Programming Physical Activity for Low Back Pain

Level 4 qualification

This qualification will equip you with the appropriate knowledge and skills to design, deliver, monitor and evaluate structured, individualised physical activity programmes for adults with low back pain, in accordance with current evidence-based guidelines.

Distance Learning

Pay course in full @ £495

Or pay a £125 deposit to use our 3, 6 or 9 month interest-free payment plan.

How to book using our payment plan?

Course Information

Overview of knowledge and understanding:

  • epidemiology of low back pain

  • risks and causative factors involved in the development of low back pain

  • national guidelines for the treatment and management of low back pain

  • contraindications and psychosocial considerations when planning physical activities for the client with low back pain (risk stratification)

Overview of skills:

  • subjective and objective methods to collect enough information to plan safe and effective physical activity programmes for individuals with low back pain

  • how to select safe and effective physical activities which are specific to the client's health status, risk stratification, needs and abilities

  • the effective use of layering/layered cueing within progressive physical activity programmes

  • a range of validated methods used to monitor, review and adapt physical activity programmes

  • advice covering lifestyle, home care and exercise which is suitable for the individual with low back pain.


Further course content:

  • Non-specific LBP (including causes of) and specific spinal pathology definitions

  • Anatomy & physiology associated of LBP

  • Acute, sub-acute and chronic instances of LBP

  • Yellow and red flags associated with LBP

  • Psychological co-morbidities and psychosocial interventions of LBP

  • Preventing and managing LBP with activity and optimal movement patterns

  • Valid methods used to assess and monitor LBP

Entry Requirement: A recognised Level 3 Exercise Referral qualification 


  • Programming physical activities for individuals with low back pain - assessed via a worksheet and case study

  • Instructing physical activity sessions for individuals with low back pain - assessed via observed performance and self-evaluation

  • Principles and epidemiology of low back pain - assessed via a theory paper

Distance Learning Course

Includes distance learning and submission of coursework.

Learning Resources

The Complete Guide to Back Rehabilitation by Christopher Norris,

Recommended reading list,

Learner Assessment Record (LAR)

Written assessments include worksheet questions, a case study and self-evaluation of practical session.


The observed practical assessment and theory exam to be completed at our centre in Telford.

How will I be assessed?