Advanced Course – Wenatchee, WA
Nov 9, 2019 @ 8:00 am – Nov 10, 2019 @ 4:00 pm
Advanced Course – Spinal and Peripheral Manual Therapy Treatment Techniques 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. This two-day Advanced course will review and fine tune the participants skill level with the Mulligan approach to manual therapy for the whole body. PTs and PTAs will receive 14 CCUs from Procert: State Board of Physical Therapy (FSBPT) for those holding license in: Alaska, Arkansas, Arizona, California, Colorado, Delaware, District of Columbia, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Wisconsin and Wyoming
- Washington State CEU status: per the course organizer: The Washington State Department of Health’s website states pre-approval is not necessary as long as the course is “specifically related to the practice of physical therapy” and has clearly defined goals and objectives. Course participants will be required to present course certificates and a list of the course objectives and goals if audited.More info at: https://na-mcta.com/courses/ceus/
- Continuing Education (CE) credits Certificate of attendance for 13 hours
- ATs will receive 13 CEUs from the NATA Board of Certification Approval #P3566
Advanced Course – Spinal and Peripheral Manual Therapy Treatment TechniquesThis 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. This two-day Advanced course will review and fine tune the participants skill level with the Mulligan approach to manual therapy for the whole body. In addition, it will provide instruction in the use of Pain Release Phenomenon techniques and compression techniques. It will include lecture, patient demonstrations, and lab time to give the participants an opportunity for depth problem-solving and refinement of technique for this Mobilization With Movement approach. This will also prepare those interested in taking the Certified Mulligan Practitioner Exam.
Learning Objectives/Objectives: By the end of the course the participant will be able to accurately:
- Describe two indications and 2 clinical rules for the application of Pain Release Phenomenon and Compression Techniques
- Demonstrate 3 ankle MWM techniques for ankle ROM impairment.
- Integrate a combined proximal / distal MWM technique in the lower leg when presented with findings of persistent ankle sprain leg pain & dysfunction.
- Demonstrate 2 knee MWM techniques for ROM impairment.
- Integrate 1 advanced MWM combination for medial compartment of the knee when given a presentation of persistent knee joint dysfunction.
- Demonstrate 3 hip MWM techniques for ROM impairment.
- Demonstrate 2 knee taping procedures to reinforce MWM techniques.
- Demonstrate 3 key variables that may need to be modified for pain-free effective MWM of peripheral and axial skeletal joints
- Demonstrate 5 manual techniques for the alleviation straight leg raise pain.
- Integrate 1 advanced combined MWM for sidelying SLR dysfunction when given a presentation of persistent SLR dysfunction.
- 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, cervical and thoracic ROM.
- List 2 indications for wrist/hand taping procedures for the proximal row of carpals and the metacarpals to reinforce an MWM technique.
- Demonstrate 2 elbow MWM techniques for loss of motion and tennis elbow.
- Integrate one forearm combined MWM of the proximal and distal radius/ulna when given a clinical pattern of persistent forearm pain.
- Demonstrate 3 shoulder MWM techniques for shoulder elevation impairment.
- Demonstrate 3 manual techniques for the alleviation of cervicogenic headaches and dizziness
- Integrate one combined shoulder MWM and cervical SNAG when presented with a persistent cervical / shoulder musculoskeletal dysfunctional pattern.
- Cite at least 2 RCT studies that support cervical snags for headaches and dizziness
OutlineTwo Day Course: Instruction, Demonstration and Lab Practice for: DAY 1
- 8:00-8:30 Introduction, clinical problem identification and reflection
- Review, Problem-Solve, Refinement and advanced progressions of the techniques for:
- 8:30-9;00 Hand & Wrist demo & lab practice: IP, MCP, Metacarpals, Carpals, MWMs and taping techniques
- 9:00-9:30 Pain Release Phenomenon (PRP) & Compression Techniques lecture
- 9:30-10:00 Pain Release Phenomenon (PRP) & Compression Techniques demo & lab practice: Pisiform,Dequervain’s, CMC jt
- 10:00-10:15 Break time
- 10:15-11:00 Elbow demo & lab practice of MWM progressions/combinations: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
- 11:00-11:30 Shoulder demo & lab practice of MWM progressions: manual & belt MWMs for elevation, IR, ER, functional activities, HEP
- 11:30-12:00 Pain Release Phenomenon & Compression Techniques demo & lab practice: tennis elbow, radiohumeral jt & shoulder jt
- 12:00-1:00 Lunch
- 1:00- 2:30 Cervical demo & lab practice of progressions/combinations: NAGs, SNAGs, HEP, Txn techs, Positional SNAGs, SWAMs, cervical PRPs
- 2:30- 2:45 Break time
- 2:45- 3:00 Upper Cervical lecture evidence based practice
- 3:00-3:30 Upper Cervical demo and lab practice progressions: Headache and Cervicogenic Dizziness treatments
- 3:30-4:00 Thoracic and rib cage demo and lab practice: snags and MWMs for ribs 1-12
- DAY 2
- 8:00-8:45 Toes/Feet demo & lab practice progressions: IP, MCP, metatarsals, tarsals, plantar fasciitis, and taping
- 8:45-9:30 Ankle demo & lab practice progressions/combinations: talocrural, distal tib/fib jt, DF, PF, ankle sprains, and taping techniques
- 9:30-10:00 Pain Release Phenomenon and Compression Techniques demo and lab practice: MTP jts, EHL tendon, tarsals, sesamoids
- 10:00-10:15 Break time
- 10:15-12:00 Knee demo & lab practice progressions/combinations:: Belt MWMs, IR MWM, Squeeze tech for meniscus, proxi tib/fib jt, taping & PRP tech
- 12:00-1:00 Lunch
- 1:00- 2:00 Hip demo & lab practice progressions/combinations: flex, ext, rot, non-wt bearing & wt bearing techniques & PRP techs
- 2:00- 2:45 Lumbar demo & lab practice progressions/combinations:: SNAGs, self SNAGs, SLR techs, SNAGS with SLR, HEP
- 2:45-3:00 Break time
- 3:00-3:45 Pelvic Girdle demo & lab practice progressions: ilial rotations, upslip, plinth and weight bearing techniques, taping techniques
- 3:45-4:00 Practical Review session. Post course test.
Advanced Course applicants must have completed the following 2 courses of the curriculum. MOBILIZATIONS WITH MOVEMENT, “NAGS”, “SNAGS” AND MORE:
- UPPER Quadrant
- LOWER Quadrant
Required ReadingManual Therapy ‘NAGs’, ‘SNAGs’, ‘MWMs’ etc. 6th edition, by Brian R. Mulligan, 2010. A recommended text for the course is: The Mulligan Concept of Manual Therapy: Textbook of techniques by Hing, Hall, Rivett, Vicenzino and Mulligan, 2015.
Faculty Name – Brian Folk PT, MCTA, FAAOMPT
Mr. Folk graduated with “great distinction” from the Physical Therapy Program at California State University, Long Beach in 1987. He first became acquainted with Brian Mulligan in 1996 and has assisted Mr. Mulligan on courses since 1998. He received full accreditation as an instructor in the Mulligan Concept Teachers Association in 2001. He has previously served for many years as the Secretary of the International Mulligan Concept Teachers Association as well as Chairman of the North American MCTA Certified Mulligan Practitioner Examination Committee. He is a graduate of the Kaiser Permanente Orthopedic Manual Therapy Fellowship and has previously served as an adjunct instructor in the Fellowship program. Additionally, he is a Fellow of the American Academy of Orthopedic Manual Therapists. He has worked in outpatient orthopedic clinics since 1988 and most recently as an outpatient Clinical Specialist at Kaiser Permanente in San Marcos California. Publication by Mr. Folk: “Traumatic thumb injury management using mobilization with movement”. Manual Therapy 6(3): 178-182. August 2001.
Student Reviews & Testimonials“Great instructors, excellent knowledge, great energy!…….very clear, helpful, dynamic, thorough and funny”. “…very relevant and gave many clinical pearls. Well versed in the subject material”. “Instructors were excellent, entertaining and skilled”. “I have taken many many CE courses in 30 years and yours was top notch! You have a special teaching talent that should be recognized because not every instructor has the ability to capture an audience like you did! You are a gem… thank you again!” “Awesome course! The one on one contact was great with an extensive number of techniques and variations. The Mulligan Courses have always been the best courses that I’ve been to. Very helpful. Thank you very much!”
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