Thrust Joint Manipulation Part 3

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 thrust joint manipulation (TJM) to all remaining diarthrodial and select synarthrodial joints. This will include techniques directed to the temporomandibular joint, the anterior rib articulations, and the extremities. Also provided will be a brief background of non-vertebral TJM, guidelines to direct appropriate use of non-vertebral TJM, and a review of the evidence regarding vertebral and non-vertebral TJM in the management of upper and lower quarter neuromusculoskeletal conditions.

*Special Note: TJM Part 1 does not have to be taken prior to this course, but the participant must sign up for TJM Part 1 before taking Part 3. The participant must also review the textbook for Part 1 prior to attending Part 3. Contact us for more information.

Course Objectives

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

  1. Identify the inherent similarities and differences in thrust joint manipulation (TJM) directed to the vertebral column versus non-vertebral joints.
  2. Identify two physiological and accessory levers used in TJM techniques for the TMJ, anterior rib, and extremity articulations.
  3. Perform, given a patient case scenario, non-vertebral TJM procedures that produce an audible cavitation.
  4. Perform, given a patient case scenario, evidence-based examination techniques to confirm/refute the appropriateness of TJM for non-vertebral conditions.
  5. Discuss the efficacy of vertebral and non-vertebral TJM in the treatment of shoulder, elbow, and hand neuromusculoskeletal pathology using two peer-reviewed sources.
  6. Discuss the efficacy of vertebral and non-vertebral TJM in the treatment of hip, knee, and foot neuromusculoskeletal pathology using two peer-reviewed sources.
  7. Discuss the efficacy of vertebral and non-vertebral TJM in the treatment of TMJ and rib dysfunction using two peer-reviewed sources.

Course Schedule

TJM Part 3 Day 1

7:45 am     Sign-in

8:00 am     Non-Vertebral TJM: Similarities and Differences to Vertebral TJM

8:30 am     Temporomandibular TJM

9:00 am     Anterior Rib (Costochondral/Sternochondral) TJM

9:30 am     Break

9:45 am    Sternoclavicular, Acromioclavicular, and Glenohumeral TJM

11:00 am    Humeroulnar, Humeroradial, and Radioulnar TJM

12:00 pm    Lunch

1:00 pm    Efficacy of Vertebral and Non-Vertebral TJM for the Upper Quarter

2:00 pm     Distal Radioulnar, Carpal, and Finger TJM

3:15 pm     Break

3:30 pm     Symphysis Pubis Muscle-Energy TJM

4:15 pm     Femoroacetabular TJM

5:00 pm     Conclusion of Day 1

TJM Part 3 Day 2

7:45 am     Sign-in

8:00 am     Efficacy of Vertebral and Non-Vertebral TJM for the Lower Quarter

8:45 am     Tibiofemoral TJM

10:00 am    Break

10:15 am    Proximal and Distal Tibiofibular TJM

11:15 am    Subtalar Distraction TJM

12:00 pm    Lunch

1:00 pm     Practical Matters of TJM including Legal Considerations

2:00 pm     Talocrural Distraction TJM

3:00 pm     Break

3:15 pm     Midfoot TJM

4:15 pm     Forefoot TJM

5:00 pm     Issue Course Certificates, Conclusion of Day 2