Chandler, AZ / Mulligan Concept: Lower Quarter Course

Spinal and Peripheral Manual Therapy Treatment Techniques For Lower Quarter

This two-day course will present the Mulligan approach to manual therapy for the lumbar spine and sacroiliac joint as well as for the lower extremity. It will include lecture, patient demonstrations, and lab time to give the participants a thorough and in depth coverage of the Mobilization With Movement ® approach for the lower quarter. This unique approach to manual therapy was discovered and developed by Brian Mulligan F.N.Z.S.P. (Hon), Dip. M.T. from Wellington, New Zealand. This simple yet effective manual approach addresses musculoskeletal disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain.

Learning Objectives

 By the end of the course the participant will be able to accurately:

•  List 3 key components of Mobilization With Movement ® for the treatment of lower quarter.
•  Demonstrate 3 ankle MWM techniques for ankle ROM impairment.
•  Demonstrate 2 knee MWM techniques for ROM impairment.
•  Demonstrate 3 hip MWM techniques for ROM impairment.
•  List 2 indications for ankle and knee taping procedures to reinforce MWM techniques.
•  Demonstrate 3 key variables that may need to be modified for pain-free effective MWM of the lower extremity, SI jt and lumbar spine.
•  Demonstrate 3 manual techniques for the alleviation straight leg raise pain.
•  Demonstrate 2 manual techniques for the alleviation of SI jt pain.
•  Demonstrate central and unilateral manual SNAG techniques for the pain-free improvement of lumbar ROM.
•  Cite at least 2 RCT studies that support ankle sprain MWM and taping.
•  Cite at least 1 RCT studies that support the MWM approach to dorsiflexion loss of the ankle.

Outline

Instruction in the MWM concept with lecture, demonstration and lab practice.

Day 1:

• Introduction, Case Reports, theory, and pre-test.
• Toes/Feet demo & lab: 1st MCP, metatarsals, tarsals, plantar fasciitis, and taping techniques.
• Morning Break.
• Ankle lecture: literature evidence for evaluation and treatment of ankle sprain and dorsiflexion impairments.
•  Ankle demo and lab practice: talocrual, distal tib/fib joint, DF and PF impairments, ankle sprains and taping.
• Lunch.
• Knee demo & lab practice: Belt and IR MWM’s, Squeeze technique for meniscus, proximal tib/fib joint & taping.
• Afternoon break.
• Hip demonstration and lab practice: flexion, Extension, rotation non-weight bearing techniques.

Day 2:

• Hip demonstration and Lab practice: weight bearing techniques.
• Lumbar demonstration and lab practice: Straight leg restriction techniques, Femoral nerve restriction techniques.
• Morning break.
• Lumbar demonstration and lab practice: SNAGs for flexion, extension, side bending and rotation.
• Lunch.
• Lumbar HEP’s and self SNAGs.
• SI joint demonstration and lab practice: non-weight bearing and weight bearing Illium and Sacral techniques.
• Afternoon break.
• SI joint techniques continued, taping and HEPs.
• Practical review session, Post test.

– Wear loose, comfortable lab clothing (with long hair pulled back)
– Bring your copy of the text, a small hand towel and a Mulligan NAGS & SNAGS Mobilization belt.
– Foam mobilization pads are recommended.

Suggested Reading

Dr. Mikos established Quinnipiac Physical Therapy in 1996 with a focus on providing the most comprehensive approach to manual therapy in the region.  He received his Bachelor’s Degree in Physical Therapy from Northeastern University in 1990 and then went on to receive his Doctorate Degree in Chiropractic from University of Bridgeport College of Chiropractic in 1996.  In 1998, David became an accredited teacher in the Mulligan Concept ® Teachers Association, which teaches a non-thrust mobilization technique emphasizing immediate restoration of pain free movement.  David has continued to teach this concept nationally.