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Assessing and Treating Athletes With Extension-Oriented Low Back Pain (Recorded Webinar)

presented by Kyle Kiesel, PT, PhD and Kyle Matsel, PT, DPT, PhD, SCS, CSCS

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Disclosure Statement:

Financial: Dr. Kiesel is an equity partner in Functional Movement Systems, which owns tools related to discharge testing that are mentioned in this course. Dr. Matsel is a University of Evansville employee and a Functional Movements Systems instructor. Both Dr. Kiesel and Matsel receive compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Dr. Kiesel and Dr. Matsel have no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 48 Minutes; Learning Assessment Time: 23 Minutes

Sports medicine professionals who evaluate and treat athletes with low back pain (LBP) should clearly identify a directional preference (flexion or extension) to complement the associated medical diagnosis. In the case of an extension-oriented problem, imaging should be obtained to allow for accurate classification of any bony lesion present. Staging of lumbar spondylolysis to include early, progressive, or terminal needs to be considered to best form a plan of care and return-to-sport target date. Rehabilitation efforts should include standard core stabilization, and an emphasis should be placed on identifying and correcting common movement impairments often not identified in routine LBP care. Finally, discharge testing should include clearing known movement-oriented risk factors to maximize the probability of a successful return to sport and minimization of reinjury.

Meet Your Instructors

Kyle Kiesel, PT, PhD

Dr. Kiesel is a professor of physical therapy at the University of Evansville and a cofounder of the Functional Movement System. During his 20 years in academics, he has spent 9 years directing programs in athletic training and physical therapy. His areas of research include motor control of the core, breathing, and functional movement testing…

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Kyle Matsel, PT, DPT, PhD, SCS, CSCS

Dr. Matsel is faculty at the University of Evansville, where he teaches in the musculoskeletal content areas of the Doctor of Physical Therapy curriculum. He received his Doctor of Physical Therapy degree from the University of Evansville in 2011 and his PhD in rehabilitation sciences from the University of Kentucky in 2021. Dr. Matsel is…

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Chapters & Learning Objectives

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Download the learning objectives for Assessing and Treating Athletes With Extension-Oriented Low Back Pain (Recorded Webinar).

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1. Introduction and Diagnosis

Approximately 30 percent of athletes will experience LBP, and as many as 75 percent of elite athletes will have at least one LBP episode causing them to miss time. In this chapter, clinical testing and the most accurate medical diagnostic test will be discussed.

2. Rehabilitation Phases

In this chapter, we cover the three stages of spondylolysis/spondylolisthesis, a common cause of extension-oriented LBP. Key associated movement impairments will be discussed, and the principles of a three-phase rehabilitation program will be covered.

3. Return to Play, Discharge, and Emerging Perspectives

This chapter will discuss the key measures associated with return to play and discharge. It is important that the sports medicine professional recognize that these normally occur at different time points. Emerging evidence related to promising prevention and treatments for athletes with LBP will be discussed.

4. Question and Answer

This chapter will go over the question and answer portion of the webinar with Dr. Kyle Kiesel and Dr. Kyle Matsel.

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