Course content

• Review of spine anatomy and biomechanics
• Understanding manipulation and cavitation
• Effects of manipulation
• Contraindications
• Appropriate use of manipulation
• Evidence supporting manipulation
• Safety considerations
• Techniques for manipulating spinal and peripheral joints and regions

Day 1:

• Introduction and anatomical basis
• Thoracic (T4-T9) manipulation (flexion, extension, rotation, and ribs)
• Cervicothoracic junction (C7-T3) manipulation (extension, rotation, and 2nd rib)
• Lumbar spine (L1-L5) manipulation (rotation in neutral, rotation in flexion)
• L5-S1 manipulation

Day 2:

• SIJ manipulation (posterior innominate, anterior innominate)
• Upper cervical ligament and stability tests
• Cervical (C2-C7) manipulation (chin hold upslope, downslope)
• Cervical (C2-C7) manipulation (cradle hold upslope, downslope)
• Upper cervical (C0-C1-C2) manipulation (rotation)
• Theory of manipulation
• Shoulder, elbow, and hand manipulation (practical)

Day 3:

• Safety and evidence behind manipulation
• Hip and knee manipulation
• Ankle and foot manipulation
• Variations of manipulations
• Recap and discussion on techniques participants are not confident in performing

Learning  Objectives

• Master the application of manipulation techniques for each region of the body
• Understand the rationale for specific technique positions
• Recognize contraindications for manipulation and alternative treatment options
• Adapt techniques to accommodate different patients
• Explore additional treatment options for patients

• For Physiotherapists
• Graduates
• Internship Students

• Knowledge of anatomy
• Experience with musculoskeletal problems and management

• Document clinical tips for each region in the provided handout
• Perform at least two techniques for two different regions at the end of the course
• Receive feedback on therapist and patient positioning, application force, and direction
• Participate in discussions on clinical reasoning and application scenarios

• Participants will be able to use manipulation techniques for different patients and modify these techniques based on individual patient needs.

• Review anatomy and biomechanics thoroughly

• Utilize manipulation techniques to relieve pain and restore range of motion (ROM) Integrate manipulation into patient management plans

• Improve patient handling during application
• Effectively use manipulation to alleviate symptoms

• Appreciate manipulation as a tool, not a goal, in patient treatment