This course aims to help physiotherapists augment and consolidate their competence across the key areas of differential diagnosis and evidence-informed management of people with low back pain. This aligns with 'Deliberate Practice' - the process of embracing opportunity to grow in professional skill and knowledge. Clinical Reasoning is underpinned by Clinical Anatomy and, together with selected Clinical Examination tests, is used by physiotherapists in clinical decision-making about treatment or management strategies for low back pain.
Neurological Examination of patients can be challenging due to wide variability in clinical presentation, therefore this aspect of Clinical Examination receives focused attention in this course. Accuracy around neurological findings is imperative to identify deficits to which treatment can be directed, to differentiate neuropathic, nociceptive or nociplastic pain, for reports to doctors and to step up care to meet the Australian Clinical Care Standards for low back pain. Therapeutic exercise is a key tool in the challenge to help patients embrace self-efficacy strategies that can reduce their pain and improve their quality of life, therefore this course includes an Exercise Workshop session informed by research and clinical reasoning.
To facilitate contextual learning a detailed case presentation is used in the final session. This allows for integration of the day's learning and to comprehensively pull together evidence-informed aspects of patient management. This includes: diagnosis, appraisal of evidence, radiology, pain science education, strategic sign- and symptom-based treatment, self-management strategies, selecting and teaching exercises, habit stacking, documenting change and reporting to healthcare colleagues.