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Thrust Joint Manipulation Part 2

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 safely and effectively deliver advanced thrust joint manipulation (TJM) techniques to the vertebral column, more commonly known as spinal manipulation. Also included will be a review of the literature regarding mechanisms of benefit for TJM and the efficacy/safety of treating select neuromusculoskeletal conditions.

Course Objectives

At the completion of this course, the participants will be able to:

  1. List two biomechanical, endocrine, neuronal, and hormonal findings relative to TJM that have been demonstrated in the peer-reviewed literature.
  2. Discuss how the above findings relative to spinal manipulation may contribute to its effects in neuromusculoskeletal conditions.
  3. Identify two physiological and accessory levers used in TJM techniques for all 4 regions (cervical, thoracic, lumbar, sacrococcygeal) of the vertebral column.
  4. Perform, given a patient case scenario, evidence-based examination techniques to confirm/refute the appropriateness of TJM for vertebral conditions.
  5. Perform, given a patient case scenario, expanded TJM procedures to the vertebral column that produce multiple, localized cavitations.
  6. Discuss the efficacy of spinal manipulation in the treatment of cervical radiculopathy using two peer-reviewed sources.
  7. Discuss the efficacy of TJM in the treatment of lumbar radiculopathy using two peer-reviewed sources.
  8. Discuss the efficacy of spinal manipulation in the treatment of rib dysfunction using two peer-reviewed sources.
  9. Discuss the efficacy of TJM in the treatment of sacroiliac dysfunction using two peer-reviewed sources.
  10. Discuss the safety of performing spinal manipulation for cervical or lumbar radiculopathy using two peer-reviewed sources.

Course Schedule

  • TJM Part 2 Day 1

    7:45 am     Sign-in

    8:00 am     Mechanisms of Effect for TJM

    8:45 am     Review of TJM Part 1 Didactic Material and Techniques

    10:00 am    Break

    10:15 am    Seated Cervical (C3-T1) “Downslope” TJM

    11:00 am    Seated CTJ (C7-T2) Distraction TJM

    11:30 am    Sidelying Lumbosacral Endomorph and Pregnancy/Hypomobility Modifications

    12:30 pm    Lunch

    1:30 pm     Safety and Efficacy of TJM in Treatment of Radiculopathy

    2:15 pm     Prone SIJ PA and PA with Hip Extension TJM

    3:00 pm     Supine Upper Rib (1-3) AP Cephalad TJM

    3:45 pm     Break

    4:00 pm     Seated Cervical Occipito-Atlantal (C0-C1) Sidebending TJM

    4:30 pm     Sacrococcygeal Sidelying TJM

    5:15 pm     First Rib Depression TJM

    6:00 pm     Self-Reflection Assessment, Conclusion of Day 1

  • TJM Part 2 Day 2

    7:45 am     Sign-in

    8:00 am     TJM in the Treatment of Rib Dysfunction and Costochondritis

    9:00 am     Seated Cervicothoracic Junction (C7-T3) Side-shift TJM

    10:00 am    Break

    10:15 am    Prone Sacral TJMs (3 Techniques)

    11:00 am    Wall Mid-Thoracic Rib/Vertebral (T3-T6) AP TJM

    12:00 pm    Lunch

    1:00 pm     TJM in the Treatment of Sacroiliac Dysfunction and Coccydynia

    2:00 pm     Reverse Erhard and Lumbar Roll Push-Pull TJM 

    3:00 pm     Break 

    3:15 pm     Seated Cervical to Cervicothoracic Rotatory (C3-T2) TJM

    4:00 pm     Supine SIJ Anterior and Prone SIJ Posterior Gapping TJM 

    4:30 pm     Seated Lower Rib (8-12) PA Cephalad TJM

    5:30 pm     Sidelying Lumbosacral Facet Modifications (T12-S1) TJM 

    6:00 pm     Issue Course Certificates, Conclusion of Day 2

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