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Manual Therapy for Lumbar, Sacroiliac, & Pelvic Dysfunctions

Shane Malecha, PT, DPT, MS, CSCS
6 Hours 07 Minutes
Nov 09, 2018
Product Code:
Media Type:
DVD - Also available: Digital Seminar


Simplify the complexity of low back pain in this hands-on based seminar. Improve your evaluation and treatment skills for the most common lumbar and sacroiliac joint dysfunctions from a manual therapy perspective. Discover a streamlined approach for care of the lower back that is applicable to both acute and chronic conditions using manual techniques such as mobilization and articulation. A brief overview of stabilization exercises will also be covered to ensure long-term effectiveness of the manual corrections. Attendees will be able to immediately utilize these techniques to improve their clinical efficiency.


* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 self-study continuing education credits.

CE Broker

Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Shane Malecha, PT, DPT, MS, CSCS's Profile

Shane Malecha, PT, DPT, MS, CSCS Related seminars and products

Physical Therapist

Aegis Therapies

Shane Malecha holds advanced degrees in Physical Therapy and Biology. He is also certified by the NSCA as a strength and conditioning specialist. His clinical experience includes six years of practice in a variety of settings, including out-patient, in-patient, neurological rehabilitation, and sports medicine. One of his areas of specialization is in spinal assessments and rehabilitation along with fall prevention. Dr. Malecha also contributes his time to the Journal of Orthopedic and Sports Physical Therapy as a reviewer, American Physical Therapy Association's Advisory Panel of Education, and the Special Olympics FUNFitness program.

Dr. Malecha has practiced for Aegis Therapies since 2009. Other experiences include having been a director of a home health agency and staff clinician for an orthopedic/sports medicine clinic. Dr. Malecha graduated from Massachusetts General Hospital's Institute of Health Professions with a doctoral degree in 2006. He received his Masters Degree in Science in 2004 from the University of Wisconsin-LaCrosse, and a B.A. in Biology/Pre-Medicine from St. Mary's University of Minnesota in 2001.

Dr. Malecha has lectured extensively in the areas of medical screening for physical therapy, Lumbar/Thoracic and Cervical evaluation and treatment, vestibular rehabilitation, and fall prevention.


Speaker Disclosures:

Financial: Shane Malecha is receiving a fee for speaking at today's educational activity.

Nonfinancial: Shane Malecha has no relevant nonfinancial relationships to disclose. 

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Analyze basic anatomy and the pathomechanics of low back pain
  2. Identify the principles of manual therapy for the lower back and SI joints
  3. Demonstrate proper manual therapy techniques for a lower back patient
  4. Review the most common low back dysfunctions
  5. Discuss the appropriate application of “progression of forces” concept
  6. Integrate stabilization exercises for maintenance of manual corrections



  • Goals of the first visit
  • Empathy vs sympathy
  • Establishing consistency
  • Avoiding clinical blindness
  • Who should be referred to therapy
  • Red flags
  • Keys to subjective and objective evaluations


  • Predisposing factors
  • Bony Anatomy of the Lumbar Spine
  • Soft tissue anatomy of the Lumbar Spine
    • Ligamentous support
    • Muscular support
    • Intervertebral disc
  • Biomechanics of the Lumbar Spine
  • Common Diagnoses
    • Degenerative Joint Disease
    • Spondylosis
    • Spondylolysis
    • Spondylolisthesis
    • Disc protrusion
    • Herniated Nucleus Pulposis


  • The key to subjective history
  • Posture assessment
    • Sitting, Standing, dynamic, lordosis, lateral shift
  • Movement loss
    • How much
    • Quality of the movement
    • Willingness to move
    • Lateral deviation
  • Repeated Movements
    • What happens during movement
    • What happens because of the movement
  • Static tests
  • Neurological
    • Motor/sensory deficit
    • Reflexes
    • Dural signs
  • Other considerations
    • Hip/SI joint clearing tests
    • Spondylolisthesis
    • Intermittent claudication tests


  • Treatment of the acute patient
    • Modalities
    • Mid-range movement techniques
  • Sub-acute/chronic patient
    • Postural syndrome
    • Dysfunction syndrome
    • Adherent Nerve Root
    • Derangement
  • Treatment
    • Reduction
    • Maintain
    • Recovery of function
    • Prevention
  • Manual Therapy techniques
    • Prone extension with manual overpressure
    • Prone Lumbar extension mobilization
    • Flexion Rotation mobilization

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Massage Therapists
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers



Overall:      5

Total Reviews: 1


Christina C

"Great Course!"

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