Instructor: Mark Thomson and Jarrod Brian
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Metro Physical &Aquatic Therapy
800 East Gate Blvd.
Garden City, NY 11530
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.
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.
- PT’s and PTA’s will receive 13 CEU’s for those licensed in the State of NY and NJ. For those attending who reside outside of NY or NJ, please see your state governing body for reciprocity. You may also contact the course instructor regarding course approval in your state. All forms needed to submit for CEU’s in your state can be found under the “courses” tab on the homepage.
- ATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
- Certificate of attendance for 13 hours of instruction is always given
Learning 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
Schedule
Precourse video (to be sent to all participants in the Pre-course email 1-2 weeks prior to the course):
Pre-course video outline (1 hour 5 minute video)
0 – 5:00 Course and Mulligan Concept Intro: Mark Thomson’s background
5:00 – 6:51 Who is Brian Mulligan?
6:51 – 23:39 Effects of manual therapy and Mulligan Concept mechanisms of action
23:40 – 25:40 Evidence for manual therapy vs hands off approach
25:40 – 29:03 Mulligan Concept resources and “tools of the trade”
29:03 – 32:50 How was the Mulligan Concept born?
32:50 – 34:40 IP example of MWM
34:40 – 36:04 3 things about the Mulligan Concept that require the most practice!
36:04 – 37:10 Establishment of the Mulligan Concept Teacher Association
37:10 – 42:48 What is the Mulligan Concept?
42:48 – 1:00 CROCKS
1:00 – 1:02:40 MWM’s are one part of a thorough examination
1:02:40 – 1:03:10 PILL EFFECT
1:03:10. REVIEW
DAY 1:
- 7:45-8:00 Sign in and Registration
- 8:00-8:30 Mulligan Concept principles. Clinical problem identification and reflection, and participant goals for the weekend (which techniques need refinement? Which techniques give you trouble?)
- 8:30-9:00 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Hand & Wrist, IP, MCP, Metacarpals, Carpals, and taping techniques.
- 9:00-9:30 Pain Release Phenomenon (PRP’s) Introduction and lecture.
- 9:30-10:00 Pain Release Phenomenon (PRP’s) demonstration and lab practice: Pisiform, Dequervain’s, CMC joint.
- 10:00-10:15 Break time
- 10:15-11:00 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Elbow.
- 11:00-11:30 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Shoulder.
- 11:30-12:00 Pain Release Phenomenon (PRP’s) demonstration & lab practice: tennis elbow,radiohumeral joint & shoulder joint.
- 12:00-1:00 Lunch
- 1:00- 2:30 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Cervical spine including introduction of Cervical PRP’s.
- 2:30- 2:45 Break time
- 2:45- 3:00 Upper Cervical lecture: evidence based practice
- 3:00-3:45 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Upper Cervical spine. Headache and Cervicogenic Dizziness treatments.
- 3:45-4:30 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for theThoracic spine and rib cage
DAY 2:
- 7:30-8:15 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Toes/Feet.
- 8:15-9:00 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Ankle.
- 9:00-9:30 Pain Release Phenomenon (PRP’s) demonstration and lab practice: MTP joints, EHL tendon,tarsals, sesamoids.
- 9:30-10:00 Break time
- 10:00-11:30 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Knee. Pain Releasing Phenomenon technique for the Patello-femoral joint.
- 11:30-12:00 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Hip.
- 12:00-1:00 Lunch
- 1:00- 1:30 Hip demonstration & lab practice continued including PRP’s.
- 1:30- 2:15 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Lumbar spine and positive SLR techniques.
- 2:15-2:30 Break time
- 2:30-3:00 Review, problem-solve, refinement, advanced progressions, and practice of the techniques for the Lumbo-pelvic girdle.
- 3:00-3:30 Practical Review session
- 3:30 PM Post course test
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 Policy
Read our complete cancellation policies.
Faculty
Read Full Bio
Mark Thomson – PT, DPT, OCS, FAAOMPT, 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.
Read Full Bio
Eric M. Dinkins – PT, MSPT, OCS, Cert. MT, MCTA
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. He earned his Board Certification as an Orthopedic Clinical Specialist through the American Physical Therapy Association.
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.
