Manual Therapy

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Manual therapy in the treatment of musculoskeletal dysfunction

Manual therapy in the treatment of musculoskeletal dysfunction.

Length of course: 3 modules per 15 hours
Persons may participate in the course: students and graduates of following: physiotherapy, medical rehabilitation
Lecturers: Łukasz Szuba PT, mgr Łukasz Ulma PT

Subject matter

The training aims at deepening the practical and theoretical knowledge in terms of selected manual therapy techniques in musculoskeletal dysfunctions, musculoskeletal pain, osteoarthritis and sports medicine.

Students will face the functional diagnostics which is used before and after manual therapy. There will be showcase advanced techniques in the field of manual therapy such as mobilization, manipulation, oscillations, positional release and myofascial release.
In the theoretical part, students become familiar with main the indications and contraindications and will learn how to arrange a manual therapy scheme for patients suffering from the most common dysfunctions and pains in various areas of body.

Also there will be discussed specific disease entities with the manual approach, self-therapy, stretching and exercises that close the whole process of physiotherapy treatment which uses manual therapy.

The first module  
•    Manual techniques for joints – lumbar spine, thoracolumbar junction, sacroiliac joint, hip
•    Manual techniques for soft tissues - abdomen, sacro-lumbar-pelvic complex, hip
•    Stretching - muscles acting on the hip joint

The second module
•    Manual techniques for joints - cervical spine, cervicothoracic junction, temporomandibular joint, shoulder girdle
•    Manual techniques for soft tissues - muscles of the neck and head, the upper part of thoracic, the shoulder girdle
•    Stretching – cervical spine, shoulder girdle
•    The role of upper extremity kinetic chain

The third module
•    Manual techniques for joints - the knee, patellofemoral, ankle, tibiofibular connection, foot, elbow, wrist
•    Manual techniques for soft tissues
o    back tape - hamstring, triceps surae muscle, plantar fascia
o    front tape – rectus femoris muscle, tibialis anterior muscle, retinaculums of foot; soft tissue around elbow and wrist area
•    Stretching - the tape front / back tape; muscles around elbow and wrist area

For each module will be discussed the cases of post-surgery treatment and indicate how and when to use manual procedures or when it is absolute contraindicated.

Expected learning outcomes:
•    Ability to evaluate the patient condition and determine contraindications to the use of manual therapy - safety tests, clinical tests.
•    Proper both therapist and patient body positioning.
•    Perform procedure. Evaluation effects of it. Combining techniques for specific clinical case. What treatments may be used in the acute state.
•    Implement the recommended set of exercise or self-therapy after application.

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- KA Olson. Manual Physical Therapy of the Spine. Elsevier 2011
- Cameron O, Monroe P. Physical rehabilitation. Evidence-based examination, evaluation and intervention. Saunders 2013
- Cook G. Movement. GTP 2014
- Kaltenborn F. Manual Mobilization of the Joints, Volume II: The Spine. Torun 1998
- Chaitow L, Fritz S. Muscle Energy Techniques. Elsevier 2011
- Chaitow L. Positional Release Techniques, 2e (Advanced Soft Tissue Techniques) Elsevier, 2012
- Simmons DG, Travell J Simmons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual Vol 2 1998

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