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Full Course Description

2-Day Thoracic Spine and Regional Interdependence to Advance Outcomes

When I sustained injuries during my time in the service, I realized elements were missing from my treatment. Progress was slow, and I knew there had to be a better way.

Many of my therapists isolated the evaluation and treatment to focus solely on the areas of pain.

We now know that acknowledging the biomechanical and functional role of the thoracic spine in neck, shoulder/back and hip dysfunction, leads to more insightful evaluations and better treatment options.

This concept of regional interdependence is the underutilized link to better outcomes. Thoracic spine contributions significantly impact the upper and lower extremity along with the upper and lower spine. We’ll explore a step-by-step process to integrate:

  • Global assessments that identify biomechanical deficits faster
  • Multimodal techniques to improve mobility, biomechanics, flexibility, and posture
  • Therapeutic exercise to decrease pain, stiffness, tightness
  • New ways to enhance manual therapy with kinesiology tape, mobilizations, postural restoration, soft tissue mobilization, myofascial release and more!

Go beyond traditional! Integrate the regional interdependence model today to improve mobility and functional stability of the thoracic spine and enhance your clinic outcomes!

Program Information

Objectives

  1. Evaluate the anatomy of the thoracic spine and surrounding musculature.
  2. Inspect the biomechanics associated with the influence of LE posture and UE movement by the thoracic spine.
  3. Demonstrate the importance of examining and treating globally.
  4. Determine the potential contributors of the thoracic spine on the UE and LE.
  5. Assess the importance of regional interdependence in treating UE and LE dysfunctions
  6. Employ treatment approaches that the thoracic spine has as a critical biomechanical link.
  7. Design elements to individualize comprehensive treatment sessions for improved outcomes.
  8. Inspect red flag indicators in the thoracic spine.
  9. Demonstrate exercises that improve motor skills required to enhance manual therapy interventions in the thoracic spine
  10. Investigate research to gain greater insight for best practice
  11. Formulate strategies to enhance clinical acuity in observations made during movement analysis
  12. Apply advance clinical reasoning skills for more effective impact of skilled care delivered to patients with thoracic spine involvement
  13. Construct a framework to improve sequencing of interventions and patient management to enhance movement systems and function.

Outline

Thoracic Spine Anatomy & Biomechanics

  • Regional interdependence model
  • Contributing factors for UQ/LQ/spinal pain
  • Coupling behavior of the thoracic spine
  • The unique anatomical interrelationships of the thoracic spine
Global Approach to Assessment and Evaluation
  • Identify biomechanical deficits faster
  • Improve understanding of remote areas of influence
  • Explore the differences in approaching dysfunctions through the lens of regional interdependence
Therapeutic Exercise to Enhance Mobility and Functional Stability
  • Big three go to verbal cues for improving spinal posture
  • Discover the missing elements to a comprehensive program
  • Coordinate therex and MPT to improve performance
Multimodal Approaches to Accelerate Progress
  • Self myofascial and mobilization techniques
  • Thoracic spine mobilization techniques
  • Kinesiology taping
  • Postural restoration
  • Spinal mobilization
  • Soft tissue mobilization & IASTM
  • Deep tissue release
  • Strain counterstrain technique
  • Myofascial release
Effective Interventions to Address:
  • Pain
  • Movement restrictions
  • Functional loss
  • Stiffness
  • Weakness
  • Referred pain
  • Parenthesis
  • Debility
Multifaceted Approaches for Common Dysfunction:
  • Shoulder pain
  • Low back pain
  • Hip pain
  • Rib pathology
  • Facet joint dysfunction
  • Scapula dyskinesia
  • Degenerative changes
  • T4 syndrome
  • Scoliosis
  • Kyphosis
  • Compression FX
  • Spondylosis
  • Postural faults

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Chiropractors
  • Exercise Physiologists
  • Strength and Conditioning Coaches
  • Athletic Trainers

Copyright : 04/24/2023

Performance Ready Spine

Integrate your knowledge of the body and its systems, therapy approaches to the spine and performance training strategies – enter, the performance continuum.  It’s a blueprint to simplify what actually works when rehabbing low back pain.  You’ll experience an interactive exercise progression and regression model for spine rehab and performance, as well as a clear decision-making process to ensure you leave no stone unturned in the development of human performance.  Best of all? This approach works for all patient demographics, from geriatric clients that strive to maintain independence to elite athletes attempting to improve performance and reduce injury risk.

Program Information

Objectives

  1. Evaluate spine anatomy and function.
  2. Develop a progression of exercise to train the spine.
  3. Determine when and how to advance exercise.
  4. Investigate the relationship between the spine and the rest of the body and how it relates to the Performance Continuum.

Outline

  • A Unique Perspective of the Spine
    • Anatomy, Fascial Lines, Joint by Joint Approach
    • What Does the Spine Do?
    • Kinetic Linking
  • Performance Continuum
    • Factors of Human Performance
    • Test and Re-Test Model of Progression
    • Integrating Aerobic and Anaerobic Development
  • Evaluation
    • Movement Screen and Directional Bias
    • Above and Below Influencers
    • Core Function
  • Movement and Strength
    • Progressing Baseline and Advanced Movement
    • Loading the Spine
    • Integrating Functional Strength
  • Developing Athleticism
    • Speed and Impact Progressions
    • Return to Kinetic Linking
    • Further learning opportunities

Target Audience

  • Athletic Trainers
  • Chiropractors
  • Massage Therapists
  • Physical Therapists
  • Physical Therapy Assistants

Copyright : 05/13/2022

Orthopedic Manual Therapy For The Lumbar Spine

Chronic. Debilitating. Challenging.  Clinicians are often stumped by the wide array of diagnoses and presentation of low back pain. With the myriad of impairments related to LBP, you need streamlined evaluation techniques and interventions that get results fast. 

Many patients do not respond favorably to the typical exercise regimens prescribed for LBP.  No time for manual therapy?  Think again - there’s a reason patients are willing to pay for massage therapy sessions out of pocket! In this training, you’ll discover  

  • Fast and easy techniques that you can use immediately 
  • How to quickly pinpoint lumbar spinal impairments and restricted areas 
  • Techniques that save your hands!  

This training will shine a light on providing patient-centered care while utilizing CPGs to inform decisions and stay within reimbursement guidelines.  You’ll learn what exam tools to use based on the CPGs for fast classification of LBP categories that will benefit from tissue mobilization, and specific techniques to free up restrictions and ease pain.  Discover fast and easy methods to release mobility restrictions in the low back to get people moving freely without pain rapidly. 

Program Information

Objectives

  1. Assess eight examination methods to identify mobility impairments in people with LBP.
  2. Incorporate select manual therapy strategies to address participation restrictions and mobility impairments backed by APTA’s CPGs and patient preferences for people with subacute and chronic LBP and LBP with leg pain.
  3. Investigate the latest research on the benefits of joint and soft tissue mobilization and positional release to improve function and quality of life for people with low back pain.

Outline

Patient Centered Care & CPGs 

  • Diagnostic categories of LBP where manual therapy is recommended 
    • Subacute and chronic LBP 
    • LBP with LE referred pain 
  • Including CPGs for reimbursement  
Examination Methods to Identify Mobility Impairments & Streamline Treatment 
  • Roland-Morris 
  • Oswestry 
  • Quebec disability scales 
  • SLR 
  • Burns 
  • Prone knee flexion 
  • Patrick FABERE 
  • SI tests (flexion/march/hip rotation) 
  • Slump test 
  • Soft tissue provocative tests: 
    • Fascial glide 
    • Trigger points 
    • Taut bands 
Targeted Techniques for Lumbar Spine 
  • Myofascial and positional Release 
    • Lumbosacral decompression 
    • Crosshand release 
    • Skin roll 
    • Psoas release 
    • Leg distraction 
    • QL release 
  • Foundational joint mobilization 
    • P/A glide 
    • Transverse rotation 
    • Lateral glide 
  • Case reports and research review 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 09/15/2021

Treating Geriatric Low Back Pain

Managing low back pain is an especially difficult challenge in the geriatric population. Too many clinicians are using modalities and treatments that are not reliable – kick those to the curb with these evidence-based solutions for treating geriatric low back pain! Improve mobility, posture and function with these time-tested solutions:  

  • Treatment plans that strengthen the muscles commonly associated with LBP 
  • Clinical strategies for osteoporosis, OA, and stenosis  
  • Tools to rule out nerve root disorders 
  • Top 5 things you need to know about surgical treatment and implications  

Working with these complex patients requires comprehensive strategies, so you’ll also explore the key professionals to include on the multidisciplinary care team for best outcomes.  Walk away with today’s best practices to decrease low back pain through effective interventions like therapeutic exercise, physical activity, mobilization and many other modalities. 

Program Information

Objectives

  1. Inspect posture abnormalities in patients with osteoporosis with a valid and reliable tool and evidence-based treatment plan for osteoporosis for patients with difficult levels of mobility. 
  2. Apply functional outcome measures ideal for this population and develop a treatment plan to strengthen specific core muscles that are most commonly involved in low back pain. 
  3. Distinguish between neurogenic and claudication disorders affecting ambulation and apply treatment to each problem. 
  4. Evaluate the wide variety of surgical procedures your patient may have experienced and the implications of failed back surgery. 

Outline

Low Back Pain: Evaluation & Interventions 

  • Neurogenic and claudication disorders: 
    • Clinical tests with signs and symptoms 
  • Surgical procedures: risk vs benefit 
  • Implications of failed back surgery 
  • PT intervention related to procedures + bad outcomes 
Treatment Plan for Strength 
  • Functional outcome measures 
  • Core muscles 
  • Balance between flexors and extenders 
  • Exercise program to target key muscle groups 
Best Practices for Chronic Pain Management 
  • Key roles for multidisciplinary team 
  • Important adjuncts to therapy 
  • Timing of interventions 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 11/13/2021

Intervention Strategies for Neck Pain

Desk jobs.  Devices.  Poor posture.  It’s no surprise that you see patients with neck pain so frequently.  Theresa Schmidt, PT, DPT, MS, OCS, LMT, CEAS explores tried and true methods for treating this population – a framework that directly ties evidence-based interventions to the specific diagnostic category of the patient: 

  • Quickly narrow in on exactly which exam tools are the best fit  
  • Effectively customize your treatment based on the specific diagnostic category 
  • Critical considerations for treating acute vs subacute vs chronic neck pain 
  • Which diagnoses respond better to manipulation vs manual therapy or exercise 

You’ll learn which interventions are backed by research for each of the most common ailments including cervicalgia, headaches, cervicocranial syndrome, thoracic spinal pain, cervical strain/sprain and more!  In a world where being reimbursed is becoming harder and harder, this fast-paced and in-depth training will pave the way for streamlined treatment, effective documentation and optimized reimbursement.  You’ll develop a concise approach for selecting the gold standard treatment: tools and techniques that you can immediately implement into your practice to improve outcomes. 

Program Information

Objectives

  1. Investigate the current clinical practice guidelines (CPG) for patients with neck pain as developed by the orthopedic section of the American Physical Therapy Association.
  2. Choose the most reliable examination tools for patients with neck pain to diagnose anatomical and functional impairments and classify people into the associated impairment-based category.
  3. Develop intervention strategies based on diagnostic categories to address activity restriction limitations and functional mobility impairments based on the CPG classification of impairments for neck pain.

Outline

Using Clinical Practice Guidelines to Optimize Patient Care and Functional Outcomes 

  • Chronic pain risk factors 
  • Pathoanatomical Factors 
  • 5 primary diagnostic categories 
  • Impact of CPG on clinician behaviors 
  • Red and yellow flags 
  • Do CPGs predict results? 
Quickly Identify the Impairment Classification 
  • Neck pain with mobility deficits 
  • Neck pain with movement coordination impairments & whiplash (WAD) 
  • Neck pain with headaches 
  • Neck pain with radiating pain 
  • Neck pain with mobility deficits 
  • Evaluation Strategies: 
    • Cranial cervical flexion test (CCFT) 
    • Spurling’s Test 
    • Distraction Test 
    • Upper Limb Tension Test 
    • Valsalva 
    • Patient Specific Functional Scale 
    • Self-reported questionnaires, Neck Disability Index 
Targeted Interventions to Address Limitations & Structural/Functional Impairments 
  • Manual therapy  
  • Patient Education 
  • Nerve mobilization, traction, upper quarter mobilization 
  • Centralization and stretching, exercise 
  • Case studies for matching classification to interventions 
    • Whiplash 
    • Headaches 
    • Radiating pain  
    • Mobility deficits 
    • Movement coordination impairments 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 09/08/2021

Low Back Pain

Patients are frustrated by the lack of continuity in messaging and recommendations for dealing with pain. With this evidence-based guide to managing low back pain, you’ll learn progression and regression strategies to achieve patient goals, mind-body practices that will improve functional outcomes, graded exposure techniques to reframe the pain experience, and strategies for external cues to re-pattern motion to be more effective and efficient. 

Program Information

Objectives

  1. Implement a biopsychosocial (BPS) framework centered around communication and compassion to improve therapeutic alliance and client self-efficacy. 
  2. Develop useful analogies and ways to reframe pain and other negative emotions to help clients realize their strengths in the rehabilitation process. 
  3. Incorporate "Emotional Programming" into your current therapeutic prescription to help clients connect mind-body training. 

Outline

Chronic Low Back Pain, Overall Well-Being & the Biopsychosocial Model 

  • Foundations of Pain science – Pain isn’t always a pathoanatomical response 
  • Understanding the context 
  • Three L’s: Listen, Language, Lead 
  • How to normalize a pain experience 
  • Reframing pain -Managing misinformation 
  • Why “stop moving” is rarely the answer 
  • Mitigating neurologic threat 
  • Graded exposure &²Ô²ú²õ±è;
  • Shared decision making and self-efficacy 

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Techniques to Reduce Pain, Improve Function and Enhance Quality of Life 

  • Utilize BPS concepts to guide movement entry points 
  • Develop full body training programs that promote resiliency 
  • Strength and mobility interventions for patients of all ability levels 
  • Proximal stability and distal mobility 
  • Breathwork 
  • Increasing sensory awareness (reconnect pathways reinforcing recognition of region) 

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Athletic Trainers
  • Massage Therapists
  • Chiropractors

Copyright : 10/27/2023

Preventing Sacroiliac Joint Pain

In order to unlock the secrets of quickly addressing unresolved sacroiliac joint pain – you need a joint by joint approach that incorporates the whole system. Join Dr. Mullholland to learn how to use this theory to guide your treatment plan.  He’ll dive deep into: 

  • Thoracic spine mobility drills to improve function 
  • Hip mobility drills that get results fast 
  • Core strengthening exercises to help prevent SI joint pain 

Best of all?  You’ll learn how to teach your patients the ONE movement they need to master to prevent lower back pain! Purchase this recording to takeaway real-world tactics you can use with your patients and clients right away. 

Program Information

Objectives

  1. Appraise management approaches for various types of sacroiliac pain 
  2. Differentiate areas of the body who influence the SI Joint and whether they need to be mobilized or stabilized. 
  3. Evaluate patient education strategies for movement therapies to reduce the risk of and symptom severity of low back pain. 

Outline

  • Current theories of sacroiliac joint function 
    • Vleeming’s Model of Joint Function 
      • Form Closure 
      • Force Closure 
      • Motor Control 
      • Emotional / Mental 
  • Why is Sacroiliac Joint pain so common? 
  • What is the Joint-by-Joint Theory and how we can use it to guide our treatments 
  • Thoracic spine drills to “spare” the sacroiliac joints 
    • Foam Rolling 
    • Cat & Camel (focusing on one vertebra at a time) 
    • Kneeling thoracic spine extension drill 
    • Elbow-to-Wrist Drill 
    • The Bretzel Drill 
  • Hip Mobility Drills to “spare” the Sacroiliac Joints 
    • Self-Massage drills on the balla 
    • Kneeling hip flexion drill 
    • Windshield Wipers 
    • Fire Hydrants 
  • Screening tests for motor control issues with the hips & SI Joints 
  • Gluteal Strength / Activation Exercises 
    • Prone leg raises (if needed) 
    • Gluteal bridge variations 
    • Hip thrust variations 
  • The Best “Core” Strengthening Exercises 
    • Discuss & demonstrate the concept of “bracing” the core 
    • Introduce & demo variety of “anti-movements” for core strengthening 
  • What is a Hip Hinge? 
  • Teaching the Hip Hinge 
    • Kneeling hip hinge regression 
    • “Butt-to-Wall” Drill 
    • Dowel Drill 
  • Loading the Hip Hinge 
    • Kneeling hinge with band 
    • Cable pull-through 
    • Kettlebell deadlifts 
    • One-leg kettlebell deadlifts 
    • Kettlebell Swings

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Massage Therapists
  • Chiropractors
  • Athletic Trainers
  • Strength and Conditioning Coaches
  • Exercise Physiologists

Copyright : 12/11/2020

The Ins and Outs of Breath

Breathing and its potential to treat a wide range of health conditions has stimulated a lot of interest from the medical and scientific communities. Diaphragmatic breathing triggers many physiological mechanisms that unlock our bodies’ own natural healing capabilities. Learn assessment and exercise strategies to increase heart rate variability, lower stress levels, improve cognition and sleep.  Through experiential labs, you will learn how to reduce anxiety, lower heart rate and blood pressure with practical techniques that only take a few minutes.  

Program Information

Objectives

  1. Evaluate key concepts of breath and its impact on human physiology. 
  2. Develop and implement breath strategies to improve mindset and mental health. 
  3. Develop and implement breath strategies to improve pain and movement capacity. 

Outline

The Physiology of Breath and Health Implications for Your Patients 

  • The missing link in your current eval 
  • Diaphragm & its relationship to the core 
  • Heartrate variability 
  • Applications for:  
    • Better Sleep 
    • Improved Energy Levels 
    • Increased Lung Capacity 
    • Easier breathing 
    • Reduced allergy symptoms 
    • Improved immune function 

 

Assessment Strategies for Breath  

  • Conscious vs. unconscious breathing 
  • Diaphragmatic vs. apical 
  • Breath hold 
  • Breathing with movement, “Talk Test” 

 

Practical Tools to Implement for Pain, Mental Health, Movement and Performance 

  • Box breathing  
  • Wim hof breathing 
  • Hands-on strategies to facilitate diaphragmatic breathing (hands, pods, floss etc) 
  • How to lock in change: conscious becomes sub-conscious 

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech Language Pathologists
  • Chiropractors
  • Speech Language Assistants
  • Athletic Trainers
  • Activity Professionals/Directors
  • Recreation Therapists
  • Osteopathic Doctors
  • Physicians
  • Nurse Practitioners
  • Rehab Nurses
  • Teachers/Parents
  • Physicians
  • Exercise Physiologists
  • Personal Trainers
  • Yoga Instructors
  • Physical Education Professionals and Coaches
  • Long Term Care Administrators
  • Restorative Team Members
  • Clinical Managers
  • Certified Strength and Conditioning Specialists
  • Wellness Coaches

Copyright : 06/30/2023

Red Light Therapy for Pain and Inflammation

Red light therapy is growing in popularity – and it’s no wonder why.  With proven applications for pain, inflammation, and healing, you easily can layer this therapy with your existing treatment!  The results from this simple and cost-effective treatment are unparalleled. You get all the benefits of light, without the risks of UV light. Learn how red-light therapy has helped thousands of clinicians get better outcomes as you impact tissues at a deeper level than traditional approaches!  

Program Information

Objectives

  1. Appraise mechanisms of red light therapy that are specifically designed to treat symptoms and effects of pain and inflammatory conditions. 
  2. Practice and refine red light therapy treatment techniques that are specifically tailored to improve common conditions such as local and systemic pain, inflammation, as well as the patient’s perception of pain experience.  
  3. Evaluate clinical case situations where red light therapy may benefit a patient experiencing pain and inflammation and justify treatment approaches and parameters based on recent scientific review. 

Outline

Yesterday’s Medicine and Today’s Science 

  • Light in Medicine 
  • History and Recorded Uses 
  • Key Terms in Light Therapy  
    • Electromagnetic Spectrum 
    • Wavelengths 
    • Light Pathways - visual and skin 
    • Natural Light Recommendations 

Light Effects on the Human Body 

  • Cellular Mechanisms (How Light Works at the Cellular Level) 
    • Inflammation 
    • Cellular Protection 
    • Proliferation 
    • Migration 
    • Protein Synthesis 

Molecular Mechanisms (How Light Works at the Molecular Level) 

  • CCO  
  • Collagen  
  • ROS  
  • Cytokines 
  • Keratinocytic Growth Factor  
  • Photoreceptors 
  • Mitochondria 

Today’s Science: Red and Near Infrared Light Therapy 

  • LED vs. Laser technology 
  • Defining and understanding: 
  • Terminology in Red Light (LED) Therapy 
    • Irradiance/Intensity mw/Cm2 
    • Dosage J/cm2 - Energy 
    • Treatment Time 
    • Treatment Area 
    • Treatment Frequency 
    • Direct contact vs. non direct contact red light therapy - wraps vs. panels 

Contraindications to Light Therapy Treatment  

  • Heat/Thermal 
  • Eyes 
  • Skin Tone 
  • Age: Geriatrics & Pediatrics 
  • Health Conditions: Pregnancy 
  • Medication Interactions 
  • EMF & Flicker 

Pain Pathophysiology 

  • Mechanisms of Pain and Inflammation 
  • Typical Patient Presentation  
    • Local, Systemic, Post-Operative 
  • Historical Treatment Options  
  • Epidemiology and Prevalence Data 
  • Typical Disease Progression 

Pain and Inflammation Symptoms: 

  • Pathogenic and neurogenic  
  • Inflammation 
  • Sensation Loss or Hypersensitivity 
  • Pain and Inflammation from Delayed Wound Healing 
  • Pain and Inflammation from Immobilization or Surgery 

Treatment Regions and Red Light Therapy Protocols for Pain/Inflammation Conditions:     

  • Pain/Inflammation Conditions of the Upper Body 
  • Pain/Inflammation Conditions of the Lower Body 
  • Pain/Inflammation Conditions of the Spine 
  • Systemic Pain/Inflammation Conditions  

For all Pain and Inflammatory Conditions, each section will include content on: 

  • Mechanism of how red light influences the particular problem 
  • Research review on pertinent studies related to the indication 
  • Treatment parameters for each indication 

Picking a Red Light Therapy Product for Clinic/Home Use 

  • Review Power measurements 
  • Irradiance 
  • EMF 
  • Flicker 
  • Contact vs. Non Contact

Case Study Review 

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physical Therapists
  • Physical Therapist Assistants
  • Athletic Trainers
  • Coaches
  • Personal Trainers
  • Strength and Conditioning Specialists
  • Occupational Therapists
  • Occupational Therapy Assistants 

Copyright : 06/30/2023