The Key to Dynamic Segmental Stability - Focus on the Multifidus

Overview

This course provides an in-depth exploration of dynamic segmental stability with a central focus on the role of the multifidus muscle. Limiting structures across different regions of the spine are examined.  For the mid-cervical spine, students will analyze both ligamentous and muscular components that influence stability. The thoracic spine section adds consideration of rib involvement alongside ligamentous and muscular structures. In the lumbar spine, the discussion expands to include bony architecture, highlighting the multifactorial nature of support in this region.

The central component of the course is a detailed study of the multifidus and its role within the broader concept of core stabilization. Students will explore how this muscle contributes to maintaining spinal integrity and facilitating movement.  A brief discussion of the deep core will complement the discussion of multifidus and offer information on further study of the core.

The course compares contemporary perspectives on instability with historical views, such as those of Panjabi from 1992, and covers key elements like sensorimotor and neuromuscular control. Types of mobility and instability—angular, linear, hypermobility, and associated limiting factors—are also addressed.

A discussion of spinal instabilities—both normal and pathological is studied. Pathologies related to instability are examined through both congenital and acquired lenses, with particular attention given to trauma and degenerative processes.

Hands-on lab sessions complement the theoretical content, providing practical training for each spinal region. For the cervical spine, techniques include non-weight-bearing exercises, block head maneuvers, eccentric-concentric loading, and home exercise programs (HEP). The thoracic and lumbar regions follow a similar format, offering both non-weight-bearing and weight-bearing approaches, as well as corresponding HEPs. Additionally, students will gain exposure to electro-stabilization methods as a modality for enhancing segmental control.

Learning Objectives

By the end of this course, participants will be able to:

1. Explain the principles of linear and angular motion as they relate to spinal movement.
2. Demonstrate the ability to locate and palpate multifidus.
3. Identify and summarize common spinal instability pathologies.
4. Describe the anatomy of the lumbar spine, emphasizing key limiting structures and the role of the multifidus in dynamic muscular control.
5. Explain the chronic adaptations of the multifidus muscle in response to dysfunction.
6. Demonstrate targeted, non-weight-bearing segmental stabilization techniques for the cervical, thoracic, and lumbar regions of the spine.

Audience

This course is designed for all healthcare professionals, including physiotherapists, chiropractors, and kinesiologists, who wish to expand their knowledge and skill set in treating the hip and gain a better understanding of the function and training of the multifidus.  For clinicians from the US.  You can apply to your licensing board for CEUs as an individual at a nominal cost.  ie, Florida is approximately $20.00 per course.  If you require additional information to receive CEUs for this course for your individual state, contact your licensing board.  If you require additional information about the course to receive CEUs, feel free to message me.