2012
The information provided can be applied to the clinical setting to assist with patient care.
Review by: Member on September 11, 2012
It zeroed in on a specific population common to most out pt practices with practical guides in classifying them
Review by: Member on August 25, 2012
Organization

Course Information

This is a Text course published on June 5, 2012 which you can save and print.

Review Technical Requirements

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Course Presenter

guillermo cutrone

Guillermo Cutrone, PT, DSc, OCS, Cert. MDT, FAAOMPT

Dr. Cutrone holds a Doctor of Science in Physical Therapy Orthopedics. He is Certified in Mechanical Diagnosis and Therapy by the McKenzie Institute International, Board Certified in Orthopedic Physical Therapy and is a Fellow in the American Academy of Orthopedic Manual Physical Therapists. He is the Research Coordinator and Residency/Fellowship Team Leader for the Rehabilitation Services department at St. Vincent Hospitals in Indianapolis, Indiana, providing clinical instruction into the Evidence in Motion Post Graduate Orthopedic Physical Therapy Residency and the Evidence in Motion Orthopedic Manual Physical Therapy Fellowship.

In addition, he is a faculty member and Coordinator of Practice and Clinical Outcomes for residency and fellowship programs with Evidence in Motion.

Dr. Cutrone is actively involved in a multi-center, observational cohort study with other MDT therapists utilizing FOTO (Focus On Therapeutic Outcomes). This team, PBE Research Network, is investigating, in clinical practice, patients with spinal impairments. One of the reports already published in the Journal of Manual & Manipulative Therapy (Vol. 18, No. 4, December 2010, “Prevalence of Classification Methods for Patients with Lumbar Impairments using the McKenzie Syndromes, Pain Pattern, Manipulation and Stabilization Clinical Prediction Rules”) was awarded the John Medeiros Distinguished Author Award 2010 for the most impactful paper published in JMMT.

Dr. Cutrone has presented in national and international orthopedic and sports Physical Therapy research meetings.


Disclosure: This presenter has no relevant financial or nonfinancial relationships to disclose.


Continuing Education Information

CEUs/Hours Offered: See All State Associations
CA/1.0; IL/1.0; KY/1.0; MN/1.0; MS/1.0; NV/0.1; NY/1.0; OH/1.0; OK/1.0; TX/1.0; AK/1.0; AR/1.0; CO/1.0; CT/1.0; DE/1.0; GA/1.0; HI/1.0; ID/1.0; IN/1.0; IA/1.0; ME/1.0; MA/1.0; MI/1.0; MO/1.0; MT/1.0; NE/1.0; NH/1.0; NC/1.0; ND/1.0; OR/1.0; RI/1.0; SD/1.0; TN/1.0; UT/1.0; VT/1.0; VA/1.0; WA/1.0; WI/1.0; WY/1.0

California

PhysicalTherapy.com is an approval agency for the Physical Therapy Board of California.


IL Physical Therapy Continuing Education Sponsor

This course is offered for 1.0 CEUs (Advanced level) by the Illinois Department of Professional Regulation (Sponsor License #216000252).


KPTA

This course is offered for 1 CEUs (Advanced level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2012-KPTA).


Minnesota

This course is offered for 1 CEUs (unknown level) by the Minnesota Board of Physical Therapy.


Nevada

This course has been approved by the Nevada State Board of Physical Therapy Examiners for 0.1 units of continuing education (Clinical).


New York

PhysicalTherapy.com is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.


Ohio


Oklahoma


Texas Physical Therapy Association

This course is offered for 1.0 CEUs (Advanced level) by the Texas Physical Therapy Association.


Passing an online exam will be required to earn continuing education credit.

Please Note: The CEU exam and course evaluation must be completed within 30 days of course registration.

To participate in the course, complete the CEU exam and earn continuing education credit, you must be a CEU Total Access member.


We recognize that state CE requirements are constantly changing. If you have any questions regarding our courses and your state requirements, please contact us at 1-866-782-6258 or brenda.pantalone@PhysicalTherapy.com.

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please contact PhysicalTherapy.com toll free at 1-866-782-6258