Manchester, NH / The Mulligan Concept™ Upper Quadrant Course

This 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 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

• 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

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

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

Amy graduated with honors from The University of Texas Medical Branch in 1991 with a Bachelor of Science in Physical Therapy. In 2002 she earned a Graduate Certificate in Manipulative Therapy from Curtin University in Perth, Western Australia. She began teaching with Brian Mulligan in 1998 and was fully accredited as a Mulligan Concept Instructor in 2002 by the international body of the Mulligan Concept Teachers Association in Rome, Italy. She currently works for Fidelity Health Care in Dayton, OH.