The Mulligan Concept ® Course Curriculum is….
Upper Quarter
Description
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 OUTCOMES/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 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 techniques for the alleviation of cervicogenic headaches
- Demonstrate 3 manual techniques 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.
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Outline
DAY 1: (note: actual times / sequencing may vary)
8:00-9:00 Introduction, Discuss Text Required Reading, Case reports, 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 and 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 and lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Movement
10:00-10:15 Break time
10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow treatments, 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, Clinical review Post Tests with participants challenged in rx progressions and clinical reasoning, Closing
Lower Quarter
Description
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 OUTCOMES/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.
- Integrate a combined proximal / distal mobilization with movement technique for long bone dysfunction in the lower leg.
- 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: (note: actual times / sequencing may vary)
8:00-9:00 Introduction, Case reports, theory and pre test
9:00-10:00 Toes/Feet demonstration and lab practice: 1st MCP, metatarsals, tarsals, plantar fasciitis, and taping techniques
10:00-10:15 Morning Break
10:15-10:30 Ankle Lecture: literature evidence for eval and rx of ankle sprain and dorsiflexion
10:30-12:00 Ankle demonstration and lab practice: talocrural, distal tib/fib jt, DF, PF, ankle sprains, and taping techniques
12:00-1:00 Lunch
1:00-2:30 Knee demonstration and lab practice: Belt MWMs, IR MWM, Squeeze technique for meniscus, proximal tib/fib jt, and taping
2:30-2:45 Afternoon Break
2:45-4:00 Hip demonstration and lab practice: flexion, extension, rotation non-weight bearing techniques
Day 2:
8:00-9:00 Hip demonstration and lab practice: weight bearing techniques
9:00-10:00 Lumbar demonstration and lab practice: SNAGs for flexion, extension, side bending and rotation.
10:00-10:15 Morning Break
10:15-12:00 Lumbar demonstration and lab practice: self SNAGs, HEP
12:00-1:00 Lunch
1:00-2:30 Continued Lumbar demonstration and lab practice: SLR techs, SNAGS with SLR, HEP
2:30-2:45 Afternoon Break
2:45-3:30 SI jt demonstration and lab practice: ilial rotations, plinth and weight bearing techniques, taping techniques and HEP.
3:30-4:00 Practical Review session. Post course test.
Advanced
Description
Advanced Course for 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.
LEARNING OUTCOMES/Objectives: 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
Outline
DAY 1 (note: actual times / sequencing may vary)
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
DAY 2
8:00-8:45 Toes/Feet demo & lab practice progressions: IP, MCP, metatarsals, tarsals, plantar fasciitis, and taping techniques
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.
Other Courses
Description
Introductory to Spinal and Peripheral Manual Therapy Treatment Techniques
Though this rarely taught two-day survey course is for those who wish just a general overview and is not a required to qualify for the CMP examination. It will introduce the Mulligan approach to manual therapy for the whole body. It will include lecture, patient demonstrations, and lab time to give the participants an initial exposure to the Mobilization with Movement approach. 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
- Have an appreciation of the concept of the Mobilization with Movement approach.
- Provide initial exposure to general MWM techniques for the whole body.
- Develop the knowledge and manual skills to successfully apply and integrate the MWM techniques.
- Integrate taping techniques with Mobilization With Movement™
- Understand the guidelines for safe and effective technique selection.
- Improve clinical outcomes.
Outline
- Hand: IP joints.
- Wrist: MWM’s for flexion, extension, supination, and pronation.
- Elbow: flexion and extension MWM’s.
- Shoulder: manual and belt MWM’s for elevation.
- Cervical: NAGs, Reverse NAGs, SNAGs for flexion, extension, rotation, SB, HEP Techniques, Positional SNAGs.
- Thoracic: SNAGs for rotation.
- Lumbar: SNAGs, self SNAGs, SLR techniques, and HEP techniques.
- Hip: flexion and rotation techniques.
- Knee: Belt MWM’s, IR MWM, and taping.
- Ankle: talocrural DF and PF, distal tib/fib joint, ankle sprains, and taping techniques.
- Toes: 1st MCP joint.