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Manual Therapy for the Older Adult

Maitland, Mulligan and McKenzie Techniques

Seminar Description:

20 Contact Hours

There is myriad of evidence to support the effectiveness of using manual therapy to address pain and musculoskeletal disorders. Often this important modality is overlooked in the treatment of geriatric patients. This course presents the evidence-based rationale for using manual therapy with geriatric patients and demonstrates how manual therapy can safely and effectively be applied to this patient population. Using the concepts of Robin McKenzie, Geoffrey Maitland, and Brian Mulligan, this course details their manual therapy techniques for treating the spine and extremities. The philosophical, evaluative, and treatment concepts of each approach will be compared and contrasted. This fast-paced course will focus on lab instruction with ample time for hands-on practice of a large variety of manual techniques. A problem solving approach will be presented to assist in the clinical application of manual therapy techniques on the older patient by providing the indication of each technique as they relate to symptoms and diagnoses. This is the perfect course to attend if you see geriatric orthopedic patients or have ever been curious about these three manual therapy approaches.

Course Objectives

  1. Perform and practice numerous manual techniques that are safe and appropriate for the older patient.
  2. Discuss the common comorbidities of older persons as they pertain to applying manual therapy techniques.
  3. Design comprehensive treatment programs that include manual techniques for older patients with a myriad of diagnoses.
  4. Discuss the precautions and contraindications for using manual therapy techniques with geriatric patients.
  5. Compare and contrast the manual therapy approaches of McKenzie, Maitland, and Mulligan.
  6. Explain the pathomechanics of common orthopedic diagnoses specific to the geriatric population.
  7. Select evidence-based manual therapy techniques to address pain and mechanical disorders for treating the spine and extremities in older persons.
  8. Use the detailed handout (with photographs and step-by- step descriptions) in daily practice to apply manual therapy techniques to geriatric patients.

Your Instructor

James Gose, PT, DPT, OCS, Cert. MDT, COMT, CMP

James Gose has been a licensed physical therapist for 30 years. He holds a doctorate of physical therapy and is a board certified clinical specialist in orthopedics. Dr. Gose is a certified practitioner in the manual therapy approaches of McKenzie, Maitland, and Mulligan. His primary area of practice has been outpatient orthopedics with extensive experience in sports medicine, occupational medicine, and spine rehabilitation. In recent years, his practice has been focused on treating the geriatric population in home care, outpatient clinics, and inpatient rehabilitation. He has written and instructed many orthopedic seminars over the past ten years and is an adjunct professor at the University of Tennessee’s Program in Physical Therapy in Chattanooga, Tennessee. He is a dedicated advocate for evidence-based practice, providing strong evidence support in his patient care and for the courses he teaches.

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.


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.

Registration Cost

Early Bird = $50 discount

Regular = $595

Late Fee = add $25

More dates to come!