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Upper Quarter Course – Iowa City, IA

April 28, 2018 @ 8:00am - 5:00pm
April 29, 2018 @ 8:00am - 5:00pm


MCTA 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.

    • PTs and PTAs will receive 12 CCUs from Procert: State Board of Physical Therapy (FSBPT) for those clinicians that hold license in:Alaska, Arkansas, Arizona, California, Colorado, Delaware, District of Columbia, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Michigan, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Oregon, Puerto Rico, South Carolina, Tennessee, Utah, Vermont, Virginia, Wisconsin and Wyoming
  • Continuing Education (CE) credits Certificate of attendance for 13 hours
  • ATCs will receive 13 CEUs from the NATA Board of Certification Approval #P3566
  • Cerificate of attendance for 13 hrs of instruction


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.


Course Outline

Instruction in the MWM concept with lecture, demonstration and lab practice.
Two Day Course 8:00 AM – 4:00 PM

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


MCTA - Richard Crowell

Richard Crowell  – PT, MS, GDMT, MCTA
Rick Crowell is a 1993 graduate of Curtin University’s postgraduate program in manipulative therapy, Perth, Australia. He received his post-professional Master’s Degree in 1986 from Georgia State University in orthopedic physical therapy. Rick has extensive educational and clinical training in manual therapy. He is a fellow in the American Academy of Orthopedic Manual Physical Therapy. He is currently practicing, teaching, and conducting research in Mobilization with Movement. Rick is a adjunct professor at the College of St. Scholastica in addition to his clinical practice. He has worked with Brian Mulligan since 1994, is an accredited teacher in the Mulligan Concept and has conducted courses in both the United States and Brazil.


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Student Reviews & Testimonials

“Brian was absolutely excellent…. energetic, funny, hilarious, clear, easy to follow, great techniques… a great balance of informative, knowledgeable and fun. Really great guy who clearly loves what he does because he’s so good at it”.

“Honestly, most enjoyable con-ed I’ve attended to date….very clear, helpful, dynamic, thorough and funny….. maintained the interest in the class. Did not let it get boring”.

“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!”


Apr 28, 2018 @ 8:00 am
Apr 29, 2018 @ 5:00 pm
Event Category:


Rick Crowell
(218) 349-4965


Richard Crowell


Mercy Medical Plaza
540 E. Jefferson St
Iowa City, IA 52245 United States
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319 339 3611