Lumbar Spine: Efficiency & Efficacy in Evaluation &Treatment

Course Description

All clinicians are faced with the conflict of rapidly emerging evidence and the push to be more efficient in patients per man-hour resulting from the decreasing reimbursement seen across the spectrum of insurance coverage.  This class is intended to assist the clinician in maintaining their primary focus on being effective for the patient while still being efficient with the use of their time through recognition of, and response to common clinical syndromes seen in the lumbar spine. 

Pattern recognition allows experts to recognize when they are faced with a known phenomenon, which has been shown time and time again to respond in a familiar way in the hands of many clinicians.  If the physical therapist develops expertise in treating these syndromes they become more efficient & effective at facilitating the management of these patients liberating time for the cases that lie outside of the norm and require focused analysis to determine the appropriate path of treatment.    These commonly occurring clinical syndromes are the basis of treatment based classification (TBC), but the class will emphasize a clinical perspective of what is actually seen in the clinic rather than in the algorithmic suppositions of TBC.  The class will be primarily hands on participation with a minimum of lecture via patient demonstration to give context to the content.

This class is willfully designed to be efficient with your time as well effective with developing, improving or mastering your skill set.  The content will be completed in one day.  All participants will receive the didactic portion of the class before the actual class day allowing time for absorption before the physical interface.  This will ideally liberate the class to spend the majority of the time together in a genuine “hands on” refinement of skills to be assimilated into their present matrix.

Patient stratification is a foundation of this class with physical therapy patient classification being stratified from intervention, rehabilitation, management & prophylaxis.  This class emphasizes the identification of common clinical syndromes and the interventions that are consistently useful with these syndromes.  The class finishes with the introducing of therapeutic exercise into the delivery of manual therapy techniques which is where the lower quarter therapeutic exercise class begins.   

Course Objectives


1.    Develop a conceptual framework for evaluating and treating the LBP patient in the treatment-based classification system (Delitto et al)

2.    Understand the evolution of TBC from the clinical perspective of common clinical syndrome recognition.

3.    Discuss the genuinely common clinical syndromes, the rapid recognition of them and the applicable treatments.

4.    Understand the application of principles for spinal mobilization on a continuum through to manipulation of the lumbo-pelvic region.

5.    Develop manual skills in mobilization through manipulation of the lumbo-pelvic region.  A level of proficiency in the techniques will be emphasized as the class comes to conclusion.

6.    Understand the application of principles for therapeutic exercise from directional preference, augmenting manual intervention, to development of trunk control and prophylaxis in the lumbo-pelvic region.

7.    Nurture continued development of skills with accurate and informative feedback from the ‘patient’ therapists with each session.  Understand the experiential nature of motor skills.

8.    Frame a system of healthcare delivery that is efficient and effective in the care of the LBP patient.


Tuition:  $275       

Taken with Integration of Therapeutic Exercise in the Lower Quarter on the same weekend $475 total 





Ryan Hamic PT  email: or phone: 503-298-0905