Peripheral Joint Mobilization

Highly Effective Strategies for Combining Manual Therapy and Evidence Based Practice to modulate pain and treat joint impairments

Benefits of Attending

  • The latest evidence and case studies regarding intervention, diagnosis, and evaluation
  • Critical reasoning: when to mobilize and why
  • Joint specific hands-on Lab mobilization applications for targeted treatment
  • Manual therapy techniques to improve patient tolerance to movement
  • Create an impactful PT Plan of Care utilizing joint mobilizations

Description

Joint restriction can be a daunting task to improve in patient care.  Understanding when to mobilize the joint or provide soft tissue mobilization is imperative to successful patient outcomes. This one-day Peripheral Joint Mobilization course focuses on mobilization techniques for the shoulder, hip, knee, ankle, elbow and wrist joints.  Through interactive labs you will learn appropriate techniques and gain confidence to determine when to mobilize stiff joints to improve patient motion and decrease pain.

This class will take you through an evidence-based progression of assessing joint motion and critically determining if and when peripheral joint mobilization is needed.  These methods will seamlessly transition into other manual therapy techniques for soft tissue structures and ultimately assist with improving patient tolerance to movement. Upon completion of this course, you will leave with sharpened clinical tools to get their patients moving sooner and more efficiently.

Objectives

  1. Describe indications and contraindications for joint mobilization of the peripheral joints discussed in class
  2. Identify and explain joint arthokinematics of the upper and lower extremity
  3. Implement joint evaluation techniques to properly assess joint mobility
  4. Critically appraise the available research on efficacy of peripheral joint mobilization.
  5. Demonstrate proficiency in joint mobilizations of the peripheral joints
  6. Understand and develop proper joint mobilization progressions in patient care that are evidence-based and appropriate for patients.

Tuition Price: (Price per Student)

Early-bird: $219
Standard: $239

Course Outline
The instructor will break 15 minutes in the morning and afternoon as well as 1 hour for lunch.

  1. Joint mobilizations introduction (8:00-8:30)  
    1. Osteokinematics vs arthrokinematics and Accessory Joint Motion
    2. Types of joints and Joints of interest
    3. Joint mobilization definition and Mobilization with Movement
    4. Integration into PT Plan of Care and Discussion on Regional Interdependence
    5. Various conditions that benefit from joint mobilization
  2. Indications, Precautions and Contraindications for Joint Mobilization (8:30-10:00)
    1. When to mobilize and why
    2. Contraindications to joint mobilization
    3. Contraindications vs Precautions
  3. Examination techniques (10:15 – 11:00)
    1. General evaluation techniques
      1. Subjective, objective and comparing involved vs uninvolved
    2. LAB: Evaluating joint play and End Feels
  4. Mobilization Techniques and Considerations (11:00-12:00)
    1. Body mechanics, Hand placement and Line of Force
    2. Open packed vs closed packed positions
    3. LAB: Joint mobilization grading

                (12:00-1:00 Lunch)

Section 2: Hands-on Lab mobilization applications (including indications for each mobilization and osteokinematic movements facilitated)

  1. Shoulder and Elbow (1:00-1:45)
    1. AC, SC, CH and Scapulothoracic Joints
      1. LAB: mobilizations with movement
      2. LAB: rib mobilizations
    2. Humeroulnar and Radioulnar Joints
      1. LAB: mobilizations with movement
    3. Hip/Knee/Ankle (1:45-3:00)
      1. Femoroacetabular joint
        1. LAB: mobilizations with movement
      2. Tibiofemoral joint
        1. LAB: mobilization with movement to improve knee flexion
      3. Patellofemoral joint
      4. Tibiofibular joint, Subtalar, Talofibular and Talar Joints
        1. LAB: mobilizations with movement to improve ankle dorsiflexion
  2. Wrist / forearm 3:15-4:00)
    1. Distal RU joint and Radiocarpal joint
      1. LAB: mobilizations with movement to improve wrist extension
  3. Conclusion and Questions (4:00-4:30)
    1. Review of literature
    2. Developing a Plan of Care utilizing joint mobilizations
    3. Case Discussions

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