13.02.2021 - 21.02.2021

MANUAL CONCEPT (Australia). Москва, Россия.

Introduction
The course will cover the anatomical, physiological and functional basis to
 the evaluation of pain disorders of the spine. Of special interest will be clinical practice, emphasizing clinical examination, evaluation, interpretation, diff erential diagnosis and management. Evidence based practice is an essential component of the programme, but evidence can only be used when it exists at a satisfactory level of quality, and unfortunately there are still aspects of manual therapy that have not be adequately investigated. This course emphasizes an evidence-based approach to spinal manual therapy, incorporating classifi cation of spinal pain disorders and subsequent sub-category based manual therapy management strategies. 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.

Course objectives
At the completion of the eight-day program the participants will:
• Be conversant in clinically relevant developments in anatomy, pathoanatomy and age related changes of the spinal column.
• Have a clear understanding of pain mechanisms, and their clinical relevance, and gain appropriate understanding of measures to address a variety of acute, chronic, and complex pain disorders.
• Be conversant with current evidence and clinical reasoning processes with respect to spinal manual therapy.
• Be profi cient in applying spinal joint, neural and muscle examination procedures.
• Be profi cient in determining a diff erential diagnosis based on an integrated examination of the joint, muscle and neural systems of the spine and pelvis.
• Be able to formulate the most appropriate and eff ective manual therapy management program suitable for the assessed condition.
• Be profi cient in applying an appropriate diagnostic specifi c manual therapy treatment strategy incorporating manual treatment techniques and specifi c exercises.

Course Overview
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 specifi c manual therapy examination of the spine and pelvis, which is based on current best evidence knowledge of anatomy, pathoanatomy, pathophysiology, and pain mechanisms. The examination process developed by Manual Concepts draws on the work of many diff erent concepts in manual therapy. We believe that an eclectic approach, drawing on diff erent concepts of examination and treatment, provides a more realistic, eff ective approach to the management of a vast range of spinal pain disorders.

Joint System
As part of the assessment of the joint system we aim to teach a range of articular testing procedures to include pain provocative tests for specifi c structures as well as tests to determine specifi c motion segment dysfunction. A signifi cant aspect of the assessment procedure is the use of combined movements. Equally important is the use of specifi c passive segmental motion testing and provocative tests for pain reproduction. Current research demonstrates that identifi cation of joint hypo/hyper mobility and subsequent treatment based on this classifi cation improves treatment outcomes.

Neural System
Disorder of the neural system is commonplace in musculoskeletal pain disorders, and so examination of the neural system forms an essential element of the physical examination. However not all neural disorders respond to neural mobilisation techniques. Hence it is essential that the treating clinician has a good understanding of the pathophysiological mechanisms underlying neural pain problems to understand how to eff ectively manage them. As part of the course a comprehensive overview of neural tissue pain disorders will be presented to enable diff erential diagnosis and classifi cation of 3, treatment specifi c, sub-classifi cations:
• Neuropathic pain with sensory hypersensitivity
• Peripheral nerve trunk sensitisation, and
• Neuropathic pain with nerve root compression (fascicular damage).

Assessment to identify these problems will be demonstrated and practiced. The clinical relevance of classifying 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 motor control. As well we address the theoretical concept of spinal instability and the signs and symptoms that are commonly found on clinical examination of motor control impairment. It is important to recognize that not all patients require motor control retraining. There is ample evidence to suggest that only a small proportion of patient have instability. Treating all chronic low back pain patients with stabilization exercise through specifi c multifi dus and transversus abdominis exercise is not appropriate and the literature shows this does not work. Determining which patients require motor control re-education 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 fi ndings from the subjective and physical examination procedures. To ascertain an appropriate manual therapy diagnosis critical analysis is developed through clinical reasoning applied to specifi c case studies. This programme does not provide the participants with a recipe approach to treatment. Clinicians will be able to develop though sound methodology, appropriate treatment strategies with logical progression over time.

Participants
There is no pre-requisite in terms of manual therapy experience. The programme off ers 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 Certifi cate in Spinal Manual Therapy. They have reported excellent feedback in terms of material content, presenters’ knowledge, and practical supervision.

Цена: 900 евро
Место проведения:
Даты проведения: с 13 по 21 февраля
Начало: 9:00
Программа курса по дням

Наш инструктор:

Вайдас Сталиорайтис (Vaidas Stalioraitis, Lithuania/Australia)

- физиотерапевт
- международный инструктор Mulligan Manual Therapy Concept
- международный инструктор Manual ConceptsОбразование:
Университет Кертин (Certin University, Australia)