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
LOWER QUARTER TIME SCHEDULE and PROGRAM CONTENT
Precourse video outline (to be sent to all participants in the Pre-course email 1-2 weeks prior to the course):
0 – 5:00 Course and Mulligan Concept Intro: Mark Thomson’s background
5:00 – 6:51 Who is Brian Mulligan?
6:51 – 23:39 Effects of manual therapy and Mulligan Concept mechanisms of action
23:40 – 25:40 Evidence for manual therapy vs hands off approach
25:40 – 29:03 Mulligan Concept resources and “tools of the trade”
29:03 – 32:50 How was the Mulligan Concept born?
32:50 – 34:40 IP example of MWM
34:40 – 36:04 3 things about the Mulligan Concept that require the most practice!
36:04 – 37:10 Establishment of the Mulligan Concept Teacher Association
37:10 – 42:48 What is the Mulligan Concept?
42:48 – 1:00 CROCKS
1:00 – 1:02:40 MWM’s are one part of a thorough examination
1:02:40 – 1:03:10 PILL EFFECT
1:03:10. REVIEW
DAY 1:
7:45-8:00 Sign in and Registration, Pre-test
8:00-9:00 Mulligan theory, guidelines for practical application of Mobilization With Movement (MWM’s): CROCKS and PILL
9:00-9:15 Ankle Lecture: literature evidence for evaluation and treatment of ankle sprain and dorsiflexion pain and/or mobility loss
9:15-10:30 Ankle demonstration & lab practice: talocrural and proximal/distal tibia/fibular joint & taping
10:30-10:45 Break time
10:45-12:00 Toes/Feet demo & lab: 1st MCP, metatarsals, tarsals, plantar fasciitis & taping techniques
12:00-1:00 Lunch
1:00- 2:30 Knee demonstration & lab: Literature evidence for evaluation and treatment. MWM’s & taping.
2:30-3:00 Hip evaluation and treatment supine
3:00-3:15 Break time
3:15- 4:30 Hip Mobilization with Movement supine and weight bearing
4:30-5:30 Longitudinal traction MWM’s
DAY 2:
7:30-8:00 Review of key Day 1 concepts and ideas
8:00-10:00 SLR assessment and techniques
10:00-10:15 Morning Break
10:15-12:00 Lumbar assessment/techniques: SNAGS, Self-SNAG, HEP management
12:00-1:30 Lumbopelvic demo & lab practice: innominate & sacral techniques, weight bearing / non weight bearing, taping & HEP
1:30 Post Test and Course evaluation
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.
CANCELLATION POLICIES:
Please see cancellation policies under “courses” on the homepage.
Click for info and registration
Instructor
Jennifer Hamsher