Treating older adults with back pain is often not the most rewarding thing we do. The healthcare professionals efforts to help them are frequently hindered by how much pain they have and how little they can tolerate in terms of activity and exercise. This course can help with that.
First, the course looks at the anatomy and mechanics of the normal spine and compare that with the typical structural changes that occur with advancing age. The healthcare professional will develop treatment techniques and protocols that are specific to the older adult with spinal stenosis, including safe manual therapy techniques, effective exercises, specific training to improve gait, and ADL progressions. As an evidence-based course, the research and foundational science behind these treatment protocols will be articulated.
This Seminar-on-Demand is 3 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
|Contact Hours: 3||
Video Course Format: Video
|Target Audience: ATC/LAT, OT/COTA, PT/PTA|
|Instructional Level: Intermediate||BOC Level of Difficulty: Advanced|
|State||Discipline||Approval Status||Provider Code||Expiration Date|
- Normal spinal alignment and mechanics
- Effects of aging on spinal structures
- Age-related changes in the spine lead to stenosis
- Define central and lateral spinal stenosis
- Discuss the pathophysiology of neural compression
- Describe common symptoms of spinal stenosis
- Discuss posture and its role in spinal stenosis
- Discuss the role of iliopsoas and rectus femoris muscles in spinal stenosis and how to stretch these two muscles in older adults
- Discuss strengthening of the glut maximus and abdominals as a means to increase posterior pelvic tilt and how to best accomplish this with older adults
- Discuss the role of neural mobilization in treatment of lumbar spinal stenosis
- Outline components of posture associated with spinal stenosis and how to treat them
- Describe how thoracic mobilizations can improve posture and how to do them with older patients
- Define parameters for gait training and role of assistive devices
- Discuss role of gluteus medius in stable gait
- Define possible compensations that can aid in the spinal stenosis patient’s ability to complete ADLs
- Outline an ADL progression protocol
Course Goals & Objectives:
This course is intended to instruct the professional through a study on evidence based rehab for lumbar spinal stenosis.
At the conclusion of this course, the participant will be able to:
- Describe normal spinal alignment and mechanics and how they change as the spine ages.
- Recognize the genesis of lumbar spinal stenosis and its effect on posture, gait, and balance.
- Describe the critical components of the early phase of rehab and how they set the stage for real changes in pain and mobility.
- Identify the unique aspects of effective gait training for patient with lumbar spinal stenosis.
- Recognize how ADL training is unique for this patient population and ways to effectively decrease pain and increase independence and safety by following a graded ADL protocol.
Criteria for Completion:
A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved.
Contact Hours: 3
Target Audience: Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistant and Athletic Trainers.
Instructional Level: Intermediate
BOC Level of Difficulty: Advanced
Course Type: Seminar-On-Demand
- Financial – Lorie Schleck is employed by Home Care PT and receives a salary. She receives royalty payments from HomeCEUConnection.com for the presentation of this course.
- Nonfinancial – No relevant nonfinancial relationship exists.
- No relevant conflicts of interest exist for any member of the activity planning committee.
Content Disclosure: This course does not focus solely on any specific product or service.