Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
1. Describe the mobile segment, three SPINAL MOVEMENT C1
dimensional joint positioning, resting The mobile segment
position including actual and non-actual Spinal range of movement
resting positions. Joint positioning for evaluation and treatment
2. Demonstartes the spinal range of Three-dimensional joint positioning C3
movement, joint locking, bone and joint
Resting position
movement
Actual resting position
3. Perform rotations of a vertebral bone , Non resting positions A2
standard bone movements, combined bone Joint locking
movements, including coupled and non- Bone and joint movement
coupled movements. Rotations of a vertebral bone
Standard bone movements
Combined bone movements
Coupled movements
Non coupled movements
Joint roll-gliding associated with bone rotations
Joint roll-gliding
Abnormal roll-gliding
Translation of vertebral bone
Joint play associated with bone translation.
4. Isolates joint roll gliding , associated with
bone rotations, abnormal roll gliding, P1
translation of vertebral bone and joint play
associated with bone translation.
5. Evaluation of joint positioning for the C5
treatment
6. Display a commitment to professional
ethical core values during practice A5
spinal performance
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
1 Describe the foundational concepts of FOUNDATION CONCEPTS TO MANUAL THERAPY C1
manual therapy which includes history,
special features and overview History
Special features
Overview.
1 Describe Kaltenborn treatment plane, TRANSLATORIC JOINT PLAY CI
translatoric joint play movements and The Kaltenbom Treatment Plane
also discuss kaltenborn convex Translatoric Joint Play Movements
concave rule Determining the direction of restricted gliding
Glide test
Kaltenborn Convex-Concave Rule
2 Learn and perform grades of Grades of translatoric movement
translatoric movement Normal grades of translatoric movement (Grades I - P3
III)
Palpating resistance to normal movement
Pathological grades of translatoric movement
Using translatoric grades of movement.
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
TESTS OF FUNCTION
Principles of function testing
1 Demonstrates the movement and apply Assessing quantity of movement
different types of test Measuring rotatoric movement with a device C3
Manual grading of rotatoric movement ( - scale)
Assessing quality of movement
Quality of movement to the first stop
End-feel: Quality of movement after the first stop
Elements of function testing
Active and passive rotatoric movements
Testing rotatoric movement
Localization tests
Differentiating articular from extra-articular
6. dysfunction
Differentiating muscle shortening from muscle
spasm
Translatoric joint play tests
Resisted movements
Passive soft tissue movements
Additional tests.
7. Discuss the goals, indications and OMT EVALUATION C1
contraindications of OMT evaluation. Goals of the OMT evaluation
Physical diagnosis
8. Evaluate the different elements of C5
Indications and contraindications
OMT
Measuring progress
9. Apply different types of diagnostic test Elements of the OMT evaluation C3
Screening exam
10. Detailed exam
History
Inspection
Palpation
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
Tests of function
Neurologic and vascular tests
Medical diagnostic studies
Diagnosis and trial treatment.
SPINAL JOINT MOBILIZATION
Goals of joint mobilization C1
1 Discuss the goals of joint mobilization. Mobilization techniques
Pain relief mobilization
Pain-relief traction mobilization (Grade I -IISZ)
Vibrations and oscillations
Relaxation mobilization
2 Perform different spinal joint mobilization Relaxation-traction mobilization (Grade I -II)
techniques. Stretch mobilization P5
Stretch-traction mobilization (Grade III)
Stretch-glide mobilization (Grade /)
Manipulation
If traction exacerbates symptoms
A voiding high-risk manual treatment
Rotation mobilization
Joint compression.
1 Evaluate the spinal syndromes. SPINAL SYNDROMES C5
Notes on spinal syndromes
Cervical syndromes
Thoracic syndromes
Lumbar syndromes
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
Neurologic evaluation of nerve root syndromes
Sensory innervation of the skin
Sensory innervation of deep structures
Motor innervation
Common nerve root syndromes.
1 Explain the examination of TMJ, cervical, MANUAL THERAPY ASSESSMENT A4
thoracic and lumbar spine according to The Maitland‘s and Mulligan concept
Maitland’s and Mulligan concept. Subjective examination
Physical examination
Examination of the temporomandibular joint
Examination of the upper cervical spine
Examination of the cervico thoracic spine
Examination of the thoracic spine
Examination of the lumbar spine.
1 Describe the basic principles of manual TECHNIQUES C1
techniques. TECHNIQUE PRINCIPLES
Learning manual techniques
Applying manual techniques C3
Apply manual techniques by identifying an
2 Objective
intervertebral segment.
Starting position
Patient position
Therapist position
Hand placement and fixation/stabilization
Grip
Therapists stable hand
Therapists moving hand
Procedure
Joint pre-positioning
Mobilization technique
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
Symbols
Recording
Identifying an intervertebral segment
1. Describe functional anatomy and PELVIS C1
movement of pelvis. Functional anatomy and movement
Notes on evaluation and treatment
2. Perform evaluation and treatment of Pelvis tests and mobilizations C5
pelvis.
3. Perform test and mobilization of the pelvis P5
1. Describe functional anatomy and LUMBAR SPINE C1
movements of lumbar spine Functional anatomy and movement
Notes on evaluation and treatment
Lumbar tests and mobilizations C5
2. Perform evaluation and treatment of pelvis
3.
Perform test and mobilization of the pelvis P5
1 Describe functional anatomy and THORACIC SPINE AND RIBS C1
movements of thoracic spine and ribs Functional anatomy and movement
Notes on evaluation and treatment
Thoracic tests and mobilizations. C5
Perform evaluation and treatment of
2
thoracic spine
3 Perform test and mobilization of thoracic
spine P5
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
1 Describe functional anatomy and CERVICAL SPINE C1
movements of thoracic spine and ribs Functional anatomy and movement
Notes on evaluation and treatment
Cervical tests and mobilizations. C5
Perform evaluation and treatment of
2
thoracic spine
3 Perform test and mobilization of thoracic
spine P5
JAW
1 Describe anatomy and movement of jaw Functional anatomy and movement C1
Jaw examination scheme
2 Perform evaluation of jaw Jaw tests and mobilizations. C5
Perform test and mobilization of jaw
3 P5
1 Perform NAGS, REVERSE NAGS, SPINAL MOBILIZATIONS P5
SNAGS, SELF SNAGS, Spinal THE CERVICAL AND UPPER THORACIC SPINES
Mobilization with arm Movement for NAGS
cervical and upper thoracic spines. REVERSE NAGS
SNAGS
SELF SNAGS
Spinal Mobilization with arm Movement
Other mobilization with movement techniques
(MWMS) for the Cervical and Upper Thoracic
Spines.
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
THE UPPER CERVICAL SPINE SPECIAL
TECHNIQUES
1 Apply upper cervical spine techniques for The acute Wry Neck C3
acute wry neck, vertigo, nausea and for Headaches
vertebrobasilar insufficiency
Vertigo, Nausea and other vertebral artery Signs.
1 Perform SNAGS, SELF SNAGS for THE LUMBAR SPINE P5
lumbar spine, SI joint and thoracic spine. THE SACROILIAC JOINTS (S/I) JOINTS
THE THORACIC SPINE
SNAGS
SELF SNAGS
PERIPHERAL JOINT MOBILIZATION
TECHNIQUES
INTEGRATIVE MANUAL THERAPY
1 Perform peripheral joint mobilization Postural Compensations of the spine
techniques.
Muscle Energy and Technique for the spine
Treatment of spine Hypertonicity for Synergic
Pattern P5
2 Apply procedures and protocols to Release with Strain and Counter strain Technique
correct spinal dysfunction with Myofascial Release
Integrative Manual Therapy Tendon Release Therapy for Treatment of Tendon
Tissue
Tension with Advanced Strain and Counter strain
Technique
Ligaments: a Tensile Force Guidance System:
Treatment with ligament Fiber Therapy
Procedures and Protocols to correct spinal
Dysfunction with Integrative Manual Therapy.
Manual Therapy
COURSE CODE DPMT613
Learning Outcomes Topic Learning Domain
By the end of this course student will &
be able to Content Cognitive Affective Psychomotor
LAB WORK C5
1 Evaluate reflective case studies related Joint and soft-tissue mobilization
to manual therapy of the spine. Manipulations
Posture and movement retraining
2 Perform joint and soft tissue mobilizations, Reflective case studies P5
manipulations and assess posture.
C1 C2 C3 C4 C5 C6
11 0 5 0 9 0
A2=1 A4= 1 A5=1
P1= 1 P3=1 P5=1
CREDIT HOURS 3(2-1)
COURSE DESCRIPTION
This course provides review of all Manual Therapy techniques, covering spine, peripheral joint mobilizations, Temporo-Mandibular
joint, advanced myofascial trigger point therapy, Proprioceptive training, muscle energy techniques, strain counter strain techniques,
neuromobilization combination techniques and mobilization, manipulation techniques.
LEARNING OBJECTIVES
The objectives of the course is to
Discuss various concepts of manual therapy techniques
Understand the principles of manual therapy
Demonstrate skills in application of manual therapy techniques
C1 C2 C3 C4 C5 C6
Manual Therapy
COURSE CODE DPMT613
11 0 5 0 9 0
A2=1 A4= 1 A5=1
P1= 1 P3=1 P5=1
RECOMMENDED BOOKS
1. Manual Mobilization of the Joints TheKaltenborn Method of Joint. Examination and Treatment Volume I, The Extremities By:
Freddy M. Kaltenbom in collaboration with Olaf Evjenth, TraudiBaldauf. Kaltenbom, Dennis Morgan, and Eileen
Vollowitz,OPTP Minneapolis, Minnesota, USA.
2. Manual Therapy By: Ola Grimsby, the Ola Grimsby institute San Diego.
3. Integrative Manual therapy for the upper and lower extremities By: Sharon weiselfish, North Atlantic books Berkeley,
California.
4. Orthopedic manual therapy an evidence-based approach by: Chad Cook.
5. Orthopaedic Manual Therapy Diagnosis Spine and Temporomandibular Joints By: Aad van der.
6. Translatoric Spinal Manipulation By: John R. Krauss, Olaf Evjenth, and Doug Creighton John R. Krauss A Lakeview Media L. L.C.
Publication.
7. euromusculoskeletal Examination and Assessment A Handbook for Therapists.
8. By: Nicola J Petty, Ann P Moore &G D Maitland, Second Edition Churchill Livingstone.
9. Myofascial Manipulation Theory and Clinical Application, Second Edition By: Robert I. Cantu, Alan J. Grodin an Aspen
Publication Aspen Publishers, Inc. Gaithersburg, Maryland 2001.
10. Maitland's Vertebral Manipulation Seventh Edition By: Geoffrey D. Maitland.
11. Musculoskeletal manual medicine, diagnosis and treatment by Jiri Dovark, Vaclav Dovark, Werneir Schneider etc.
12. Manual therapy, NAGS, SNAGS, MWMS etcby Brian R Mulligan fifth edition.
