The Level 4 Lower Back Pain course includes a wide-range of knowledge and skills, including:

  • Functional anatomy of the spine and its associates structures (including their relevance to LBP)
  • Types of LBP
  • Prevalance of lower back pain (LBP) in the UK
  • The role of exercise and physical activity in the management of LBP

Click here to view the full course content.


To be fully eligible to enrol onto the Level 4 Obesity and Diabetes course, students must possess the Level 3 Certificate/Diploma in Exercise Referral, alonsgide a fundamental fitness qualification such as Personal Training, Pilates, Yoga.

Delivery: 8 weeks of distance learning, leading into 2 days of practical training, with a final midweek practical assessment.


This level 4 course is assessed using the below assessment methods:

  • Worksheets
  • Case-study
  • Practical Assessment
  • Theory exam

Awarding Organisation:

Active IQ


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