Advanced Course – Spinal and Peripheral Manual Therapy Treatment Techniques
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. This two-day Advanced course will review and fine tune the participants skill level with the Mulligan approach to manual therapy for the whole body.
In addition, it will provide instruction in the use of Pain Release Phenomenon techniques and compression techniques. It will include lecture, patient demonstrations, and lab time to give the participants an opportunity for depth problem-solving and refinement of technique for this Mobilization With Movement™® approach. This will also prepare those interested in taking the Certified Mulligan Practitioner Exam.
By the end of the course the participant will be able to accurately:
- Describe two indications and 2 clinical rules for the application of Pain Release Phenomenon and Compression Techniques
- Demonstrate 3 ankle MWM techniques for ankle ROM impairment.
- Integrate a combined proximal / distal MWM technique in the lower leg when presented with findings of persistent ankle sprain leg pain & dysfunction.
- Demonstrate 2 knee MWM techniques for ROM impairment.
- Integrate 1 advanced MWM combination for medial compartment of the knee when given a presentation of persistent knee joint dysfunction.
- Demonstrate 3 hip MWM techniques for ROM impairment.
- Demonstrate 2 knee taping procedures to reinforce MWM techniques.
- Demonstrate 3 key variables that may need to be modified for pain-free effective MWM of peripheral and axial skeletal joints
- Demonstrate 5 manual techniques for the alleviation straight leg raise pain.
- Integrate 1 advanced combined MWM for sidelying SLR dysfunction when given a presentation of persistent SLR dysfunction.
- 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, cervical and thoracic ROM.
- List 2 indications for wrist/hand taping procedures for the proximal row of carpals and the metacarpals to reinforce an MWM technique.
- Demonstrate 2 elbow MWM techniques for loss of motion and tennis elbow.
- Integrate one forearm combined MWM of the proximal and distal radius/ulna when given a clinical pattern of persistent forearm pain.
- Demonstrate 3 shoulder MWM techniques for shoulder elevation impairment.
- Demonstrate 3 manual techniques for the alleviation of cervicogenic headaches and dizziness
- Integrate one combined shoulder MWM and cervical SNAG when presented with a persistent cervical / shoulder musculoskeletal dysfunctional pattern.
- Cite at least 2 RCT studies that support cervical snags for headaches and dizziness
Two Day Course: Instruction, Demonstration and Lab Practice for:
- 8:00-8:30 Introduction, clinical problem identification and reflection
Review, Problem-Solve, Refinement and advanced progressions of the techniques for:
- 8:30-9:00 Hand & Wrist demo & lab practice: IP, MCP, Metacarpals, Carpals, MWMs and taping techniques
- 9:00-9:30 Pain Release Phenomenon (PRP) & Compression Techniques lecture
- 9:30-10:00 Pain Release Phenomenon (PRP) & Compression Techniques demo & lab practice: Pisiform,Dequervain’s, CMC jt
- 10:00-10:15 Break time
- 10:15-11:00 Elbow demo & lab practice of MWM progressions/combinations: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
- 11:00-11:30 Shoulder demo & lab practice of MWM progressions: manual & belt MWMs for elevation, IR, ER, functional activities, HEP
- 11:30-12:00 Pain Release Phenomenon & Compression Techniques demo & lab practice: tennis elbow, radiohumeral jt & shoulder jt
- 12:00-1:00 Lunch
- 1:00- 2:30 Cervical demo & lab practice of progressions/combinations: NAGs, SNAGs, HEP, Txn techs, Positional SNAGs, SWAMs, cervical PRPs
- 2:30- 2:45 Break time
- 2:45- 3:00 Upper Cervical lecture evidence based practice
- 3:00-3:30 Upper Cervical demo and lab practice progressions: Headache and Cervicogenic Dizziness treatments
- 3:30-4:00 Thoracic and rib cage demo and lab practice: snags and MWMs for ribs 1-12
- 8:00-8:45 Toes/Feet demo & lab practice progressions: IP, MCP, metatarsals, tarsals, plantar fasciitis, and taping
- 8:45-9:30 Ankle demo & lab practice progressions/combinations: talocrural, distal tib/fib jt, DF, PF, ankle sprains, and taping techniques
- 9:30-10:00 Pain Release Phenomenon and Compression Techniques demo and lab practice: MTP jts, EHL tendon, tarsals, sesamoids
- 10:00-10:15 Break time
- 10:15-12:00 Knee demo & lab practice progressions/combinations:: Belt MWMs, IR MWM, Squeeze tech for meniscus, proxi tib/fib jt, taping & PRP tech
- 12:00-1:00 Lunch
- 1:00- 2:00 Hip demo & lab practice progressions/combinations: flex, ext, rot, non-wt bearing & wt bearing techniques & PRP techs
- 2:00- 2:45 Lumbar demo & lab practice progressions/combinations:: SNAGs, self SNAGs, SLR techs, SNAGS with SLR, HEP
- 2:45-3:00 Break time
- 3:00-3:45 Pelvic Girdle demo & lab practice progressions: ilial rotations, upslip, plinth and weight bearing techniques, taping techniques
- 3:45-4:00 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.
Individual Participant Cancellation Policy:All cancellations must be submitted with written notice and received 14 days prior to the course date. Refunds, minus an administrative fee of $50.00, are provided if cancellation is received in this timeframe. No refunds will be issued if notice is received less than 14 days before the course. If written notice is provided at any time prior to the start of the course, or within 1 week after, full course tuition may be transferred to another Mulligan Concept ™ course within 1 year without the administrative fee. Mulligan Concept ™ Teacher’s Association (MCTA) Right to cancel: The MCTA and its teachers reserve the right to cancel any course prior to the course date due to insufficient enrollment or unforeseen circumstances. In the unlikely event that this should occur, individual tuition fees will be returned in full (though life can be unpredictable, we will do everything in our power to avoid such a cancellation < 28 days before the course). However, the NA-MCTA and its teachers will not be held responsible for airline tickets, hotel reservations, or any other travel or personal expenses incurred by the registrant. The NA-MCTA will make every attempt to contact you as soon as possible in the event a course must be canceled. Please consider this policy before making your travel arrangements.
Host Cancellation Policy:In the event that the host facility must cancel, 4 weeks notice must be given in writing to the course instructor. This will allow sufficient time to notify all registered participants.
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.
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.
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.”
“Mark was a knowledgeable instructor, VERY relevant and he gave many clinical pearls. Well versed in the subject material. He was entertaining, passionate, and engaging. I loved the case scenarios and the fact you brought in the research.”
“Proved the technique was effective practically and by supporting it with evidence and research articles…. very relevant and gave many clinical pearls”.
“Well versed in the subject material….One of the best courses I’ve taken. I became a better clinician and look forward to using the new material in practice. Thank you!”