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North American Mulligan Concept™ Teachers Association

Pain free manual joint repositioning techniques

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Mobilization with Movement

Portland, OR: The Mulligan Concept™ Upper Quadrant Course

May 6, 2022 by Eric Dinkins

Feb 4, 2023 @ 8:00 am – Feb 5, 2023 @ 5:00 pm America/Portland


Eric Dinkins

720 352-1776

ericd@mwmusa.com

Legacy Emanuel Hospital

2801 North Gantenbein Avenue
Portland, OR 97227 United States
+ Google Map
503-413-2200
View Venue Website
https://mwmusa.com


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.

  • PTs and PTAs will receive 15 CEU’s for those holding license in the state of Oregon. For those residing outside of the state of Oregon, please contact your state governing board to determine reciprocity for your state. All forms required to submit individually for CEU’s can be found on this website under Courses/CEU’s.
  • Approved ProvidorATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
  • Certificate of attendance for 13 hours of instruction is always given

Description

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 extensive 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 the patient directly based on their functional impairments by combining aspects of pain neuroscience education, therapeutic alliance, and current research utilizing symptom free techniques for restoration of function and abolition of pain.Shortcode

Objectives

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:

Instruction in the MWM concept with lecture, demonstration and lab practice

Two Day Course 8:00AM – 4:00PM

DAY 1:

  • 8:00-9:00 Introduction, case report, theory and pre test
  • 9:00-9:30 Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques
  • 9:30-10:00 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: NAGs, Reverse NAGs, SNAGs for rotation.
  • 12:00-1:00 Lunch
  • 1:00- 2:00 Cervical demonstration and lab practice: SNAGS for flexion, extension, rotation, SB, HEP techniques
  • 2:00-2:15 Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.
  • 2:15-2:30 Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques
  • 2:30- 2:45 Break time
  • 2:45- 4:00 Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued

DAY 2:

  • 8:00-10:00 Cervical demonstration & lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Mvmt
  • 10:00-10:15 Break time
  • 10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
  • 11:30-12:00 Shoulder demonstration and lab practice: manual and belt MWMs for elevation
  • 12:00-1:00 Lunch
  • 1:00- 2:30 Shoulder demonstration and lab practice: IR, ER, functional activities, HEP Acromioclavicular jt demonstration and lab practice: MWMs, and taping
  • 2:30- 2:45 Break time
  • 2:45- 3:30 Ribs demonstration and lab practice: MWMs for ribs 1-12; Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension
  • 3:30-4:00 Review, Post Test and Closing

Requirements

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

To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, contact pad, and Brian Mulligan’s 7th edition textbook. Other tools to facilitate learning include video tutorials of the techniques presented in the courses. Click the product links below for information and purchase.

  • RECOMMENDED TEXT
    • Manual Therapy, “NAGS”, “SNAGS”, “MWMS”, etc., 7th ed., Brian Mulligan, 2019.
  • MOBILIZATION BELTS
  • CONTACT PADS
  • VIDEO TUTORIALS
  • REFERENCE PDFS

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.

Faculty

Eric M. Dinkins  – PT, MSPT, DPT, OCS, Cert. MT, MCTA, CMP, CDN, CII

Eric is a graduate from the University of Colorado Health Sciences Center and has been practicing since 2001. He has earned post-graduate certifications in Manipulative Therapy and is a Certified Mulligan Practitioner with the Mulligan Concept ™ of manual therapy. In 2014 he earned his Board Certification as an Orthopedic Clinical Specialist through the American Physical Therapy Association. Eric is also proud to be part of the teaching faculty for Select Medical Corporation, Northeast seminars, and Motion Guidance LLC.

Eric has an extensive sports medicine background, has worked closely with physicians from the Steadman-Hawkins Clinic in Denver, and has treated athletes from youth, to Olympic, and professional levels. He is a published author and was a key-note speaker at the International Mulligan Conference in 2009. Other clinical interests include treatments for Restless Legs Syndrome and utilizing the Motion Guidance system to improve visual feedback in rehabilitation. When not practicing, Eric enjoys spending time with his family, mountain biking, and playing guitar.

Travel

Airport : Charleston International Airport

Hotel Options :

Miscellaneous :

Reviews

Student Reviews & Testimonials

“Eric was absolutely excellent…. energetic, funny, hilarious, clear, easy to follow, great techniques… a great balance of informative, knowledgeable and fun. Really great guy who clearly loves what he does because he’s so good at it”.

“Honestly, most enjoyable con-ed I’ve attended to date….very clear, helpful, dynamic, thorough and funny….. maintained the interest in the class. Did not let it get boring”.

“Proved the technique was effective practically and by supporting it with evidence and research articles…. very relevant and gave many clinical pearls”.

“Well versed in the subject material….One of the best courses I’ve taken. I became a better clinician and look forward to using the new material in practice. Thank you!”

 

Click to Register

Instructor

Eric Dinkins

Tagged With: Mobilization with Movement, Mulligan Concept, Upper Quarter

Cervicogenic Headaches: Article Review

December 11, 2021 by Don Reordan

Do you treat cervicogenic headaches?
Check out this recently published reference, and consider using MWM for differential diagnosis and treatment!

Latest reference:
J Man Manip Ther. 2021 Feb 5;1-11.
doi: 10.1080/10669817.2020.1864960. Online ahead of print.

Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study

Jean-Philippe Paquin 1, Yannick Tousignant-Laflamme 2 3, Jean-Pierre Dumas 2

Affiliations expand

  • PMID: 33541242
  • DOI: 10.1080/10669817.2020.1864960

Abstract

Introduction: Cervicogenic headache (CGH) may originate from the C1-C2 zygapophyseal joints. CGH is often associated with loss of range of motion (ROM), specific to this segment, and measurable by the cervical flexion-rotation test (CFRT). The main purposes of the study were: 1) to investigate the immediate effect of C1-C2 rotation SNAG mobilizations plus C1-C2 self-SNAG rotation exercise for patients with CGH and 2) to explore the link between the CFRT results and treatment response.

Methods: A prospective quasi-experimental single-arm design was used where patients with CGH received eight physical therapy treatments using a C1-C2 rotational SNAG technique combined with a C1-C2 self-SNAG rotation exercise over a four-week period. Outcome measures were pain intensity/frequency and duration, active cervical ROM, CFRT, neck-related and headache-related self-perceived physical function, fear-avoidance beliefs, pain catastrophizing and kinesiophobia.

Results: The intervention produced strong effects on pain intensity, CFRT, physical function and pain catastrophizing. Moderate improvement was noted on active cervical ROM and on fear-avoidance beliefs and kinesiophobia. No link was found between pre-intervention CFRT ROM and treatment response.

Conclusion: SNAG mobilization combined with a self-SNAG exercise resulted in favorable outcomes for the treatment of CGH on patient-important and biomechanical outcomes, as well as pain-related cognitive-affective factors.


Similar articles

  • Effectiveness of Mulligan manual therapy over exercise on headache frequency, intensity and disability for patients with migraine, tension-type headache and cervicogenic headache – a protocol of a pragmatic randomized controlled trial.
    Satpute K, Bedekar N, Hall T.  BMC Musculoskeletal Disorders. 2021;22(1):243. http://dx.doi.org/10.1186/s12891-021-04105-y
  • Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache.
    Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, Sayed SHE, Mohamed GI.J Phys Ther Sci. 2019 Apr;31(4):376-381. doi: 10.1589/jpts.31.376. Epub 2019 Apr 1.PMID: 31037013 Free PMC article.
  • Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache.
    Hall T, Chan HT, Christensen L, Odenthal B, Wells C, Robinson K.J Orthop Sports Phys Ther. 2007 Mar;37(3):100-7. doi: 10.2519/jospt.2007.2379.PMID: 17416124 Clinical Trial.
  • Mobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: randomized controlled trial.
    Lopez-Lopez A, Alonso Perez JL, González Gutierez JL, La Touche R, Lerma Lara S, Izquierdo H, Fernández-Carnero J.Eur J Phys Rehabil Med. 2015 Apr;51(2):121-32. Epub 2014 Oct 9.PMID: 25296741 Clinical Trial.
  • Physical examination tests for screening and diagnosis of cervicogenic headache: A systematic review.
    Rubio-Ochoa J, Benítez-Martínez J, Lluch E, Santacruz-Zaragozá S, Gómez-Contreras P, Cook CE.Man Ther. 2016 Feb;21:35-40. doi: 10.1016/j.math.2015.09.008. Epub 2015 Sep 21.PMID: 26423982 Review.

Filed Under: Blog Tagged With: cervical flexion-rotation test, Cervicogenic headache, Mobilization with Movement, mulligan, snag

Urbana / Champange IL: The Mulligan Concept™ Upper Quadrant Course

March 12, 2021 by Eric Dinkins

Jun 26, 2021 @ 8:00 am – Jun 27, 2021 @ 5:00 pm America/Indianapolis


Eric Dinkins

720 352-1776

ericd@mwmusa.com

Carle Therapy Services

810 W Anthony Dr
Urbana, Illinois 61802 United States
+ Google Map


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.

  • PTs and PTAs will receive 12 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 CEUs: 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.
  • ATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
  • Certificate of attendance for 13 hrs of instruction

Description

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 extensive 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 the patient directly based on their functional impairments by combining aspects of pain neuroscience education, therapeutic alliance, and current research utilizing symptom free techniques for restoration of function and abolition of pain.Shortcode

Objectives

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:

Instruction in the MWM concept with lecture, demonstration and lab practice

Two Day Course 8:00AM – 4:00PM

DAY 1:

  • 8:00-9:00 Introduction, case report, theory and pre test
  • 9:00-9:30 Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques
  • 9:30-10:00 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: NAGs, Reverse NAGs, SNAGs for rotation.
  • 12:00-1:00 Lunch
  • 1:00- 2:00 Cervical demonstration and lab practice: SNAGS for flexion, extension, rotation, SB, HEP techniques
  • 2:00-2:15 Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.
  • 2:15-2:30 Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques
  • 2:30- 2:45 Break time
  • 2:45- 4:00 Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued

DAY 2:

  • 8:00-10:00 Cervical demonstration & lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Mvmt
  • 10:00-10:15 Break time
  • 10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
  • 11:30-12:00 Shoulder demonstration and lab practice: manual and belt MWMs for elevation
  • 12:00-1:00 Lunch
  • 1:00- 2:30 Shoulder demonstration and lab practice: IR, ER, functional activities, HEP Acromioclavicular jt demonstration and lab practice: MWMs, and taping
  • 2:30- 2:45 Break time
  • 2:45- 3:30 Ribs demonstration and lab practice: MWMs for ribs 1-12; Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension
  • 3:30-4:00 Review, Post Test and Closing

Requirements

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

To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, contact pad, and Brian Mulligan’s 7th edition textbook. Other tools to facilitate learning include video tutorials of the techniques presented in the courses. Click the product links below for information and purchase.

  • RECOMMENDED TEXT
    • Manual Therapy, “NAGS”, “SNAGS”, “MWMS”, etc., 7th ed., Brian Mulligan, 2019.
  • MOBILIZATION BELTS
  • CONTACT PADS
  • VIDEO TUTORIALS
  • REFERENCE PDFS

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.

Faculty

Eric M. Dinkins  – PT, MSPT, OCS, Cert. MT, MCTA, CMP, CCI

Eric is a graduate from the University of Colorado Health Sciences Center and has been practicing since 2001. He has earned post-graduate certifications in Manipulative Therapy and is a Certified Mulligan Practitioner with the Mulligan Concept ™ of manual therapy. In 2014 he earned his Board Certification as an Orthopedic Clinical Specialist through the American Physical Therapy Association. Eric is also proud to be part of the teaching faculty for Select Medical Corporation, Northeast seminars, and Motion Guidance LLC.

Eric has an extensive sports medicine background, has worked closely with physicians from the Steadman-Hawkins Clinic in Denver, and has treated athletes from youth, to Olympic, and professional levels. He is a published author and was a key-note speaker at the International Mulligan Conference in 2009. Other clinical interests include treatments for Restless Legs Syndrome and utilizing the Motion Guidance system to improve visual feedback in rehabilitation. When not practicing, Eric enjoys spending time with his family, mountain biking, and playing guitar.

Travel

Airport : O’Hare International Airport

Hotel Options :

Miscellaneous :

Reviews

Student Reviews & Testimonials

“Eric was absolutely excellent…. energetic, funny, hilarious, clear, easy to follow, great techniques… a great balance of informative, knowledgeable and fun. Really great guy who clearly loves what he does because he’s so good at it”.

“Honestly, most enjoyable con-ed I’ve attended to date….very clear, helpful, dynamic, thorough and funny….. maintained the interest in the class. Did not let it get boring”.

“Proved the technique was effective practically and by supporting it with evidence and research articles…. very relevant and gave many clinical pearls”.

“Well versed in the subject material….One of the best courses I’ve taken. I became a better clinician and look forward to using the new material in practice. Thank you!”

 

Click to Register

Instructor

Eric Dinkins

Tagged With: Mobilization with Movement, Mulligan Concept, Upper Quarter

Denver, Colorado: The Mulligan Concept™ Upper Quadrant Course

November 28, 2020 by Eric Dinkins

Apr 23, 2021 @ 8:00 am – Apr 25, 2021 @ 5:00 pm America/Denver


Eric Dinkins

720 352-1776

ericd@mwmusa.com

Select Physical Therapy of Castle Rock

814 S. Perry St Unit D
Castle Rock, Colorado 80104 United States
+ Google Map
7203521776


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.

  • PTs and PTAs will receive 12 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 CEUs: 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.
  • ATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
  • Certificate of attendance for 13 hrs of instruction

Description

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 extensive 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 the patient directly based on their functional impairments by combining aspects of pain neuroscience education, therapeutic alliance, and current research utilizing symptom free techniques for restoration of function and abolition of pain.

Objectives

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:

Instruction in the MWM concept with lecture, demonstration and lab practice

Two Day Course 8:00AM – 4:00PM

DAY 1:

  • 8:00-9:00 Introduction, case report, theory and pre test
  • 9:00-9:30 Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques
  • 9:30-10:00 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: NAGs, Reverse NAGs, SNAGs for rotation.
  • 12:00-1:00 Lunch
  • 1:00- 2:00 Cervical demonstration and lab practice: SNAGS for flexion, extension, rotation, SB, HEP techniques
  • 2:00-2:15 Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.
  • 2:15-2:30 Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques
  • 2:30- 2:45 Break time
  • 2:45- 4:00 Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued

DAY 2:

  • 8:00-10:00 Cervical demonstration & lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Mvmt
  • 10:00-10:15 Break time
  • 10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
  • 11:30-12:00 Shoulder demonstration and lab practice: manual and belt MWMs for elevation
  • 12:00-1:00 Lunch
  • 1:00- 2:30 Shoulder demonstration and lab practice: IR, ER, functional activities, HEP Acromioclavicular jt demonstration and lab practice: MWMs, and taping
  • 2:30- 2:45 Break time
  • 2:45- 3:30 Ribs demonstration and lab practice: MWMs for ribs 1-12; Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension
  • 3:30-4:00 Review, Post Test and Closing

Requirements

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

To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, contact pad, and Brian Mulligan’s 7th edition textbook. Other tools to facilitate learning include video tutorials of the techniques presented in the courses. Click the product links below for information and purchase.

  • RECOMMENDED TEXT
    • Manual Therapy, “NAGS”, “SNAGS”, “MWMS”, etc., 7th ed., Brian Mulligan, 2019.
  • MOBILIZATION BELTS
  • CONTACT PADS
  • VIDEO TUTORIALS
  • REFERENCE PDFS

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.

Faculty

Eric M. Dinkins  – PT, MSPT, OCS, Cert. MT, MCTA, CMP, CCI

Eric is a graduate from the University of Colorado Health Sciences Center and has been practicing since 2001. He has earned post-graduate certifications in Manipulative Therapy and is a Certified Mulligan Practitioner with the Mulligan Concept ™ of manual therapy. In 2014 he earned his Board Certification as an Orthopedic Clinical Specialist through the American Physical Therapy Association. Eric is also proud to be part of the teaching faculty for Select Medical Corporation, Northeast seminars, and Motion Guidance LLC.

Eric has an extensive sports medicine background, has worked closely with physicians from the Steadman-Hawkins Clinic in Denver, and has treated athletes from youth, to Olympic, and professional levels. He is a published author and was a key-note speaker at the International Mulligan Conference in 2009. Other clinical interests include treatments for Restless Legs Syndrome and utilizing the Motion Guidance system to improve visual feedback in rehabilitation. When not practicing, Eric enjoys spending time with his family, mountain biking, and playing guitar.

Travel

Airport : Chicago O’Hare

Hotel Options :

Miscellaneous :

Reviews

Student Reviews & Testimonials

“Eric was absolutely excellent…. energetic, funny, hilarious, clear, easy to follow, great techniques… a great balance of informative, knowledgeable and fun. Really great guy who clearly loves what he does because he’s so good at it”.

“Honestly, most enjoyable con-ed I’ve attended to date….very clear, helpful, dynamic, thorough and funny….. maintained the interest in the class. Did not let it get boring”.

“Proved the technique was effective practically and by supporting it with evidence and research articles…. very relevant and gave many clinical pearls”.

“Well versed in the subject material….One of the best courses I’ve taken. I became a better clinician and look forward to using the new material in practice. Thank you!”Shortcode

Click to Register

Tagged With: Mobilization with Movement, Mulligan Concept, MWMusa, Upper Quarter

Carlinville, ILL: The Mulligan Concept™ Upper Quadrant Course

November 28, 2020 by Eric Dinkins

Sep 11, 2021 @ 8:00 am – Sep 12, 2021 @ 5:00 pm America/Miami


Eric Dinkins

720 352-1776

ericd@mwmusa.com

Carlinville, Ill

20733 North Broad St
Carlinville, Ill 62626
+ Google Map
217854-3839
View Venue Website


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.

  • PTs and PTAs will receive 12 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 CEUs: 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.
  • ATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
  • Certificate of attendance for 13 hrs of instruction

Description

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 extensive 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 the patient directly based on their functional impairments by combining aspects of pain neuroscience education, therapeutic alliance, and current research utilizing symptom free techniques for restoration of function and abolition of pain.Shortcode

Objectives

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:

Instruction in the MWM concept with lecture, demonstration and lab practice

Two Day Course 8:00AM – 4:00PM

DAY 1:

  • 8:00-9:00 Introduction, case report, theory and pre test
  • 9:00-9:30 Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques
  • 9:30-10:00 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: NAGs, Reverse NAGs, SNAGs for rotation.
  • 12:00-1:00 Lunch
  • 1:00- 2:00 Cervical demonstration and lab practice: SNAGS for flexion, extension, rotation, SB, HEP techniques
  • 2:00-2:15 Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.
  • 2:15-2:30 Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques
  • 2:30- 2:45 Break time
  • 2:45- 4:00 Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued

DAY 2:

  • 8:00-10:00 Cervical demonstration & lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Mvmt
  • 10:00-10:15 Break time
  • 10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
  • 11:30-12:00 Shoulder demonstration and lab practice: manual and belt MWMs for elevation
  • 12:00-1:00 Lunch
  • 1:00- 2:30 Shoulder demonstration and lab practice: IR, ER, functional activities, HEP Acromioclavicular jt demonstration and lab practice: MWMs, and taping
  • 2:30- 2:45 Break time
  • 2:45- 3:30 Ribs demonstration and lab practice: MWMs for ribs 1-12; Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension
  • 3:30-4:00 Review, Post Test and Closing

Requirements

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

To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, contact pad, and Brian Mulligan’s 7th edition textbook. Other tools to facilitate learning include video tutorials of the techniques presented in the courses. Click the product links below for information and purchase.

  • RECOMMENDED TEXT
    • Manual Therapy, “NAGS”, “SNAGS”, “MWMS”, etc., 7th ed., Brian Mulligan, 2019.
  • MOBILIZATION BELTS
  • CONTACT PADS
  • VIDEO TUTORIALS
  • REFERENCE PDFS

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.

Faculty

Eric M. Dinkins  – PT, MSPT, OCS, Cert. MT, MCTA, CMP, CCI

Eric is a graduate from the University of Colorado Health Sciences Center and has been practicing since 2001. He has earned post-graduate certifications in Manipulative Therapy and is a Certified Mulligan Practitioner with the Mulligan Concept ™ of manual therapy. In 2014 he earned his Board Certification as an Orthopedic Clinical Specialist through the American Physical Therapy Association. Eric is also proud to be part of the teaching faculty for Select Medical Corporation, Northeast seminars, and Motion Guidance LLC.

Eric has an extensive sports medicine background, has worked closely with physicians from the Steadman-Hawkins Clinic in Denver, and has treated athletes from youth, to Olympic, and professional levels. He is a published author and was a key-note speaker at the International Mulligan Conference in 2009. Other clinical interests include treatments for Restless Legs Syndrome and utilizing the Motion Guidance system to improve visual feedback in rehabilitation. When not practicing, Eric enjoys spending time with his family, mountain biking, and playing guitar.

Travel

Airport : Charleston International Airport

Hotel Options :

Miscellaneous :

Reviews

Student Reviews & Testimonials

“Eric was absolutely excellent…. energetic, funny, hilarious, clear, easy to follow, great techniques… a great balance of informative, knowledgeable and fun. Really great guy who clearly loves what he does because he’s so good at it”.

“Honestly, most enjoyable con-ed I’ve attended to date….very clear, helpful, dynamic, thorough and funny….. maintained the interest in the class. Did not let it get boring”.

“Proved the technique was effective practically and by supporting it with evidence and research articles…. very relevant and gave many clinical pearls”.

“Well versed in the subject material….One of the best courses I’ve taken. I became a better clinician and look forward to using the new material in practice. Thank you!”

Click to Register

Instructor

Eric Dinkins

Tagged With: Mobilization with Movement, Mulligan Concept, Upper Quarter

Chicago / Algonquin Illinois -The Mulligan Concept™ Upper Quadrant Course

November 28, 2020 by Eric Dinkins

Aug 28, 2021 @ 8:00 am – Aug 29, 2021 @ 5:00 pm America/Chicago

Chuck Schulte / Eric Dinkins

847 845-3966 / 720 352-1776

ericd@mwmusa.com

Diamond PT

1140 E. Algonquin Rd
Algonquin, Illinois 60102 United States
+ Google Map

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.

  • PTs and PTAs will receive 12 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 CEUs: 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.
  • ATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
  • Certificate of attendance for 13 hrs of instruction

Description

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 extensive 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 the patient directly based on their functional impairments by combining aspects of pain neuroscience education, therapeutic alliance, and current research utilizing symptom free techniques for restoration of function and abolition of pain.

Objectives

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:

Instruction in the MWM concept with lecture, demonstration and lab practice

Two Day Course 8:00AM – 4:00PM

DAY 1:

  • 8:00-9:00 Introduction, case report, theory and pre test
  • 9:00-9:30 Hand demonstration and lab practice: IP, MCP, Metacarpals, Carpals, and taping techniques
  • 9:30-10:00 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: NAGs, Reverse NAGs, SNAGs for rotation.
  • 12:00-1:00 Lunch
  • 1:00- 2:00 Cervical demonstration and lab practice: SNAGS for flexion, extension, rotation, SB, HEP techniques
  • 2:00-2:15 Upper Cervical: Lecture: evidence for eval / Rx of upper cervical pain, headaches and cervicogenic dizziness.
  • 2:15-2:30 Headache/Upper Cervical: demonstration and lab practice: assessment and treatment techniques
  • 2:30- 2:45 Break time
  • 2:45- 4:00 Upper Cervical lab practice for Headache/Cervicogenic Dizziness treatments continued

DAY 2:

  • 8:00-10:00 Cervical demonstration & lab practice: traction techniques, Positional SNAGs, Spinal Mob w Arm Mvmt
  • 10:00-10:15 Break time
  • 10:15-11:30 Elbow demonstration and lab practice: flexion, extension, proximal radioulnar jt, tennis elbow, HEP
  • 11:30-12:00 Shoulder demonstration and lab practice: manual and belt MWMs for elevation
  • 12:00-1:00 Lunch
  • 1:00- 2:30 Shoulder demonstration and lab practice: IR, ER, functional activities, HEP Acromioclavicular jt demonstration and lab practice: MWMs, and taping
  • 2:30- 2:45 Break time
  • 2:45- 3:30 Ribs demonstration and lab practice: MWMs for ribs 1-12; Thoracic demonstration and lab practice: SNAGs for rotation, flexion, SB, extension
  • 3:30-4:00 Review, Post Test and Closing

Requirements

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

To facilitate your learning and preparation for the course, it is recommended that you purchase a mobilization belt, contact pad, and Brian Mulligan’s 7th edition textbook. Other tools to facilitate learning include video tutorials of the techniques presented in the courses. Click the product links below for information and purchase.

  • RECOMMENDED TEXT
    • Manual Therapy, “NAGS”, “SNAGS”, “MWMS”, etc., 7th ed., Brian Mulligan, 2019.
  • MOBILIZATION BELTS
  • CONTACT PADS
  • VIDEO TUTORIALS
  • REFERENCE PDFS

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.

Faculty

Eric M. Dinkins  – PT, MSPT, OCS, Cert. MT, MCTA, CMP, CCI

Eric is a graduate from the University of Colorado Health Sciences Center and has been practicing since 2001. He has earned post-graduate certifications in Manipulative Therapy and is a Certified Mulligan Practitioner with the Mulligan Concept ™ of manual therapy. In 2014 he earned his Board Certification as an Orthopedic Clinical Specialist through the American Physical Therapy Association. Eric is also proud to be part of the teaching faculty for Select Medical Corporation, Northeast seminars, and Motion Guidance LLC.

Eric has an extensive sports medicine background, has worked closely with physicians from the Steadman-Hawkins Clinic in Denver, and has treated athletes from youth, to Olympic, and professional levels. He is a published author and was a key-note speaker at the International Mulligan Conference in 2009. Other clinical interests include treatments for Restless Legs Syndrome and utilizing the Motion Guidance system to improve visual feedback in rehabilitation. When not practicing, Eric enjoys spending time with his family, mountain biking, and playing guitar.

Travel

Airport : Chicago O’Hare

Hotel Options :

Miscellaneous :

Reviews

Student Reviews & Testimonials

“Eric was absolutely excellent…. energetic, funny, hilarious, clear, easy to follow, great techniques… a great balance of informative, knowledgeable and fun. Really great guy who clearly loves what he does because he’s so good at it”.

“Honestly, most enjoyable con-ed I’ve attended to date….very clear, helpful, dynamic, thorough and funny….. maintained the interest in the class. Did not let it get boring”.

“Proved the technique was effective practically and by supporting it with evidence and research articles…. very relevant and gave many clinical pearls”.

“Well versed in the subject material….One of the best courses I’ve taken. I became a better clinician and look forward to using the new material in practice. Thank you!”

Click to Register

Instructor

Eric Dinkins

Tagged With: Mobilization with Movement, Mulligan Concept, Upper Quarter

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