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Manipulation Thrust Techniques: Cervical, Thoracic, and Lumbar Spine

presented by Peter Gibbons and Philip Tehan

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Dr. Peter Gibbons and Philip Tehan present this course on thrust manipulations for all regions of the spine. Learners will comprehend cavitation associated with manipulation thrust techniques, as well as the clinical decision-making process for the use of spinal manipulation thrust techniques, and gain a thorough understanding of the biomechanics involved in coupled movements of the spine. Indications and Evidence Based Medicine (EBM) considerations for spinal manipulation thrust techniques are reviewed, and the safety of spinal manipulation thrust techniques is considered. Understand the principles of spinal positioning and facet apposition locking necessary to achieve safe and effective manipulation thrust techniques, including the necessary modifications for the stiffer spine.

Meet Your Instructors

Peter Gibbons, MB, BS, DO, DM-SMed, MHSc

Graduated from the British School of Osteopathy (London) in 1975 and gained his undergraduate medical degree from the Royal Free Hospital School of Medicine (London). He is a board certified medical practitioner and osteopath in Australia, holds postgraduate qualifications in musculoskeletal medicine and is appointed as a member of the Victorian WorkCover Authority Medical Panels.…

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Philip Tehan, DO, Dip. Physiotherapy, MHSc.

Graduated from the Physiotherapy School, Lincoln Institute of Health Sciences in Melbourne, Australia in 1971 and gained his osteopathic qualification at the British School of Osteopathy in 1975. He is a board certified physiotherapist and osteopath in Australia. Philip has lectured both nationally and internationally on the topic of musculoskeletal dysfunction, particularly relating to spinal…

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Chapters & Learning Objectives

1. Introduction to Manipulation Thrust Techniques

Comprehend cavitation associated with manipulation thrust techniques. Review indications and Evidence Based Medicine (EBM) considerations for spinal manipulation thrust techniques. Consider the safety of spinal manipulation thrust techniques. Understand the clinical decision-making process which the use of spinal manipulation thrust techniques should be associated with. Identify the complications and contraindications associated with spinal manipulation thrust techniques. Evaluate the biomechanics associated with coupled motion of the spine. Understand the principles of spinal positioning and facet apposition locking necessary to achieve safe and effective manipulation thrust techniques.

2. Mid and Lower Lumbar Spine

Review the biomechanics and coupled motion model related to the mid and lower lumbar spine. Identify the complications associated with manipulation thrust techniques of the mid and lower lumbar spine. Understand the principles underpinning both neutral/extension and flexion positioning and facet apposition locking for the mid and lower lumbar spine, including the necessary modifications for the stiffer spine. Analyze the method of applying safe and effective sidelying manipulation thrust techniques in the mid and lower lumbar spine. Review the research evidence relating to the use of lumbar spine manipulation thrust techniques.

3. Cervical Spine (C2-C7)

Comprehend the available knowledge regarding the safety of cervical spine manipulation thrust techniques including consideration of cervical artery dissection and upper cervical spine instability. Review the biomechanics and coupled motion model related to the cervical spine from C2 to C7. Identify the complications associated with manipulation thrust techniques between C2 and C7. Understand the principles underpinning both primary rotation and primary side bending positioning and facet apposition locking from C2 to C7 including the necessary modifications for the stiffer spine. Analyze the method of applying a safe and effective upslope manipulation thrust technique between C2 and C7 in both the supine and sitting positions. Analyze the method of applying a safe and effective downslope manipulation thrust technique between C2 and C7 in the supine position. Review the research evidence relating to the use of cervical spine manipulation thrust techniques.

4. Thoracic Spine (T4-T9)

Review the biomechanics and coupled motion model related to the thoracic spine between T4 and T9. Identify the complications associated with manipulation thrust techniques in the thoracic spine. Understand the principles underpinning ligamentous myofascial tension positioning and locking for the thoracic spine. Analyze the method of applying a safe and effective extension gliding thrust technique between T4 and T9 in the sitting position. Analyze the method of applying a safe and effective flexion gliding thrust technique between T4 and T9 in the supine position. Analyze the method of applying a safe and effective rotation gliding thrust technique between T4 and T9 in the supine position. Review the research evidence relating to the use of thoracic spine manipulation thrust techniques.

5. Intra-anal Socrococcygeal Mobilization

Consider the benefits of intra-anal sacrococcygeal mobilization when coccydynia is unresponsive to external techniques. Understand the patient profile and clinical findings where intra-anal sacrococcygeal mobilization might be considered. Comprehend the information a patient needs to know before consenting to have intra-anal sacrococcygeal mobilization. Analyze the method of applying intra-anal sacrococcygeal mobilization.