MT-2: A Clinical Reasoning & Treatment Approach to Local Mobility and Global Stability: Spine & Peripheral

Contact Hours: 

  • Pre-Lab Didactic Course:  10.75 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

Course Description: 

 This course is designed to provide clinician’s with a foundational approach to assess and treat movement limitations through the interplay of local mobility and global stability to restore movement as a functional unit.  Designed as an integrated course, movement control interventions require an understanding of pain science principles along with the neurophysiological effects of manual therapy.  This course combines concepts and treatments that align with restoring natural human movement in a progressive patient dependent manner.  Introduced will be an assessment and clinical reasoning process to guide clinicians to treat mobility and stability issues of the spine and extremities to restore human movement from a manual therapy approach.  These concepts are foundational in manual therapy to extend beyond the application of technique alone and into reinforcing the activation and acquisition of movement to optimize treatment success and functional carryover.   

Instructors: 

  • Robert DuVall, PT, DHSc, MMSc, ATC, OCS, FAAOMPT, MTC, PCC, CSCS 
  • Christopher Roosa, DPT, OCS, MTC, COMPT, PRC, TPS 

 Course Objectives: 

  • Discuss and understand a framework for clinical practice and decision making during the examination process using a local mobility and global stability perspective.
  • Review of anatomy as it relates to peripheral joints, respiration, and myofascial kinetic chains.
  • Understand biomechanical and physiological regional interdependences that provide a practical framework to comprehend the complexity of human function.
  • Recognize myofascial and environmental demands (etiological variables) placed on human movement and function.
  • Decision making principles focusing on objective data collected from a tri-planar examination process that is both passive and active.
  • Demonstration application of assessment and treatment principles of breathing impairments.
  • Demonstrate applied Movement Control Examination Techniques for:
  • Passive tri-planar orthopedic testing (Can this be of an assessment of peripheral joints and bob teaches technique to mob?)
  • Active testing- Breathing assessment, Regional and Global movement assessments.
  • Demonstrate integration of examination findings of regional or global impairments to activation techniques and local mobility techniques through case application
  • Demonstrate treatment progression combining peripheral or spinal joint manipulation to the 4×4 Progression Model, Soreness Rules, and application of proper muscle activation and acquisition techniques to restore function through case based learning.
  • Demonstrate the ability to properly triage patients as the entry point provider with a Six Step Assessment Process, as well as the application and progression of the Movement Control Approach to clinical management.

 Key Content Areas: 

Collect Biomechanical Vital Signs  Gluteus Medius Activation Technique   
Breathing Activation Techniques  Posterior Hip Capsule (piriformis +)   
CT Mobilization/Distraction Technique  **********   
TL Prone Cork-Screw Technique     
LS Sidelying Facet Lock Technique     
 
 
 
 
 

 

Pre-Laboratory Didactic Course 

Week(s)  Topic/Contact Hours  Unit Objectives  Assignment(s)  Critical Question  Learning Materials 
           
1-2  Introduction to the “Dynamic Patient Management System” (1.5 hours) 
  •  
Required Reading: 

 

  1. Apeldoorn 2012 
  1. Hodges 2011 
  1. Alrwaily 2017 

 

Based on the lectures and readings, in what ways could the movement control framework introduced in the 2017 TBC study improve clinical outcomes?   

 

 

 

 

 

 

 

 

  • 4 Lectures 
  • Required Readings 
  • 2 Critical Questions 
  • 1 Live Session 
  • 1 Multiple Choice Quiz 

 

 

 

 

 

The Movement Control Approach (1 hour)  Complete Critical Question.  Response is minimum of 150 words. 

 

Respire: The Activation Phase (1.5 hours )  Required Reading: 

 

  1. Dischiavi 2018 
  1. Wilke 2016 
  1. Chaitow 2004 
  1. Hagins 2011 
  1. Diaphragm 2017 

 

What is the clinical relevance integrating breathing treatment strategies into your clinical practice? What are some of the barriers you see in integrating this into your practice? Describe how you will account for those barriers. 
  The Breathing Examination (45 min) 

 

Look for Activation Phase Examination based on positioning  

 

Complete Critical Question.  Response is minimum of 150 words. 

 

Multiple Choice Quiz 

 

3  LIVE SESSION (1 hr)  Case Integration of Concepts from Lecture and Answer Questions 
 

4-6 

Local Mobility & Lower Quarter Introduction (1.5 hours) Maybe move this to MT 3 

 

  •  
 

Complete Critical Question.  Response is minimum of 150 words. 

Could we shift any of Roosa’s required readings into bob’s section to space out? 

Describe how limitations in local mobility can affect activation of muscle or how in-active muscle can affect local mobility.    

 

 

 

 

 

  • 4 Lectures 
  • Required Readings? 
  • 2 Critical Questions 
  • 1 Live Session 

 

 

 

 

 

 

Lower Quarter Screening Research (1 hour) 
Pelvic Stability Influences on LE Kinematics (0.5 hour) 
Direct Access Assessment Lecture (1 hour) 
  •  
Complete Critical Question.  Response is minimum of 150 words. 

 

Based on the Six Step Assessment Introduced by Dr. DuVall, describe the importance of identifying A:5 (Etiological Variables) in a patient plan of care.  
6  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:  Introduction and The Movement Control Lecture (Revise recorded slides that will be used in pre lab) 

9:00 to 10:00 AM: Understand biomechanical and physiological interactions that provide a practical framework to comprehend the complexity of human function (Add slides on local mobility and global stability) 

10:00 to 10:15 AM:  Break 

10:15 to 11:00 AM:  Review the anatomy and biomechanics of the global musculoskeletal system (add definitions on slides for global stability and local mobility) 

11:00 to 12:00 PM: Develop an Exhaustive Examination for obtaining biomechanical vital signs 

  • Clinical Skills Lab 
  • Biomechanical Vital Signs

12:00 to 1:00 PM:  Lunch Break 

1:00 to 3:00 PM:  The Activation Exam 

  • Clinical Skills Lab 
  • Breathing 
  • Activation Phase Examination

3:00 to 3:15 PM:  Break 

3:15 to 5:00 PM:  Local Mobility Spine Bob and Roosa 

  • Clinical Skills Lab 
  • CT Junction 
  • TL Junction 
  • LS Junction 
  • Myofascial Release (Junctions)

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:  Movement Control Gait Analysis & Biomechanical Examination Procedures (Add language to slides on local mobility and global stability) 

  • Case-Based Clinical Skills Lab

10:00 to 10:15 AM:  Break 

10:15 AM to 12:00 PM:  Local Mobility & Activation Lab Bob and Roosa 

  • Clinical Skills Lab 
  • Stenosis Case 
  • Lumbar Disc Case 
  • Hip OA Case

12:00 PM to 1:00 PM:  Lunch Break 

1:00 PM to 2:30 PM:  Local Mobility & Activation Lab Bob and Roosa 

  • Clinical Skills Lab 
  • Antalgic Gait Cases 
  • Case 1 
  • Case 2 
  • Plantar Fasciitis Case

2:30 to 2:45 PM:  Break 

2:45 to 4:45 PM:  Local Mobility & Activation Lab Bob and Roosa 

  • Clinical Skills Lab 
  • Cervical Facet Case 
  • Postural Insufficiency (forward head/shoulders) Case 
  • Anterior GH Glide Syndrome Case 
  • Lateral Elbow Case 
  • Wrist Extension Pain Case

4:45 to 5:30 PM:  Clinical Case, Final Questions, and Adjourn

 

 

Date

Apr 09 - 10 2022
Expired!

Time

8:00 am - 5:00 pm

Cost

$575.00

Location

Pivot Physical Therapy
Germantown, MD
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