Integrative Approach to Low Back Pain: Manual and Movement Therapy With Clinical Practice Guidelines
Live Event

Integrative Approach to Low Back Pain: Manual and Movement Therapy With Clinical Practice Guidelines

Thu, Mar 27th, 2025
6:30pm – 8:30pm US Eastern Time
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About the Event

80% of Americans suffer from low back pain (LBP) at some point in their lives. Without rapid relief, many people resort to opioid medication which can be ineffective and risky. Integrating manual therapy and therapeutic exercise can be a safe and effective alternative to medication.

In this live interactive webinar, we’ll explore the assessment and integrative treatment strategies to maximize positive outcomes for people with LBP. Using clinical practice guidelines and research we’ll apply specific techniques to promote mobility and function using soft tissue mobilization/myofascial release, joint mobilization, muscle energy/PNF, and positional release.

We will also cover the clinical reasoning processes that helps you design and implement therapeutic programs to help your patients experience long-term relief from their debilitating back pain.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Theresa Schmidt

Theresa Schmidt

Dr. Theresa Schmidt PT, DPT, OCS, LMT, CEAS of Educise.com is an Orthopedic Certified Specialist PT, Expert Consultant, educator, massage therapist, hypnotherapist and author in private practice at Educise PC Health & Wellness in NH. She is a Clinical Specialist in the Pain program at New Hampshire VA. She received her DPT at UNE., served as faculty in PT and massage programs and presented for International Fascia Research Congress, APTA, AMTA, AOTA, NASA, Johns Hopkins, and Cleveland Clinics. She focuses on hands-on natural solutions to pain and mobility problems integrating manual therapy, precision exercise, functional training and alternative medicine approaches. Her engaging seminars inspire clinicians with practical tools they can apply immediately for measurable results clients rave about.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, and Massage Therapists. (PT, PTA, OT, COTA, LMT)

Learning Objectives

After taking this activity, you should be able to:

  1. 1 List eight tests to identify mobility impairments in the lumbar spine.
  2. 2 Select manual therapy strategies to address activity restriction limitations and functional mobility impairments based on the CPG classification of mobility impairments for LBP.
  3. 3 Identify interventions to promote mobility of the lumbar spine, including foundational soft tissue and joint mobilization, myofascial release, muscle energy and positional release.
  4. 4 Discuss the latest research on the use of manual therapy to improve function and quality of life for people with low back pain.

Amjad, F., Mohseni-Bandpei, M. A., Gilani, S. A., Ahmad, A., & Hanif, A. (2022). Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial. BMC Musculoskeletal Disorders, 23(1), 255.

Araimo Morselli, F. S. M., Zuccarini, F., Scarpa, I., Imperiale, C., Guzzo, F., Toro, F., & Tordiglione, P. (2015). Ultrasound Guidance in Paravertebral Injections of Oxygen-Ozone: Treatment of Low Back Pain. JOURNAL OF PAIN & RELIEF, 5(01).

Arana E, Kovacs FM. The evidence gap in low back pain management strategies. Lancet. 2021 Sep 25;398(10306):1130-1131. doi: 10.1016/S0140-6736(21)01820-1. PMID: 34563289.

Bagg, M. K., Wand, B. M., Cashin, A. G., Lee, H., Hübscher, M., Stanton, T. R., ... & McAuley, J. H. (2022). Effect of graded sensorimotor retraining on pain intensity in patients with chronic low back pain: a randomized clinical trial. JAMA, 328(5), 430-439.

Bastos, R. M., Moya, C. R., de Vasconcelos, R. A., & Costa, L. O. P. (2022). Treatment-based classification for low back pain: systematic review with meta-analysis. Journal of Manual & Manipulative Therapy, 30(4), 207-227.

Bernhardsson, S., Larsson, M. E., Eggertsen, R., Olsén, M. F., Johansson, K., Nilsen, P., ... & Öberg, B. (2014). Evaluation of a tailored, multi-component intervention for implementation of evidence-based clinical practice guidelines in primary care physical therapy: a non-randomized controlled trial. BMC Health Services Research, 14, 1-15.

Beneciuk, J. M., George, S. Z., Greco, C. M., Schneider, M. J., Wegener, S. T., Saper, R. B., & Delitto, A. (2019). Targeted interventions to prevent transitioning from acute to chronic low back pain in high-risk patients: development and delivery of a pragmatic training course of psychologically informed physical therapy for the TARGET trial. Trials, 20(1), 1-14.

Bertolini, S. M. M. G., & Ziroldo, M. L. (2015). Comparison between kinesiotherapy and back school in the treatment of low back pain in older adults. Rev Rene, 16(5), 699-704.

Dalamagka, Maria. (2015). Systematic Review: Acupuncture in Chronic Pain, Low Back Pain and Migraine. Pain & Relief. Volume 4. 1000195. 10.4172/21670846.1000195.

Davies, C., Nitz, A. J., Mattacola, C. G., Kitzman, P., Howell, D., Viele, K., ... & Brockopp, D. (2014). Practice patterns when treating patients with low back pain: a survey of physical therapists. Physiotherapy theory and practice, 30(6), 399-408.

Delitto, A., George, S. Z., Van Dillen, L., Whitman, J. M., Sowa, G., Shekelle, P., ... & Werneke, M. (2012). Low back pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. Journal of orthopaedic & sports physical therapy, 42(4), A1-A57.

Gianola, S., Bargeri, S., Del Castillo, G., Corbetta, D., Turolla, A., Andreano, A., ... & Castellini, G. (2022). Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis. British journal of sports medicine, 56(1), 41-50.

Kuijer, P. P. F., Verbeek, J. H., Visser, B., Elders, L. A., Van Roden, N., Van den Wittenboer, M. E., ... & Hulshof, C. T. (2014). An evidence-based multidisciplinary practice guideline to reduce the workload due to lifting for preventing work-related low back pain. Annals of occupational and environmental medicine, 26(1), 1-9.

Herman, P. M., Hurwitz, E. L., Shekelle, P. G., Whitley, M. D., & Coulter, I. D. (2019). Clinical scenarios for which spinal mobilization and manipulation are considered by an expert panel to be inappropriate (and appropriate) for patients with chronic low back pain. Medical care, 57(5), 391.

Jabbari, B. (2022). Botulinum Neurotoxins and Chronic Low Back Pain. In Botulinum Toxin Treatment of Pain Disorders (pp. 109-128). Cham: Springer International Publishing.

Katzan, I. L., Thompson, N. R., George, S. Z., Passek, S., Frost, F., & Stilphen, M. (2019). The use of STarT back screening tool to predict functional disability outcomes in patients receiving physical therapy for low back pain. The Spine Journal, 19(4), 645-654.

Learman, K. E., Ellis, A. R., Goode, A. P., Showalter, C., & Cook, C. E. (2014). Physical therapists' clinical knowledge of multidisciplinary low back pain treatment guidelines. Physical Therapy, 94(7), 934-946.

Lin, I., Wiles, L., Waller, R., Goucke, R., Nagree, Y., Gibberd, M., ... & O’Sullivan, P. P. (2020). What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. British journal of sports medicine, 54(2), 79-86.

Louw, A., Puentedura, E. J., & Zimney, K. (2015). A clinical contrast: physical therapists with low back pain treating patients with low back pain. Physiotherapy Theory and Practice, 31(8), 562-567.

Maroun, C., van der Wees, P. J., Aouad, M., Oostendorp, R., & Nijhuis-Van der Sanden, M. W. G. (2015). Improved adherence to clinical practice guidelines in patients with low back pain: a two step multifaceted implementation strategy. Physiotherapy, 101, e952-e953.

Moslem, W. M., Alrwaily, M., & Almarwani, M. M. (2022). Adherence to low back pain clinical practice guidelines by Saudi physical therapists: a cross-sectional study. Physiotherapy Theory and Practice, 38(7), 938-951.

Peterson, E., & Finkel, J. (2021). Trigger point injections for axial back pain in adolescents. BMJ Case Reports CP, 14(6), e242727.

Rabin, A., Shashua, A., Pizem, K., Dickstein, R., & Dar, G. (2014). A clinical prediction rule to identify patients with low back pain who are likely to experience short-term success following lumbar stabilization exercises: a randomized controlled validation study. journal of orthopaedic & sports physical therapy, 44(1), 6-B13.

Ratajska, M., Chochowska, M., Kulik, A., & Bugajski, P. (2020). Myofascial release in patients during the early postoperative period after revascularisation of coronary arteries. Disability and Rehabilitation, 42(23), 3327-3338.

Rosendahl, N. O. D., & Seffinger, M. A. (2015). Osteopathic Manipulative Treatment Is Effective for Nonspecific Low Back Pain. JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION, 115(1), 51-52.

Rutten, G. M., Harting, J., Bartholomew, L. K., Braspenning, J. C., van Dolder, R., Heijmans, M. F., ... & Oostendorp, R. A. (2014). Development of a theory-and evidence-based intervention to enhance implementation of physical therapy guidelines for the management of low back pain. Archives of Public Health, 72(1), 1-12.

Saracoglu, I., Arik, M. I., Afsar, E., & Gokpinar, H. H. (2022). The effectiveness of pain neuroscience education combined with manual therapy and home exercise for chronic low back pain: A single-blind randomized controlled trial. Physiotherapy Theory and Practice, 38(7), 868-878.

Saragiotto, B. T., de Almeida, M. O., Yamato, T. P., & Maher, C. G. (2016). Multidisciplinary biopsychosocial rehabilitation for nonspecific chronic low back pain. Physical Therapy, 96(6), 759-763.

Should Physicians Simply No Longer Offer Opioids As a Treatment Option for Chronic Low Back Pain? (2015) The Back Letter, 30(1), 1-10. doi:10.1097/01.back.0000459754.20383.66

Tagliaferri, S. D., Mitchell, U. H., Saueressig, T., Owen, P. J., Miller, C. T., & Belavy, D. L. (2022). Classification approaches for treating low back pain have small effects that are not clinically meaningful: A systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 52(2), 67-84.

Tamartash, H., & Bahrpeyma, F. (2022). Evaluation of Lumbar Myofascial Release Effects on Lumbar Flexion Angle and Pelvic Inclination Angle in Patients with Non-Specific Low Back Pain. International Journal of Therapeutic Massage & Bodywork, 15(1), 15.

Widerström, B., Rasmussen-Barr, E., & Boström, C. (2019). Aspects influencing clinical reasoning and decision-making when matching treatment to patients with low back pain in primary healthcare. Musculoskeletal Science and Practice, 41, 6-14.

Williams, W., & Selkow, N. M. (2019). Self-myofascial release of the superficial back line improves sit-and-reach distance. Journal of sport rehabilitation, 29(4), 400-404.

Wilson, N., Pope, C., Roberts, L., & Crouch, R. (2014). Governing healthcare: finding meaning in a clinical practice guideline for the management of non-specific low back pain. Social Science & Medicine, 102, 138-145.

Zadro, J., O’Keeffe, M., & Maher, C. (2019). Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review. BMJ open, 9(10), e032329.

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty

There are no known relevant financial relationships to disclose.

Course Creator

Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS – None to report.

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There is no commercial support for this distance-learning course.

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 3:30pm US Pacific Time.

6:30pm - 7:30pm ET: Lumbar examinations recommended by APTAs CPG to identify mobility impairments. Classification of low back pain: acute, subacute and chronic categories.
7:30pm - 8:30pm ET: Manual Therapy interventions to manage lumbar mobility deficits using myofascial and positional release. Muscle energy techniques, case studies, review of the evidence for manual therapy to improve function and quality of life for people with LBP

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