Orthopedic Excellence: The Spine

Advance your skill set to better evaluate and manage patients with spine-related conditions.

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Orthopedic Excellence: The Spine

About this Certificate Program

80% of people will experience back pain at some point in their lives. Enhance the quality of care you provide patients who suffer from spine-related conditions by becoming skilled in the best evidence approaches available. In this Certificate Program, you will learn examination and treatment fundamentals through a clinical decision making paradigm for the Cervical, Thoracic, and Lumbar Spine and integrate advanced technical concepts to improve clinical outcomes in your practice.

Who Should Get Certified

The Certificate Program is designed to improve clinical outcomes for all clinicians who treat orthopedic-related spine conditions, but would be especially beneficial for recent graduates, residents in training, individuals who function in a closed system of healthcare who are interested in designing best treatment pathways, or individuals who are returning to treatment for patients with orthopedic problems.

Goals & Objectives

  • Demonstrate advanced understanding and clinical competency in the evaluation and treatment of the spine related conditions.
  • Synthesize course materials to standardize course care pathways and reduce clinical variation.
  • Practice and apply the bests clinical tests to maximize clinical efficiency.
  • Compare and contrast intervention methods for each of the spine related conditions.
  • Apply classification models and the latest evidence to optimize treatment choices by clinical presentation.
  • 1 Courses

    Section 1: Introduction

      1. Chapter 1 bullet Introduction

        Explain the funnel shape of the examination sequence. Identify the type of clinical reasoning represented by the paradigm. Outline the ideal clinical decision making model. Justify the need for a treatment-based/impairment-driven diagnosis.

      2. Chapter 2 bullet Foundational Concepts of Diagnosis

        Compare and contrast sensitivity and specificity in the context of clinical diagnosis. Identify the correct formula for determining sensitivity and specificity. Outline the utility of specificity and sensitivity in the context of clinical diagnosis.

      3. Chapter 3 bullet Overview of Patient Interview, Outcomes Measures, and Observation

        Outline the biases involved in the patient interview process. Identify the factors that can help assess depression in a patient. Explain the keys factors in active listening when taking a patient history. Discuss the importance of using a broad to narrow approach in patient observation.

      4. Chapter 4 bullet Triage/Screening/Sensitive Tests: Ruling Out and Making the First Order Decision

        Discuss the utility of a screening examination in the clinical assessment process. Compare and contrast the key elements in the upper and lower quarter screen.

      5. Chapter 5 bullet The Rest of the Examination

        Discuss the level of objective evidence regarding the diagnostic value of motion testing, palpation, and muscle testing. Explain the utility of motion testing in the screening process. Compare and contrast “make” and “break” tests in the motion testing examination. Explain the importance of PPM’s in the musculoskeletal examination.

      6. Chapter 6 bullet Orthopaedic Diagnosis, Treatment, and Treatment-Based Classification

        Identify the most important skills in the treatment based classification process. Justify the use of a treatment-based classification system in clinical practice. Explain the inverted funnel shape of the examination sequence. Identify an example of a diagnosis that typifies regional interdependence.

      7. View full course details »
      Hide 6 Chapters
  • 2 Courses

    Section 2: Lumbar Spine

      1. Chapter 1 bullet Prevalence and Economic Impact

        Evaluate the economic impact of lumbar spine dysfunction. Consider the prevalence/incidence of low back pain and how this influences clinical practice. Debate our results and reasons for these results.

      2. Chapter 2 bullet Patient History and Outcomes Measures

        Discuss the imperative patient history elements of a lumbar examination. Define which patient history components are affiliated with lumbar pathology. Discuss the most common forms of self report patient outcomes measures for lumbar pain.

      3. Chapter 3 bullet Observation

        Identify the link between observation of posture and low back pain or dysfunction. Understand what certain postural elements associated with low back could mean.

      4. Chapter 4 bullet Triage and Screening

        Identify the best tests used to diagnosis red flag conditions of the low back region. Compare and contrast different tests used for differential diagnosis.

      5. Chapter 5 bullet Motion Testing

        Synthesize the importance of the concordant/comparable sign, during examination. Compare and contrast the goals of the three primary phases of the initial examination.

      6. Chapter 6 bullet Palpation and Muscle Testing

        Evaluate the benefit of palpation as part of a dedicated clinical examination. Evaluate the benefit and types of manual muscle testing for the lumbar spine.

      7. Chapter 7 bullet Special Tests

        Understand the language of diagnostic accuracy. Identify the most diagnostic low back oriented special tests. Apply the tests to the appropriate diagnoses.

      8. Chapter 8 bullet Physical Performance Measures

        Demonstrate the most commonly used physical performance measures of the lumbar spine. Identify the utility of the physical performance measures of the lumbar spine.

      9. View full course details »
      Hide 8 Chapters
      1. Chapter 1 bullet Common Pathologies

        Recognize the more prevalent low back pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies. Evaluate the treatment-oriented evidence behind each of the disease processes.

      2. Chapter 2 bullet Treatment Classification Systems

        Recognize the proposed benefit to classifying low back conditions by similarity. Understand that classifications do not need to be mutually exclusive. Understand the role that guidelines can play in concert with classification.

      3. Chapter 3 bullet Interventions to Address the Concordant Sign or Primary Impairment

        Review the concordant techniques used to target the primary impairment. Analyze the effectiveness of each technique for treatment within the classifications.

      4. Chapter 4 bullet Adjunctive Interventions to Relieve Movement Issues at Body Segments

        Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Interventions to Address Global Issues Pertinent to Conditions

        Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications

      6. View full course details »
      Hide 5 Chapters
  • 2 Courses

    Section 3: Thoracic Spine

      1. Chapter 1 bullet Prevalence and Incidence

        Define Thoracic Pain. Consider the prevalence/incidence of thoracic pain and how this influences clinical practice. Evaluate the economic impact of thoracic dysfunction.

      2. Chapter 2 bullet Patient History and Outcomes Measures

        Discuss the imperative patient history elements of a thoracic examination. Define which patient history components are affiliated with thoracic pathology. Discuss the most common forms of self-report patient outcomes measures for thoracic pain.

      3. Chapter 3 bullet Observation

        Identify the link between observation of posture and thoracic pain or dysfunction. Recognize selected observational findings that may be associated with disease processes.

      4. Chapter 4 bullet Triage/Screening/Sensitive Tests (Referring Out)

        Identify the best tests used to diagnosis red flag conditions of the thoracic and abdominal region. Compare and contrast different tests used for differential diagnosis. Identify structural screening tests to rule out competing diagnoses.

      5. Chapter 5 bullet Motion Testing

        Understand the nature of the patient’s condition. Reproduce the concordant sign and find movements or positions that improve the condition. Perform active and passive physiological and passive accessory movement examination.

      6. Chapter 6 bullet Palpation and Muscle Testing and Performance

        Perform an appropriate palpatory examination. Perform an appropriate strength and endurance examination.

      7. Chapter 7 bullet Special Testing

        Understand the language of diagnostic accuracy. Identify the most diagnostic thoracic oriented special tests. Apply the tests to the appropriate diagnoses.

      8. View full course details »
      Hide 7 Chapters
      1. Chapter 1 bullet Common Pathologies of the Thoracic Spine

        Recognize the more prevalent thoracic-oriented pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies. Evaluate the treatment-oriented evidence behind each of the disease processes.

      2. Chapter 2 bullet Classification Systems of the Thoracic Spine

        Recognize the proposed benefit to classifying thoracic disorders and treatments by similarity. Understand that classifications do not need to be mutually exclusive.

      3. Chapter 3 bullet Local Interventions

        Describe the clinical utility of concordant based interventions targeted to the primary impairment. Demonstrate spine and rib oriented movement based techniques. Demonstrate spine specific stretching and strengthening techniques.

      4. Chapter 4 bullet Adjunctive Interventions to Relieve Movement Issues at Body Segments

        Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Interventions That Address Global Issues Pertinent to Condition

        Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications.

      6. View full course details »
      Hide 5 Chapters
  • 2 Courses

    Section 4: Cervical Spine

      1. Chapter 1 bullet Prevalence and Incidence

        Evaluate the economic impact of cervical dysfunction. Consider the prevalence/incidence of cervical pain and how this influences clinical practice.

      2. Chapter 2 bullet Patient History and Outcomes Measures

        Discuss the imperative patient history elements of a neck examination. Define which patient history components are affiliated with cervical pathology. Discuss the most common forms of self report patient outcomes measures.

      3. Chapter 3 bullet Observation

        Identify the link between observation of posture and neck pain or dysfunction. Identify benefits of general observation of a patient’s expression of fear, anxiety, or distress.

      4. Chapter 4 bullet Triage and Screening

        Identify the most prevalent red flags, germane during the cervical spine examination. Compare and contrast the purposes of each diagnostic test for sinister problems. Analyze the “triggers” that would prompt the use of a test for ruling out a condition. Evaluate the benefit of performing these “ruling out” actions first within the examination. Understand structural differentiation.

      5. Chapter 5 bullet Motion Testing

        Synthesize the importance of the concordant/comparable sign, during examination. Compare and contrast the goals of the three primary phases of the initial examination.

      6. Chapter 6 bullet Palpation, Muscle Testing and Performance

        Evaluate the benefit of palpation as part of a dedicated clinical examination. Evaluate the benefit and types of manual muscle testing for the cervical spine.

      7. Chapter 7 bullet Special Tests

        Understand the language of diagnostic accuracy. Identify the most diagnostic cervical oriented special tests. Apply the tests to the appropriate diagnoses.

      8. Chapter 8 bullet Physical Performance Measures

        Demonstrate the most commonly used physical performance measures of the cervical spine. Identify the utility of the physical performance measures of the cervical spine.

      9. View full course details »
      Hide 8 Chapters
      1. Chapter 1 bullet Common Pathologies

        Recognize the more prevalent cervical pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies.

      2. Chapter 2 bullet Treatment Classification Systems

        Recognize the proposed benefit to classifying cervical conditions by similarity. Understand that classifications do not need to be mutually exclusive.

      3. Chapter 3 bullet Interventions to Relieve Concordant Sign or Priority Impairment

        Review the concordant techniques used to target the primary impairment. Analyze the effectiveness of each technique for treatment within the classifications.

      4. Chapter 4 bullet Adjunctive Interventions to Relieve Movement Issues at Body Segments

        Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Interventions that Address Global Issues Pertinent to Conditions

        Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications.

      6. View full course details »
      Hide 5 Chapters
Instructors CEU Approved

33 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

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      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central


         MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services


MedBridge has created a cost-
effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.
Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.
When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.
How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.
*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.
Subscribe Now This Certificate Program and so much more are all included in the MedBridge subscription.