Assessment and Management of Vertebral and Peripheral Joint Dysfunction: Diverse Treatment Approaches: “Adding to the Toolbox”
(July 18-19, 2009)


Instructor: Dr. Ina Diener, PhD Physio
Location: Samuel Merritt College, Oakland, CA

Description
This course offers the opportunity to learn from Dr. Diener, an ardent advocate and pioneer of evidence-based OMT practice in South Africa. You will become conversant with the different disciplines of manual therapy interventions, especially in the application of techniques. More importantly, you will come away from this course with a rationale to best match your treatment selection with patient presentation.

A review of clinical anatomy and biomechanics will give a foundational understanding for the usual pathomechanics of joint dysfunction. Understanding the effects of injury, aging, and immobilization are key ingredients to identifying and addressing impairments of movement and function. In turn, this understanding will provide you with a logical strategy for assessing joint dysfunction and for selection of appropriate techniques.

You will be introduced to numerous mobilization techniques from Maitland, Mulligan, Kaltenborn, McKenzie, and Hing for immediate application in the clinic. By expanding your repertoire of techniques and understanding of technique application, you will gain confidence and acumen in treatment selection.


Objective
Upon completion of this course the participant will be able to:

• Evaluate current research and evidence addressing reliability of joint assessment
• Analyze/understand current research on the effects of joint mobilization and evidence for
  efficacy of treatment.
• Understand pathomechanics and joint dysfunction, including the effect of injury, aging and
  immobilization.
• Identify key features and differences in theoretical approaches to treatment of joint dysfunction,
  including those of Maitland, Mulligan, Kaltenborn, McKenzie and Hing.
• Develop competency in the application of key techniques from a variety of treatment
  approaches to spinal and peripheral joints.
• Apply clinical reasoning to select optimal manual therapy intervention for patient presentation,
  including grade of movement and treatment dosage.
 

Course Outline – Day One (Lecture/Lab)
• History of joint therapy – different treatment approaches
• Function and dysfunction of joints: effects of injury, aging, immobilization
• Assessment of joint dysfunction: Theory and Practice
• Lab: Treatment techniques: drawing from the experts
    - Upper limb
    - Lower limb
• Rational for treatment selection
Course Outline – Day Two (Lecture/Lab)
• The Science and Practice of manual therapy, research effects, efficacy of
  treatment.
• Lab: Treatment techniques: drawing from the experts
    - Thoracic spine
    - Cervical spine
    - Lumbar spine
• Putting it all together: rationale and treatment selection
• Discussion, summary, & conclusion

 
Pre-Reading Materials
The Mulligan Concept: The Next Step in the Evolution of Manual Therapy - Miller
The Mulligan Concept: Its Application in the Management of Spinal Conditions - Exelby
Acute Locked Thoracic Spine: Treatment with a Modified SNAG - Horton
The Locked Lumbar Facet Joint: Intervention Using Mobilizations with Movement - Exelby
Mulligan's Mobilization-with-Movement, Positional Faults and Pain Relief: Current Concepts from a Critical Review of Literature - Vicenzino
The Centralization Phenomenon of Spinal Symptoms - A Systematic Review - Aina
Effects of a Manual Therapy Technique in Experimental Lateral Epicondylalgia - Slater
Construct Validity of Lumbar Extension Measures in McKenzie's Derangement Syndrome - Clare
The Locked Lumbar Facet Joint: Intervention Using Mobilizations with Movement - Exelby


Instructor
Dr. Ina Diener comes to us from South Africa where she is a practicing physiotherapist and faculty member at the Universities of Stellenbosch and Western Cape. Presently, she teaches and mentors Masters and PhD candidates in physiotherapy.

Dr. Diener is a pioneer in evidence-based physiotherapy in South Africa. She has presented at numerous international conferences including the keynote presentation at the Rehabilitation Conference in United Arab Emirates in November 2007 on joint dysfunction. Her most recent work has appeared in the South African Journal of Physiotherapy on cervicogenic headache as well as in Proceedings of the 7th Scientific Conference of the IFOMPT on chronic headaches. She served as Chair of the Academic Committee of the International Federation of Orthopedic Manipulative Therapists (IFOMT) and presented at the recent IFOMT Conference in South Africa. Combining more than 30 years of clinical and research experience, Dr. Diener offers a course that will examine joint dysfunction while offering the advanced learner multiple approaches to management.


EARLY BIRD:
$395.00
before July 1, 2009
REGULAR:
$450.00
after July 1, 2009


For more information, contact:
Therese Franklin
Phone: (510) 599-6150
Email: conedsec@iaopt.org


Current Educational Courses
Course Archive — 2008
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