Spinal and Peripheral Manual Therapy Treatment Techniques For Upper Quarter
This two-day course will present the Mulligan approach to manual therapy for the Cervical and Thoracic spine as well as for the upper 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 upper 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 manual components of Mobilization With Movement™ for the treatment of upper quarter.
- Demonstrate 3 shoulder MWM techniques for shoulder elevation impairment.
- Demonstrate 2 elbow MWM techniques for loss of motion and tennis elbow.
- List 2 indications for wrist/hand taping procedures for the proximal row of carpals and the metacarpals to reinforce an MWM technique.
- Demonstrate 3 key variables that may need to be modified for pain-free effective MWM of the upper extremity, cervical and thoracic spine.
- Demonstrate 3 manual upper cervical techniques used for the alleviation of cervicogenic headaches
- Demonstrate 3 manual upper cervical techniques used for the alleviation of cervicogenic dizziness
- Demonstrate central and unilateral manual SNAG techniques for the pain-free improvement of cervical and thoracic ROM.
- Cite at least 2 RCT studies that support cervical snags for headaches and dizziness
- Cite at least 2 RCT studies that support the MWM approach to Tennis elbow
- Integrate one combined shoulder MWM and cervical SNAG when presented with a persistent cervical / shoulder musculoskeletal dysfunctional pattern.
Outline:
Instruction in the MWM concept with lecture, demonstration and lab practice
Two Day Course:
DAY 1: 8:00AM–4:30PM
DAY 2 7:30AM-3:30PM
DAY 1:
- 7:45-8:00 Registration
- 8:00-9:00 Mulligan Theory, case report, pre test
- 9:00-9:30 Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques
- 9:30-10:00 Wrist demonstration and lab practice: MWMs for flexion, extension, supination, pronation, and taping
- 10:00-10:15 Break time
- 10:15-12:00 Cervical demonstration and lab practice: NAGs, Reverse NAGs, SNAGs for rotation.
- 12:00-1:00 Lunch
- 1:00- 2:00 Cervical demonstration and lab practice: SNAGS for flexion, extension, rotation, SB, HEP techniques
- 2:00-2:15 Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.
- 2:15-2:30 Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques
- 2:30- 2:45 Break time
- 2:45- 4:30 Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued
DAY 2:
- 7:30-10:00 Cervical demonstration & lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Mvmt
- 10:00-10:15 Break time
- 10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
- 11:30-12:00 Shoulder demonstration and lab practice: manual and belt MWMs for elevation
- 12:00-1:00 Lunch
- 1:00- 2:30 Shoulder demonstration and lab practice: IR, ER, functional activities, HEP Acromioclavicular jt demonstration and lab practice: MWMs, and taping
- 2:30- 2:45 Break time
- 2:45- 3:30 Ribs demonstration and lab practice: MWMs for ribs 1-12; Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension
- 3:30 Review, Post Test and Closing
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.
CANCELLATION POLICIES:
Please see cancellation policy under the “courses” tab on the homepage.
Jarrod Brian PT, OCS, CMP, CSMT, TPS, MCTA
Jarrod earned his B.S. in Athletic Training/Education from Southern Illinois University in 2001. He received his Master of Science in Physical Therapy from the Mayo School of Health Sciences in 2003. Jarrod is an APTA Board Certified Orthopedic Clinical Specialist (OCS) and APTA Orthopedic Section member.
Jarrod became a Certified Mulligan Practitioner in 2007 and has assisted teaching Mulligan ConceptTM courses since 2009. He holds certifications from The International Spine and Pain Institute for manual therapy and pain science. Further, he has an extensive background in various manual therapy methods, functional dry needling, and movement assessment systems.
Currently Jarrod is employed at Olmsted Medical Center in Rochester, MN. He treats a broad variety of outpatient physical therapy conditions utilizing a multimodal, patient-centered approach. He believes the most successful care occurs at the confluence of patient education, well-timed manual therapy, and focused exercise while simultaneously attempting to understand each unique patient’s goals, lifestyle, and environment.
When not practicing, Jarrod enjoys reading, fitness, and spending time with his family and local church.