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

Enhanced Access On-Demand Course Expiration:
This course will expire on December 31 at 11:59 p.m. CST and will be removed from your account if not completed.
For full details, refer to the expiration policy on our FAQ page.

Kenneth Cieslak, DC, ATC, CSCS

Dr. Cieslak completed his undergraduate degree at Kean University, majoring in athletic training, and his Doctor of Chiropractic degree in 1995, graduating from Life University. He has been a Certified Athletic Trainer and a Certified Strength & Conditioning Specialist since 1989. He is a graduate of the Primary Spine Practitioner course, a multi-disciplinary post-graduate program through the University of Pittsburgh School of Health and Rehabilitation Sciences.  He is licensed in New Jersey as both a Chiropractor and an Athletic Trainer. From 1997- 2022, he was employed at Teaneck High School, serving as the athletic trainer, in addition to having a practice of chiropractic in Bogota, NJ. He was also a preceptor for the Montclair State University athletic training education program. Currently, he works with Atlantic Health System, and is an adjunct clinical instructor in the athletic training graduate program at Seton Hall University. He is currently the Past-President of the Athletic Trainer’s Society of New Jersey. He also serves on the EATA Educationalist and Student Quiz Bowl Committees, as well as being an executive board member of the Sports Medicine and Rehabilitation Special Interest Group of the National Strength & Conditioning Association. 

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