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Effective Manual Therapy to Treat Older Adults

What Works?

Dr. Dennis Welling, PT, MTC, DPT, FSOAE will provide an extensive review of the literature for issues commonly seen in older adults. This review will cover pathology encompassing the back, neck, shoulder, hip, ankle, foot, upper extremity, and knee. He will explain and demonstrate exercise protocols associated with manual therapy techniques. Dennis Welling, an experienced and dually certified manual therapist, will present an overview with demonstrations of the effects of manual therapy as supported by the most recent research. Additionally, he will present the common mistakes and suggestions for proper execution of this important modality. You will leave feeling competent in adding many different manual techniques to your current rehabilitation program.

What Participants Are Saying . . .

Upon completion of this seminar, participants
will be able to:

  1. Critique the skills needed to apply manual therapy techniques for the neck, back, hip, knee, foot, ankle, shoulder, and upper extremity by utilizing 50% of the course time to practice your skill set with oversight by your instructor.
  2. Demonstrate treatment techniques and how they can be modified for the older adult population.
  3. Describe hand/body placement and manual skills required for the delivery of mobilization/manipulation techniques.
  4. Explain the contraindications (RED FLAGS) and precautions for mobilization/manipulation for older adults.
  5. Progress manual therapy techniques for every part of the body.
  6. Document manual therapy techniques efficiently and effectively.
  7. Compare and contrast various manual techniques for lumbar stenosis, adhesive capsulitis, hip and knee osteoarthritis, and many more.

A certificate of attendance for 20 contact hours of educational activity (20 CEUs or 2.0 CEUs depending on how your Practice Act determines CEUs in your state) will be awarded to registrants upon completion of the seminar. Great Seminars and Books is an Approved CE Provider for PTs and PTAs in DC, NY, KY, IL, TX and NC. Approved in ID, MD, AR, CA, UT, NJ, and SC for 20 Clinical Contact Hours. This course is approved by the Florida PT Association for 24 continuing education hours. This 20 contact hour course meets the guidelines for approval by the Pennsylvania State Board of Physical Therapy as this course is approved by other state PT Associations and state PT Boards. Have also applied for approval in PA and OK. Our courses also meet the guidelines for approval in PA, VT, AL, IN, WI, VA, AZ, DE, NH, OR, RI, UT, GA, WY, ND and MO. Courses are accepted for CEUs in NE, ID, MT, WA, CT, and IA. If you do not see your state listed, please give our office a call. GREAT Seminars is an American Occupational Therapy Association (AOTA) Approved Provider of continuing education. Provider #5363. This course is not approved by ASHA or the Board of REGISTRATION Certification. Your tuition is tax deductible. Any reference to or mention of state rules or regulations concerning continuing education requirements are true and accurate to the best of our knowledge at the time of print. If you have questions, please contact your board or regulating body. COLORADO PHYSICAL THERAPISTS: This 20 contact hour seminar meets accepted standards for Category 1 continu-ing competence activities as directed in CO section 12-41-114.6, C.R.S. Please make sure that you have completed the required post-course survey tool. Save your certificate of completion for the re-licensing process.

DAY 1

7:30 AM – Registration and Continental Breakfast

8:00 AM – Introduction of Manipulation/Mobilization; Overview of evidence for effectiveness of manipulation/ mobilization; Indications and contraindication for Manual Therapy (Red Flags); Posture, Bautman (Journal of Rehab MED 2010) – Decreased Thoracic Kyphosis; Thoracic Extension Mobilization

9:00 AM – Neck – Kinematics of the Cervical Spine (Mosby 2002) Forbush (JOSPT 2011)/Cleland (PTJ 2010) – Soft tissue mobilization of Cervical and Upper Thoracic; Occipital Release; manual Cervical traction; Deep pressure upper thoracic trapezius; Demonstrate Longus Colli muscle strengthening

9:45 AM – Break

10:00 AM – Back – Kinematics of Thoracolumbar Spine (Mosby 2002); Systematic review and meta-analysis Jacobi (2021 APMR); Lumbar Stenosis Whitman (2006 Spine); Effectiveness of Manual Therapy Zaworski (EJPRM 2021); Prone P/A mobilization of the hip; prone P/A thoracic mobs; prone P/A Thoracic Transverse processes PAIVM (two finger technique); sidelying Lumbar rotation manipulation; supine hip inferior glide mobs; iliopsoas/rectus Femoris stretch; prone lumbosacral manual traction; prone lumbar rotation PIVM with rolling the legs; prone lumbar rotation PIVM with raising the pelvis (pillow assist); prone lumbar lateral flexion PIVM; sidelying lumbar spine soft tissue

12:00 PM – Working Lunch (on your own) – Lunch Assignment

1:00 PM – SI Joint – DonTigny (JORTHO 2005); DonTigny SI correction-45-degree Leg Pull; posterior mob–the pelvis direct method; SI self-correction mob; the easy fix

2:00 PM – Hip – Benell (PTJ 2011) Hoeksma (Arth&Rheum 2004) Beselga (Manual Therapy 2016); Hip long axis distraction with thrust; Hip lateral glide distraction with belt; Prone hip internal rotation mob; iliopsoas STM release; piriformis STM; MWM of hip IR and flexion with lateral glide with belt; Open to closed pack mob long axis distraction

3:15 PM – Break

3:30 PM – Knee – Deyle (Ann Int Med 2000, PTJ 2005, BMJ 2015, NEJM 2020); Knee extension with Valgus Small Amplitude (Grade IV) Mobs; Knee extension with Valgus Large Amplitude (Grade III) Mobs; Knee Extension with Varus Small Amplitude (Grade IV) Mobs; Knee Extension with Varus Large Amplitude (Grade III) Mobs; Knee Flexion with Internal Tibiofemoral Rotation (Grade IV); Small Amplitude (Grade IV) Knee Flexion with Wedge; Soft Tissue with Knee in Extension

5:00 PM – Case Studies and Problem Solving: Utilizing subjective and objective information provided for problem solving with an impairment-based evidence-based approach.

6:15 PM – Questions and Answers

6:30 PM – Adjourn

 

DAY 2

7:30 AM – Continental Breakfast

8:00 AM – Foot – Shamus (JOSPT 2007) Schuh (PTJ 2009) Cleland (JOSPT 2009); S/P Hallux Valgus Surgery Mobs of First MTP joint; Pronation of forefoot with Stabilized Calcaneus: Plantar Glide of Navicular on Talus/ Plantar Glide of Cuneiform on Navicular/Plantar Glide of First Metatarsal on Cuneiform; Plantar Heel Pain; Plantar Fascia and Flexor Hallucis longus tissue Mobilization; Rearfoot mobilization Lateral Glide; Rearfoot Distraction Manipulation; A/P of Talocrural joint; Distal Tibiofibular AA/P Mobs; Tibialis Posterior Stretch

10:00 AM – Break

10:15 AM – Shoulder – Jewel (PTJ 2009) Duenos (JOSPT 2019); Frozen Shoulder: Lateral GHJ Distraction with belt; Subscapularis STM; MWM in ER/IR with sustained A/P Glides; Inferior Glide Mobilization

Shoulder Pain – Bron (BMC 2011) Hines (J of Manip & Physiological Therapeutics 2010); Myofascial Trigger Point Release; Supraspinatus, Deltoid, Infraspinatus Muscles and Biceps Tendon

11:45 AM – Elbow – Bisset (BMJ 2006) Vincenzino (MT 2003) Kucuksen (APMR 2013); Lateral Epicondylitis; Sustained Lateral Glide with pain-free grip (SLGWPFG) for Elbow; SLGWPFG with treatment belt; Sustained Glide with Movement with Elbow Flexion; Sustained P/A Glide with Radiohumeral Joint with Pain-free Grip (SPAGWPFG); Muscle Energy Technique Supination/ Pronation of Forearm; McConnell Diamond Box Tape

12:45 PM – Working Lunch (on your own) – Group Discussion & Lunch Assignment

1:45 PM – Wrist – De Las Penas (PT 2020, EUR J Pain 2017, JP 2019); Carpal Tunnel Mobs: Longitudinal Stroke over Biceps Muscle; Transversal Stroke over Bicipital Aponeurosis; Dynamic Stroke of Pronator Teres Muscle; Stretching Transverse Carpal Ligament; Manual Compression of Lumbrical Muscles; Stretching of Palmar Aponeurosis; Median and Radial Nerve Glides

2:45 PM – Hand – Villafane (DIS and Rehab 2015, JOS 2013) Fields (J of Bodyworks 2007) OA Hand: Dorsal/Volar Glide with Distraction of First CMC Joint; STM for Upper Extremity for Hand OA

3:45 PM – Break

4:00 PM – Case Studies and Demonstration; Post Test

6:00 PM – Conclusion – Putting It All Together

6:30 PM – Adjourn

Cancellations must be received in writing at least two weeks prior to the seminar date for tuition refund less a $75 administration fee. NO refunds will be made after this date.



For Mail/Email/Fax registrations, click here or call us at 877-794-7328.

Note: We cannot take online registrations beginning on the Monday of the week of the seminar. Instead, please call our office at (877) 794-7328 to register so we can ensure there will be a handout at the course for you.


Registration Cost

Early Bird = $50 discount

Regular = $595

Late Fee = add $25


Watch for 2022 upcoming dates and locations.

Your Instructor

Dr. Dennis Welling, PT, MTC, DPT, FSOAE