Miami, FL / 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

Amy graduated from the University of Virginia with bachelor’s degrees in Biology and Spanish. She was awarded a research fellowship at the Centers for Disease Control in 1997 and later earned her Doctor of Physical Therapy degree from the University of Southern California Department of Physical Therapy and Biokinesiology in 2001. In 2019, she completed a post-doctoral program at the University of Tennessee in Equine Rehabilitation.

She has been in full time clinical practice for 20 years. She is an APTA certified clinical instructor and has been a Certified Mulligan Practitioner since 2006. She is a contributing author to multiple published medical text books and has written post-operative rehabilitation protocols for publication. She is staff at Naval Medical Center San Diego and is a recipient of the Master Clinician Award. She has extensive continuing education including Mckenzie Method, Maitland technique, dry needling and Active Release. She has been an NSCA Certified Strength and Conditioning Specialist since 2001 and has provided care for multiple Olympians. She is passionate about teaching anatomy & biomechanics and believes patient education combined with manual therapy results in restored function.

While not practicing she enjoys horsemanship, skiing and volunteering.