Utilization of Directional Preference and Centralization in Patients with Cervicogenic and Lumbo-Pel

Date: April 13th-14th, 2019
Cost: $395
Speaker: Guillermo (Bill) Cutrone PT, DCs, OCS, Cert. MDT, FAAOMPT
Contact Hours: Approximately 16 Hours
Open To: PT

Current evidence-based-practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments proposes the use of selective strategies according to different clinical patterns. The literature published in the last three decades offers a clear ongoing evolution of different classification systems. These systems are converging rather than competing into a common
treatment-based classification. However, different classification systems are still not consistently interpreted by physical therapists of various clinical backgrounds.
Directional Preference and Centralization are two widely used constructs in the Mechanical Diagnosis and Therapy, as well as in the Treatment-Based Classifications.
This course deepens on the integration of these strategies to efficiently identify patients who may benefit from specific exercises in combination with manual therapy techniques.


  • Evolution of classification systems in the last 70 years
  • Clinical and research implications of sub classification of patients into groups based on clinical patterns.
  • Description of Treatment-Based Classifications for patients with Cervico-Thoracic and Lumbo-Pelvic Regions.
  • Operational Definitions of Directional Preference and Centralization.
  • Prevalence and Predictive Validity of Directional Preference and Centralization.
  • Clinical evaluation based on Repeated Movement Patterns.
  • Selection of interventions according to patient’s response.
  • The value of combining therapeutic exercises, manual therapy techniques, education, and pain science principles for a more efficient management of patients with CT, and LP impairments.

For additional questions about course content, contact Carrie.Stella@bellin.org

To register online, please click here.