Back Stability: Integrating Science and Therapy


This course is approved for the following CECs/CEUs:

ACSM 20.0 BCRPA 20.0 BOC Category A 8.00
CPTN 7.0 HFPA 20.0 ISSA 20.0
KIPS 2.0 NAFC 2.0 NASM 1.9
NETA 20.0 NFPT 2.0 NSCA 1.6
PTAG 20.0 SFA 2.0 WITS 16.0
YMCA 20.0


Virginia Board of Physical Therapy 8.0 (Type 1)–Please check with your state board for approval as most physical therapy boards will reciprocate approval for continuing education.


The American Academy of Health and Fitness (BOC AP#: P3645) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 8.00 Category A hours/CEUs.


The American College of Sports Medicine’s Professional Education Committee certifies that “American Academy of Health and Fitness” meets the criteria for official ACSM Approved Provider status from December 2017 – December 2020. Providership # 817430


Pricing and Format Options For This Program:

Electronic Format with HK eBook : $269.00

Buy your own textbook: $199.00

Once you choose your format below, more information will be displayed about materials and access for that format. If you purchase a program, regardless of which format you purchase, you will receive emails with links to your workbook, test and instructions. And, if your program includes an ebook, you will receive a separate email containing your keycode to access your ebook. In this case, the original email with access to your workbook and test will also include instructions for using your keycode to access your ebook. If you don’t see these emails after purchase, please check your spam folder for emails from the American Academy of Health and Fitness.



The Back Stability: Integrating Science and Therapy program is designed to help practitioners recognize and manage back conditions using proven clinical approaches to stabilize the spine. More than just another sequence of back exercises, this text provides a theoretical foundation that will guide in selecting the most effective exercises for each client and integrating them into a complete program to offer the best possible care in back health.

This program based on the textbook, Back Stability: Integrating Science and Therapy, Second Edition, presents an alternative method for the treatment of back pain and provides each patient or client the opportunity to actively participate in recovery and maintenance. By integrating the science behind back pain into a usable format for understanding and application, Back Stability offers proven methods of care and assists your work with clients and patients to alleviate their pain, increase their back stability, and help them return to a fully functional lifestyle.

The program focuses on evidence-based practice to address one of the most common maladies of modern living: back pain. This course combines research from around the world in the areas of anatomy, physiology, pathology, biomechanics, exercise physiology, and motor skill training with the practical knowledge of Christopher Norris, a physiotherapist, exercise professional, and teacher for more than 30 years. With his expertise presented in the Back Stability textbook, you will gain the practical knowledge to help you recognize and assess inappropriate movement patterns—whether caused by injury or simple day-to-day activity—and use a process of clinical decision making to determine which exercises to use in developing effective back care programs.

The Back Stability: Integrating Science and Therapy home study continuing education course is offered to you in a distance-learning format, providing a logical progression from initial concepts to clinical applications. The text introduces the problems of back pain and instability and provides an explanation of spinal anatomy, movements, and the physics of lifting. A discussion follows of the basic skills required for developing stability. Assessments of posture and muscle balance are highlighted, and foundational movements for development of core stability are introduced. After covering the basics, the text moves into more practical applications by presenting progressive exercises and basic equipment used for developing greater stability. Information on abdominal training, resistance apparatus, speed and power, and practical functional progressions will help your patients or clients increase back stability and enhance performance. Finally, real-life patient examples illustrate how to structure a full back stability program.

Certified health and fitness professionals holding more than one certification may obtain CECs/CEUS for all approved certification organizations (see list above) for which they need continuing education at no additional cost.

Course Objectives

Explain “back stability” and the scope of the problem of back pain.
Discuss the model of lumbar stabilization presented in the text.
Identify and explain the anatomical components and the biomechanics of the lumbar spine.
Identify and explain the stabilization mechanics of the lumbar spine.
Discuss the principles of muscle imbalance.
Discuss the relationship between posture and stability.
Identify and describe muscle balance tests.
Explain and demonstrate foundation movements.
List and explain the progression steps in stability training.
Explain and demonstrate exercises for building back fitness.
Define and apply functional training strategies.
Perform a preliminary client assessment.
Design a stability program based on needs analysis data and established program goals.

Course Materials

Electronic format — Back Stability: Integrating Science and TherapyTM certificate package with online test includes the eBook version of the 360-page Back Stability: Integrating Science and Therapy, Second Edition book by Christopher Norris and a 106-page workbook provided in PDF format. Instructions for completing the multiple-choice online test and obtaining CECs are also included in PDF format. Note: This course package is made available for immediate access and download after purchase. All materials for this electronic format course are available electronically. Nothing is mailed.

Table of Contents

Part I. Conceptual Foundation
Chapter 1. What Is Back Stability
Chapter 2. Biomechanics of the Lumbar Spine
Chapter 3. Stabilization Mechanisms of the Lumbar Spine
Chapter 4. Principles of Muscle Imbalance

Part II. Establishing Stability
Chapter 5. Posture
Chapter 6. Muscle Balance Tests
Chapter 7. Foundation Movements

Part III. Progressing Stability Training
Chapter 8. Limb Loading
Chapter 9. Unstable Base
Chapter 10. Gym Ball
Chapter 11. Foam Rollers
Part IV. Building Back Fitness
Chapter 12. Faults With Traditional Abdominal Training
Chapter 13. Abdominal Training Using Stability Concepts
Chapter 14. Resistance Training for Core Strength
Chapter 15. Speed and Power in Core Training
Chapter 16. Functional Training

Part V. Clinical Application
Chapter 17. Preliminary Client Assessment
Chapter 18. Designing the Program
Chapter 19. Case History Illustrations

Return Policy

If you’re not completely satisfied with your prepaid purchase, contact AAHF at 800.957.7348 to discuss a return. The return must be within 30 days of the date of receipt of your shipment. Study materials and educational resources must be received in original condition. All return shipments must be sent via USPS Priority Mail for tracking purposes to 7205 Sampal Place, Springfield, Virginia 22152. Upon receipt of the returned materials, the American Academy of Health and Fitness (AAHF) will refund full credit, excluding shipping/handling. Credit will be applied to the appropriate credit card via PayPal. We do not accept returns on online products, e-books, videos, CD/DVD-ROMs, and DVDs.

The American Academy of Health and Fitness reserves the right to discontinue the sale and/or support of any of its continuing education courses. Notification of such will be given six months prior to discontinuance to allow for course completion and testing. No refund will be given for courses that are discontinued.

Additional Information

Different professional organizations offer continuing education credits, most commonly called CECs (continuing education credits) and CEUs (continuing education units). Most CECs/CEUs require one contact hour of professional activity for one credit. Example conversions are: ACE, NSCA and NASM: 0.1 = 1.0 contact hour; ACSM, BOC, ISSA, WITS and YMCA: 1.0 = 1.0 contact hour.


First NameEnter the certification organization(s) for which you are seeking credits: How would you rate this educational activity overall? The program met my expectations. The quality of materials and program design met my expectations.The information received was useful and beneficial.What did you like the most about this program?General Comments:
PTA Global
Very informative
International Sports Science Association
Strongly Agree
The exercises and explanations
PTA Global
Subject matter is very relevant.
Strongly Agree
Strongly Agree
Strongly Agree
Always has very educational topics than other organizations.
Very happy and satisfied with The American Academy of Health and Fitness. Always very helpful and easy to understand the material.
The practice tests. 

Evaluations prior to the new system.

Submission DateFirst NameLast NameEnter the certification organization(s) for which you are seeking credits: Promotional materials were accurate and complete.Administrative instructions were complete and understandable.The course content met my expectations.How will you apply the content of this course to your work?What recommendations and/or general comments do you have?How did you hear about this course?Would you recommend this course to a friend?
March 29, 2018SarahMiskellNASMDisagreeStrongly AgreeNeutralI will use this content for both myself and my husband to have better back health. also to encourage better back health in clients the textbook was missing several crucial images and chartsNASM websiteNo
February 2, 2018JAckieRossNCCPTStrongly AgreeStrongly AgreeStrongly AgreeBack stability is the base of all exercise and daily function. Amazing what I learned!NCCPT last year but now not on their CEU choicesYes
December 28, 2017BryanRegarNSCAStrongly AgreeStrongly AgreeStrongly AgreeYesPictures in the text did not always appear.NSCA websiteYes
December 27, 2017MatthewSipniewskiNSCAStrongly AgreeStrongly AgreeStrongly AgreeI will apply the material in personal back stability programs, as well as in aiding clients to maintain/improve back stability.none - great courseInternetYes
December 11, 2017MatthewTaylorNSCAStrongly AgreeStrongly AgreeStrongly Agreetreating patientsnnoneinternetYes
November 30, 2017ACEStrongly AgreeStrongly AgreeStrongly AgreeYes
November 26, 2017CSCSAgreeAgreeAgreeInclude the knowledge in my treatment plans for chronic lumbar pain patients and progress with some of the exercises for return to work programs.Give more time for the exam. There is a lot of content and even after significant reading and studying it was hard to finish in time.Taken previous courses through this sightYes
November 9, 2017APTAAgreeStrongly AgreeNeutral
November 3, 2017NSCA (CSCS)Strongly AgreeStrongly AgreeStrongly AgreeI will apply it to my current and future clients in my practice - both from a preventative and a rehabilitative perspective. I am also applying it to my own lower back stabilityI couldn't access all visual materials e.g. diagrams, in the back stability textThrough the NSCAYes
September 29, 2017NSCAAgreeStrongly AgreeStrongly Agreeexercises prescription for LBP patientsGreat courseNSCAYes
September 29, 2017CPTNStrongly AgreeStrongly AgreeStrongly Agree
September 21, 2017NASMStrongly AgreeAgreeStrongly AgreeI will use many of the exercises displayed and build my clients programs around improving back stability No recommendations. Everything was great. Through NASMYes
September 6, 2017NASMStrongly AgreeStrongly AgreeStrongly AgreeYes
August 28, 2017NSCA / CSCSStrongly AgreeStrongly AgreeStrongly AgreeTraining my clientsGreat course.NSCAYes
August 20, 2017NATA, NSCAAgreeAgreeAgreeYes
July 3, 2017ACEAgreeAgreeStrongly AgreeYes
June 15, 2017ISSAAgreeAgreeAgreeI will use my new found knowledge of back stability to help improve my clients stability, posture, and overall function, and also seek out more clients who may be in need of back rehabilitation.The course was very informative and in-depth.Through the ISSA continuing education program.Yes
June 11, 2017B.C.R.P.A.AgreeAgreeAgreesome videos of the exercises would be helpfulYes
May 20, 2017NASMAgreeAgreeStrongly AgreeBoth in my Personal Training and my Nursing.IT needs to be easier.NASMYes
May 11, 2017NASMStrongly Agreenasm websiteYes
March 7, 2017ACEStrongly AgreeStrongly AgreeStrongly AgreeI'm a certified medical exercise specialist with ACE and work with clients on posture and pain managementKeep up the good work. Well done.OnlineYes
February 24, 2017NASMStrongly AgreeStrongly AgreeStrongly AgreeI will apply the content of this course first to myself and later to my clients in the work place.It took a lot of time looking through my settings to be able to download my work book. This was the only part I greatly disliked. It was time consuming working toward downloading my work book. I researched it online.Yes
January 29, 2017ISSAStrongly AgreeAgreeAgreeYes
November 20, 2016NSCAAgreeAgreeAgreeYes
September 19, 2016National Strength and Conditioning AssocStrongly AgreeStrongly AgreeStrongly AgreeI am a physical therapist who works with active duty military. These principles are used for low back rehab in my clinicgreat course at your own paceNSCA.comYes
September 5, 2016BCRPAAgreeNeutralStrongly AgreeLink on BCRPA website
August 13, 2016NASMStrongly AgreeAgreeAgreeYes
July 11, 2016NSCAStrongly AgreeStrongly AgreeStrongly AgreeUse for rehabilitation of my chronic pain physical therapy clientsnonefrom NSCA recommended course listingYes
June 25, 2016ISSAStrongly AgreeStrongly AgreeStrongly AgreeMake new back stability programs for clients with lower back issuesYes
March 26, 2016ISSAAgreeAgreeAgreeI will use this class as continuing education for my Certified Fitness Trainer license as well as apply it to clients I have that are experiencing back issues.I would like to have a physical copy of the book rather than an online versionISSA websiteYes
February 4, 2016NASMStrongly AgreeStrongly AgreeStrongly AgreeAlready have with my personal training clients. We have been practicing pelvic tilts and abdominal hollowing a lot. 🙂Weight training section was very simple for personal trainers. Maybe something more advanced with cables and kettlebells etc. Another TrainerYes
January 13, 2016NASMStrongly AgreeStrongly AgreeStrongly AgreeMore than half of the clients I have worked with in my ten years of training have complained of some form of back pain during our time together. Now I have a wealth of information to identify and safely address these issues on an individual basisNoneOn the websiteYes
December 31, 2015NATA BOCStrongly AgreeStrongly AgreeStrongly Agreein evaluation and correction of spinal instability, pain and weakness. Apply it to prevention programs for athletic teamsonline book was hard to read in columnsemailYes
December 29, 2015NATABOCStrongly AgreeAgreeStrongly AgreeYes
December 28, 2015NATA BOCStrongly DisagreeStrongly DisagreeStrongly DisagreeYes
December 21, 2015ACSMStrongly AgreeStrongly AgreeStrongly AgreeYes
December 13, 2015IssaNeutralNeutralNeutralassissting my clients with back problemsit was harder than I anticipatedaahf.infoYes
October 28, 2015WITSAgreeAgreeAgreeabsolutelyThis course would be so much more useful to have in print due to the numerous exercises in the digital version.found it on my ownYes
October 10, 2015ISSANeutralNeutralNeutralYes
September 16, 2015NASMAgreeStrongly AgreeAgree
September 4, 2015ACSM, NASMStrongly AgreeAgreeStrongly AgreeI am already using it with clientsemailYes
July 13, 2015ISSAAgreeStrongly AgreeStrongly AgreeClients with Back PainExcellent Course with extremely useful informationISSA Website
June 30, 2015NASMNeutralStrongly AgreeAgreeI am glad that I purchased the textbook in addition to the online course material (which didn't download on my old computer FYI - grrrr)
because it's a great resource - especially with so many clients and family members having back issues these days.
Please advise me on a recertification unit more moderate in difficulty and easier to access and
to study for next time. I have passed two AAHF "easy" refresher unit (Kid and Sr Fit) and now two AAHF more challenging ones (Exercise Rx and Back Stability).

I would like to get into something current, practical and maybe super applicable, like client business development trends or something.

Or maybe outdoor fitness for world travelers and/or those experiencing climate change? You name it! 🙂
AAHF libraryYes
April 26, 2015ISSANeutralStrongly AgreeDisagreeYESNONEISSANo
April 20, 2015NCPTAgreeAgreeAgreeYes
April 20, 2015NCPTAgreeAgreeAgreeYes
March 30, 2015International Sports Sciences AssociationAgreeAgreeNeutralIt will help my clients who suffer from back pain.The workbook questions where useless. I memorized the answers to 180 questions and only about 10 of them where on the test.InternetNo
March 5, 2015ACSM, NSCA, NASMStrongly AgreeStrongly AgreeStrongly AgreeI will use it in a number of courses I teach at my UniversityI think this is a great course. Some video links of some assessments and exercises would be a great addition.I receive emails as a previous user. I have taken another course (The Janda System) which was also excellent!!!Yes
February 19, 2015ISSAAgreeStrongly AgreeAgreeIn particular working with a client with postural problems and frequent low back pain.Good course, keep up the great materials offered for CE credits!email from your organizationYes
January 24, 2015NASMStrongly AgreeStrongly AgreeStrongly AgreeAlmost every one of my clients have suffered from some sort of back pain. I will use the information from this course to help my all of my clients, injured or not obtain healthy strong backsThe only thing I could suggest to aid this course and make it exceptional might be to online videos or class room learning.have taken the Jr. Fit courseYes