Wenatchee, WA Mobilization With Movement™ – Upper Quarter Course

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 Objectives

By the end of the course the participant will be able to accurately:

• List 3 key manual 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 upper cervical techniques used for the alleviation of cervicogenic headaches
• Demonstrate 3 manual upper cervical techniques used 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.

Outline:

UPPER QUARTER

8:00-4:30 SATURDAY

7:30-3:30 SUNDAY

DAY 1: 

8:00-9:00    Sign in and Registration.  Pre-test.  Introduction, theory, guidelines for practical application of Mobilization With Movement (MWM’s):  CROCKS and PILL.

9:00-9:30    Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques.

9:30-10:00  Literature evidence for evaluation and treatment of 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: Natural Apophyseal Glides (NAGs), Reverse NAGs, Sustained Natural Apophyseal Glides (SNAGs).

12:00-1:00   Lunch

1:00- 2:00   Cervical demonstration and lab practice: SNAGs continued.  Self-SNAGS/HEP/Self management.

2:00-2:30    Upper Cervical lecture: evidence for evaluation and assessment of Upper Cervical pain, mobility loss, headaches and cervicogenic dizziness.

2:30- 2:45     Break time

2:45- 4:30     Upper Cervical lab practice for Headache/Cervicogenic Dizziness and pain/Mobility loss.

 

DAY 2:

7:30-9:30   Review of Day 1 topics and treatments. CMP exam requirements. Cervical demonstration & lab practice: traction techniques, Transverse SNAG’s (Positional SNAGS’s), Spinal Mobilization with Arm Movement.

9:30-9:45   Break time

9:45-11:00  Elbow demonstration and lab practice, HEP/ patient self-management strategies.

11:00-12:00   Literature evidence for evaluation and treatment of the Shoulder. Demonstration and lab practice.

12:00-1:00     Lunch

1:00- 2:00     Shoulder demonstration and lab practice continued to include the Acromioclavicular joint and Scapulothoracic area: MWM, HEP/self management. 

2:00- 2:15     Break time

2:15- 3:00     Rib and Thoracic demonstration and lab practice: MWM for the ribs and thoracic.

3:00 – 3:30     Review, Post Test and Closing

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

CANCELLATION POLICIES:

Individual Participant Cancellation Policy:All cancellations must be submitted with written notice and received 14 days prior to the course date. Refunds, minus an administrative fee of $50.00, are provided if cancellation is received in this timeframe. No refunds will be issued if notice is received less than 14 days before the course. If written notice is provided at any time prior to the start of the course, or within 1 week after, full course tuition may be transferred to another Mulligan Concept ™ course within 1 year without the administrative fee. Mulligan Concept ™ Teacher’s Association (MCTA) Right to cancel: The MCTA and its teachers reserve the right to cancel any course prior to the course date due to insufficient enrollment or unforeseen circumstances. In the unlikely event that this should occur, individual tuition fees will be returned in full (though life can be unpredictable, we will do everything in our power to avoid such a cancellation < 28 days before the course). However, the NA-MCTA and its teachers will not be held responsible for airline tickets, hotel reservations, or any other travel or personal expenses incurred by the registrant. The NA-MCTA will make every attempt to contact you as soon as possible in the event a course must be canceled. Please consider this policy before making your travel arrangements.

Host Cancellation Policy:In the event that the host facility must cancel, 4 weeks notice must be given in writing to the course instructor. This will allow sufficient time to notify all registered participants.

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. Mark is the Regional Manager for the North American Mulligan Concept ™ Teachers Association and has been involved with teaching short and long-term 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 Regional Manager of the Mulligan Concept ™ Teachers Association.

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