Evidence-Based Examination of the Lumbar Spine

presented by Chad Cook

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

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In this course covering examination of the lumbar spine by Dr. Chad Cook, users will evaluate the economic impact and prevalence of lumbar spine dysfunction. The imperative patient history elements of a lumbar examination will be discussed. Users will be able to identify the link between observation of posture and low back pain or dysfunction, and what certain postural elements related to low back pain may mean. Compare and contrast different tests used for differential diagnosis and screening for red flags in the lumbar region. Evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Identify the most diagnostic lumbar spine oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a 19 course comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

Meet Your Instructor

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT, is a professor at Duke University and the program director of the Doctor of Physical Therapy division with a Category A appointment in the Duke Clinical Research Institute. He is a clinical researcher, physical therapist, and profession advocate with a long-term history of clinical care excellence and service…

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Chapters & Learning Objectives

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1. 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. 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. 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. 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. 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. 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. 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. 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.