Upper Quarter Course – Roseburg, OR

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

LEARNING OBJECTIVES SUMMARY:

●   Understand the concept of the Mobilization with Movement approach.
●   Provide a thorough and in depth instruction and practice of the MWM techniques for the upper quarter.
●   Develop the knowledge and manual skills to successfully apply and integrate the MWM techniques to improve clinical outcomes.
●   Integrate taping techniques with Mobilization with Movement.
●   Understand the guidelines for safe and effective technique selection.

Outline: Instruction in the Mulligan Concept of Manual Therapy, includes lecture, demonstration and hands-on lab practice as follows:

(it is sometimes necessary to go longer on day 1 and shorter on day 2 to accommodate travel.)

DAY 1:

8:00-9:00      Introduction, theory and pre-test

9:00-10:00    Cervical demonstration and lab practice: NAGs, Reverse NAGs.

10:00-10:15   Break time

10:15-12:00    Cervical demonstration and lab practice: MWM principles, SNAGS for flexion, extension, rotation, sidebending, HEP techniques, transverse snags

12:00-1:00     Lunch   

1:00-1:15         Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.

1:15-2:30        Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques

2:30-2:45      Break time

2:45-3:15      Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued; cervical and thoracic traction techniques

3:15-4:00      Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension; Ribs demonstration and lab practice: MWMs for ribs 1-12

DAY 2:

8:00-9:00    Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques

 9:00-10:00    Wrist demonstration and lab practice: MWMs for flexion, extension, supination, pronation, and taping

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

1:00-2:00      Shoulder demonstration and lab practice: IR, ER, functional activities, HEP

2:00-2:30      Acromioclavicular joint & 1st rib demonstration and lab practice: MWMs, and taping

2:30- 2:45     Break time

2:45- 3:30     Cervical demonstration & lab practice: Spinal Mobilization with Arm Movement

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

Wear loose, comfortable lab clothes. Bring mobilization belt & foam or contact pad, if possible.

Books

The required text for the course:

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

Also recommended:

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 !! )

• Please contact Organizer for travel & accommodation options, if needed.

Special location instructions:

• The course will be held in the hospital conference rooms A & B. The address is: Mercy Medical Center, 2700 Stewart Parkway Roseburg, OR 

Review / Testimonial

The Mulligan Concept is an outstanding paradigm to integrate into your practice as an athletic trainer. The courses and techniques not only improve your direct patient-care skill set, but also improve your clinical reasoning, decision-making, and communication skills. The techniques are simple to implement in practice and will produce immediate improvements across the gamut of injuries and patient presentations we see as athletic trainers. Practitioners who implement the Mulligan Concept into their clinical evaluations, acute care, and rehabilitation programs will experience significant improvement in their clinical practice. 

Don Reordan has outstanding knowledge of, and experience using, the Mulligan Concept. He is able to translate his expert knowledge and clinical reasoning in a manner that is effective for both novice and expert learners. He also displays a genuine excitement and joy for teaching the Mulligan Concept, which creates a fun learning environment. I highly recommend taking Mulligan Concept courses from Don.

-Russell Baker, DAT, AT Clinical Assistant Professor, Director, Master of Science Athletic Training Program, University of Idaho