Manual Therapy – Spinal Mobilisations & Peripheral Mobilisations Course
Early bird discount of £200.00
This is a 2-day course.
Day 1 – Peripheral Mobilisation / Manual Therapy Techniques for Shoulder, Elbo, Wrist, Hand, Hip, Knee, Ankle and foot.
Day 2 – Spinal Mobilisations, Manual Therapy for the Cervical, Thoracic, Lumbar and Sacro-Iliac areas will be taught.
Examination and Assessment Protocols
Before applying a mobilisation technique we have to have clinical reasoning for each technique’s application and hopeful outcome. David will show Musculoskeletal Examination and Assessment techniques for all the joints covered in the course.
Mobilisations, Manual Therapy and Manual Therapy Belt Techniques.
Course Pen Drive with videos of all the techniques and SSMT belt will be supplied for each candidate.
David will discuss the following as they arise during the course and again at the end of the course,-
- Which techniques should be used following the results of the examination and assessment.
- What is the expected physiological response to each technique and what should the outcome be after application.
- Which techniques can be applied pre, post and during sporting events or how to include these techniques into your current practice.
This course as others we run is very practical in nature and you should be physically fit enough to practice these techniques and have them applied during the course. We run this with a maximum of 8 candidates and we are happy to take a deposit to hold your candidate place.
Please note if you book a course with us and cancel within a week of the course start date, we cannot guarantee a refund unless another candidate is found to fill your slot. In certain circumstances, we are happy to transfer you to another date or offer attendance on another to the same value of your course. We do understand things happen at short notice so we will always try and accommodate when this happens.
Repositioning of one articular surface on its partner with a movement or function.
We always now, when teaching our MWM techniques begin with the When MWMS is applied as an assessment they will tell you immediately they are indicated as a treatment when they have a
There will be no pain felt by the patient with the sustained mobilisation (repositioning) and there will be no pain with the movement taking place.
There will be an immediate improvement in the function being undertaken.
L….Lasting: The improvement gained must be long lasting.
If you do not get the PILL effect, MWMs are not indicated. There is no exception to this rule. However having said that, the good result obtained at the time of delivery may not be retained due to the patient not complying with activity advice given. Because MWMS are never used as a treatment when you do not get the PILL effect one could never be criticised for teaching them and because they are pain free they are safe. This is important in countries where litigation is a thriving industry.
To correctly reposition joint surfaces you need excellent handling skills and knowledge. It is helpful here to remember the
MWMS are a form of manual therapy and thus the contraindications that apply to manual therapy.
If on applying an MWM it has the desired PILL effect then you would repeat the technique several times. With extremity joints you can apply up to three sets of ten (use common sense).
With spinal joints it is often prudent to just do three repetitions on day one as sometimes after any form of manual therapy the patient can get a latent reaction.
To get the maximum benefit from an MWM you need to apply overpressure. This of course is passive and may be applied by the therapist, patient or a third party.
C…Communication with patient:
The patient must know what you are doing and why you are doing it. You need their cooperation to ensure success. They must for instance tell you immediately if they feel any discomfort. I would not treat a patient that I could not communicate with. You might need an interpreter.
You must be able to sense the movement you are undertaking. This means you need good handling skills. Another sense is common sense and when handling patients
When you reposition joint surfaces, maintain that correction throughout the movement. Start to finish. (Refluxing!)
PRINCIPLES OF TREATMENT
- During the assessment the therapist will identify one or more objective signs may be;; a loss of joint movement, pain associated with movement, or pain associated with specific functional activities.
- A passive accessory joint mobilisation is applied following the principles of Kaltenborn (i.e. parallel or perpendicular to the joint plane).
- ensure no pain is recreated. Utilising his/her knowledge of joint arthrology, a well-developed sense of tissue tension and clinical reasoning, the therapist investigates various combinations of glides to find the correct treatment plane and grade of mobilisation.
- While sustaining the accessory glide, the patient is requested to perform the objective sign, which should now be significantly improved.
- The application of overpressure at the end of the available range is necessary for lasting improvement.
- The patient typically undertakes 3 sets of 10 pain-free repetitions of the previously provocative movement to promote lasting improvement.
- Failure to improve the objective sign would indicate that the therapist has not found the correct treatment plane, grade or direction of mobilisation, spinal segment or that the technique is not indicated.
Joint Mobilisation Grading Scale
- Grading based on the amplitude of movement & where within available ROM the force is applied.
- Grade I
- Small amplitude rhythmic oscillating movement at the beginning of the range of movement
- Manage pain and spasm
- Grade II
- Large amplitude rhythmic oscillating movement within the midrange of movement
- Manage pain and spasm
- Grades I & II –often used before & after treatment with grades III & IV
- Large amplitude rhythmic oscillating movement up to point of limitation (PL) in range of movement
- Used to gain motion within the joint
- Stretches capsule & CT structures
- GradeIV– Small amplitude rhythmic oscillating movement at the very end range of movement
This certificated CPD course is designed for Health Care Professionals qualified and already in clinical practice as one of the following – Sports Therapist, Physiotherapists, Massage therapists, Remedial therapists and Neuromuscular Therapists or currently studying any of the previously mentioned professions.
A working knowledge of physiology and anatomy is recommended.
Get in touch if you are unsure. Please check with your insurance company that you will be insured to use these techniques on completion of the course.
Terms and Conditions
When booking please be aware that you are accepting our terms and conditions when booking.
Please read carefully and get in touch to discuss before booking a course if unsure. As advertised we run our courses with 6 – 8 candidates maximum.
For this reason, our courses do fill up quickly as candidate feedback is that they really enjoy the experiential learning and practical element that small delegate courses offer.
Therefore early bird deposit bookings are non-refundable and if you cannot attend we will endeavour to reallocate your place on another course. You may be requested to pay an additional fee. Any full price booking cancelled out with 2 weeks of course date commencement will be offered a place on another course to the value of your booking.
If we cancel the course you will be entitled to a full refund of your fees paid or an option of transferring to a course date that suits your diary.
This course is delivered by David Jenkins BSc(hons) DipSpTh, MSST who has over 20 years experience in professional sports, private practice and in 2017 worked full time for 4 months on set and with a credit as the main cast therapist on the Netflix Film “Outlaw King”.
Where due to the physical requirements of the filming, manual therapy techniques such as Mulligans, Maitlands and other techniques were used daily to ensure the cast could act, horsehide and sword fight in full medieval costume with minimal discomfort. Mobilisation techniques are similar to those used when David worked in professional sports and now applies them to his clients in private practice. A Mulligan’s traction belt will be supplied for each candidate to use and keep following the course.
David has over the years and when last year working on “Outlaw King” had the opportunity to apply these techniques daily over a 4 month period with the same cast members, therefore, measure the successful outcome and order the techniques should be applied.