Continued Education Lectures

The main intent of these videos is to act as a supplement for therapists who have taken our continuing education courses. We ask that you receive personal instruction prior to applying, using, or instructing others in the content of these videos. Please reach out if you have any questions.

Foundations

Day 1

The New Clinical Practice Model

Interplay Between Systems, Tissues, and Types of Presentations

Manual Skills – Palpation, Passive Movement Testing, and Manual Treatment 

 

Day 2

Questions Worth Thoughtful Responses That Further the Understanding of Holistic Patient Care

Introduction to Our Mentors and Originators of Our Foundation in OMT

Review and Clarification of the Basic Premises of Our Current Clinical Model

Building on the Basics Leading to Productive Finesse of Manual Treatment Variables

Soft Tissue Characteristics and Accessory Mobility Testing

Palpation, Passive Movement Testing, Manual Treatment for Inflammatory and Non-inflammatory Edema

Palpation, Passive Movement, Manual Treatment for Increased Muscle Tone and Mechanical Hypomobility

Day 3 

Intro to the Day, Overview and Interpreting Patient Profile

Intro and Patient Profile Continued, Interpreting Subjective Key Indicators

Interpreting Objective Key Indicators

Tying It Together. Clinical Intuition Leading To Efficient Interface 

Interpreting Active ROM and Resistance Testing Key Indicators

Intro to Ergonomics – Car Seat Eval

Mitigating Stresses During Sitting/Deskwork

Beds and Pillow Talk

Intro To Influencing Patient’s Expectations, Perspective, Buy-in and Behavior Part 1

Intro To Influencing Patient’s Expectations, Perspective, Buy-in and Behavior Part 2

Day 4 – Exercise and Training

Initiating Exercise – Concepts for Protecting Vulnerable MSK Tissues

Calming the Nervous System, Establishing Control, Body Sense, and Physical and Mental Toughness

Progression of the Initial Resisted Exercise Program

Initiating a Gym Program

 

 

 

Day 1

The New Clinical Practice Model

Interplay Between Systems, Tissues, and Types of Presentations

Manual Skills – Palpation, Passive Movement Testing, and Manual Treatment 

 

Day 2

Questions Worth Thoughtful Responses That Further the Understanding of Holistic Patient Care

Introduction to Our Mentors and Originators of Our Foundation in OMT

Review and Clarification of the Basic Premises of Our Current Clinical Model

Building on the Basics Leading to Productive Finesse of Manual Treatment Variables

Soft Tissue Characteristics and Accessory Mobility Testing

Palpation, Passive Movement Testing, Manual Treatment for Inflammatory and Non-inflammatory Edema

Palpation, Passive Movement, Manual Treatment for Increased Muscle Tone and Mechanical Hypomobility

Day 3 

Intro to the Day, Overview and Interpreting Patient Profile

Intro and Patient Profile Continued, Interpreting Subjective Key Indicators

Interpreting Objective Key Indicators

Tying It Together. Clinical Intuition Leading To Efficient Interface 

Interpreting Active ROM and Resistance Testing Key Indicators

Intro to Ergonomics – Car Seat Eval

Mitigating Stresses During Sitting/Deskwork

Beds and Pillow Talk

Intro To Influencing Patient’s Expectations, Perspective, Buy-in and Behavior Part 1

Intro To Influencing Patient’s Expectations, Perspective, Buy-in and Behavior Part 2

Day 4 – Exercise and Training

Initiating Exercise – Concepts for Protecting Vulnerable MSK Tissues

Calming the Nervous System, Establishing Control, Body Sense, and Physical and Mental Toughness

Progression of the Initial Resisted Exercise Program

Initiating a Gym Program

 

 

 

Upper Quadrant with Focus on the Spine

Day 1

Basic Concepts through Screening Exam

Safety – U/C Stability Tests

Vertebral Artery Discussion

Neural Irritation – Nerve Root

Neural Irritation – Peripheral

Treatment Focus and Rx of Inflamed NR 

Discussion of Pt Management, Jt mechanics, Rx Focus, U/C Basics

TMJ, Head, Face

Valuable Verbal Exchange During Practice Session

Upper Cervical Mechanics – Sorting Out Rotation 0-C2-3

Testing O-C2-3 Flexion, Extension, Traction

U/C Soft Tissue Treatment

Day 2 

Intro to the Art of Intervention

A Few Words About Identifying Cervical Level Landmarks

A Few Words About Irritated Nerves

Axis of Motion and Plane of Resistance

Finessing O-A Flexion

C1-C2 Rotation Testing

Finessing C2-3 and Below Segmental Movement

Refining O-A Segmental Movement

Refining C1-2 Rotation Segmental Testing

Controlling Axis of Movement Through Feeling Leading to Artful Application of Treatment

Refining Segmental Testing C2-3 and Below

ST Treatment/Localized Joint Mobilization 0-CT Junction Spine

Finessing the Application of Manual Treatment

Hypermobility Discussion and Translation Testing Mid-C/S

Cervical Segmental Stabilization Exercises

Use of a Cervical Collar and Upper Quadrant Rhythmic Stabilization Exercises

Day 3

Transitioning from Intellectual to Sensory Driven Interface

Provocation-Alleviation Basics – Cervical Rotation

Clarifying Provocation-Alleviation Adding Cervical-Thoracic Flexion Testing

Coupled and Combined Movements

O-A Flexion Mobilization/Suboccipital Muscle Stretching

Review of Coupled and Combined Movements

Increasing Specificity by Utilizing Combined Movements From Above in the Cervical Spine

Refining Mobilization Utilizing Movements From Above

Increasing Specificity by Utilizing Combined Movements From Below in the Cervical Spine

Increasing Mobility of the Thoracic Cage Tissues in Prone

Increasing Mobility Specificity at the CT Junction/Upper Thoracic Cage Prone

Wedge Mobilization CT and Thoracic Segments

Wedge Mobilizations Upper-Mid Thoracic Segments

Bringing it Together

Day 4

Self Suboccipital Massage for Headache Management

Cup on Forehead Exercise for Headache Management

Sitting C6 + C7 Physiological Segment Testing

Sitting Thoracic Segment Testing Translation

Sitting Thoracic Segment Testing Flexion

Sitting Thoracic Segment Testing Extension

Soft Tissue Assessment and Treatment Scapulothoracic Muscles Prone

Soft Tissue Assessment and Treatment Scapulothoracic Muscles Side Lying

Soft Tissue Assessment and Treatment Scapulothoracic Muscles Supine

Soft Tissue Assessment and Treatment Scapula Thoracic Muscles Supine with Glens-Hum. Precautions

Self-Stretch Anterior Structures Scapulothoracic Muscles

Self Mobilization Thoracic Spine Regional Mobilization Using a Styrofoam Roll

Segment Specific Thoracic Mobilization

Segment Specific Self-Thoracic Mobilization Using the Mobilization Wedge

Prone Rib Specific Testing with Treatment Option

Supine Rib Specific Self Mobilization Using a Tennis Ball

Self Intercostal Muscle Stretching Using Gym Ball Upper and Lower Rib Cage

Beginning Thoracic Cage Self Mobilization Exercise with Prone and Supine Gym Ball

Soft Tissue Treatment to Intercostal Space Supine

Continued Manual Treatment For Intercostals Using Ice Massage and MFD

Dennis Morgan Hourly Thoracic Exercise/Frog on Ball Upper Spinal Strengthening

Scapular Depression Stabilization Exercise Sitting/Scap Protraction w/Push-Ups and Gym Ball

Upper Quadrant with Focus on the Extremity

Day 1

Introduction

Anatomy Review – Scanning UQ Nerves

Treatment Sequence – Edema/Inflammation

S-C and A-C

Testing GH Glides

Clarifying production and assessing GH Glides #1

Clarifying production and assessing GH Glides #2

Selective tensioning of Rotator Cuff muscles

Exposing and palpation of the Rotator Cuff tendons

Specific manual treatment for Rotator Cuff “Tendinitis” connective tissue issues

Home program for Rotator Cuff connective tissue issues

Finding and addressing regional connective tissue changes

Finding and addressing regional connective tissue changes and initiating treatment to restore UQ motor function

Day 2 

Many topics focusing on the Clinical Content

Illusion of Anatomy. Palpation the orientation of the S-C, A-C, GH, and subcromial joints

Testing GH glides/accessory mobility

Assessing GH/shoulder physiologic movements

Targeting shoulder muscles with physiologic lengthening tests

Physiologic pump massage for the Supraspinatus

Physiologic pump massage for the Supra continued

Physiologic pump massage for the Infraspinatus

Physiologic pump massage for the Biceps

Physiologic pump massage for the Subscapularis

Preserving and restoring GH and Subacromial joint play

Advancing GH joint play treatment 

Using stabilization belts to enhance GH mobilization techniques

Mobilization to restore the upper limits of GH range

Restoring shoulder elevation range and initiating early elevation motor function. Restoring hand-behind-back range

Initiating neuromotor rehab in the Upper Quadrant

UQ rhythmic stabilization HEP and MRE to enhance function of the shoulder girdle muscles

Advancing trunk and shoulder girdle/UQ motor function

Advancing UQ elevation MRE

Day 3

Overview of treatment focus and the healing timeline

Ed Nickerson – Artfully addressing multifaceted aspects of the patient’s presentation short of the first stop

Ed Nickerson – Guiding early healing

Ed Nickerson – Progression of the rehab program

Ed Nickerson – Reading the direction and rate of change occurring. Finessing treatment application. Progressing program 6 weeks post op

Ed Nickerson – Easing towards strengthening at 12 weeks post-op. Motor activation while healing progresses

Ed Nickerson – Finessing the application of activation exercises. Progression at 3-6 weeks post-op

In clinic treatment to compliment a great home exercise program

Adding physiologic soft tissue work in supine

Sidelying manual treatment. Posting for better sleep. Resisted exercises for shoulder girdle muscles

Progressing to prone treatment to restore combined shoulder movements 

Restoring motor activation progressing to strengthening  

Progression of resisted exercises #1

Progression of resisted exercises #2

Progression of resisted exercises #3

Progression of resisted exercises #4

Progression of resisted exercises #5

Progression of resisted exercises #6

Progression of resisted exercises #7

Day 4

Case Studies – Using our model. Anatomy of the elbow, forearm, wrist, & hand

Quick palpation to scan & identify type & magnitude of the presentation

Neural palpation to scan for their potential contribution to the presentation

Biasing elbow PMT to differential structures

Sorting out pronation and supination restrictions

Sorting pronation and supination restrictions – continued 

Testing carpal mobility/stability

Adjusting intervention to match the presentation

Restoring elbow and forearm joint mobility

Wrist & Hand Lecture

Quick thoughts about wrist and finger extensor tendinitis, picking up edema & hyper mobility/loss of structural integrity, protecting structures from mechanical forces & wrap up 

 

Lower Quadrant with Focus on the Spine

Day 1 – The Foundation of Lumbar Management and Exercise Concepts

Intro, Perspective, and Intervention Overview

Observation Overview

Observation Scheme

Controlling the Distribution of Mechanical Forces as the Foundation of Intervention

Clinical Models – Functional Loss Characteristics

Clinical Models – Checkbook Theory and Functional Desire vs Functional Capacity

Supine screening – LE Soft Tissue Quality and Joint ROM Screening. Bowstring Test – Nerve Irritability Screening

Side-lying Screening – Soft Tissues, SIJ, L/S

Side-lying Segmental Mobility Assessment Continued

Discussion Regarding Interpretation of Movement Findings

Additional Initial Screening Options for Lumbar Patients

– Foundational Motor Function

– Assessing Anterior Hip/Thigh Structures

Initiating Treatment – Stimulating the Positive Cascade – Patient Education to Elicit Productive Central Processing and Voluntary Behavior. Initiating an Exercise Program

Progression towards Hook lying LQ Rhythmic Stabilization Exercises

Progression Training – Targeting the Posterior chain – Standing Decompression/Bracing and Prone on Ball – Feet Against Wall

Continuing Training/Education. Manually Addressing the Connective Tissue Contribution to the Overall Presentation

Connective Tissue Component HEP

 

Day 2 

Introduction. Pertinent L/S anatomy review. Observation with focus on neural involvement. Management of an acute disc injury.

Managing a L/S shift (continued). Home program for shift correction.

When should you refer a patient with a severe, acute disc injury on? Introduction to symptom localization procedures – Multiple structures crossing a joint.

Symptom Localization Procedures cont. – Multiple joint structures – Weight bearing

Symptom Localization Clarifications

Symptom Localization – Flexion

Symptom Localization – Prone rotation

Symptom Localization – Side-lying flexion-extension and rotation

Bringing symptom localization together/Where it fits into the overall scheme

Palpation and passive movement testing

Translation segmental testing 

Specific translation mobilization lower thoracic through lumbar motor segments

Self-specific translation mobilization lower thoracic through lumbar segments

Traction mobilization L/S

Mobilizing lower thoracic and upper lumbar segments/tissues in side-lying

Progression of the training routine for L/S – lower quadrant patients: Supine on the Balance Board

Progression of the training routine for L/S – lower quadrant patients: Prone on the Balance Board

Progression of the training routine for L/S – lower quadrant patients: Supine “Reclining chair” and prone “Superperson” positions on a gym ball

Wrap Up

Day 3

Review of Overall Concepts when Treating Lumbar Pathology

Assessing Bowstring, neuromotor function and pelvic girdle tests supine

Screening exam in sidelying, Provocation-Alleviation, testing SIJ/pelvic girdle joints and lumbar spine segments

Segmental testing SIJ and L/S in sidelying

Assessing lower thoracic and upper lumbar tissues and mobility in sidelying

Assessing the pelvic girdle 

Sorting out hip, pelvic girdle and lumbar tissues as the primary symptom producer with provocation-alleviation testing

Examination in prone: Rotation provocation-alleviation hip, SIJ and lumbar segments. Assessing proprioception and motor function of the posterior muscles

Assessing SIJ/pelvic joints in prone

Intervention: Concepts and finesse. Taping/bracing lumbar and pelvic regions. Wedge mobilization lower thoracic and upper lumbar segments

Mobilization lower thoracic and upper lumbar tissues in sidelying

Mobilization of lower lumbar segments in sidelying 

Mobilization pelvic girdle joints – Long axis traction and prone. Mobilization lower lumbar segments prone

Increasing mobility, pliability, proprioception, neuromotor control, reducing fear, enhancing circulation through tissue gliding exercises 

Prioritizing self-care/HEP options

Day 4 – Ergonomics, Exercise and ADL Management 

Intro to Establishing a Productive Mindset The Foundation of Lumbar Pathology Management and Exercise Concepts

Utilizing Ergonomics to Enhance Tolerance During Prolonged Activities – Desk Set-up/Office Work

Utilizing Ergonomics to Enhance Tolerance During Prolonged Activities – Lying Support/Bed Set-ups

Utilizing Ergonomics to Enhance Tolerance During Prolonged Activities – Car Seat Adjustments

Progressing Training Concepts and Practice While Protecting Musculoskeletal and Neural Tissues

Progression to Prone on the Balance Board 

Getting Patients with Musculoskeletal Pathology Safely to the Floor

Utilizing the Exercise Variables on the Gym Ball

Initiating a Manual Resisted Exercise Routine in Stable Positions

Manual Resisted Exercise Facilitating Understadning Regarding Proper Technique and the Value of Vigor 

Manual Resisted Exercise on the Balance Board and Air Cushions

Use and Modification of Gym Equpiment

Lifting Free Weight Against Gravity in Preparation for a Return to Function

Restoring Mobility – Tissue Gliding Exercises Directed Towards Enchaning Mobility of the Thoracic Cage

Restoring Mobility – Tissue Gliding Exercises Directed Towards Enhancing Mobility of the Thoracic Cage and Lower Extremity Tissues

Restoring Lower Extremity Mobility with Static Stretching

Establishing a Group Exercise Program 

Lower Quadrant with Focus on the Extremity

Day 1

TBD

 

Day 2 

TBD

Day 3

TBD

Day 4

TBD

Wellness Talks at FPT

October 21st, 2023

UC Davis Wellness Academy Lecture

 

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