Spinal Manipulation Institute
American Academy of Manipulative Therapy™
SMT-2: Cervicothoracic Dysfunction & Cervicogenic Headaches: Diagnosis & Management with HVLA Thrust Manipulation & Exercise
SMT-3: Lumbar and Sacroiliac Dysfunction: Diagnosis & Management with HVLA Thrust Manipulation & Exercise
SMT-4: Certification in Spinal Manipulative Therapy (Cert. SMT): Comprehensive Review & Comprehensive Oral, Practical & Written Examination
DN-1: Dry Needling for Craniofacial, Cervicothoracic & Upper Extremity Conditions: an Evidence-Based Approach (Part 1 of the Certification in Dry Needling)
DN-2: Dry Needling for Lumbopelvic & Lower Extremity Conditions: an Evidence-Based Approach (Part 2 of the Certification in Dry Needling)
EMT-1: Extremity Manipulative Therapy: Upper & Lower Extremity HVLA Thrust Manipulation
IASTM-1: Instrument-Assisted Soft-Tissue Mobilization for Spine & Extremity Conditions: An Evidence-Based Approach
DD-1: Differential Diagnosis & Multi-Modal Management of Upper & Lower Extremity Spine Related Pain Syndromes
American Academy of Manipulative Therapy (AAMT) Fellowship in Orthopaedic Manual Physical Therapy: June 1, 2014 Cohort - 4th Quarterly Payment
SMT-1: High-Velocity Low-Amplitude Thrust Manipulation of the Cervical, Thoracic, Lumbar & SI Joints
TWO-DAY SEMINAR FOR PT, DO, or MD practitioners
|C1-2 HVLA Thrust Manipulation
||C4-5 HVLA Thrust Manipulation
This two-day seminar includes 70% hands-on practical training and 30% didactic lecture instruction. The content of the seminar highlights the biomechanical principles and practical hands-on skills required to perform high-velocity low-amplitude (HVLA) thrust manipulation techniques in a competent and safe manner for all of the spinal regions. Clinical case studies are presented for discussion of diagnosis and management based upon clinical reasoning and the best available empirical evidence. Course tuition includes 110 page booklet with detailed description and pictures of all HVLA thrust techniques, current evidence underpinning the use of spinal manipulation in cervicogenic headaches, acute and chronic low back pain, sacroiliac joint dysfunction, and idiopathic neck pain.
At the completion of this course, participants will be able to:
- 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.
- Improve the use of body and posture in application of high-velocity low-amplitude thrust, making them an integral part of technique delivery.
- Start combining leverages using multiple components in order to focus forces and build “mechanical barriers” at target motion segments.
- 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.
- 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.
- Demystify the delivery of high-velocity low-amplitude thrust manipulation and develop an appreciation of its merits and limitations in every day clinical practice.
- Utilize clinical reasoning skills in the selection of high-velocity low-amplitude thrust manipulation techniques for a variety of neuromusculoskeletal dysfunctions.
- 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.
- Describe and demonstrate HVLA thrust manipulation for the junctional zones: upper cervical, cervicothoracic, thoracolumbar and lumbosacral regions.
- 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.
COURSE OUTLINEDay One:
|8:00||Indications, precautions, contraindications for use of HVLAT manipulation|
|9:00||Cervical (C2-7) rotatory HVLA thrust manipulation technique|
|10:15||Cervicothoracic junction (C7-T3) HVLA thrust manipulation technique|
|11:00||Evidence based diagnosis and management of cervicogenic headaches|
|12:00 pm||Lunch (on own)|
|1:00||Upper cervical HVLA thrust manipulation of Atlanto-Axial (C1-2) joint|
|2:00||Evidence for use of HVLA thrust manipulation in acute and chronic LBP|
|3:15||Mid-lumbar (L2-4) HVLA thrust manipulation technique|
|4:00||1st rib HVLA thrust manipulation technique|
|4:30||2nd & 3rd rib HVLA thrust manipulation technique|
|5:00||Conclusion of day one|
|8:00||Upper thoracic (T1-3) HVLA thrust manipulation technique|
|9:00||Cervical (C2-7) lateral-flexion translatory HVLA thrust manipulation technique|
|10:15||Lumbo-sacral junction (L5/S1) HVLA thrust manipulation technique|
|11:00||Mid-thoracic (T4-9) HVLA thrust manipulation technique|
|12:00 pm||Lunch (on own)|
|1:00||Upper cervical HVLA thrust manipulation of Occipito-Atlantal (C0-1) joint|
|2:00||Evidence based diagnosis of sacro-iliac dysfunction|
|3:15||Sacro-iliac joint HVLA thrust manipulation technique|
|4:00||Thoraco-lumbar junction (T11-L1) HVLA thrust manipulation technique|
|4:30||Rib 4-8 HVLA thrust manipulation technique|
|5:00||Conclusion of course & issue of certificates|
This course is 70% practical (hands-on) and 30% didactic. Participants should bring clothing each day that allows for participation in the practical sessions. Schedule may change to allow for lab flexibility & participant interaction. 15 contact hours will be awarded upon course completion. Space is limited, early registration is suggested. No other course prerequisites are required for this course. Must be licensed PT, DO or MD to enroll. Times are approximate. As applicable for each state, CEU approval is submitted to the respective Physical Therapy State Boards.
Register online for this seminar