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Spine Therapeutic Exercise Design

MET Seminars

Objectives

Upon completion of this course the student will:
• Apply the 2 guiding principles of the MET-odology in therapeutic intervention selection for the spine.
• List 3 factors to achieve optimal patient improvement.
• Recognize 3 factors from the clinical interview which help create patient buy-in into the treatment plan.
• Develop 1 spine treatment session plan.
• Identify measurement tools for the spine to achieve meaningful improvements in 4 outcome domains.
• Apply the 4 training principles to therapeutic exercise prescription for the spine.
• Apply the biomechanical concepts of torque and length tension in therapeutic exercise design for the spine.
• Operate a hand-held dynamometer (HHD) in 1 biomechanical examination for the spine.
• Execute Clinical Fatigue Tests (CFT) in 3 clinical scenarios for the spine.
• Interpret the results of the CFT to appropriately dose 2 therapeutic exercises for the spine.
• Design 1 precision therapeutic exercise prescription for the spine.

Target Audience

PT, PTA, OT, OTA, AT, MD, DO, DC

Confirmation Notes

16 hours approved by FSBPT ProCert and BOC

Description

Despite the growing amount of high quality evidence supporting exercise as an effective rehabilitation intervention, translating research to practice proves challenging for clinicians. Further, rehabilitation has allowed gains in symptom moderation and subjective functional measures to be lauded as sufficient progress for clients without truly addressing impairments and objective functional outcomes. This is problematic in that a reduction in symptoms and client-reported improvements in function can occur through general exercise and the natural healing process without the skill of a therapist.
It is time for a reset. We must translate evidence-based rehabilitation into daily clinical practice to ensure that all clients receive adequate, intense, and progressive exercise rehabilitation.
Building on Level I Fundamentals, this 2-day course furthers the step-by-step approach for therapeutic exercise dosing and delivery by adding precision design concepts for the spine. As hands-on professions, practical lab components using real clinical scenarios are mixed with interactive discussion-based lectures for skills that can be applied right away in the clinic. To help therapists build advanced clinical reasoning skills in exercise prescription, therapeutic exercise design is taught with an emphasis on the “why”, “how”, and “when” rather than on specific exercises. Hands-on skills for the clinical application of hand-held dynamometry in comprehensive assessment, documentation of objective strength measures, and precision exercise dosing are practiced and mastered.
To achieve optimal outcomes, we urge clinicians to move beyond symptom moderation alone This course focuses on delivering meaningful improvements for clients in 4 outcome domains: symptom moderation; impairment correction; subjective functional performance; and objective functional performance. Further, we teach a systematic structure of inter- and intra-treatment session progression to achieve outcomes at three levels: normalization, optimization and performance.
Background
Medical Exercise Therapy is the clinical component of our MET-odology, which is a framework for clinical best rehabilitation in daily practice within a value based delivery system to obtain optimal improvement. The concepts taught in our clinical courses are the contemporary development of medical exercise therapy concepts introduced by Oddvar Holten. Interestingly, the concepts of medical exercise therapy are being validated by the latest pain neuro-science research. Belgian manual physical therapist Leo Wouters further developed the dosing strategies for clinical practice. With research performed at Andrews University, Berrien Springs MI, USA, we advanced the clinical framework with the latest scientific evidence and incorporated operational, organizational and implementation components which all together we call the MET-odology.

Date And Locations
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