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 

 

Subcranial Atlas press 

 

Humoral-ulnar distraction 

 

Subcranial long access distraction 

 

Long axis atlas axis rotation exam 

 

Radial cephlad and caudal glides 

 

Upper trapezius MFR 

 

Subcranial sidebending O-A exam 

 

Radial posterior glides 

 

Upper thoracic costovertebral PA mobilizations 

 

Subcranial lateral press of atlas 

 

Distal radial volar glide 

 

T1 – T4 PAs in supine 

 

Seated AA rotation 

 

Ulnar triquetral volar glide 

 

Levator scapulae MFR 

 

Prone thoracic PAs 

 

Outward roll of ulna and radius 

 

SCM MFR clavicular and sternal portions 

 

Prone T1 – T3 ligamentous lock press 

 

Radiocarpal medial glide 

 

Seated and supine scalenes MFR 

 

Standing, Supine and Seated T spine PAs 

 

Carpel wrist flexion and extension mobilization’s 

 

First rib mobility assessment and inferior glide 

 

Myofascial framing of scapula 

 

First MCP base on trapezium mobilization 

 

Cervical Multifidus  isometric Facet Capsular release 

 

Scapular upward rotation mobilization 

 

AP mobilization 

 

Manual cervical traction 

 

Myofascial shoulder girdle telescoping 

 

Volar sweep mobilization 

 

Mulligan self SNAG 

 

Subscapularis and latissimus dorsi MFR 

 

PIP unicondylar glides 

 

Carotid artery auscultation 

 

Pectoralis major and minor MFR 

 

Longus Colli NMR 

 

Alar odontoid ligament test 

 

Anterior lateral fascial/Transverse abdominus MFR 

 

T spine NMRs 

 

Sharp Purser test 

 

GH inferior/posterior glides 

 

Glenohumeral NMRs 

 

Vertebral artery test 

 

Examine elbow flexion/extension and feels 

 

Cervical, thoracic, scapular, and glenohumeral ADLs 

 

 

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? 

 

 

 

 

 

 

 

 

 

  • 2 Review Lectures 
  • 4 Reflective Questions 
  • 2 Lecture Videos 
  • 2 Case Report Assignments 
Review – Organizing Your Assessment: Guidance from Direct Access Practice (1 hr) 

 

 

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 acquisitionLab 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 variablesLab 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 mannerLab 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 

 

  • 00

    days

  • 00

    hours

  • 00

    minutes

  • 00

    seconds

Book Event

Purchase your seat into the course 575
Available Tickets: 30
The Purchase your seat into the course ticket is sold out. You can try another ticket or another date.

Date

Aug 13 2022 - Aug 14 2022

Time

8:00 am - 5:00 pm

Cost

$575.00

Location

Pivot Physical Therapy
Germantown, MD
Category
REGISTER
QR Code