Evidence-Based Practice 308: The Lumbar Spine

Instructor: Steven Yeomans, DC, FACO

The purpose of this course is to educate the attendee on evidence-based management of the lumbar spine including management algorithms, chiropractic vs. medical management, and coordinating care with allied health care providers when needed.

Course Outline:

1. Definition of evidence-based practice – lumbar spine

2. Review of LBP clinical reasoning in spine pain (CRISP).

– Diagnosis-Based clinical decision rule (DBCDR) – algorithm for assessment

· Review of LBP conditions – neurological vs. non-neurological

· Outcome assessment tool options for detecting red, yellow flags, LBP, spinal stenosis

– Subjective diagnostic methods

– Objective diagnostic methods

3. Goals of treatment

4. LBP conditions – unique strategies

5. Management strategies: treatment algorithm

· Diagnosis-Based clinical decision rule (DBCDR) – algorithm for assessment

· Exercise / rehab

– Special self-help strategies – ergonomics

6. Coordination of care with allied healthcare providers – pain management strategies (non-chiropractic, non-surgical treatment options)

7. Case studies

Learning Objectives:

Explain evidence based practice

Review of LBP clinical reasoning in spine pain (CRISP)

Examine LBP conditions – neurological vs. non-neurological

Relate Management strategies: treatment algorithm

This course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Georgia, Idaho, Illinois, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This course is accredited Internationally (CCE & PACE Approved)

Dr. Steven G. Yeomans began his practice in 1979 by joining his father as a third generation chiropractor in Ripon, WI. He completed a 5-year residency orthopedic program and became board certified in 1985. He accepted his first post-graduate teaching position with the National College of Chiropractic in 1989 and since, has acquired chiropractic post-graduate teaching positions with 7 other Chiropractic colleges. Since 1984, Dr. Yeomans has lectured abroad and throughout the U.S. and Canada on topics including Impairment and disability rating (currently 6th edition), Industrial consulting, carpal tunnel syndrome and cumulative trauma disorders, rehabilitation, whiplash, documentation, physical therapy, outcomes assessment and orthopedics. In the year 2000, the textbook, The Clinical Application of Outcomes Assessment was released by Appleton & Lange. He maintains his private practice in Ripon, WI with a partner and continues to actively write and lecture.