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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.

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, 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 elbow, wrist, 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

    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     Guidelines for Use of Non-Vertebral TJM

    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 Upper 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     Efficacy of Vertebral and Non-Vertebral TJM for the Lower Quarter

    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