Manual Therapy for Lumbar, Sacroiliac, & Pelvic Dysfunctions – Shane Malecha

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Manual Therapy for Lumbar, Sacroiliac, & Pelvic Dysfunctions by Shane Malecha,
Salepage link: At HERE. Archive:

Shane Malecha
6 Hours 7 Minutes
Audio and Video
Nov 09, 2018


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.




  • 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


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

Shane Malecha, PT, DPT, MS, CSCS Related seminars and products: 2

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. 

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