Module 5. Structural Rehabilitation of the Lumbar Spine

This course provides an integrated education for the Doctor of Chiropractic in the science and art of lumbar spine disorders. Detailed literature reviews covering the crisis of lumbar disorders in patient populations, the role of spinal manipulative therapy and structural correction of sagittal lumbar spine will be covered. Normal average and ideal values for the lumbar lordosis will be reviewed. Detailed categories of thorax and pelvic postures, spine kinematics and abnormalities of the thoraco-lumbar-pelvic spine will be learned. The Chiropractor will learn appropriate application and timing of postural and functional exercises for the lumbar spine designed to correct spinal subluxation and strengthen the lumbar and thoracic spine tissues. The Chiropractor will be introduced to 14 categories of sagittal lumbar traction and 3 methods of coronal thoraco-lumbar traction with demonstrations for structural rehabilitation of the lumbar spine. Indications and contraindications to these new structural rehabilitation procedures will be reviewed. The details of case management using these structural rehabilitation methods will be covered using a variety of case studies for a comprehensive picture of clinical application of this course material. A survey of research material will be reviewed supporting the utilization and efficacy of CBP technique structural rehabilitation treatment methods across a population of patients.

Objectives:

• Review models for chiropractic assessment, intervention, and outcome
• Recognize alignment value for the lumbar spine
• Describe categories of sagittal lumbar traction and 3 methods of coronal thoraco-lumbar traction
• Define a patient specific, evidence based CBP Rehabilitative Program of care terms of frequency and duration of care
• Review literature and documentation