The Posterior Column Course

The Posterior Column Course

This course looks at those structures posterior to the vertebral body which includes the posterior column and spinal canal. I have included coverage of spinal stenosis in this course because patients with either symptomatic or asymptomatic spinal stenosis, often have symptomatic facet joint disorders concurrently. Separating these two issues requires some careful reasoning. The concepts of spinal stability and instability are included in this course too, because the facet joints and posterior column are key determinants in maintaining structural integrity and stability. The diagnoses of spondylolysis and spondylolisthesis are intertwined with discussion of the idea of spinal instability. Management strategies for these usually involve exercise therapies that, for better or worse, revolve around the notions or core strength and stability.

*Prerequisites - First Activities and Introduction Course, Principles of Clinical Diagnosis Course and Radicular Syndrome Course. 

There are four formal lessons in this course.

  • The first covers the diagnosis of pain arising from the zygapophyseal, that is, the facet joint.
  • The second investigates spondylolysis and spondylolisthesis
  • The third reviews symptomatic and asymptomatic spinal stenosis
  • And the fourth looks at the notion of lumbar spinal instability

There are cases studies in the lessons and two full video case studies of patients with the clinical diagnosis of facet joint pain.

There is a significant reading list. You will be required to read fully, one of our own papers on the diagnostic accuracy of the clinical assessment in relation to diagnostic blocks of the facet joints. This is a complex paper that brings together many features of the different dimension of diagnostic accuracy research, compared to research into outcomes and therapeutic efficiency.

There are quizzes for each topic in this course to test your understanding of the material.

*Prerequisites - First Activities and Introduction Course, Principles of Clinical Diagnosis Course and Radicular Syndrome Course.

 
Study time: 4hrs (approx.)

Duration: 30 days
Price: NZ$98.00