MT-3: Local Mobility and Global Stability of the Lumbar/SIJ and LE
Contact Hours:
- Pre-Lab Didactic Course: 7.25 Hours
- Live Laboratory Course: 16 Hours
Target Audience: Physical Therapists
Cost: $575.00 (Online + Onsite)
Cancellation Policy: Link
Ratio of Student/Teacher: 15 students/1 Instructor.
Instructors:
- Robert DuVall, PT, DHSc, MMSc, ATC, OCS, FAAOMPT, MTC, PCC, CSCS
- Christopher Roosa, DPT, OCS, MTC, COMPT, PRC, TPS
Course Description:
This course expands on the foundational principles presented in MT-1 (Advanced Medical Screening, Differential Diagnosis, and Managing the Sensitive Nervous System) and MT-2 (A Clinical Reasoning and Treatment Approach to Local Mobility and Global Stability). This course integrates components of Advanced Medical Screening procedures with manual therapy skills to competently treat patients Direct Access, or by referral, to achieve optimal patient outcomes. This includes biomechanical examination principles of the spine and peripheral joints, collecting “biomechanical vital signs” which impact global stability and function, in addition to a comprehensive assessment approach to “trial treatment” and/or refer as necessary. This course expands further into local mobility principles from a movement control approach and presents a clinical reasoning approach through case-based learning and intensive laboratory activities. This hybrid course will include online pre-laboratory content to successfully prepare learners for the live laboratory intensive. Upon success completion of MT-1, MT-2, MT-3, and MT-4 participants will be eligible to sit for MT-5 the Certification in Orthopedic Manual Therapy (COMT) course.
Course Objectives: Upon successful completion of this course, participants will be able to:
- Differentiate movement impairment and functional- based Differential Diagnosis skills from pathology- based Medical Screening skills through reflection activity
- Identify the role and responsibility of movement impairment and functional- based Differential Diagnosis as related to best practice through reflective activities
- Integrate and apply concepts toward completion of 2 case report activities for group discussion
- Understand biomechanical and physiological regional interdependences that provide a practical framework to comprehend the complexity of human function during case-based learning small group lab activities
- Understand the anatomy, physiology and biomechanics of the musculoskeletal system as related to biomechanical “Vital Sign” data acquisition during lab demonstration
- Practically apply an exhaustive Examination scheme for obtaining biomechanical Vital Signs essential to identifying movement impairment diagnoses and etiological variables during lab demonstration
- Practically apply evidence-based manual therapy, neuro-muscular re-education and functional exercise interventions through demonstration and small group discussion activities
- Demonstrate appropriate set up and force application with all techniques listed on the Lab Skills Check Off sheet
Key Content Areas:
| Expand Subjective Examination for Movement Impairments | Inhibit TFL & Activate Gluteus Medius | Plantar Glide to the Cunieform |
| Identify Primary Movement Impairment(s) | Manual Piriformis Stretch | Dorsal Glide to the Navicular |
| Collect Biomechanical Vital Signs | PNF Contract Relax Piriformis | Dorsal Glide to the Talus |
| Lumbar Roll Manual Technique | Differentiate TFL vs Gluteus Medius Activation | Lateral Glide to Talus |
| Lumbar Long Axis Distraction | Iliotibal Band Release Technique | Medial Calcaneal Rock |
| Sacral Long Axis Distraction | Patellar Medial Glide Technique | Dorsal Glide to 1st MTP |
| Lateral Hip Glide | Tibiofemoral Anterior/Lateral Rotation Glide | Lateral Glide to 1st MTP |
| Posterior Hip Glide | Tibiofemoral Posterior/Medial Rotation Glide | Plantar Glide to Base of 1st Metatarsal |
| Long Axis Hip Glide | Activate VMO | Activate Posterior Tibialis & Peroneus Longus |
| Piriformis Rocking Technique (MFR) | MFR Vastus Lateralis | Functional Integration: Bed Mobility, Sit to Stand, Standing Posture, Squatting, Hip Hinging RDL, & Lunging. |
| Activation of Diaphragm, Transverse Abdominus, Multifidus, & Pelvic Floor |
Pre-Laboratory Didactic Course
| Week(s) | Topic/Contact Hours | Unit Objectives | Assignment(s) | Reflective Questions | Learning Materials |
| 1 | Review –
23 Point Data Collection “Biomechanical Vital Signs” (1.25 hrs)
|
|
Review | 1.) What is the benefit of having a working understanding of Endfeels in your manual therapy practice?
2.) When collecting Biomechanical Vital Signs data, have you considered what determines a movement diagnosis versus a contributing variable? 3.) Have you distinguished A:1 the Medical Screening Hypothesis from A:2 the Movement Diagnosis? How about A:2 the Movement Diagnosis from A:3 the Pathoanatomic Symptoms (i.e. medical diagnosis)? Why is a medical diagnosis incomplete for a Physical Therapist to guide treatment? 4.) Is it okay to have a wrong Movement Diagnosis? What is the process and how do you know if you got it right?
|
|
| Review – Organizing Your Assessment: Guidance from Direct Access Practice (1 hr)
|
|||||
| 2-3 | Lower Quarter Introduction (1 hr) | Complete 2 Case Reports Before the Virtual Live Session | |||
| Lower Quarter Screening Research (1.5 hrs) | |||||
| MT Lab Video Archive – Lumbar/SIJ and LE (2 hrs) | |||||
| 4 | LIVE SESSION
(1 hr) |
Case Integration of Concepts from Lecture and Answer Questions | |||
Live Laboratory Course
Day 1: Saturday (8:00 AM to 5:30 PM)
8:00 to 9:00 AM: Identify the role and responsibility of movement impairment
and functional- based Differential Diagnosis as related to best practice.
9:00 to 10:00 AM: Understand how advanced clinical biomechanical examination concepts integrate with examination skills pathology-based Medical Screening skills.
10:00 to 10:15 AM: Break
10:15 to 11:00 AM: Identify three different Diagnostic Theories that provide effective strategies for biomechanical clinical decision making.
11:00 to 12:00 PM: Recognize the role of movement- impairment and functional- based Differential Diagnosis to safeguard your patients and practice.
12:00 to 1:00 PM: Lunch Break
1:00 to 2:00 PM: Apply Differential Diagnostic techniques to traditional PT examination procedures that result in a more comprehensive examination scheme – Lab Activity
2:00 to 3:00 PM: A) Understand biomechanical and physiological interactions that provide a practical framework to comprehend the complexity of human function – Lab Activity
- B) Improve gait analysis skills to identify lower chain impairments – Lab Activity
3:00 to 3:15 PM: Break
3:15 to 5:00 PM: A) Review the anatomy and biomechanics of the musculoskeletal system.
- B) Develop an Exhaustive Examination for obtaining biomechanical vital signs – Lab Activity
- C) Practically apply Biomechanical Examination procedures in a competent manner – Lab Activity
5:00 to 5:30 PM: Clinical Case, Final Questions, and Adjourn
Day 2: Sunday (8:00 AM to 5:30 PM)
8:00 to 10:00 AM: A) Understand and apply foundations of clinical orthopedic principles to practice
10:00 to 10:15 AM: Break
10:15 to 12:00 PM: A) Perform manual therapeutic procedures to restore normal mobility – Lab Activity
12:00 PM to 1:00 PM: Lunch Break
1:00 PM to 2:45 PM: A) Perform manual therapeutic procedures to restore normal mobility – Lab Activity
2:45 to 3:00 PM: Break
3:00 to 4:45 PM: Identify appropriate local mobility and global stability progressions for ADL therapeutic activities – Lab Activity
4:45 to 5:30 PM: Clinical Case, Final Questions, and Adjourn
