Lower Quarter Course- San Diego, CA

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 the lower quarter.
• Demonstrate 3 MWM techniques for ankle ROM impairment.
• Demonstrate 2 MWM techniques for knee ROM impairment.
• Demonstrate 3 MWM techniques for hip 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 of pain with straight leg raise.
• Demonstrate 2 manual techniques for the alleviation of SI jt pain.
• Demonstrate central and unilateral manual SNAG techniques for pain-free improvement of lumbar ROM.
• Cite at least 2 RCT studies that support ankle sprain MWM and taping.
• Cite at least 1 RCT study that supports the MWM approach to dorsiflexion loss at the ankle.

Outline

• Two Day Course 8:00AM – 4:00PM both days.
• Instruction in the MWM concept with lecture, demonstration and lab practice.
• Day 1:
• 8:00 – 9:00 Introduction, Case Reports, theory, and pre-test.
• 9:00 – 10:00 Toes/Feet demo & lab: 1st MCP, metatarsals, tarsals, plantar fasciitis, and 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 impairments.
• 10:30 – 12:00 Ankle demo and lab practice: talocrual, distal tib/fib joint, DF and PF impairments, ankle sprains and taping.
• 12:00 – 1:00 Lunch.
• 1:00 – 2:30 Knee demo & lab practice: Belt and IR MWM’s, Squeeze technique for meniscus, proximal tib/fib joint & 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: Straight leg restriction techniques, Femoral nerve restriction techniques.
• 10:00 – 10:15 Morning break.
• 10:15 – 12:00 Lumbar demonstration and lab practice: SNAGs for flexion, extension, side bending and rotation.
• 12:00 – 1:00 Lunch.
• 1:00 – 1:30 Lumbar HEP’s and self SNAGs.
• 1:30 – 2:30 SI joint demonstration and lab practice: non-weight bearing and weight bearing Illium and Sacral techniques.
• 2:30 – 2:45 Afternoon break.
• 2:45 – 3:30 SI joint techniques continued, taping and HEPs.
• 3:30 – 4:00 Practical review session, Post test.

Wear loose, comfortable lab clothes. Bring mobilization belts, mobilization pads, if available.

Suggested Reading

Manual Therapy : Nags, Snags, Mwms, Etc. – (6th Ed), Orthopedic Physical Therapy Products, 2010

This new 6th edition text contains new & revised information including Mobilisations with Movement (MWMs) for the shoulder girdle. When applied correctly, they can significantly reduce joint pain and increase movement. They’re also highly effective treatments for patients with pain or stiffness of Cx 5/6 and Cx 6/7 origin.

This book is a must for physical therapists working in the musculoskeletal field. Written by one of the world’s foremost experts of Manual Therapy, Brian Mulligan. Illustrated. Softcover, 132 pages.

Available for Purchase Online

Mark Thomson

Mark Thomson – DPT, FAAOMPT, OCS, CMP, MCTA
Dr. Thomson earned his BS in Physiological Science from UCLA in 1992. He graduated from UCSF/SFSU with an MPT degree in 1995. Mark graduated from the Kaiser Permanente Manual Therapy Fellowship in Los Angeles, CA in 2000. In 2005, he earned his tDPT from Temple University. Mark is a fellow of the American Academy of Orthopedic Manual Physical Therapists, is a Board Certified Orthopedic Clinical Specialist, and APTA Orthopedic Section member. Mark’s clinical practice is currently at Kaiser Permanente in San Diego, where he works as a Clinical Specialist and treats outpatient orthopedic patients full time. Since 2010, he has also worked as an adjunct faculty member at the University of Saint Augustine in San Diego within the Physical Therapy Doctoral Program, teaching courses in Spinal Manipulation, Extremity Manipulation, and Orthopedics. Before becoming a Mulligan teacher in 2014, Mark was a Mulligan Concept Teacher’s Association teaching assistant and Certified Mulligan Practitioner for 10 years and has been involved with teaching short and long-term Maitland manual therapy courses since 1999 with excellent course reviews. Dr. Thomson is a clinical faculty member in the Kaiser Southern California Orthopedic Residency program, and thoroughly enjoys mentoring several residents every year. He practices an integrated style of manual therapy, focusing on passive and active mobilization techniques and exercise, with a commitment to continual analytical assessment. Mark is currently the North American Mulligan Concept Regional Manager.

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Student Reviews & Testimonials

“Speaker was very well prepared, informational, dynamic and entertaining! Nice mix of lecture, lab, and instruction”

“Mark was knowledgeable, approachable, and presented the information in a fun way.”

“Very easily applied information and Mark made it very functional/adaptive for patients. Fun and lively! Great course, Thank You!”

“Fun! Facilitated multiple learning styles and retention. Clear explanations of everything. Mark answered all of our questions. Great communication. I learned so much… Thank You!”