Developing a Therapeutic Exercise Program for Mechanical Low Back Pain: Examining the Evidence and Crafting Appropriate Progressions

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This presentation is a replay from NATA 2023 in Indianapolis, providing another opportunity to access its valuable content and insights.

Abstract:
This session will utilize an interactive lecture format to examine how to interpret the literature to develop an appropriate treatment strategy for athletes with low back disorders. The session will begin with a quick review of the most common low back diagnoses. Attendees will then examine the research that explores the role of motor control, strengthening, proprioceptive and manual treatment strategies and their applicability to athletic populations. Finally, attendees will explore a sample protocol for each of the most common exercise progressions. The video section of the session will involve reviewing a few of the exercise progression explored in the lecture.

Learning Objectives:

  • Recognize the most common low back pain diagnoses, their sign and symptom patterns and objective findings common to each.
  • Examine the literature to determine the efficacy of applying the most recent clinical prediction rules for determining an appropriate treatment strategy.
  • Examine the literature as it applies to such rehabilitation concepts as: motor control programs, strengthening protocols, proprioceptive strategies and manual therapy approaches and discuss their relative value and limitations in an effective treatment program.
  • Discuss the role of movement screens and their potential role in the diagnostic process, as well as their potential pitfalls. Explore several popular exercise approaches and review and practice some sample progressions for each.

Level:
Essential

Domain(s):
Domain 4: Therapeutic Intervention 

CEUs:
1.0 Category A

Keywords: Stabilization; Force Progression; Isometric

On-Demand (Enhanced Access) Course Expiration:
Courses registered for after February 5, 2025, must be completed by December 31, 2025, at 11:59 p.m. CST.
For full details, refer to the expiration policy on our FAQ page.

Kenneth Cieslak, DC, ATC, CSCS

Doctor of Chiropractic and Certified Athletic Trainer for over 30years. Certified Strength and Conditioning Specialist since 1989. Completion of Primary Spine Practitioner (PSP) program, through the University of Pittsburgh School of Health and Rehabilitation Sciences. Interest in evidence-based practice, and the role of active care in health and wellness. Enjoys the role education plays in enhancing practitioner effectiveness, and lectures frequently to health care professionals of all disciplines. Proud father of a daughter who is a physician assistant in orthopedics, and a son who is an Army officer. Married 32 years to a wonderful wife and educator.

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