Become an Expert at Helping Gymnasts with Lower Back Pain

Learn an exact step-by-step system to for evaluating, treating, and building return to sports programs for gymnasts with lumbar spine injuries. 

Stop feeling frustrated and overwhelmed when treating gymnasts with lower back pain.  

Evaluation and Treatment of Lumbar Spine Injuries in Gymnastics is an all in one, comprehensive program designed for medical providers working with gymnasts.

You will learn the exact exercises, protocols, and treatment techniques you need to be more confident in the clinic and more excited every day.

Ones that are backed by the latest science, and have been proven to help 1000s of gymnasts from the recreational to the international elite level.

You'll learn a complete system for evaluating, treating, and building advanced rehabilitation programs for gymnasts with shoulder, elbow, and wrist injuries. 

You will also learn how to create custom return to sport and maintenance programs.

With these tools, you will become the "go to" expert for gymnasts who need help with injuries and performance programs. 

Ready to become a master clinician for treating gymnasts for upper extremity injuries?

BOC Approved for Athletic Trainers - 10 Category A CEU Units

Approved for Physical Therapists - 10 CCU Units in 41 states, with ability to submit individually to other 9 (see full list of state by state approval HERE )

*Full CEU Information At Bottom of Page*

Recent Advances in the Evidence Based Evaluation and Treatment of Upper Extremity Injuries in Gymnastics

This is a 10 hour online course combining of lecture. lab, and case study material over 5 Modules. You will proceed from introductory science, to evaluation techniques, to acute/subacute phases of rehabilitation, to advanced/strength & conditioning phases of rehabilitation, to building custom return to sport programs. 

Here’s What You’ll Get When You Sign Up!

Full, Lifetime Access To Course Materials

Once you enroll, you have unlimited access to the entire 10 hour course and all the materials for life. Go back and revisit and lecture, handout, or protocol you need! 

10 Hours of Lecture and Lab Videos

Over 5 Modules, we will break down the exact examination, treatment, and return to sport progressions that are evidence based and easy to use in the clinic.

 All Lecture Slides & PDFs For Download

All course materials have been packaged into an easy to download zip file for your convenience. All the lecture slides, case study PDFs, and bonus materials are yours to keep.

Full Exercise Library

We wanted course participants to have no questions about what exercise interventions we use when working with gymnasts. So, we have an entire exercise library to help guide you through rehab program design!

Here’s what people are saying about the course

Rachel Mattison

Orthopedic Physical Therapist
and Gymnastics Coach

Evaluating and Treating Back Pain in Gymnasts answered every question I had about assessing, evaluating, and treating gymnasts for lower back injuries.  

f you are a clinician struggling to treat gymnasts, you're not alone. I used to think treating gymnasts for spine injuries was an impossible equation.

But Dave has done all the work to give us the exact step by step process, exercises, and hands on treatment tools to help gymnasts get out of pain and back to the sport they love.

It is packed full of evidenced based resources, videos, protocols, and case studies. 

It is packed full of evidence based resources, videos, protocols, and case studies. 

Doreen Ford

Mother of NCAA Gymnast

I can't recommend Dave and his new gymnastics back pain program enough.

My  daughter wouldn't be competing in college  gymnastics without it.

My daughter's low back pain started when she was 13, training as a Level 8 . Despite doctors saying her imaging was 'clean' and just telling her to rest, the pain always came back.

After doing this for months, one practice she got shooting leg pain after a bar dismount, and another MRI form a different doctor showe da missed L4 stress fracture. Following 6 months of bracing and trying to get back to the gym, her pain came back immediately despite another scan showing no re-fracture. 

I was desperate to help her achieve her dream of  college gymnastics. That's when I found Dave, and the rest is history! He gave her a full evaluation, provided specific exercises and drills, and then built a progressive program back to gymnastics. I'm happy to say that Kaleigh has just finished her  freshman year as part of an NCAA gymnastics team." 

Mike Reinold

Sports Physical Therapist
Athletic Trainer
Co-Owner of Champion PT 

"I've seen Dave use these exact techniques with 100s of gymnasts - and they work.

It's been great to see so many gymnasts finally get the sport specific evaluation, treatment, and return to sports programs they need when they have upper body injuries. 

These science based techniques are easy to use and will no doubt help you be a better clinician.

Not only does Dave combined all of the best systems for treating back pain, he brings practical experience from treating 100s and 100s of gymnasts. 

If you're a provider working in gymnastics sports medicine, you need to take this course." 

What's Inside The Course?


Module 1 - Introduction and Background

In this module, we discuss the latest research on lumbar spine epidemiology, sport forces, injury patterns, and the key rehabilitation interventions for treating gymnasts over 4 video lectures.


Module 2 - Evaluation and Examination

Here, we review the essential subjective and objective techniques. We break down osseous, ligamentous, muscular, neural, and kinetic chain influences for the lumbar spine using lecture and lab videos.


Module 3 - Acute and Subacute Phases

The first 4-6 weeks of a lumbar spine injury can be extremely intimidating for clinicians. We discuss the exact hands on and exercise techniques for acute low back pain, including a guest lecture on injections and surgical options from Dr. Steven Makovitch


Module 4 - Advanced and S&C Phases

We continue our course by covering the important phase of rebuilding global strength, power, and dynamic stability for lower back injuries. We also break down the exact lower body impact and plyometric exercise progressions gymnasts need before returning to training.


Module 5 - Return To Sport Phase

We wrap up the course by breaking down how medical providers can build custom, gymnastics specific return to sport and maintenance care programs to help gymnasts go above and beyond their previous level of performance.


Exclusive Launch Week Add Ons

To celebrate one of our most anticipated courses, we are offering special bonuses when you sign up! Along with full life time access to all the materials, you will also get our 2 full case studies and access to our private online community, SHIFT HQ.

Bonus 1
Full Lifetime Access to Materials Including Details Rehabilitation Protocols

We want to make sure you have everything you need to be successful. 

So, we've packaged all the lecture slides, worksheets, references, and lab materials in one folder for you to download and have for life!


Bonus 2
3 Case Studies - Spondy Fracture, Disc Injury with Sciatica, and Impact Intolerance

In an effort to maximally help course participants, we have created 3 case studies from real life gymnasts.

They are a case for extension intolerant spondylolethesis, flexion intolerant discogenic and sciatic pain, and impact intolerant facet irritation. 

Bonus 3
Free Access To Our Private Online Community, SHIFT HQ

When you enroll in this course, you get free access to our one of a kind online gymnastics community. 

This is our forum where we ask clarifying questions about the course material, discuss challenging cases, and network.

About The Course Instructor,
Dr. Dave Tilley DPT, SCS, CSCS

Dr. Dave Tilley was a competitive gymnast, competing collegiately, and has 16 years of coaching experience currently working in optional levels. He has his Doctorate in Physical Therapy, is Board Certified in Sports Physical Therapy, and is also a Certified Strength and Conditioning Coach. 

Along with this clinical work, Dave conducts reserach on gymnastics injuries, workload tracking, and sports performance. He has worked with thousands of gymnasts, ranging from the recreational to elite international level, and regularly speaks both nationally and internationally about Gymnastics Sports Medicine. 

Here's What People Are Saying About Dr. Dave Tilley

Nick Ruddock

Elite International Gymnastics Coach
Consultant to 21 Gymnastics Nations

"Dave produces world class content that I trust 110%.

You can't help but feel inspired when you spend time with Dave.

He is changing the sport of gymnastics for the better, and I know that his knowledge will bring you massive value."

Emma Winer

Former Division 1 NCAA Gymnast

"As a collegiate gymnast, I'm SO grateful for Dave and his programs.

Dave has helped me come back from stress fractures in my shin, a Lisfranc fracture in my foot, and surgery for a labrum tear in my shoulder.

Thanks to Dave, I was able to get back to all my events and compete through college!

James Parent

CEO of Tumbl Trak

"Dave is a truly incredible resource.

If you are working with gymnasts and care about their health and well being, you must invest in Dave's materials.

He goes above and beyond to give the gymnastics community the latest science based and easily applicable information."

Save Thousands of Dollars and Hours of Time

Learning the latest medical information can be insanely expensive.

People can easily spend $3000 on books, live courses, and travel/hotel associated with those in person events.

Not to mention the hours of your free time or weekends to comb through all the material and find out whats relevant for you. 

We have done all the work so you can save your money, and not have to sacrifice weeks of your time.

With our online course you can learn everything you need right from your couch, when it best fits your schedule, and at your own pace without breaking the bank.

How Much Does It Cost?

one time payment
  • 1 Payment of $299.99 
  • 10 hours of lecture and lab content
  • All lecture slides, case studies, and PDFs
  • Access to private discussion group
  • Lifetime access to all materials 


2 split payments
  • 2 Monthly Payments of $149.99 
  • 10 hours of lecture and lab content
  • All lecture slides, case studies, and PDFs
  • Access to private discussion group
  • Lifetime access to all materials 


100% Satisfaction Guarantee for 30-Days

At SHIFT, we pride ourselves on making sure our educational courses are the highest possible quality. 

If you are not 100% satisfied with your purchase, just send us an email and we will refund your entire order.

Curious What's Inside The Course?
Check Out Our Free Preview!

Frequently Asked Questions

When does the course start and finish?

The course starts now and never ends! It is a completely self-paced online course - you decide when you start and when you finish.

How long do I have access to the course?

How does lifetime access sound? After enrolling, you have unlimited access to this course for as long as you like - across any and all devices you own.

What if I am unhappy with the course?

We would never want you to be unhappy! If you are unsatisfied with your purchase, contact us in the first 30 days and we will give you a full refund.

Can I Get CEU Credits?

US Athletic Trainers - Yes! This course is currently being approved for 10 CEU units through the BOC. SHIFT Movement Science DBA The Hybrid Perspective LLC (BOC AP#: P10184) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 8.5 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

US Physical Therapists - Yes! This course is currently approved for 8.5 CEU units in Texas, which multiple other states accept CEU units from via reciprocity. The list currently includes Alaska, Arizona, Colorado, Connecticut, Delaware, Georgia, Hawaii, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Utah, Virginia, Washington, Wisconsin, and Wyoming.

International Providers - We currently do not have formalized international pathways for CEU submission, but upon completion of the course you can submit your certificate and apply for credits. 

Who is the course for?

This course is intended for medical doctors, athletic trainers, chiropractors, physical therapists, physicians assistants, strength and conditioning coaches, physical therapy assistants, and other allied health providers.

Do I need to be in gymnastics to take this course?

Nope! I intentionally made the course something that those from outside the sport can learn. Whether you have spent your entire life in gymnastics, or are brand new to the sport, whether you are a new grad or an experienced clinician, you can learn a massive amount of information from this course. 

See What Past Students Are Saying!

A Note From Dave

After years of work, I'm so excited to finally launch one of SHIFT's most highly anticipated medical course! I wanted to make sure that I did this right.

So I took extra time to review the research, pick topics that I knew people needed help with, and really break down everything medical providers need to know when working with gymnasts for lumbar spine injuries

Then I took all of my experiences as a gymnast and coach, combined them with the incredible mentorship I've had from of the world leading experts in sports rehabilitation, and also added in my clinical experience form treating 500+ gymnasts with lower back pain.

I promise that you will not regret signing up for this course. I can't wait to see you inside!

CEU Information

Athletic Trainers

SHIFT Movement Science DBA The Hybrid Perspective LLC (BOC AP#: P10184) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 7.5 Category A hours/CEUs.

ATs should claim only those hours actually spent in the educational program. This course is also approved for 10 Physical Therapy CCU Units in the State of Texas. Physical Therapists outside of Texas may submit this certificate to their state board for reciprocity, pending state policy allowances.

Physical Therapists

This course is approved for 7.5 Contact Hours through RHE-Cert, the PT accreditation program of Redefine Health Education (RHE). RHE is the sponsoring provider of this course. RHE's state board approvals in CA, IL (#216.000360), and FL and state chapter approval by the APTA NC (#21-0729-025) extend approval to the jurisdictions listed on this webpage:

*If you are a Florida licensee, this is the CE Broker approval # 20-902399. Your course will be listed under Redefine Health Education as the sponsor.

What is RHE?

RHE is a registered CE approval agency of the PT Board of California, a rule-approved CE provider of the PT Board of Florida (#50-32784), a licensed CE sponsor of physical therapy continuing education by the Illinois Department of Financial & Professional Regulation (IDFPR #216.000360), an approved continuing competence provider by the APTA North Carolina (#22-0729-033), an approved CE provider of the PT Board of New Mexico, an approved CE provider of the PT Board of Oklahoma (#BAP202310010) and recognized by the New York State Education Department's State Board for Physical Therapy as an approved sponsor of PT/PTA continuing education. In addition to the aforementioned jurisdictions, courses approved by other state boards & APTA chapters will be accepted for licensure credit in all the jurisdictions listed on this webpage, pursuant to regulation: If you have a specific question about CE credit for this course in your state, please direct your inquiry including the course title in which you are interested, to [email protected].

SHIFT Movement Science