SMT-1 HVLAT of the Cervical, Thoracic, Lumbar, and SIJ

CEUs: 15 hours

Topics: Lumbar, Cervical, Headache

Techniques: Spinal Manipulation

Body Regions: Back, Neck, Spine

Course Details

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About This Event

This two-day spinal manipulation course includes 70% hands-on practical training and 30% didactic lecture instruction. This spinal manipulation course focuses on the technical and practical hands-on skills required to perform high-velocity low-amplitude thrust spinal manipulation techniques in a competent and safe manner for all of the spinal regions. We have taught more PTs, MDs and ATCs the art and science of spinal manipulation than any other institute (in the world!). In fact, most instructors of other spinal manipulation programs are graduates from Spinal Manipulation Institute. Learn from the source, the worldwide leaders in spinal manipulation education, research and practice.

No prerequisites are needed for this 2-day course in spinal manipulation; however, registrants must be a licensed PT (or 3rd year DPT student), ATC, DO, MD, DC, NP, or PA in their respective state or country. The SMT-1 course is approved for 15-hours by FSBPT (ProCert), BOC (NATA), APTA, TPTA, and the respective State PT Board.

Participants will learn HVLA thrust manipulation techniques for the following articulations: C0-1 (occipito-atlantal joint), C1-2 (atlanto-axial joint), C2-7 (mid and lower cervical segments), C7-T3 (cervicothoracic junction), upper ribs 1, 2 and 3 (costotransverse & costovertebral joints), T4-9 (mid-thoracic facet articulations), T10-L1 (thoracolumbar junction), L2-4 (mid-lumbar spine facets), L5-S1 (lumbosacral junction), and the SI (sacroiliac) joint.

Current evidence will also be presented that underpins the use of spinal manipulation for cervicogenic headaches, cervicothoracic dysfunction, shoulder pain and upper rib syndromes, acute and chronic low back pain, sacroiliac joint dysfunction, and mechanical neck pain.

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Course Objectives
  1. Describe the indications, precautions and contra-indications (relative and absolute) of high-velocity low-amplitude thrust manipulation.  Demonstrate pre-manipulative screening tests for cervical artery dysfunction (Vertebro-Basilar-Insufficiency) and upper cervical instability and understand their limitations.
  2. Improve the use of body and posture in application of high-velocity low-amplitude thrust, making them an integral part of technique delivery.
  3. Start combining leverages using multiple components in order to focus forces and build “mechanical barriers” at target motion segments.
  4. Develop the psychomotor skills necessary to appreciate the pre-manipulative barrier (end-feel) utilized in minimal leverage or momentum induced manipulative technique by concentrating on combining multiple leverages in order to minimize the overall amplitude and force required to achieve cavitation.
  5. Facilitate sound clinical reasoning processes behind the choice (or not) of high-velocity low-amplitude techniques and an appreciation of the current evidence base behind their application.
  6. Demystify the delivery of high-velocity low-amplitude thrust manipulation and develop an appreciation of its merits and limitations in every day clinical practice.
  7. Utilize clinical reasoning skills in the selection of high-velocity low-amplitude thrust manipulation techniques for a variety of neuromusculoskeletal dysfunctions.
  8. Demonstrate safe, competent and proficient performance of HVLA thrust manipulation techniques, including pre-thrust positioning and actual thrust application of mid and lower cervical, thoracic, rib, lumbar and sacro-iliac regions.
  9. Describe and demonstrate HVLA thrust manipulation for the junctional zones:  upper cervical, cervicothoracic, thoracolumbar and lumbosacral regions.
  10. Learn how to effectively diagnose and treat upper, mid, and lower cervical joint dysfunction, sacro-iliac joint dysfunction, lumbar spine facet syndromes, second and third rib syndromes, and cervicothoracic joint dysfunction.
Day 1 Schedule

8:00-9:00 – Indications, precautions, contraindications for use of HVLAT manipulation
9:00-10:00 – Cervical rotary HVLA thrust manipulation technique
10:00-11:00 – Cervicothoracic junction HVLA thrust manipulation technique
11:00-12:00 – Evidence based diagnosis and management of cervicogenic headaches
12:00-1:00 – Lunch
1:00-2:00 – Upper cervical diagnosis and management of cervicogenic headaches
2:00-3:00 – Evidence for use of HVLA thrust manipulation in acute and chronic LBP
3:00-4:00 – Mid-lumbar HVLA thrust manipulation technique
4:00-4:30 – 1st rib HVLA thrust manipulation technique
4:30-5:00 – 2nd & 3rd rib HVLA thrust manipulation technique

Day 2 Schedule

8:00-9:00 – Upper thoracic HVLA thrust manipulation technique
9:00-10:00 – Cervical lateral-flexion HVLA thrust manipulation technique
10:00-11:00 – Lumbo-sacral junction HVLA thrust manipulation technique
11:00-12:00 – Mid-thoracic HVLA thrust manipulation technique
12:00-1:00 – Lunch
1:00-2:00 – Upper cervical HVLA thrust manipulation of Occipito-Atlanta joint
2:00-3:00 – Evidence based diagnosis of sacro-iliac dysfunction
3:00-4:00 – Sacro-iliac joint HVLA thrust manipulation technique
4:00-4:30 – Thoraco-lumbar junction HVLA thrust manipulation technique
4:30-5:00 – Rib 4-8 HVLA thrust manipulation technique

“Dr. Dunning is the real deal; he can manipulate extremely well. He knows the evidence and dispels many of the myths and misconceptions about traditional manual therapy approaches. I recommend these osteopractic manipulation courses to all physical therapists, especially Fellows who want to become experts in spinal manipulation technique.”

Marcos Parga, PT, ATC, FAAOMPT – El Paso, TX

 

“Easily one of the best spinal manipulation courses I have ever taken. Thrust manipulation techniques are demonstrated and instructed for the entire spine and pelvis with a strong evidence-based explanation.”

Michael Turner, PT, MSc, OCS, MTC, FAAOMPT – Honolulu, HI

About the Host

The American Academy of Manipulative Therapy is the worldwide leader in spinal manipulation and dry needling continuing education courses for Physical Therapists, Medical Physicians, Chiropractors, Acupuncturists and Athletic Trainers. Offering Certification in Spinal Manipulative Therapy, Certification in Dry Needling, the Diploma in Osteopractic, and the APTA-accredited 12-month distance-based AAMT Fellowship in Orthopaedic Manual Physical Therapy.

Speakers

Dr. James Dunning, PhD, DPT, MSc, Dip. Osteopractic, FAAOMPT

President of Spinal Manipulation Institute, Dry Needling Institute, and the American Academy of Manipulative Therapy. He is the Director of the APTA-accredited AAMT Fellowship in Orthopaedic Manual Physical Therapy and the Owner of Montgomery Osteopractic Physiotherapy & Acupuncture Clinic. Dr. Dunning specializes in spinal manipulation, Western acupuncture, dry needling and differential diagnosis for a variety of neuromusculoskeletal conditions.

Dr. Noah Zacharko DPT, FAAOMPT, Dip. Osteopractic

Owner and founder of Osteopractic Physical Therapy of the Carolinas in Fort Mill, SC. Dr. Zacharko’s osteopractic clinic is fully cash-based and specializes in the management of complex neuromusculoskeletal conditions, sports injuries, and the rehabilitation of amateur and professional athletes. Due to Dr. Zacharko’s insurance-free osteopractic clinic, the treatment frequency, intensity and duration for each and every patient is determined by the clinician, not a third party payer.

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SMT-1 HVLAT of the Cervical, Thoracic, Lumbar, and SIJ

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