This 4-day course is designed to provide the fellow student with advanced clinical skills for diagnosing and treating specific syndromes affecting the lumbar spine by recognizing signs and symptoms related to those syndromes. Through lecture and demonstration, the following topics will be covered: pathofysiology, joint manipulations, movement impairment syndromes of UE and LE, specific exercises to address movement impairment syndromes and specific pathology and advanced problem solving concepts as it relates to the extremities.