Course 148: Evaluation & Treatment of the Lumbar and Sacroiliac Spine: Maitland Approach

SUMMARY:
This course is designed to assist the practicing clinician in the systematic examination, evaluation and treatment of lumbar and sacroiliac joint dysfunction emphasizing the use of the Maitland system. Manual treatment techniques will be taught along with augmentive self-mobilization exercise and progression to effective spinal progressive resistive exercise. The course will use both didactic and hands on practical lab learning sessions. Participants should come dressed to expose the spine and hips. Discussion of “common sense evidence based practice” will be incorporated throughout the course.

PRESENTER: Frank J. Fearon, PT, DHSc, OCS, FAAOMPT
Frank Fearon is presently an Associate Professor of Physical Therapy at North Georgia College and State University in Dahlonega, Georgia. He is a graduate of Georgia State University’s entry level and advanced masters program in orthopedic physical therapy where he completed his residency in manual therapy. He obtained his doctorate in orthopedic physical therapy at the university of St. Augustine for Health Sciences. Additionally, he is a board certified orthopedic clinical specialist and a fellow of the American Academy of Orthopedic Manual Physical Therapists. He has maintained clinical practice for the past 23 years. Prior to his academic position, he developed and managed several orthopedic and industrial injury outpatient treatment centers. He has particular interest in researching the outcomes of spinal rehabilitation and is well known for numerous presentations and publications on this topic.

OBJECTIVES: At the completion of the course the participant will be able to:
1) Perform a comprehensive, subjective and objective examination of the lumbosacral spine.
2) Accurately evaluate the examination findings to differentially diagnose various low back disorders.
3) Apply appropriate manual mobilization/manipulation techniques as indicated by the evaluation.
4) Appropriately make manual treatment decisions based upon patient response.
5) Integrate therapeutic exercise which augments effective manual techniques.
6) Progress a patient toward effective self management through exercise which is appropriate to their diagnostic category

FORMAT: This is a 16 hour course equivalent to 1.6 CEUs. CEU approval has been submitted to chapters of APTA. Attendees are to be dressed out in lab clothes for all sessions.

AUDIENCE: Physical Therapists and Physical Therapy Assistants

AGENDA:

Day One
8:00 AM Subjective Examination of Lumbosacral Back Pain
10:00 AM Break
10:15 AM Objective Examination of the Lumbar Spine: Active Movements, Neurological Screening, Palpation of the spine, Passive Intervertebral, Movement
12 Noon Lunch - On your own
1:00 PM Examination Lab cont
2:00 PM Treatment of Discogenic Diorders: Manual Treatment, Self Management
3:00 PM Treatment of Facet Dysfunction: Manual Treatment Augmentive Exercise
5:30 PM Closure

Day Two
8:00 AM Treatment of Complex Disorders: Spinal Stenosis, Spondylolisthesis, Spondylosis
10:00 AM Break
10:15 AM Examination and Treatment of Sacroliac Dysfunction
12 Noon Lunch - On your own
1:00 PM Treatment Technique Review
3:00 PM Exercise Progression
4:00 PM Technique Review with Patient Scenarios: Examination of symptom magnification
5:30 PM Closure