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Managing Mechanical LBP and PGP - Telerehabilitation Friendly

Managing Mechanical LBP and PGP - Telerehabilitation Friendly

Managing Mechanical LBP and PGP - Telerehabilitation Friendly

This course includes
This course was recorded in October 2018


When taking a biopsychosocial approach, confidently saying to your patient that their pain is related to mechanical factors can be a real challenge.  Do you have a systematic way to rule in and rule out mechanical hip pain, low back pain, and pelvic girdle pain?

This online course will help healthcare professionals to consolidate their understanding of mechanical pain.

  • Is the pain back dominant, or leg dominant?
  • Do you use repeated movements or sustained postures with your patient?
  • How quickly should you expect your patient's symptoms to change? 
  • How do you communicate mechanical patterns of pain to your patients? 

These questions and more will be addressed in this course so that you can confidently look at the tissue-based drivers of low back pain, hip pain, and pelvic girdle pain.


Watch This Short Video Overview:


Learning Objectives

  • How to rule in/rule out mechanical low back and pelvic girdle pain.
  • How to demonstrate to your colleagues/referral sources that pelvic health is the missing link in orthopedic practice.
  • How to build confidence in predicting treatment outcomes in mechanical pain.
  • How to build strong self-efficacy in your patients when treating the mechanical component of low back pain and pelvic girdle pain.
  • The importance of using a biopsychosocial approach with patients suffering from persistent low back pain and pelvic girdle pain.


What’s Included In This Online Physiotherapy Course?

  • More than 5 hours of video lessons.
  • Bite-sized information: All of the content is broken down into bite-sized chunks, so that you can easily watch a video on your break, over lunch, or for a few minutes at night.
  • Lifetime access. You can return to this course at any time. If any material is updated or added, you will have access to the new content.
  • Certificate of completion. Once you've completed the course, you will receive a certificate for your professional portfolio.
  • Downloadable slides/workbook so you can follow along as you take the course.
  • Access to this course is through Embodia, and although some of the content may be downloadable (such as a workbook or slides if included), the majority cannot. This is to protect the instructor’s material and to prevent the content from being shared freely on the Internet.
  • Embodia is mobile-friendly and can be accessed by phone, tablet, and computer.
  • There is no start date or completion date. You can complete the course at your own pace.
  • You will be sent a receipt as soon as you purchase this course. This receipt can be used for education grants and for tax purposes.
  • A special coupon for 15% off any other online course on Embodia Academy when you’ve completed this course!
  • 17 patient exercises that can be shared with your patients electronically through Embodia with a $15/month subscription. This allows your patients to access what you send them on a mobile or web app, track their progress and receive push notifications to remind them to do their exercises. Click here to learn more about Embodia Home Exercise Program



This online course is for all rehabilitation professionals, including physiotherapists, physiotherapy assistants, occupational therapists, occupational therapy assistants, chiropractors, naturopathic doctors, athletic therapists, massage therapists, exercise therapists, medical doctors, nurses, midwives, kinesiologists among others. This course is also relevant for movement specialists, yoga teachers, yoga therapists, and those interested in learning more about pelvic floor health and wellness.

If you are interested in more courses and information about incorporating a biopsychosocial framework into your clinical practice, please visit us at


Can I Share a Course with a Friend or Colleague? How does the Group Discount Work?

Each course purchase is for a single viewer only, and may not be shared. If you are interested in group/staff viewing, please contact us at to arrange a group discount code specifically for your group. The larger the group, the larger the discount. Each individual must purchase separately with the discount code, and agree to the terms and conditions (legal). This provides each participant with their own copy to review at their pace, in addition to the opportunity to interact with colleagues as you all work collectively through the material.



Contact us at and we will respond to your request within 2 business days.


What "Managing Mechanical LBP and PGP" Students Have Said:

"I found this course quite helpful from a review standpoint for the mechanical assessment but more importantly, I feel better able to discern LBP or hip pain from a true PF dysfunction. And the module on SIJ “dysfunction” was also quite helpful as this is something that I have struggled with – clients with positive SIJ pain provocation tests but then what? 

Another thing I found especially helpful was how you pointed out that we need to be careful not to pathologize the PF. I think this is something I would have tended to do in my pain clients (either pelvic pain or hip or LBP). Now that I have this knowledge however, I need to step back and approach the PF like any other muscle group that might be a contributing factor to LBP or hip pain.

I have been making a concerted effort in the past year to improve clients’ self-efficacy and I believe this course really helps me to accomplish that goal."

-Nicole Pasut, PT, MPT, BHK


Please note:

This course is part of a course series designed for pelvic health and orthopaedic therapists alike. The series teaches Managing Mechanical LBP/PGP, Managing Hip Pain, and Marketing your Pelvic Health Practice). When you click Buy Course you will be offered an option to buy the course series together which is made up of 2 courses. This is strongly recommended. 

The instructors
Carolyn Vandyken

Carolyn is the co-owner of Reframe Rehab, a teaching company engaged in breaking down the barriers internationally between pelvic health, orthopaedics and pain science. Carolyn has practiced in orthopaedics and pelvic health for the past 37 years. She is a McKenzie Credentialled physiotherapist (1999), certified in acupuncture (2002), and obtained a certificate in Cognitive Behavioural Therapy (CBT) in 2017.

Carolyn received the YWCA Women of Distinction award (2004) and the distinguished Education Award from the OPA (2015). Carolyn was recently awarded the Medal of Distinction from the Canadian Physiotherapy Association in 2021 for her work in pelvic health and pain science.

Carolyn has been heavily involved in post-graduate pelvic health education, research in lumbopelvic pain, speaking at numerous international conferences and writing books and chapters for the past twenty years in pelvic health, orthopaedics and pain science.

Course Material included in this course
  • Course Primer
  • Welcome to this course!
  • What is Pain?
  • Nociceptors not Pain Sensors
  • Reconceptualizing Pain
  • What is Your Space of Possibility?
  • Developing a Therapeutic Alliance
  • Course Primer Feedback
  • Mechanical Pain
  • Interventions for Mechanical LBP
  • The Role of Posture in LBP
  • Low Back Pain and the Pelvic Floor
  • Letting Go of Your Bias'
  • Directional Preference Matters
  • Self Efficacy
  • History Taking: Listen, Listen, Listen
  • Questionnaires and Outcome Measures (Resource)
  • Mechanical Pain Feedback
  • Movement Patterns
  • Leg Dominant vs. Back Dominant Pain
  • Repeated Test Movements
  • Leg Dominant Pain
  • Positions for Leg Dominant Pain
  • Treating Back Dominant Pain
  • Positions for Mechanical Back Dominant Pain - Sagittal Plane
  • Positions for Mechanical Back Dominant Pain - Non Sagittal Pain
  • Movement Patterns Feedback
  • Patient Interview
  • History/Questionnaires - Part 1
  • History/Questionnaires - Part 2
  • History/Questionnaires - Part 3
  • Physical Assessment
  • Patient Interview Feedback
  • Types of Dysfunction and Stages of Treatment
  • Stages of Treatment
  • Biopsychosocial Framework for LBP
  • Types of Dysfunction and Stages of Treatment Feedback
  • Lecture Wrap Up
  • SI Joint Dysfunction and Pelvic Girdle Pain
  • Classification System for LBP / PGP
  • Mechanical Pain Should Make Sense
  • Lecture Wrap Up Feedback
  • What's Next
Patient Exercises included in this course
  • Step Standing Rotation to Open Up the Right Side
  • Step Standing Rotation to Close Down the Right Side
  • Step Standing Rotation to Open Up the Left Side
  • Step Standing Rotation to Close Down the Left Side
  • Easy Strengthening: Core and Pelvic Floor
  • Low Back Extension in Standing
  • 4 Point Extension
  • Sustained Side Lying Rotation
  • Seated Forward Bending
  • Side Glide in Standing
  • Repeated Flexion in Standing
  • Z-Lying
  • Mechanical Pain - Flexion Rotation to Left
  • Mechanical Pain - Flexion Rotation to Right
  • Mechanical Pain - Flexion Responder
  • Flexibility Routine for Mechanical Low Back Pain
  • Lumbar Rotation
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