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This one-day course for primary care physicians, physician extenders, and medical and surgical spine specialists will present the latest evidence and methods for selecting which form of exercise will most effectively reduce and eliminate acute-to-chronic low back pain and return patients to their activities.  Didactic sessions by exercise experts will precede informal workshops intended to provide more detail. 

This course includes videotaped podium presentations in conjunction with audio slide lectures.  A post-course Evaluation and assessment questions will be given to help reinforce your knowledge.

Course Chairman:
Ron Donelson, MD, MS

Faculty:
Heidi Prather, DO, Ted Dreisinger, PhD, Joel Press, MD, Jo M. Fasen, PT, Enrique Pena, MD, Jerome Schofferman, MD

Agenda:

Evidence-Based Exercise Therapy: 

• Core Strengthening – J. Press (24:55)    
• Resistance Strength Training – T. Dreisinger (29:09)   
• Directional Preference-Based Exercise – R. Donelson (22:59)
• Functional Restoration – E.Pena (19:25)

Adjuncts to Exercise Therapy: 

• LBP’s Natural History & Remaining Active  - R. Donelson (12;50)  
• Exercise & Medications – H. Prather (27:37) 
• Exercise & Cognitive-Behavioral Therapy – J. Schofferman (15:43)
• Exercise & Manual Technique – J. Fasen (16:52)
• Exercise and the Aging Spine – T. Dreisinger  (20:29)

Workshops (Case presentations, Therapist Selection, Writing Exercise Prescriptions):

• Directional-Based Care – R. Donelson  (58:28)   
• Strengthening-Based Care- J. Press, T. Dreisinger, J. Fasen (59:29)  
• Functional Restoration – E. Pena (31:22)

This course was originally presented to a live audience at the NASS Spine Education and Research Center (SERC) on June 27, 2009, and adapted for online presentation. 

Continuing Medical Education (CME) Information
This activity has been planned and implemented in accordance with the Essential Areas and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The North American Spine Society is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality and scientific integrity of this CME activity.

The North American Spine Society designates this enduring material for a maximum of 5.75 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Medical Association has determined that physicians not licensed in the US to participate in this CME activity are eligible for AMA PRA Category 1 Credits™.

This course was released on 11/2/09, and is available for purchase through 11/1/12.

Appropriate Audience
Primary care physicians, physician extenders, and medical and surgical spine specialists

Learning Objectives
Upon completion of this course, participants should be able to:

• Assess the principles and methods of evaluating low back pain patients for a directional preference, core strengthening, resistance training and functional restoration program.
• Review the principles and methods of various forms of exercise treatment: patient-specific directional, core strengthening, resistance training and functional restoration.
• Gain insight into the interaction of exercise with low back pain natural history, medications, cognitive-behavioral and manual therapy.
   

Conflict of Interest Disclosure
All faculty provided estimated dollar amounts per the NASS Disclosure Policy through the NASS online disclosure module. NASS staff then translated that information into dollar ranges for purposes of this index, as well as for presentation at the meeting.

These ranges are as follows:

• None: Existing relationship but no remuneration in prior calendar year
• Level A: $100 to $1000
• Level B: $1,001 to $10,000
• Level C: $10,001 to $25,000
• Level D: $25,001 to $50,000
• Level E: $50,001 to $100,000
• Level F: $100,001 to $500,000
• Level G: $500,001 to $1M
• Level H: $1,000,001 to $2.5M
• Level I: Greater than $2.5M

Donelson, Ronald: Nothing to Disclose.
Dreisinger, Thomas E.: Nothing to Disclose.
Fasen, Jo M.: Nothing to Disclose.
Pena, Enrique B.: Nothing to Disclose.
Prather, Heidi: Nothing to Disclose.
Press, Joel M.: Consulting: Spine Advisory Board (None); Scientific Advisory Boards: United Health Care (None).
Schofferman, Jerome: Boards of Directors: American Academy of Pain Medicine (None); Fellowship Support: Medtronic Sofamor Danek (F), NuVasive (D).

Technical Requirements
The following hardware/software specifications must be met or exceeded to complete this course:

• Web browser and internet connection
• Computer equipped with audio output (speakers or headphones)
• Printer (to print PDF handout )
• Internet Explorer 7 or higher
• Adobe Reader 7 or higher
• Microsoft Silverlight (if you do not have the program on your computer, you will be prompted to install it)
• Disable pop-ups

Disclaimer
The material presented is made available by the North American Spine Society for educational purposes only. The material is not intended to represent the only, nor necessarily the best, method or procedure appropriate for the medical situations discussed; rather, it is intended to present an approach, view, statement or opinion of the faculty, which may be helpful to others who face similar situations. NASS disclaims any and all liability for injury or other damages to any individual attending the meeting and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by physicians or any other person.