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.
- integrate a combined proximal fibula AP MWM WITH a distal fibula AP MWM technique while the patient performs a squatting activity pain-free.
Outline
LOWER QUARTER
8:00-5:30 SATURDAY
7:30-1:30 SUNDAY (NO LUNCH)
The below schedule is slightly modified for this course to go 1 hour later on Saturday, and remove lunch on Sunday and end at 1:30.
DAY 1:
8:00-9:00 Sign in and Registration. Pre-test. Introduction, theory, guidelines for practical application of Mobilization With Movement (MWM’s): CROCKS and PILL
9:00-10:00 Toes/Feet demo & lab: 1st MCP, metatarsals, tarsals, plantar fasciitis & taping techniques
10:00-10:15 Morning Break
10:15-10:30 Ankle Lecture: literature evidence for evaluation and treatment of ankle sprain and dorsiflexion pain and/or mobility loss.
10:30-12:00 Ankle demonstration & lab practice: talocrural and proximal/distal tibia/fibular joint & taping.
12:00-1:00 Lunch
1:00-2:30 Knee demonstration & lab: Literature evidence for evaluation and treatment. MWM’s & taping.
2:30-2:45 Afternoon Break
2:45-4:30 Literature evidence for evaluation and treatment of Hip. Demonstration and lab practice: Mobilization with Movement and self management strategies.
Day 2:
7:30-8:30 Review of Day 1 topics and treatments. CMP exam requirements. Hip demonstration and lab practice continued: weight bearing techniques.
8:30-9:30 Lumbar demo & lab practice: Sustained Natural Apophyseal Glides (SNAG’s) in sitting, standing, quadruped, prone.
9:30-9:45 Morning Break
9:45-12:00 Lumbar demo & lab practice continued. Self SNAG’s, SLR techniques, HEP
12:00-1:00 Lunch
1:00-3:00 Lumbopelvic demo & lab practice: innominate & sacral techniques, weight bearing / non weight bearing, taping & HEP.
3:00-3:30 Practical review session. Post course test.
Wear loose, comfortable lab clothes. Bring mobilization belts, mobilization pads, if available.
To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, contact pad, and Brian Mulligan’s 7th edition textbook. Other tools to facilitate learning include video tutorials of the techniques presented in the courses. Click the product links below for information and purchase.
Mark Thomson PT, DPT, FAAOMPT, OCS, CMP, MCTA
Mulligan Concept North American Regional Manager
Click to Register
Instructor
Mark Thomson