MT-4: Local Mobility and Global Stability of the Cervical/Thoracic and Upper Extremity: Assessment and Treatment
Contact Hours:
- Pre-Lab Didactic Course: 7.25 Hours
- Live Laboratory Course: 16 Hours
Target Audience: Physical Therapists
Cost: $575.00 (Online + Onsite)
Cancellation Policy: Link
Ratio of Student/Teacher: 15 students/1 Instructor
Instructors:
- Robert DuVall, PT, DHSc, MMSc, ATC, OCS, FAAOMPT, MTC, PCC, CSCS
- Christopher Roosa, DPT, OCS, MTC, COMPT, PRC, TPS
Course Description:
This course expands on the foundational principles presented in MT-1 (Advanced Medical Screening, Differential Diagnosis, and Managing the Sensitive Nervous System) and MT-2 (A Clinical Reasoning and Treatment Approach to Local Mobility and Global Stability). This course integrates components of Advanced Medical Screening procedures with manual therapy skills to competently treat patients Direct Access, or by referral, to achieve optimal patient outcomes. This includes biomechanical examination principles of the spine and peripheral joints, collecting “biomechanical vital signs” which impact global stability and function, in addition to a comprehensive assessment approach to “trial treatment” and/or refer as necessary. This course expands further into local mobility principles from a movement control approach and presents a clinical reasoning approach through case-based learning and intensive laboratory activities. This hybrid course will include online pre-laboratory content to successfully prepare learners for the live laboratory intensive. Upon success completion of MT-1, MT-2, MT-3, and MT-4 participants will be eligible to sit for MT-5 the Certification in Orthopedic Manual Therapy (COMT) course.
Course Objectives: Upon successful completion of this course participants will be able to:
- Differentiate movement impairment and functional- based Differential Diagnosis skills from pathology- based Medical Screening skills through reflection activity
- Identify the role and responsibility of movement impairment and functional- based Differential Diagnosis as related to best practice through reflective activities
- Integrate and apply concepts toward completion of 2 case report activities for group discussion
- Understand biomechanical and physiological regional interdependences that provide a practical framework to comprehend the complexity of human function during case-based learning small group lab activities
- Understand the anatomy, physiology and biomechanics of the musculoskeletal system as related to biomechanical “Vital Sign” data acquisition during lab demonstration
- Practically apply an exhaustive Examination scheme for obtaining biomechanical Vital Signs essential to identifying movement impairment diagnoses and etiological variables during lab demonstration
- Practically apply evidence-based manual therapy, neuro-muscular re-education and functional exercise interventions through demonstration and small group discussion activities
- Demonstrate appropriate set up and force application with all techniques listed on the Lab Skills Check Off sheet
Key Content Areas:
| Cervical positional distraction
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Subcranial Atlas press
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Humoral-ulnar distraction
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| Subcranial long access distraction
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Long axis atlas axis rotation exam
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Radial cephlad and caudal glides
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| Upper trapezius MFR
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Subcranial sidebending O-A exam
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Radial posterior glides
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| Upper thoracic costovertebral PA mobilizations
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Subcranial lateral press of atlas
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Distal radial volar glide
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| T1 – T4 PAs in supine
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Seated AA rotation
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Ulnar triquetral volar glide
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| Levator scapulae MFR
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Prone thoracic PAs
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Outward roll of ulna and radius
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| SCM MFR clavicular and sternal portions
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Prone T1 – T3 ligamentous lock press
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Radiocarpal medial glide
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| Seated and supine scalenes MFR
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Standing, Supine and Seated T spine PAs
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Carpel wrist flexion and extension mobilization’s
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| First rib mobility assessment and inferior glide
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Myofascial framing of scapula
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First MCP base on trapezium mobilization
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| Cervical Multifidus isometric Facet Capsular release
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Scapular upward rotation mobilization
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AP mobilization
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| Manual cervical traction
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Myofascial shoulder girdle telescoping
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Volar sweep mobilization
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| Mulligan self SNAG
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Subscapularis and latissimus dorsi MFR
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PIP unicondylar glides
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| Carotid artery auscultation
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Pectoralis major and minor MFR
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Longus Colli NMR
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| Alar odontoid ligament test
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Anterior lateral fascial/Transverse abdominus MFR
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T spine NMRs
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| Sharp Purser test
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GH inferior/posterior glides
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Glenohumeral NMRs
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| Vertebral artery test
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Examine elbow flexion/extension and feels
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Cervical, thoracic, scapular, and glenohumeral ADLs
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Pre-Laboratory Didactic Course
| Week(s) | Topic/Contact Hours | Unit Objectives | Assignment(s) | Reflective Questions | Learning Materials |
| 1 | Review –
23 Point Data Collection “Biomechanical Vital Signs” (1.25 hrs)
|
Review | 1.) What is the benefit of having a working understanding of Endfeels in your manual therapy practice?
2.) When collecting Biomechanical Vital Signs data, have you considered what determines a movement diagnosis versus a contributing variable? 3.) Have you distinguished A:1 the Medical Screening Hypothesis from A:2 the Movement Diagnosis? How about A:2 the Movement Diagnosis from A:3 the Pathoanatomic Symptoms (i.e. medical diagnosis)? Why is a medical diagnosis incomplete for a Physical Therapist to guide treatment? 4.) Is it okay to have a wrong Movement Diagnosis? What is the process and how do you know if you got it right?
|
|
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| Review – Organizing Your Assessment: Guidance from Direct Access Practice (1 hr)
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| 2-3 | Lower Quarter Introduction (1 hr) | Complete 2 Case Reports Before the Virtual Live Session | |||
| Lower Quarter Screening Research (1.5 hrs) | |||||
| MT Lab Video Archive – Lumbar/SIJ and LE (2 hrs) | |||||
| 4 | LIVE SESSION
(1 hr) |
Case Integration of Concepts from Lecture and Answer Questions | |||
Live Laboratory Course
Day 1: Saturday (8:00 AM to 5:30 PM)
8:00 to 9:00 AM:
- Differentiate Movement impairment and functional- based Differential Diagnosis skills from pathology- based Medical Screening skills
- Identify the role and responsibility of movement impairment
and functional- based Differential Diagnosis as related to best practice.
9:00 to 10:00 AM:
- Identify three different Diagnostic Process Theories that provide effective strategies for biomechanical clinical decision making.
- Understand biomechanical and physiological regional interdependences that provide a practical framework to comprehend the complexity of human function.
10:00 to 10:15 AM: Break
10:15 to 11:00 AM:
- Apply Differential Diagnostic techniques to traditional PT examination procedures that result in a more comprehensive examination scheme.
11:00 to 12:00 PM:
- Understand the anatomy, physiology and biomechanics of the musculoskeletal system as related to biomechanical “Vital Sign” data acquisition– Lab Activity
12:00 to 1:00 PM: Lunch Break
1:00 to 3:00 PM:
- Practically apply an exhaustive Examination scheme for obtaining biomechanical Vital Signs essential to identifying movement impairment diagnoses and etiological variables– Lab Activity
3:00 to 3:15 PM: Break
3:15 to 5:00 PM:
- Practically apply evidence-based manual therapy, neuro-muscular re-education and functional exercise interventions, particularly focusing upon the upper extremities, cervical and thoracic spines, in a competent manner– Lab Activity
5:00 to 5:30 PM: Clinical Case, Final Questions, and Adjourn
Day 2: Sunday (8:00 AM to 5:30 PM)
8:00 to 10:00 AM:
- Practically apply evidence-based manual therapy, neuro-muscular re-education and functional exercise interventions, particularly focusing upon the upper extremities, cervical and thoracic spines, in a competent manner– Lab Activity
10:00 to 10:15 AM: Break
10:15 to 12:00 PM:
- Practically apply evidence-based manual therapy, neuro-muscular re-education and functional exercise interventions, particularly focusing upon the upper extremities, cervical and thoracic spines, in a competent manner– Lab Activity
12:00 PM to 1:00 PM: Lunch Break
1:00 PM to 3:00 PM:
3:00 to 3:15 PM: Break
3:15 to 4:45 PM:
4:45 to 5:30 PM: Clinical Case, Final Questions, and Adjourn
