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RRS Education Online Courses 8-Hour Bundle #7

Course Date

Start: 1st June 2020
End: 1st June 2023

Course Location

n/a, n/a, n/a, Canada


Course Description

BUNDLE #7 ($139.95)

Further information can be found at


COURSE 1 – Low Back Pain: Randomized Trials on Treatment

Review Titles (year posted):

  1. Supervised Exercise vs. SMT vs. Home Exercise for Chronic LBP – RCT +MP3 (2012)
  2. McKenzie Method vs. Spinal Manipulation for LBP +/- Peripheralization – RCT +MP3 (2012)
  3. Spinal Manipulation vs. Diclofenac for Acute Low Back Pain +MP3 (2013)
  4. Antibiotics for Chronic Low Back Pain: Double-Blind Randomized Controlled Trial +MP3 (2013)
  5. CHIRO Study: RCT on Clinical Practice Guideline use in Acute LBP +MP3 (2011)

Learning Objectives:

  1. Investigate the relative short- and long-term efficacy of high-dose, supervised low-tech trunk exercise, spinal manipulation and home exercise with advice for the treatment of chronic low back pain
  2. Compare the effects of the McKenzie method with spinal manipulation for patients with persistent low back pain with centralization or peripheralization
  3. Determine the efficacy of spinal manipulation versus NSAID medication (Diclofenac) for acute low back pain
  4. Critique and understand the controversial and widely publicized study on antibiotics for chronic low back pain
  5. Recognize the value of Clinical Practice Guideline-based care versus usual medical care for acute mechanical low back pain


COURSE 2 –  Headaches 102

Review Titles (year posted):

  1. Clinical Reasoning for Manual Therapy Management of Tension-Type & Cervicogenic Headaches +MP3 (2014)
  2. Headaches in Children: Updates on Complimentary Treatments +MP3 (2014)
  3. Mechanism of Manual Therapy in Chronic Tension-Type Headache +MP3 (2013)
  4. Manual Therapy for Chronic Tension-Type Headache +MP3 (2011)
  5. Neck Exercises for Cevicogenic Headache +MP3 (2011)

Learning Objectives:

  1. Appraise and critique the rationale and supporting evidence for utilizing manual therapy in the management of cervicogenic and tension-type headaches
  2. Summarize the current evidence surrounding alternative therapies used in the treatment of primary headache syndromes of childhood
  3. Evaluate the effectiveness of manual therapy for improving headache frequency, impact and medication usage in patients with chronic tension-type headache
  4. Examine the extent to which changes in specific cervical spine impairments contribute to the effectiveness or ineffectiveness of treatment for chronic tension-type headache
  5. Determine the effectiveness of strength and/or endurance exercise in patients with neck pain with or without cervicogenic headache


COURSE 3 – Lumbar Disc Herniation 101: Centralization, Directional Preference & Physical Exam

Review Titles (year posted):

  1. Centralization in Patients with Sciatica: Is There a Relation to Outcomes & Disc Lesion Types? +MP3 (2012)
  2. Directional Preference Management for LBP: Systematic Review +MP3 (2012)
  3. Centralization & Directional Preference: Systematic Review +MP3 (2013)
  4. Accuracy of Physical Examination for Identifying the Level of Lumbar Disc Herniation +MP3 (2011)
  5. Neurological Examination to Diagnose Lumbar Disc Herniation: Systematic Review & Meta-Analysis +MP3 (2013)

Learning Objectives:

  1. Summarize the research literature on centralization and directional preference
  2. Correlate the characteristics of disc lesions with the prevalence of certain pain responses following repeated movement, baseline pain responses and prognosis
  3. Evaluate the research literature regarding the effectiveness of directional preference management for low back pain patients
  4. Critique the diagnostic accuracy of individual neurologic tests (and their combinations) for accurately identifying the spinal level of disc herniations
  5. Summarize the literature pertaining to the accuracy of peripheral neurological examination techniques for identifying lumbar disc herniation


COURSE 4 – Neurological Differential Diagnosis 101

Review Titles (year posted):

  1. Differential Diagnosis of Foot Drop Via Assessment of Hip Abduction Strength +MP3 (2013)
  2. Abduction-Extension Cervical Nerve Root Stress Test +MP3 (2013)
  3. Fingertip-to-Floor Test & Straight Leg Raise in LBP +MP3 (2013)
  4. Double Crush Syndrome – A Delphi Study +MP3 (2012)
  5. Relationship Between Intervertebral Disc Degeneration & Herniation +MP3 (2014)

Learning Objectives:

  1. Assess the diagnostic validity and reliability of assessing hip abductor power for differentiating between lumbar radiculopathy and fibular (peroneal) neuropathy as a root cause of foot drop
  2. Determine the anatomical basis and clinical value of the Abduction Extension Cervical Nerve Root Stress Test (AECNRST)
  3. Explore and compare the validity, responsiveness and predictive value of the Fingertip-to-Floor Test and Straight Leg Raising Test in acute/subacute low back pain
  4. Compile a contemporary list of potential mechanisms to explain the occurrence of dual nerve disorders, or ‘double-crush’ syndrome
  5. Evaluate the consistency of the temporal relationship between intervertebral disc degeneration and subsequent herniation


COURSE 5 – Tendinopathy 101

Review Titles (year posted):

  1. Compressive Load – A Factor in Tendinopathy? +MP3 (2013)
  2. Managing Tendinopathy in Competing Athletes +MP3 (2014)
  3. Sports & Exercise-Related Tendinopathies: ISTS Review +MP3 (2014)
  4. Achilles & Patellar Tendinopathy Loading Programs: Systematic Review +MP3 (2013)
  5. Intrinsic & Extrinsic Mechanisms of Rotator Cuff Tendinopathy + MP3 (2011)

Learning Objectives:

  1. Summarize the current state of research literature on tendinopathy
  2. Assess the role for compression in typical tendinopathies encountered in clinical practice
  3. Apply current research to the in-season management of athletes with tendinopathy
  4. Synthesize outcomes and potential mechanisms for loading programs to rehabilitate Achilles and patellar tendinopathy
  5. Compare intrinsic and extrinsic mechanisms involved in the pathogenesis of rotator cuff tendinopathy


COURSE 6 – Pain 102: Clinical Miscellaneous

Review Titles (year posted):

  1. Neuropathic Pain: Mechanisms & Clinical Implications +MP3 (2014)
  2. Neuroanatomical Basis for Waddell’s Signs +MP3 (2011)
  3. Mechanism-Based Classification of Nociceptive, Neuropathic & Central Sensitization Pain: Summary of 3 Papers +MP3 (2013)
  4. Reliability of Body Pain Diagrams: Systematic Review +MP3 (2014)
  5. Complex Regional Pain Syndrome +MP3 (2014)

Learning Objectives:

  1. Summarize the current state of knowledge on neuropathic pain, with focus on how it differs from nociception
  2. Discuss the neuroanatomical basis for Waddell’s signs and why ‘nonorganic’ is not an appropriate way to classify them based on current pain research
  3. Differentiate symptoms and signs of central sensitization, peripheral neuropathic pain and nociceptive pain in patients with low back pain (with or without leg pain)
  4. Evaluate the test-retest, intra- and inter-examiner reliability of the body pain diagram for determining pain distribution and location for musculoskeletal conditions
  5. Review of the current literature regarding the epidemiology, diagnosis and management of Complex Regional Pain Syndrome


COURSE 7 – Pregnancy 101: Clinical Considerations

Review Titles (year posted):

  1. Chiropractic Treatment of Pregnant Patients: Prospective Cohort + MP3 (2014)
  2. Adverse Events from Spinal Manipulation in Pregnant & Post-Partum Patients +MP3 (2013)
  3. Physical Therapy Treatment Recommendations for Lumbopelvic Pain During Pregnancy: Systematic Review +MP3 (2014)
  4. Pregnancy-Related Pelvic Girdle Pain & Pelvic Biomechanics: Systematic Review +MP3 (2013)
  5. Micronutrient Supplementation & Pregnancy: Systematic Review +MP3 (2013)

Learning Objectives:

  1. Justify the chiropractic management of pregnant patients with low back or pelvic pain
  2. Identify potential adverse events and contraindications associated with spinal manipulation in pregnant and post-partum patients
  3. Assess the peer-reviewed literature on the effectiveness of physical therapy interventions in treating lumbopelvic pain during pregnancy
  4. Outline the connection between pregnancy-related pelvic girdle pain and biomechanical changes during pregnancy
  5. Evaluate the effect of supplementing various combinations and types of micronutrients on the course and outcomes of pregnancy


COURSE 8 – Acupuncture 101: Safety & Efficacy

Review Titles (year posted):

  1. Acupuncture for Acute Low Back Pain – Systematic Review +MP3 (2013)
  2. Cost-Effectiveness of Acupuncture for Chronic Low Back Pain +MP3 (2014)
  3. Acupuncture for Chronic Pain: Individual Patient Data Meta-Analysis +MP3 (2013)
  4. Safety of Acupuncture During Pregnancy: Systematic Review +MP3 (2014)
  5. Effects of Acupuncture on Brain Activity in Migraine Patients +MP3 (2015)

Learning Objectives:

  1. Critically evaluate the current evidence for acupuncture as a treatment for acute low back pain
  2. Evaluate the cost-effectiveness of acupuncture alone and as a complement to standard care for chronic low back pain
  3. Assess the value of acupuncture in the treatment of chronic pain
  4. Appraise the literature pertaining to the safety of acupuncture for pregnant women
  5. Compare differences in brain activation patterns in migraine patients before and after long-term treatment with real or sham acupuncture


Instructor: Dr. Shawn Thistle

INSTRUCTIONS FOR USERS: Completing Courses & Getting Your Certificates

  1. Log In and go to the E-Learning Menu tab and choose ‘MY COURSES’ under that tab.
  2. Click on the course title to enter the course-ware work space and proceed through each lesson page using the navigation at the bottom of the lesson page.
  3. Complete the Multiple Choice Quiz for the course. NOTE: A score of 100% is required to be issued with a certificate. You can repeat the quiz if necessary – there is no limit to the number of times you can take the quiz.
  4. Click on SUBMIT & FINISH. The next box shows you the quiz and at the top it shows if you achieved 100% and if not it will indicate which answers were incorrect. To redo the quiz you need to click on ‘Reattempt The Quiz’ at the bottom
  5. Do the quiz again to correct any questions and click on SUBMIT & FINISH again.
  6. Certificates can be downloaded after Quiz completion. NOTE: The system takes up to 5 min. to process the certificate for download so it may not generate immediately with a completion date on it. You can also go to the MY CERTIFICATES link in the top menu of the course-ware workspace and download it at any time.
  7. NOTE: Use the navigation system at the bottom of each page to proceed through the course and Quiz.


Course Credits


Course Contact Name

Dr. Shawn Thistle

Course Contact Email