The Lower Quarter: 2021


Evidence-Based Evaluation and Treatment Utilizing Classification Systems, Manual Therapy and Exercise

Pain and dysfunction of the lower quarter are common presentations in the outpatient setting.   Conventional management often attempts to identify the painful structure and treat it directly. A more in-depth understanding of the drivers and mechanisms involved often reveal problems in other areas.

The course is designed to equip the clinician with the ability to differentially evaluate and treat the numerous causes of pain and dysfunction stemming from the lumbar spine, pelvis, hip, knee and ankle. This involves looking for the ‘drivers’ not just the painful structure.

Participants will learn to evaluate the influences of hip on the lumbar spine and visa versa. Assess and treat the hip knee and ankle joint dysfunction and use current evidence based treatment strategies for tendinopathies including gluteus medius and plantar fascia. The participant will also be taught how to evaluate motor patterns that can cause inappropriate loading of these structures.

The evaluation and treatment system taught will allow the participant to apply evidence supported, sound clinical skills to be more effective in this region.

An orthopedic manual therapy approach is presented that takes some of the New Zealand concepts and blends them with the eclectic evidence-based North American approach.   These are used to restore joint mobility followed by correct motor pattern motor facilitation and exercise.

This is a very practical course for a clinician in the outpatient setting.

Audience:ATs, PTs, PTAs



  • Evaluate the contributing factors of joint dysfunction
  • Evaluateprimary and secondary joint dysfunction
  • Effectively treat hypo- and hyper-mobile extremity joints
  • Use quick and effective tests to determine which joint is involved
  • Determine if there is a lumbar-pelvic component
  • Apply effective taping techniques to the lower extremity
  • Advise the patient in home management
  • Identify contra-indications of treatment


Day One

7:15 Sign in and breakfast

8:00 Introduction to orthopedic manual therapy

9:00 Implications of lower extremity imbalance

9:30 The six syndromes of the lumbar spine and pelvis

10:00 Break

10:10 Examination and testing of the pelvis, hip and lumbar spine

11:00 Treatment of lumbar derangement syndrome

12:00 Lunch (on own)

1:00 Treatment of dysfunction, combination, instability and stenosis syndromes

2:30 Break

2:40 Treatment of the pelvis

4:00 Application of lumbo-pelvic core stability

5:00 End of day one

Day Two

7:30 Breakfast

8:00 Application of lower extremity core stability

9:00 Examination of the hip

10:00 Break

10:10 Treatment of the hip

11:00 Examination of the knee

11:30 lunch (on own)

12:00 Treatment of the knee

01:00 Examination of the foot and ankle

01:45 Treatment of the foot and ankle

02:30 Integration of core stability and joint interplays

03:00 End of course

Categories: Orthopedic

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$0 1.6 CEUs, 16 CEHs
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