Fremont, CA / The Mulligan Concept™ Lower Quadrant Course

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

DAY 1:

7: 30 Registration

8:00-9:00 Pre-test.  Introduction, theory, guidelines for practical application of Mobilization With Movement (MWM’s):  CROCKS and PILL

9:00-10:00 Toes/Feet demo & lab: 1st MCP, metatarsals, tarsals, plantar fasciitis & taping techniques

10:00-10:15 Morning Break

10:15-10:30 Ankle Lecture: literature evidence for evaluation and treatment of ankle sprain and dorsiflexion pain and/or mobility loss.

10:30-12:00 Ankle demonstration & lab practice: talocrural and proximal/distal tibia/fibular joint & taping.

12:00-1:00 Lunch

1:00-2:30 Knee demonstration & lab: Literature evidence for evaluation and treatment. MWM’s & taping.

2:30-2:45 Afternoon Break

2:45-4:30 Literature evidence for evaluation and treatment of Hip. Demonstration and lab practice: Mobilization with Movement and self management strategies.

Day 2:

7:30-8:30 Review of Day 1 topics and treatments. CMP exam requirements. Hip demonstration and lab practice continued: weight bearing techniques.

8:30-9:30 Lumbar demo & lab practice: Sustained Natural Apophyseal Glides (SNAG’s)  in sitting, standing, quadruped, prone.

9:30-9:45 Morning Break

9:45-12:00 Lumbar demo & lab practice continued.  Self SNAG’s, SLR techniques, HEP

12:00-1:00 Lunch

1:00-3:00 Lumbopelvic demo & lab practice: innominate & sacral techniques, weight bearing / non weight bearing, taping & HEP.

3:00-3:30 Practical review session. Post course test.

• Wear loose, comfortable lab clothes.
• Bring mobilization belts, mobilization pads, exercise mat
• Read: The Mulligan Concept of Manual Therapy: Textbook of techniques by Hing, Hall, Rivett, Vicenzino and Mulligan, 2015. (Amazon) and Manual Therapy ‘NAGs’, ‘SNAGs’, ‘MWMs’ etc. 6^th edition, by Brian R. Mulligan, 2010. (Amazon)

Suggested Reading

Don is a graduate of the University of Southern California, where he obtained a Master’s Degree in Physical Therapy in 1981. He is a board certified orthopedic clinical specialist, certified by the American Board of Physical Therapy Specialties. He has over thirty years of clinical experience emphasizing manual therapy, and currently is in independent practice in Jacksonville, Oregon. Don is an accredited member of the Mulligan Concept Teachers Association and served as Regional Manager in North America from 1999-2013.

He has assisted Brian Mulligan on courses since 1994, and has been the principal instructor in postgraduate manual therapy courses since 1998 throughout the United States and Canada.