Clinical Reasoning
3-5 day course
Day 1: "lumbar spine"
09.00 - 10.30 Clinical reasoning
10.30 - 10.45 Break
10.45 - 12.30 Examination of the lumbar spine
12.30 - 13.30 Lunch
13.30 - 15.00 Treatment techniques of the lumbar spine (passive accessories)
15.00 - 15.15 Break
15.15 - 17.30 Treatment techniques of the lumbar spine
- passive physiologicals
- muscle energy techniques : muscle energy
- Homework Website - low back pain : LBP
- - sports (climbing) : gorillas on the cliff
- - mechanical traction : mechanical traction
Day 2: "cervical spine"
09.00 - 10.30 Examination of the cervical spine
10.30 - 10.45 Break
10.45 - 12.30 Treatment techniques of the cervical spine
- upslopes
12.30 - 13.30 Lunch
13.30 - 15.00 Treatment techniques of the cervical spine
- downslopes
- lateral gap
15.00 - 15.15 Break
15.15 - 17.30 Treatment techniques of the cervical and thoracic spine
- passive accessories
- scapula taping
Homework Clinical reasoning exercise on website : Fred Clinical reasoning exercise
Day 3: "stability vs mobility"
09.00 - 10.30 Current concepts
- muscle imbalance : see endurance training
- core stability
- inverse dynamics
- 2 joint energy systems (power) versus 1 joint stability (endurance)
10.30 - 10.45 Break
10.45 - 12.30 Discussion of clinical reasoning example - small group presentations
12.30 - 13.30 Lunch
13.30 - 15.00 Swiss Ball techniques : see chronic low back pain
15.00 - 15.15 Break
15.15 - 17.30 Exercise regimes for the cervical, thoracic and lumbar spines
see Swiss ball bridging exercises
Optional Day 4 and 5
aims & objectives
Candidates will be given the opportunity to use the theoretical resources (self directed learning) presented on this website in a practical manner during the course. Maximum benefit will be gained if the student has a pre-course familiarization of neurogenic inflammation. Additionally, understanding concepts of muscle spasms, motor learning and descending modulation of pain will be helpful in the understanding of clinical reasoning.