[{"data":1,"prerenderedAt":295},["ShallowReactive",2],{"site":3,"posts-\u002Fposts\u002Fppivms":100,"posts-surround-\u002Fposts\u002Fppivms":284},{"id":4,"accreditation":5,"archive":8,"buyBar":8,"courseName":9,"curriculumIntro":10,"curriculumLabels":8,"eligibility":11,"evidence":8,"extension":12,"finalCta":13,"footerColumns":14,"footerTagline":60,"hero":61,"improve":63,"included":65,"instructor":68,"kind":71,"landing":8,"meta":72,"moreTestimonials":8,"nav":79,"outcomes":87,"podcast":8,"pricing":89,"promoVideo":8,"siteMeta":91,"siteUrl":95,"spotlight":8,"statement":8,"stem":96,"testimonials":97,"testimonialsIntro":8,"trustStats":98,"__hash__":99},"site\u002Fsite.md",{"eyebrow":6,"heading":6,"body":6,"badges":7},"",[],null,"Clinical Edge blog",{"eyebrow":6,"heading":6,"intro":6},{"title":6,"body":6},"md",{"heading":6,"body":6,"signoff":6},[15,27,42],{"heading":16,"items":17},"Blog",[18,21,24],{"label":19,"href":20},"All posts","\u002F",{"label":22,"href":23},"RSS feed","\u002Frss.xml",{"label":25,"href":26},"Podcast","https:\u002F\u002Fpodcast.clinicaledge.co",{"heading":28,"items":29},"Learn",[30,33,36,39],{"label":31,"href":32},"Online courses","https:\u002F\u002Fwww.clinicaledge.co\u002Fonline-courses",{"label":34,"href":35},"Membership","https:\u002F\u002Fsignup.clinicaledge.co",{"label":37,"href":38},"About Clinical Edge","https:\u002F\u002Fwww.clinicaledge.co\u002Fabout",{"label":40,"href":41},"The team","https:\u002F\u002Fwww.clinicaledge.co\u002Fteam",{"heading":43,"items":44},"Support",[45,48,51,54,57],{"label":46,"href":47},"Contact support","https:\u002F\u002Fwww.clinicaledge.co\u002Fsupport",{"label":49,"href":50},"FAQs","https:\u002F\u002Fwww.clinicaledge.co\u002Ffaqs",{"label":52,"href":53},"Sign in","https:\u002F\u002Fwww.clinicaledge.co\u002Flogin",{"label":55,"href":56},"Terms and conditions","https:\u002F\u002Fwww.clinicaledge.co\u002Fterms-conditions",{"label":58,"href":59},"Privacy policy","https:\u002F\u002Fwww.clinicaledge.co\u002Fprivacy","The Clinical Edge blog. Practical, evidence-based articles, infographics and clinical resources for physiotherapists and allied health professionals.",{"badge":6,"headline":6,"intro":6,"image":6,"videoUrl":6,"videoTitle":6,"problemTitle":6,"problemParagraphs":62},[],{"eyebrow":6,"heading":6,"intro":6,"items":64},[],{"eyebrow":6,"heading":6,"intro":6,"items":66,"gallery":67},[],[],{"eyebrow":6,"heading":6,"lead":6,"paragraphs":69,"name":6,"title":6,"stat":70},[],{"value":6,"label":6},"blog",{"body":73},{"type":74,"value":75,"toc":76},"minimark",[],{"title":6,"searchDepth":77,"depth":77,"links":78},2,[],{"links":80,"ctaLabel":86,"ctaHref":35},[81,83,84,85],{"label":82,"href":20},"Home",{"label":25,"href":26},{"label":31,"href":32},{"label":34,"href":35},"Join Clinical Edge",{"eyebrow":6,"heading":6,"intro":6,"items":88},[],{"eyebrow":6,"heading":6,"intro":6,"note":6,"tiers":90},[],{"title":92,"description":93,"image":94},"Clinical Edge Blog","Enhance your assessment and treatment skills with practical, evidence-based articles, infographics and clinical resources from Clinical Edge, for physiotherapists and allied health professionals.","https:\u002F\u002Fs3-ap-southeast-2.amazonaws.com\u002Fclinedge\u002Fimages\u002FDavid\u002FDavid_headland.jpg","https:\u002F\u002Fblog.clinicaledge.co","site",[],[],"GE2t9YSJmnOI0HqhXHrVfcBu4o7_q6Io6G64zCNE9ps",{"id":101,"title":102,"body":103,"contentPath":267,"date":268,"description":124,"duration":269,"embedType":6,"embedUrl":6,"extension":12,"image":270,"meta":271,"metaDescription":124,"metaTitle":102,"navigation":272,"odooId":273,"pageType":274,"path":275,"seo":276,"series":6,"seriesSlug":6,"slug":277,"stem":278,"tags":279,"token":281,"updated":282,"__hash__":283},"posts\u002Fposts\u002Fppivms.md","Lumbar PPIVMs: Improve painful lumbar flexion, lateral flexion & rotation. Manual therapy part 3 with Simon Olivotto",{"type":74,"value":104,"toc":265},[105,118,125,136,139,142,148,151,154,157,160,176,179,193,196,202,207,210,215,218,223,226,231,234,239,242,254],[106,107,109],"div",{"style":108},"padding:56.25% 0 0 0;position:relative;",[110,111],"iframe",{"src":112,"frameBorder":113,"allow":114,"referrerPolicy":115,"style":116,"title":117},"https:\u002F\u002Fplayer.vimeo.com\u002Fvideo\u002F1107268990?badge=0&autopause=0&player_id=0&app_id=58479","0","autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share","strict-origin-when-cross-origin","position:absolute;top:0;left:0;width:100%;height:100%;","PPIVM promo video",[119,120,121],"p",{},[122,123,124],"strong",{},"Master passive physiological intervertebral movement (PPIVM) assessment and treatment techniques.",[119,126,127,128,131,132,135],{},"Why would we use ",[122,129,130],{},"PPIVMs"," when ",[122,133,134],{},"PAIVMs"," are so good at identifying spinal segments contributing to your patients’ pain and improving lumbar extension range?",[119,137,138],{},"Do PPIVMs add anything to your assessment and treatment?",[119,140,141],{},"When you’re assessing a knee, hip or shoulder, you’ll likely assess passive range of movement (ROM) e.g. hip flexion, internal and external rotation, to identify articular restrictions.",[119,143,144,145,147],{},"Similarly, in the lumbar spine, ",[122,146,130],{}," will help you assess the passive range of each joint and identify articular restrictions e.g. restricted flexion at L4\u002F5 that’s contributing to painful forward bending.",[119,149,150],{},"PPIVMs are also an effective treatment for improving one of the most commonly painful movements - lumbar flexion,  as well as patients’ lumbar lateral flexion and rotation ROM.",[119,152,153],{},"Watch this presentation now to develop a practical approach to PPIVMs, so you can confidently assess and treat segmental pain and stiffness, restricted lumbar movements and settle irritable low back pain and neurodynamic mechanosensitivity.",[119,155,156],{},"In this hands-on step-by-step demonstration video series, you’ll refine your clinical reasoning and treatment selection with PPIVMs—combining effective assessment and manual therapy techniques tailored to your patient’s presentation.",[119,158,159],{},"You’ll discover:",[161,162,163,167,170,173],"ul",{},[164,165,166],"li",{},"How to confidently assess lumbar flexion, rotation and lateral flexion using PPIVMs",[164,168,169],{},"Key bony landmarks and positioning tips for accurate and comfortable assessment",[164,171,172],{},"Techniques to isolate and assess individual lumbar segments",[164,174,175],{},"Simple ways to modify and tailor your assessment and treatment approach to match your patient's irritability and presentation",[119,177,178],{},"You’ll also learn how to:",[161,180,181,184,187,190],{},[164,182,183],{},"Identify the most symptomatic movement direction for targeted manual therapy",[164,185,186],{},"Apply PPIVM techniques to reduce radicular or neurogenic pain",[164,188,189],{},"Select and teach home exercises that complement your manual therapy treatment",[164,191,192],{},"Use PPIVMs to bridge the gap between passive treatment and active rehabilitation",[119,194,195],{},"By the end of this session, you’ll have a versatile toolkit of PPIVM assessment and treatment techniques—ready to deliver precise, patient-specific care for low back pain.",[119,197,198,201],{},[122,199,200],{},"Watch now"," and upgrade your manual therapy approach with practical, clinically relevant PPIVMs.",[119,203,204],{},[122,205,206],{},"Part 1: PPIVM assessment",[119,208,209],{},"Learn how to perform passive physiological intervertebral movement (PPIVM) assessments for lumbar flexion, extension, rotation, and lateral flexion in sidelying.",[119,211,212],{},[122,213,214],{},"Part 2: PPIVM grades of treatment",[119,216,217],{},"Discover how to apply rotation-based PPIVM techniques using Maitland grades 1–4, including setup tips and symptom monitoring during treatment.",[119,219,220],{},[122,221,222],{},"Part 3: How to treat low back pain using rotation PPIVMs",[119,224,225],{},"Explore lateral flexion PPIVM techniques with treatment-grade application, patient positioning, and therapist setup for optimal segmental targeting and patient comfort.",[119,227,228],{},[122,229,230],{},"Part 4: Treatment using lateral flexion PPIVMs",[119,232,233],{},"See how to combine rotation and lateral flexion PPIVMs with table positioning to increase treatment specificity and address articular or neurogenic symptoms.",[119,235,236],{},[122,237,238],{},"Part 5: Home exercises to match PPIVM treatment",[119,240,241],{},"Match PPIVM treatments with home exercise strategies, including lumbar rotation and lateral flexion mobility drills to reinforce clinic gains and reduce fear-avoidance.",[119,243,244],{},[245,246,250],"a",{"href":247,"rel":248},"https:\u002F\u002Fwww.clinicaledge.co\u002Fsign-up",[249],"nofollow",[251,252],"img",{"alt":6,"src":253},"https:\u002F\u002Fclinedge.s3.ap-southeast-2.amazonaws.com\u002Fimages\u002Fmembership\u002Fmodulecovers\u002F8_lowbackpain\u002FMT3+PPIVMs1920.webp",[119,255,256,260,261],{},[245,257,259],{"href":247,"rel":258},[249],"Click here for your access",", or ",[245,262,264],{"href":53,"rel":263},[249],"login here if you're a Clinical Edge member.",{"title":6,"searchDepth":77,"depth":77,"links":266},[],"\u002Fblog\u002Fppivms","2025-08-05",0,"https:\u002F\u002Fclinedge.s3.ap-southeast-2.amazonaws.com\u002Fimages\u002Fmembership\u002Fmodulecovers\u002F8_lowbackpain\u002FMT3+PPIVMs_nobackground1920.webp",{},true,6193,"page","\u002Fposts\u002Fppivms",{"title":102,"description":124},"ppivms","posts\u002Fppivms",[280],"Member presentations","cfb30883-6f5e-4dfa-a80b-69fc439f5442","2026-10-29 21:32:13","TFgMh1ToUsWj0BCMwYzTVa5Z0bJP2_UrAhCKjptsf5Y",[285,290],{"title":286,"path":287,"stem":288,"date":289,"children":-1},"Lumbar manipulation\u002Fhigh velocity thrust. Manual therapy part 4 with Simon Olivotto","\u002Fposts\u002Fhvt","posts\u002Fhvt","2025-10-06",{"title":291,"path":292,"stem":293,"date":294,"children":-1},"Lumbar PAIVMs: Practical techniques for precise assessment and treatment with Simon Olivotto","\u002Fposts\u002Fpaivms","posts\u002Fpaivms","2025-07-30",1793317049231]