Natick, MA/ The Mulligan Concept™ Lower Quadrant Course

Spinal and Peripheral Manual Therapy Treatment Techniques for Lower Quarter

This two-day Mulligan Concept™ Lower Quadrant Course will present the Mulligan approach to manual therapy for the Lumbar spine as well as for the lower extremity. This manual therapy course 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

8:00-4:30 FRIDAY

8:00-4:00 SATURDAY

Outline = 13 Contact Hours (the times and order of presentation may vary)

DAY 1:

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:

8:00-8:30 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.

3:00-4:00 Practical review session. Post course test.

To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, foam mobilization pads or contact pads, and Brian Mulligan’s 7th edition textbook. 

– Wear loose, comfortable lab clothing (with long hair pulled back)
– Bring your copy of the text, a small hand towel and a Mulligan NAGS & SNAGS Mobilization belt.
– Foam mobilization pads or contact pads are recommended.

Suggested Reading

Since 1998, David has been an accredited Mulligan Concept teacher.  David was the first chiropractor/physical therapist accredited in North America. David has taught the work of Brian Mulligan F.N.Z.S.P., (Hon.) Dip. M.T. nationally to both physical therapists and chiropractors alike.  David earned his Bachelors in Physical Therapy from Northeastern University in 1990.  A background in the Cyriax approach to Orthopedic Medicine led David back to school at Bridgeport College of Chiropractic where he graduated with a Doctorate degree in 1996.  David has over 33 years of clinical experience as both a physical therapist and chiropractor.  David has a passion for manual therapy and the integration of joint mobilizations, exercise and patient education. David’s special interests include youth and high school athletics.  David is also the owner of Quinnipiac Physical Therapy and Sports Medicine which has been providing care to his community for 27 years.