2013 Certificate in Spinal Manual Therapy

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1 2013 Certificate in Spinal Manual Therapy Hong Kong Physiotherapy Association jointly organized the Certificate in Manual Therapy programme with Manual Concepts. The teaching staff are Dr Toby Hall, Kim Robinson and Peter Fazey. Toby and Kim are internationally respected teachers of manual therapy. Both are based at Curtin University, Perth Western Australia, where they hold the positions of Adjunct Senior Teaching Fellows. They have many years experience of teaching manual therapy at a postgraduate level, lecturing in many countries on aspects of spinal manual therapy. Both have written a range of book chapters, a book on the Mulligan Concept, and published over 60 articles in relation to researching the evidence base of Manual Therapy. Further details of their publications and teaching experience can be seen on Manual Concepts website. Dr Peter Fazey, is a specialist musculoskeletal physiotherapist and Fellow of the Australian College of Physiotherapists. He is currently lecturer in manual therapy and clinical programme coordinator at The University of Western Australia Centre for Musculoskeletal Studies. Peter has published his doctoral studies investigating biomechanics of the lumbar spine and contributed to several chapters in texts on manual therapy including Grieve s Modern Manual Therapy. Peter is current Chairman of the Australian College of Physiotherapists and is also a Director of the Australian Physiotherapy Council and a Director of the Physiotherapy Research Foundation. Course Content The course will cover the anatomical and functional basis to the evaluation of pain disorders of the spine. Of special interest will be clinical practice, emphasizing clinical examination, evaluation, interpretation, differential diagnosis and treatment. Evidence based practice is an important aspect of the programme, but only where evidence exists! Classification of spinal pain disorders and subsequent sub-category based treatment strategies is the way forward in manual therapy, and there is increasing evidence to support this. 2013/01/ CSMT promotion pamphlet and application form Page 1 of 6

2 This course will be conducted in lecture, tutorial and workshop format for the clinician or academic who is interested in manual therapy, manual medicine or musculoskeletal medicine. It is anticipated that the course content will be suitable to individuals who are seeking new knowledge, to individuals seeking to expand their knowledge and to those individuals seeking the stimulation of clinical interaction. Whilst the course will be presented at a high level this should not be seen as a barrier to participation for those with little or with no previous experience in this special area. As a result of attending the course it is anticipated that participants will gain personal satisfaction as in a variety of ways that will enhance their individual requirements. There are therefore no pre-requisites for participation 1. Anatomy, pathoanatomy, age related changes and biomechanics of the spine. 2. Regional assessment of the spine Obtain relevant information from the subjective history Analyse posture types and the relationship of posture type to normal movement and specific spinal joint dysfunction Movement analysis and how this relates to specific spinal joint dysfunction Clinical pattern recognition Clinical reasoning Physical examination procedures aimed at the joint, neural and muscle systems of the spine Use of case histories, written and role play Technique demonstration with closely supervised practical sessions Clinical technique application 3. Development of appropriate diagnostic specific treatment strategies and appropriate treatment technique application Course Philosophy This manual therapy programme is aimed at merging the examination of the joint, muscle and neural systems into an integrated wholistic examination procedure. We place strong emphasis on teaching clinicians the ability to perform an accurate and specific manual therapy examination. The examination process developed by Manual Concepts draws on a range of manual therapy concepts, and is therefore an eclectic approach, which we believe 2013/01/ CSMT promotion pamphlet and application form Page 2 of 6

3 provides a more realistic, multifactorial approach to the examination and treatment procedure. Joint System As part of the assessment of the joint system we aim to teach a range of passive motion testing procedures to include provocative tests for specific structures as well as tests to determine specific motion segment dysfunction. A significant aspect of the assessment procedure is the use of combined movements as developed by Brian Edwards. Equally important is the use of specific passive segmental motion testing and provocative tests for pain reproduction. Current research demonstrates that identification of joint hypo/hyper mobility and subsequent treatment based on this classification improves treatment outcomes. Neural System Neural tissue dysfunction is an important aspect of the physical examination. Current evidence demonstrates that neural mobilization is not effective for all nerve pain disorders, hence the need to sub-classify neural pain disorders. A comprehensive overview of neural tissue pain disorders is presented before assessment procedures and differential diagnosis for 3 types of neural dysfunction, neuropathic pain with sensory hypersensitivity, neuropathic pain with compression neuropathy, and peripheral nerve sensitization. Assessment to distinguish these problems will be demonstrated and practiced. The clinical relevance of distinguishing these different types of disorders will be presented, particularly in relation to management. Muscle System An emphasis of this programme is a functional approach to the assessment of the spinal muscle system and spinal motor control. It is important to recognize that not all patients with low back pain require motor control retraining. There is ample evidence to suggest that only a small proportion of patient have instability of the lumbar spine. Treating all chronic low back pain patients with stabilization through specific multifidus and transversus abdominis exercise is not appropriate and the literature shows this does not work. Determining which patients require a muscle retaining approach is an important part of this programme. A systematic graded, functional approach to the management of patients with spinal motor control impairment will be taught. A core principle of the programme is the ongoing analysis of the examination 2013/01/ CSMT promotion pamphlet and application form Page 3 of 6

4 findings from the subjective and physical examination procedures. To ascertain an appropriate manual therapy diagnosis critical analysis is developed through clinical reasoning applied to specific case studies. This programme does not provide the participants with a recipe approach to treatment. Students will be able to develop though sound methodology, appropriate treatment strategies with logical progression over time. Aims At the completion of the ten day program the participants will: Be conversant in recent developments in anatomy, patho-anatomy and age related changes of the spinal column Be proficient in applying spinal joint, neural and muscle examination procedures Be proficient in determining a differential diagnosis based on an integrated examination of the joint, muscle and neural systems Be able to formulate the most appropriate and effective treatment program suitable for the assessed condition Be proficient in applying an appropriate manual therapy treatment strategy incorporating manual treatment techniques and specific exercise Participants There is no pre-requisite in terms of manual therapy experience. The programme offers a high level of information and clinical expertise, providing all participants regardless of previous clinical experience and knowledge with a stimulating learning environment. Previous programme participants have recommended the Certificate in Manual Therapy. They have reported excellent feedback in terms of material content, presenters knowledge, and practical supervision. Certificate Upon completion of the course, student will be granted a certificate issued by Manual Concept together with HKPA. Completion of this course will increase participant s prospects of attending the University of Western Australia s Masters programme. Even though there is no automatic entry into this programme, each application will be assessed on its merits and ability to meet all criteria for consideration, however completion of this programme will significantly strengthen such an application. This course can also be 2013/01/ CSMT promotion pamphlet and application form Page 4 of 6

5 used towards other Musculoskeletal Masters programmes in Australia such as Latrobe University. Dates & Venue Venue: Conference Room, M/F, Rehab Building, Kowloon Hospital Module Speakers Dates Content Duration 1 st Dr. Toby March 29- April 1 Lumbar spine, 4 days Hall 2013 pelvis, and thoracic spine 2 nd Mr. Kim June Thoracic spine 4 days Robinson (continued) and Cervical spine 3 rd Dr. Peter Fazey June High velocity thrust techniques 2 days Course Fees HK$ 18,000 for HKPA members & HK$ 20,000 for non-hkpa members. Including handout, Manual Therapy belt, self SNAG strap. Class size: 20 (Drawing lots will be applied if the course is over-subscribed. Priority will be given to the HKPA members and those with previous unsuccessful application.) Deadline of Application: 6 Feb 2013 Enquires: Ms. Lam LAM, Tel: , or Mr. Gorman NGAI, Tel: , /01/ CSMT promotion pamphlet and application form Page 5 of 6

6 2013 Certificate in Spinal Manual Therapy Application Form Name: (English) (Chinese) Membership: Hong Kong Physiotherapy Association:* Yes / No (Membership no.: ) Previous unsuccessful application:* Yes / No (* please delete as appropriate) Correspondence address: Contact Phone No: (Office) (Home) (Mobile) Fax No: Working Place: Cheque enclosed * : $18,000 for HKPA member $ 20,000 for non-hkpa member Cheque no: Bank: In consideration of HKPA Ltd. in accepting my application, I hereby agree to waive all my claims (howsoever accrued) against the HKPA Ltd. Signature: Date: Note: Cheque made payable to Hong Kong Physiotherapy Association Limited & please write your name, course name & contact phone no. at the back of the cheque. Deadline for application: 6 Feb Only Successful applicants will be informed individually via both and mail by 17 Feb Completed form & cheque should be sent to: Mr. Ben KONG, Hong Kong Physiotherapy Association Ltd, Room 901, 9/F Rightful Centre, 12 Tak Hing Street, Jordan, Kowloon, HKSAR. 2013/01/ CSMT promotion pamphlet and application form Page 6 of 6

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