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 TIME SCHEDULE and PROGRAM CONTENT
Precourse Video outline 1 hour 5 minutes) –to be sent to all participants in the Pre-course email 1-2 weeks prior to the course:
0 – 5:00 Course and Mulligan Concept Intro: Mark Thomson’s background
5:00 – 6:51 Who is Brian Mulligan?
6:51 – 23:39 Effects of manual therapy and Mulligan Concept mechanisms of action
23:40 – 25:40 Evidence for manual therapy vs hands off approach
25:40 – 29:03 Mulligan Concept resources and “tools of the trade”
29:03 – 32:50 How was the Mulligan Concept born?
32:50 – 34:40 IP example of MWM
34:40 – 36:04 3 things about the Mulligan Concept that require the most practice!
36:04 – 37:10 Establishment of the Mulligan Concept Teacher Association
37:10 – 42:48 What is the Mulligan Concept?
42:48 – 1:00 CROCKS
1:00 – 1:02:40 MWM’s are one part of a thorough examination
1:02:40 – 1:03:10 PILL EFFECT
1:03:10 REVIEW
DAY 1:
- 7:45-8:00 Sign in and Registration, Pre-test
- 8:00-9:00 Mulligan theory, guidelines for practical application of Mobilization With Movement (MWM’s): CROCKS and PILL
- 9:00-9:15 Ankle Lecture: literature evidence for evaluation and treatment of ankle sprain and dorsiflexion pain and/or mobility loss
- 9:15-10:30 Ankle demonstration & lab practice: talocrural and proximal/distal tibia/fibular joint & taping
- 10:30-10:45 Break time
- 10:45-12:00 Toes/Feet demo & lab: 1st MCP, metatarsals, tarsals, plantar fasciitis & taping techniques
- 12:00-1:00 Lunch
- 1:00- 2:30 Knee demonstration & lab: Literature evidence for evaluation and treatment. MWM’s & taping.
- 2:30-3:00 Hip evaluation and treatment supine
- 3:00-3:15 Break time
- 3:15- 4:30 Hip Mobilization with Movement supine and weight bearing
- 4:30-5:30 Longitudinal traction MWM’s
- DAY 2:
- 7:30-8:00 Review of key Day 1 concepts and ideas
- 8:00-10:00 SLR assessment and techniques
- 10:00-10:15 Morning Break
- 10:15-12:00 Lumbar assessment/techniques: SNAGS, Self-SNAG, HEP management
- 12:00-1:30 Lumbopelvic demo & lab practice: innominate & sacral techniques, weight bearing / non weight bearing, taping & HEP
- 1:30 Post Test and Course evaluation
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 policies under “courses” on the homepage.
Mark Thomson – DPT, FAAOMPT, OCS, CMP, MCTA
Dr. Thomson earned his BS in Physiological Science from UCLA in 1992. He graduated from UCSF/SFSU with an MPT degree in 1995. Mark graduated from the Kaiser Permanente Manual Therapy Fellowship in Los Angeles, CA in 2000. In 2005, he earned his tDPT from Temple University. Mark is a fellow of the American Academy of Orthopedic Manual Physical Therapists, is a Board Certified Orthopedic Clinical Specialist, and APTA Orthopedic Section member. Mark’s clinical practice is currently at Kaiser Permanente in San Diego, where he works as a Clinical Specialist and treats outpatient orthopedic patients full time. Since 2010, he has also worked as an adjunct faculty member at the University of Saint Augustine in San Diego within the Physical Therapy Doctoral Program, teaching courses in Spinal Manipulation, Extremity Manipulation, and Orthopedics. Mark is the Regional Manager for the North American Mulligan Concept ™ Teachers Association and has been involved with teaching short and long-term manual therapy courses since 1999 with excellent course reviews. Dr. Thomson is a clinical faculty member in the Kaiser Southern California Orthopedic Residency program, and thoroughly enjoys mentoring several residents every year. He practices an integrated style of manual therapy, focusing on passive and active mobilization techniques and exercise, with a commitment to continual analytical assessment. Mark is currently the North American Regional Manager of the Mulligan Concept ™ Teachers Association.