Online Physical Therapy Courses

Course Instructor

Robert Friberg, PT, PhD, CFMT is a professor in the Physical Therapy Program at Hardin-Simmons University. He teaches the kinesiology and orthopedics components of the curriculum. His clinical certification is the Certified Functional Manual Therapist© from the Institute of Physical Art. Dr. Friberg brings 35 years of clinical experience with a specialization in chronic pain associated with spinal dysfunction. His training includes experience with a variety of models for orthopedic practice. This experience led to a unique perspective for examination, evaluation and intervention of movement dysfunction associated with the spine. He has taught nationally on topics associated with the spine including manual therapy, motor control and stabilization. He has provided systematic spinal dysfunction training for national physical therapy groups. He has numerous clinical and research presentations at national meetings. His research interests include such topics as neurodynamics, the neuromechanical effects of posture, the relationship of reflexes in spinal dysfunction, and the role of muscle inhibition and facilitation in spinal movement dysfunction. Dr. Friberg currently has a private practice with consistent patient interaction.

Advanced Management of the Lumbar Spine and Pelvic Girdle


Lumbopelvic and hip movement dysfunction represent a large component of physical therapy practice. Yet many of us struggle with explaining how some patients improve and others do not. Developing a perspective regarding the nature of movement dysfunction is the key to improving outcomes. Movement dysfunction should be conceptualized as dysfunction within or between the body’s biomechanical and neuromechanical systems. Biomechanical dysfunction refers to abnormalities of the musculoskeletal system including the osteokinetics and arthrokinematics associated with creating movement. Neuromechanical dysfunction refers to abnormalities associated with the anatomy and physiology of the central, peripheral, and autonomic nervous systems influencing movement. The effective intervention for lumbopelvic spine and lower quarter movement dysfunction must integrate all anatomic/physiologic components of the lumbopelvic spine and lower quarter and be multi-system in scope. In other words, the intervention must integrate a biomechanical and neuromechanical perspective.

This two-day, advanced level course provides a unified biomechanic and neuromechanic model with strategies for the examination, evaluation, and intervention of the lumbopelvic spine and hip. The information presented in this course enables the clinician to utilize a new representation of the underlying mechanisms that contribute to lower quarter movement dysfunction. Much lumbopelvic dysfunction is unrecognized secondary to the traditional biomechanical examination and evaluation paradigms. Content for this course includes significant discussion of the scientific basis and rationale for an integrated biomechanical and neuromechanical orientation for rehabilitation.

The course incorporates lecture with substantial laboratory experiences. Laboratory sessions enable the participants to integrate both biomechanical and neuromechanical examination and intervention techniques and strategies for neuromechanical system components associated with movement dysfunction. These include for the nervous system, neurodynamics and the sympathetic component of the autonomic nervous system; the role of muscle facilitation and inhibition associated with the lumbosacral spine and hip; the vestibular system and motor learning. The use of a muscle energy technique is developed and implemented from a biomechanical and neuromechanical outlook.

The strategies developed for examination and intervention provided in this course work well with traditional approaches used for intervention of movement dysfunctions. Course information is immediately relevant and applicable in the clinical setting. Additionally, the concepts and principles learned in this workshop transfer to all movement dysfunction.

Category: Lumbar Spine, Pelvic Girdle, Physical therapy continuing education course

Professional Attendance: This continuing medical education course is applicable for physical therapists, physical therapy assistants, occupational therapists and athletic trainers.


  • Understand and describe the foundation for neuromechanical examination, evaluation and intervention techniques for the lumbopelvic region.
  • Describe the components of, and complete, a neuromechanical screen of the lower quadrant.
  • Recognize the role of the sympathetic nervous system in chronic pain and movement dysfunction.
  • Describe the mechanical and physiologic functional implications associated with movement of the nervous system and implement an examination to differentiate compression, sliding or tension dysfunctions.
  • Integrate concepts and principles of motor control with the fundamentals of neuromechanical dysfunction.
  • Explain inhibition and facilitation of lumbopelvic and lower quarter muscle dysfunction in the context of Janda’s “lower-crossed” model.
  • Describe the sequence of normal reflex development and assess the presence or absence of reflexes in the context of lumbopelvic and lower quarter movement dysfunction.
  • Describe the basic concepts and principles associated with the use of PNF.
  • Explain the relationship between the vestibular system and lumbopelvic spine movement dysfunction.
  • Explain the neuromechanical rationale for using a MET and integrate the MET with PNF to facilitate motor learning and control.
  • Utilize a neuromechanically organized mobilization to facilitate lumbopelvic segmental and extrasegmental motion.
  • Develop a comprehensive treatment approach to improve functional outcomes for lumbopelvic dysfunction.


Course Brochures are in Adobe PDF format. Right click and choose -Save Target- As to download brochure. If you would like to open the brochure in your browser windows, select the link.

Advanced Management of the Lumbar Spine and Pelvic Girdle



 

 

 

 

 

 


Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotelRegister
Jan 24, 15Jan 25, 15UHS-Summerlin Hospital

Las Vegas, NV


$450.0016.00View HotelsRegister
Mar 07, 15Mar 08, 15Multicare Tacoma General Hospital

Tacoma, WA


$450.0016.00View HotelsRegister
May 16, 15May 17, 15CJW Sports Medicine-Boulders

Richmond, VA


$450.0016.00View HotelsRegister
Nov 21, 15Nov 22, 15Englewood Hospital and Medical Center

Englewood, NJ


$450.0015.00View HotelsCall to Register

All courses are pre-approved by the state licensing boards for physical therapist and occupational therapist license renewal in the state the course is offered. For additional inquiry regarding approval in a particular state contact us



North American Seminars Inc. 1-800-300-5512 - physical therapy continuing education courses and occupational therapy continuing education courses

The medical content of this page was contributed by Robert Friberg, PT, PhD, CFMT. This page was updated on November 16 2014

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