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1 Treatment of the Lumbar Spine A Non-Operative Approach October 16-17, 2015 Provided by the HSS Office of Continuing Medical Education and Department of Rehabilitation Overview Patients suffering from lumbar spine disorders make up one of the largest populations seeing healthcare services. These pathologies are highly prevalent across all age groups and physical therapists must have current, evidence based-knowledge and advanced skills to provide superior care to this challenging population. Integrated knowledge and a proper understanding of anatomy, biomechanics, age-related pathophysiology, red flags, differential diagnosis and core stabilization techniques are essential for any clinician managing the lumbar spine. This activity s lecture and lab components prepare clinicians to more effectively treat lumbar spine disorders. Target Audience This activity is targeted to physical therapists and physical therapist assistants. Learning Objectives HSS professional education activities are intended to improve the quality of patient care and safety. At the completion of the course, the participant should be able to: Identify pertinent anatomy and biomechanics related to the core and lumbar spine. Describe age-specific pathophysiology of the lumbar spine. Select appropriate movement screens in evaluating for spine pathology. Implement special tests for the lower quarter that are used in different diagnosis of spine pathology. Recognize red flag findings and their use in differential diagnosis of spine pathology. Discuss treatment algorithms for lumbar spine disorders. Accreditation & Credit Designation is a New York State Education Department approved provider for physical therapy continuing education. designates this activity for a maximum of 12.0 Contact Hours onsite and 9.0 online. This activity is pending approval in New Jersey and Florida. The following states require continuing education units with no state-specific approval: CT, DE, IA, ID, MO, MT, NC, ND, NE, OR and WA. This activity is pending approval for CCUs by the Federation of State Boards of Physical Therapy (FSBPT) and therefore would be accepted by the physical therapy regulatory boards/agencies in certain U.S. jurisdictions. The CCU amount will be determined by the FSBPT. The physical therapy boards in the following states currently accept the Federation of State Boards of Physical Therapy (FSBPT) certification: AL, AR, AZ, CA, DE, Washington DC, GA, IN, KS, KY, MT, NE, NC, OR, SC, TN, UT, VT, VA and WI. Financial Disclosure Policy In accordance with the Accreditation Council for Continuing Medical Education s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the Activity Directors, planning committee members, planners, authors and staff involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. It is the policy of to request all financial relationships that Activity Directors, planning committee members, planners, authors and staff have with commercial interests, but to disclose to the activity audience only the relevant financial relationships/commercial interests.

2 Activity Co-Directors Jason Mayerhofer, PT, MSPT, MTC, CSCS, SFMA, has disclosed no relevant financial relationships. Scott Siverling, PT, OCS, has disclosed no relevant financial relationships. Robert Turner, PT, OCS, MS, OM, LAc, PMA - CPT, has disclosed no relevant financial relationships. Planning Committee Amy DeRobertis Stair, MS, has disclosed no relevant financial relationships. Lauren Hee has disclosed no relevant financial relationships. Karen Juliano, PT, has disclosed no relevant financial relationships. HSS Faculty Sarah B. Andrus, PT, DPT, has disclosed no relevant financial relationships. Eric Bogner, MD, has disclosed no relevant financial relationships. Paul M. Cooke, MD, has disclosed no relevant financial relationships. Erin Corbo, PT, DPT, OCS, CKTP, has disclosed no relevant financial relationships. Jaime Edelstein, PT, DScPT, OCS, COMT, CSCS, has disclosed no relevant financial relationships. Jonathan S. Kirschner, MD, RMSK, has disclosed no relevant financial relationships. Hector Lozada, PT, DPT, MCMT, CKTP, has disclosed no relevant financial relationships. Christine Lynders, PT, OCS, has disclosed no relevant financial relationships. Jocelyn Mastropolo, PT, DPT, PMA - CPT has disclosed no relevant financial relationships. Peter J. Moley, MD, has disclosed no relevant financial relationships. Aija Paegle, PT, CFMT, CPI, has disclosed no relevant financial relationships. Matthew Pugliese, PT, DPT, OCS, MTC, Cert MDT, SFMA, has disclosed no relevant financial relationships. Anna Ribaudo, PT, DPT, OCS, CKTP, has disclosed no relevant financial relationships. Dana Rose, PT, DPT, OCS, has disclosed no relevant financial relationships. Varsha Seemangal, PT, DPT, MST, has disclosed no relevant financial relationships. Cara Senicola, PT, DPT, OCS, USATF-1, CYT, has disclosed no relevant financial relationships. Erin Singleton, PT, DPT, OCS, has disclosed no relevant financial relationships. Vijay B. Vad, MD, has disclosed the following relevant financial relationship and will be discussing products/services of the commercial interests with which relationships exist. - Founder Vad Scientific, LLC

3 Seth A. Waldman, MD, has disclosed no relevant financial relationships. James F. Wyss, MD, PT, has disclosed the following relevant financial relationship and will be discussing products/services of the commercial interests with which relationships exist. - Royalty: Demos Medical Publishing, Inc. Office of CME staff and CME Committee members have no relevant financial relationships to disclose regarding this activity.

4 AGENDA Friday, October 16 8:30 am Breakfast/Registration* 8:55 am Opening Remarks* 9:00 am Anatomy and Biomechanics Hector Lozada, PT, DPT, MCMT, CKTP 9:30 am Pathophysiology of the Developing Spine Varsha Seemangal, PT, DPT, MST 10:00 am Pathophysiology of the Mature/Adult Spine Dana Rose, PT, DPT, OCS 10:30 am Pathophysiology of the Senior/Degenerative/Aged Spine Erin Singleton, PT, DPT, OCS 11:00 am Q&A/Panel Discussion 11:20 am Break* 11:40 am Biomechanical Examination Erin Corbo, PT, DPT, OCS, CKTP Anna Ribaudo, PT, DPT, OCS, CKTP 12:25 pm Red Flags in the Lower Quarter Examination Matthew Pugliese, PT, DPT, OCS, MTC, Cert MDT, SFMA 12:45 pm Lumbar Radiculopathy and Referred Pain from the Lumbar Spine James F. Wyss, MD 1:15 pm Q&A/Panel Discussion 1:30 pm Lunch (on your own)* 2:30 pm Why Making the Diagnosis Matters Jonathan S. Kirschner, MD, RMSK 2:50 pm Differential Diagnosis: Lumbopelvic Region Peter J. Moley, MD 3:10 pm Pain Management Seth A. Waldman, MD 3:30 pm Biorestorative Therapies in the Spine Vijay B. Vad, MD 3:50 pm The Functional Lumbar Screen Jason Mayerhofer, PT, MSPT, CSCS, SFMA

5 4:20 pm Imaging of the Spine Eric Bogner, MD 4:50 pm Q&A/Panel Discussion 5:10 pm Adjourn* Saturday, October 17 8:30 am Breakfast/Registration* 8:55 am Opening Remarks* 9:00 am Conventional Spine Procedures and What s New on the Horizon Paul M. Cooke, MD 9:20 am Q&A 9:25 am Developing a Treatment Algorithm Jaime Edelstein, PT, DScPT, OCS, COMT, CSCS 10:10 am Exercise Prescription in the Lumbopelvic Region Scott Siverling, PT, OCS 10:55 am Q&A/Panel Discussion 11:15 am Break* 11:35 am The Lumbar Examination - Demonstration Robert Turner, PT, OCS, MS, OM, LAc, PMA, CPT Live Streaming Ends 12:05 pm Break and Travel to Lab Session Location* 12:20 pm Lab I - The Lumbar Examination will be in Lecture Halls B&C HSS Faculty 1:00 pm Lunch (on your own)* 2:00 pm Lab II Incorporating Mat Based Yoga Exercises Sarah B. Andrus, PT, DPT Cara Senicola, PT, DPT, OCS, USATF-1, CYT Finding Stability Hector Lozada, PT, DPT, MCMT, CKTP Scott Siverling, PT, OCS Location Lecture Hall A Lecture Hall B Identifying Individual Movement Pattern Dysfunctions Orthopedic Physical Therapy Center Jason Mayerhofer, PT, MSPT, MTC, CSCS, SFMA Matthew Pugliese, PT, DPT, OCS, MTC, Cert MDT, SFMA

6 The Stiff Back Robert Turner, PT, OCS, MS, OM, LAc, PMA, CPT Christine Lynders, PT, OCS Sports 3:00 pm Break* 3:15 pm Lab III Incorporating Mat Based Pilates Exercises Jocelyn Mastropolo, PT, DPT Aija Paegle, PT, CFMT, CPI Finding Stability Scott Siverling, PT, OCS Hector Lozada, PT, DPT, MCMT, CKTP Location Lecture Hall A Lecture Hall B Identifying Individual Movement Pattern Dysfunctions Orthopedic Physical Therapy Center Jason Mayerhofer, PT, MSPT, MTC, CSCS, SFMA Matthew Pugliese, PT, DPT, OCS, MTC, Cert MDT, SFMA The Stiff Back Robert Turner, PT, OCS, MS, OM, LAc, PMA, CPT Christine Lynders, PT, OCS Sports 4:15 pm Adjourn* * Not approved for credit

7 Activity Co-Directors Jason Mayerhofer, PT, MSPT, MTC, CSCS, SFMA Physical Therapy Affiliated with Scott Siverling, PT, OCS Clinical Supervisor Robert Turner, PT, OCS, MS, OM, LAc, PMA, CPT Clinical Supervisor Spine Therapy Center HSS Faculty Sarah B. Andrus, PT, DPT Physical Therapy Affiliated with Eric Bogner, MD Associate Attending Radiologist Associate Professor of Clinical Radiology Paul M. Cooke, MD Assistant Attending Physician Attending Physician, The Medical Center of Princeton Erin Corbo, PT, DPT, OCS, CKTP Jaime Edelstein, PT, DScPT, OCS, COMT, CSCS Director Regional Off-Site Rehabilitation Facilities Jonathan S. Kirschner, MD, RMSK Assistant Attending Physiatrist Assistant Professor of Physiatry Hector Lozada, PT, DPT, MCMT, CKTP Orthopaedic Physical Therapy Resident Joint Mobility Center Christine Lynders, PT, OCS FACULTY

8 Jocelyn Mastropolo, PT, DPT, PMA -CPT Peter J. Moley, MD Assistant Attending Physiatrist Assistant Professor of Clinical Rehabilitation Medicine Aija Paegle, PT, CFMT, CPI Matthew Pugliese, PT, DPT, OCS, MTC, Cert MDT, SFMA Clinical Supervisor Joint Mobility Center Anna Ribaudo, PT, DPT, OCS, CKTP Dana Rose, PT, DPT, OCS Spine Therapy Center Varsha Seemangal, PT, DPT, MST Cara Senicola, PT, DPT, OCS, USATF-1, CYT Clinical Supervisor Physical Therapy Affiliated with Erin Singleton, PT, DPT, OCS Spine Therapy Center Vijay B. Vad, MD Assistant Attending Physiatrist Assistant Professor of Rehabilitation Medicine Seth A. Waldman, MD Director, Division of Pain Management Assistant Attending Anesthesiologist Clinical Assistant Professor of Anesthesiology James F. Wyss, MD, PT Assistant Attending Physiatrist Assistant Professor of Clinical Rehabiliation Medicine

9 Notes to Participants: PROGRAM The Office of Continuing Medical Education is an environmentally green CME operation. We no longer reproduce extensive paper-bound conference materials rather we distribute this booklet which you have received to take notes. All presentations and/or outlines will be captured and distributed exclusively to meeting participants via the following link: Access Key: SPINE2015 EVALUATION In keeping with our green CME operation, we no longer print paper evaluations, but instead utilize an online evaluation module. Please take a moment after the course to fill out the following survey: CERTIFICATE Once you complete the online evaluation you will be able to print your certificate. Please do not complete the survey on your mobile device as you will not be able to print out your certificate. For more information please contact: Wanda M. Napolitano Senior Events and Marketing Coordinator Education & Academic Affairs Tel:

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