Mark Laslett – Back Pain 201 Advanced Assessment – Physio Academy

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Mark Laslett – Back Pain 201 Advanced Assessment – Physio Academy
Access Dr Mark Lasletts’ 10 hour course on advanced clinical assessment of LBP. Improve your screening, differential diagnosis and treatment of low back pain/sciatica patients. Course includes practical tips for the clinic setting.
This course is designed for physiotherapists who have some experience and knowledge of assessment and treatment of patients with primary symptoms of back and / or referred lower limb pain. Although my course Back Pain 101 is not a pre-requisite, it is recommended for recent graduates or undergraduates.
Back Pain 201 opens the door for lumbar spine and pelvic diagnostics and treatment selection based on a broad perspective that includes pathoanatomy, neurophysiology and the psychosocial dimensions by teaching you the essentials of a comprehensive clinical history and physical examination.
By the end of this course you will be able to confidently identify:

Mechanical discogenic pain.
Radicular syndromes.
Spinal stenosis.
Sacroiliac joint pain.
Hip and buttock pain sources.

Course Structure:
Chapter 1: History and Screening

Red Flags
Pain Drawings
Advanced Clinical History
Psychosocial Screening Questionnaires
Observations of Lateral Shift &
Advanced Neurological Examination

Chapter 2: Centralisation & Directional Preference

The concept of Centralisation
Directional Preference
Implementing Repeated Movement Testing

Chapter 3: Non-Lumbar Pain Sources

Sacroiliac Joint Pain & Instability Assessment
Hip and Buttock Pain Assessment

Chapter 4: Putting It All Together

Efficient physical examination sequence
Utility of advanced assessment

Learning outcomes:

Able to identify red flag indicators of serious spinal pathology.
Understand and interpret pain drawings.
Make appropriate use of pre-screening health, pain, disability, sensitisation and psychosocial questionnaires.
Complete a detailed neurologic screening examination to identify radicular pain and radiculopathy.
Understand the history and concepts of the centralisation and directional preference phenomena.
Able to conduct a repeated movement / mechanical loading assessment to identify the subcategory for patients whose symptoms show directional preference or centralized.
Able to carry out reliable and validated sacroiliac joint pain provocations tests and understand interpretation of patient responses.
Able to carry out a standard orthopaedic medicine assessment for painful disorders of the hip and buttock structures.
Implement a practical sequence of assessment and testing that is efficient and practical within normal clinical settings.
Use clinical reasoning to interpret the clinical data derived from the advanced assessment.

Study time: 10 hours approximately + self directed reading
This course builds on Back Pain 101,  providing a structured assessment method that will be further expanded upon in the Back Pain 300 series.
Course curriculum
Introduction to Advanced Assessment

Where did you hear about this course?
Course Introduction from Mark Laslett
About Mark Laslett
Course Manual

Chapter 1: History & Screening

References for Chapter 1
Using Questionnaires
Quick Q & A Link
Pain Drawings
Pain Drawing Quiz
Red Flags
Red Flag Quiz
Advanced Clinical History
Select Questionnaire System
Notes of the Clinical History
Observations
Observations quiz
Neurologic Screening Examination
Neurologic Screening examination quiz

Chapter 2: Centralization & Directional Preference

References for Chapter 2
Centralisation: The Concept
The Test Movements
Practical Implementation
Centralization: A Case Study
Directional Preference
Case Study: Directional Preference to Extension
Case Study: Directional Preference to Flexion
Directional Preference to Side Gliding and Asymmetrical Extension
Chapter 2 Quiz. Centralisation & Directional Preference

Chapter 3: Non-Lumbar Pain Sources

References for Chapter 3
Sacroiliac Joint Assessment
SIJ testing: Pressure Variations
Hip Joint & Buttock Testing
Chapter 3 Quiz. Sacroiliac, Hip Joint & Buttock

Chapter 4: Practice Integration

References for Chapter 4
Notes of the Physical Examination
The Physical Examination Sequence
Physical Examination Quiz – assessment of Tom
Putting the pieces together
Using the Advanced Assessment
Self-Directed Reading Documentation
More Resources and Suggestions
Before You go…Course Evaluation

Instructor
Dr Mark Laslett

PhD, NZRPS, FNZCP, Dip.MT, Dip.MOT

Physiotherapy Specialist Musculoskeletal
Mark has over 50 years of clinical experience in musculoskeletal practice. He completed his PhD in “Diagnostic accuracy of the clinical examination compared to availale reference standards in chronic low back pain patients” at the University of Linköping, Sweden in 2001 and in 2014 he became the first Specialist Physiotherapist registered in New Zealand.
His academic and research interest is in the theory and practice of diagnostics, has over 40 publications, contributed chapters to two multi-author books and

published his own text Mechanical Diagnosis and Therapy: The Upper Limb in 1996.
He became a Fellow of the New Zealand College of Physiotherapy in 2007, was made an honorary Life Member of Physiotherapy New Zealand in September

2014, and of the New Zealand Manipulative Physiotherapists Association in 2015.
He continues to practice as a consultant clinician in Christchurch, NZ and remains active in clinical research.
More info about Mark Laslett:

https://www.marklaslett.nz/
Mark’s publication:

https://www.researchgate.net/profile/Mark-Laslett