Puebla, Mexico – The Mulligan Concept Upper Quarter Course

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

Outline:

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

Two Day Course 8:00AM – 6:00PM (TIMELINE BELOW IS INACCURATE DUE TO SPANISH INTERPRETATION – COURSE ENDS AROUND  6PM DAY 1, and 5PM DAY 2)

                   (13 hours)(BOC ATC CEU Provider P3566)

DAY 1:

8:00-9:00     Introduction, case report, theory and 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- 4:00     Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued

DAY 2:

8:00-10:00   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

3:30-4:00     Review, Post Test and Closing

Wear loose, comfortable lab clothes. Bring mobilization belts, mobilization pads, if available.

Required Reading for mastery

The recommended texts for the course are:

The Mulligan Concept ® of Manual Therapy: Textbook of techniques by Hing, Hall, Rivett, Vicenzino and Mulligan, 2015. (Get 10% off by entering PROMOTIONAL CODE: BAL6E70486 at checkout !! )

AND:

Manual Therapy ‘NAGs’, ‘SNAGs’, ‘MWMs’ etc. 6^th edition, by Brian R. Mulligan, 2010.

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.

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Student Reviews & Testimonials

“Speaker was very well prepared, informational, dynamic and entertaining! Nice mix of lecture, lab, and instruction”

“Mark was knowledgeable, approachable, and presented the information in a fun way.”

“Mark was excellent. Great with listening to questions, working with each table for demo. Good examples with class participants. The whole weekend was interesting with good time allotted for each technique. Good organization.”

“Knowledgeable instructor, VERY relevant and gave many clinical pearls. Well versed in subject material. Entertaining, passionate and engaging. I loves the case scenarios and the fact you brought in the research.”