Course Description for Foundations of Manipulation

In this 20-hour lab-based course, the clinician will learn a focused approach to manipulation. The clinician will learn fundamental skills necessary for safe and effective manipulation of a joint. Safety considerations are emphasized. Current science and research will be presented, along with a vast amount of clinical experience and pearls, allowing immediate application of manipulative techniques into the clinicians’ professional practice. This two-day course is comprised of 80% practical and 20% didactic training. The primary focus will be on the development of the psychomotor skills needed to deliver manipulation safely and effectively to the spine and extremities.

Course Details

Areas of the body to be covered in class include:

  • Upper extremity
  • Lower extremity
  • Cervical spine
  • Thoracic Spine
  • Lumbar spine

Upon course completion, the clinician will:

  1. Define manipulation and its physiologic effects.
  2. List two kinematic/kinetic research findings for manipulation to be applied to the spine and extremities.
  3. Describe the end feel that is vital in performing safe, effective spinal manipulation.
  4. Identify the appropriate anatomical landmarks for targeting anatomic segments with manipulation.
  5. List two examination findings that justify the use of manipulation for musculoskeletal conditions.
  6. Articulate when to not perform manipulation treatments due to contraindications, given various patient case scenarios.
  7. Perform the correct manipulation procedures to the spine and extremities given case scenarios provided.
  8. Discuss the safety of performing spinal manipulation.
  9. Demonstrate an understanding of the potential mechanisms by which manipulation improves musculoskeletal pain.
  10. Demonstrate an understanding of the literature regarding the efficacy of spinal and extremity manipulation for various musculoskeletal conditions.
  11. Have knowledge of the physiological and accessory levers used in the application of spinal and extremity manipulation.
  12. Demonstrate the knowledge of safety considerations that are important in employing manipulation for various musculoskeletal conditions.

Professionals who may take this course include:

  • Athletic Trainers
  • Physical Therapists
  • Chiropractors
  • Medical Doctors
  • Doctor of Osteopathic Medicine
  • Physician Assistants
  • Registered Nurses
  • Nurse Practitioners
  • Acupuncturists

Required Reading:

  1. A History of manipulative therapy. Pettman
  2. The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review. Vigotsky and Bruhns.
  3. The role of the descending inhibitory pain mechanism in musculoskeletal pain following high-velocity, low amplitude thrust manipulation. A review of the literature. Christos et al.
  4. Characterizing Adverse Events Reported Immediately After Osteopathic Manipulative Treatment. Degenhardt et al.

Required Course Supplies:

  1. An Anatomy Reference – Preferred references below, however any anatomy reference will be acceptable.
    1. Trail Guide to the Body 5th Edition
    1. Palpation Techniques: Surface Anatomy for Physical Therapists
  2. Skin pencils are needed for marking anatomical landmarks

You will receive an email prior to the course you register for with the following information:

  1. Any course specific instructions such as a location and event reminder, parking instructions, and course check-in time.
  2. Log-in information and instructions can be found on our online education platform
    1. This log in information will allow you to access the Foundations course power points, resources, course certificate, etc.
  3. Please be sure to log in successfully to the back end of the website prior to class.
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