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 an in-depth review of mechanisms of benefit and the efficacy/safety of treating select neuromusculoskeletal conditions.

*Special Note: TJM Part 1 does not have to be taken prior to this course, but the participant must enroll for TJM Part 1 before taking Part 2. The participant must review the textbook for Part 1 prior to attending Part 2.

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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, advanced 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 spinal manipulation in the treatment of lumbar radiculopathy using two peer-reviewed sources.
  8. Discuss the safety of performing spinal manipulation for cervical or lumbar radiculopathy using two peer-reviewed sources.
  9. Discuss the efficacy of spinal manipulation in the treatment of rib dysfunction and costochondritis using two peer-reviewed sources.
  10. Discuss the efficacy of spinal manipulation in the treatment of sacroiliac dysfunction using two peer-reviewed sources.

This course has been approved for 15 CCUs by the FSBPT and 17 contact hours by all course states that do not accept FSBPT approval.

Course Schedule

TJM Part 2 Day 1

7:45 am     Sign-in

8:00 am     Mechanisms of Effect for TJM

9:15 am     Review of TJM Part 1 Didactic Material and Techniques

10:15 am    Break

10:30 am    Sidelying Lumbosacral (T12-L1) Endomorph and Pregnancy/Hypomobility Modifications

11:15 am    Seated CTJ (C7-T2) Distraction TJM

11:45 am    Seated Cervical (C1-T1) “Downslope” TJM

12:30 pm    Lunch

1:30 pm     Safety and Efficacy of TJM in the 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     Cervical Occipito-Atlantal (C0-C1) Sidebending and Distraction TJM

4:45 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    Supine Thoracolumbar Junction (T11-L3) Squat-Drop TJM

12:00 pm    Lunch

1:00 pm     TJM in the Treatment of Sacroiliac Dysfunction

1:45 pm     Reverse Erhard and Lumbar Roll Push-Pull TJM 

2:15 pm     Seated Cervical to Cervicothoracic (C3-T2) Rotatory TJM

3:00 pm     Break

3:15 pm     Supine SIJ Anterior and Prone SIJ Posterior Gapping TJM 

4:00 pm     Seated Lower Rib (8-12) PA Cephalad TJM

5:00 pm     Sidelying Lumbosacral Facet and Top-Hand Modifications (T12-S1) TJM 

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

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