Introductory Course – Manual Therapy Treatment Techniques developed by Brian Mulligan
This two-day course introduces the Mulligan approach to manual therapy for the spine as well as the upper & lower extremities. It includes lecture, patient demonstrations, and lab time to give the participants an initial exposure to the Mobilization with Movement approach. This unique approach to manual therapy was discovered and developed by physiotherapist Brian Mulligan from Wellington, New Zealand. This simple yet effective manual approach addresses musculoskeletal disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain.
Continuing Education Credits
PTs and PTAs will receive 1.5 CEU’s for those holding license in the state of MI. For those residing outside of the state of MI, please contact your state governing board to determine reciprocity for your state. All forms required to submit individually for CEU’s can be found on this website under Courses/CEU’s.
ATs will receive 13 CEUs from the NATA Board of Certification CEU Provider P3566
Certificate of attendance for 15 hours of instruction is always given
This course includes lecture and hands on demonstration and lab with a maximum ration of 16 participants:1 instructor.
By the end of the course the participant will be able to accurately:
List 3 key manual components of Mobilization With Movement™.
Demonstrate 2 shoulder MWM techniques for shoulder elevation impairment.
Demonstrate 2 elbow MWM techniques for loss of motion and tennis elbow.
List 2 indications for ankle and knee taping procedures to reinforce an MWM technique.
Demonstrate 3 key variables that may need to be modified for pain-free effective MWM of the upper extremity and cervical spine.
Demonstrate 2 manual techniques used for the alleviation of cervical spine pain or dysfunction
Demonstrate 2 manual techniques used for the alleviation of lumbar spine pain or dysfunction
Demonstrate 2 manual techniques used for the alleviation of hip joint pain or dysfunction
Demonstrate central and unilateral manual SNAG techniques for the pain-free improvement of lumbar ROM.
Cite at least 2 RCT studies that support cervical snags for ROM, headaches and dizziness
Cite at least 2 RCT studies that support the MWM approach to Tennis elbow
INTRODUCTORY COURSE TIME SCHEDULE and CONTENT
Pre-course videos
1. The Mulligan Concept (1 hour 5 minutes)
2. Proposed Mechanisms by which Mobilization with Movements work (30 minutes)
Both videos to be sent to all participants in the Pre-course email 1-2 weeks prior to the course
The Mulligan Concept
0 – 5:00 Course and Mulligan Concept Intro: Mark Thomson’s background
5:00 – 6:51 Who is Brian Mulligan?
6:51 – 23:39 Effects of manual therapy and Mulligan Concept mechanisms of action
23:40 – 25:40 Evidence for manual therapy vs hands off approach
25:40 – 29:03 Mulligan Concept resources and “tools of the trade”
29:03 – 32:50 How was the Mulligan Concept born?
32:50 – 34:40 IP example of MWM
34:40 – 36:04 3 things about the Mulligan Concept that require the most practice!
36:04 – 37:10 Establishment of the Mulligan Concept Teacher’s Association
37:10 – 42:48 What is the Mulligan Concept?
42:48 – 1:00 CROCKS
1:00 – 1:02:40 MWM’s are one part of a thorough examination
1:02:40 – 1:03:10 PILL EFFECT
1:03:10. REVIEW
Proposed Mechanisms by which MWM’s work
0-3:20 Introduction and references
3:20-5:00 Neurophysiological Mechanisms of MWM action
5:00-6:30 Pain and sensory system impairments that may be amenable to MWM
7:30-9:00 Impact of MWM on motor and sensorimotor deficits
9:00-12:30 Further ideas of mechanisms of action: Mechanisms of Pain
12:30-17:30 Possible interaction of MWM and the mechanisms of pain and dysfunction
17:30-22:15 MWM and Central Mechanisms
22:15-23:09 MWM and Output (response) Mechanisms
23:09-24:30 Mechanoreceptors and the Motor system
24:30-26:57 Possibility of MWM sustained benefit
LIVE COURSE DAY 1:
• 8:00-9:00 Introduction, case report, theory and pre-test
• 9:00-10:00 Demonstration & lab practice: MWM principles, MWM for hands and wrist
• 10:00-10:15 Break time
• 10:15-11:00 Demonstration & lab practice: MWM principles, MWM for elbow
• 11:00-12:00 Demonstration and lab practice: MWM for Shoulder
• 12:00-1:00 Lunch
• 1:00-2:30 Demonstration and lab practice: MWM for Cervical spine and HEP’s
• 2:30-2:45 Break time
• 2:45-4:00 Demonstration and lab practice: MWM for the ankle and foot
• 4:00-5:30 Demonstration and lab practice: MWM for the knee
DAY 2
• 7:30-8:00 Review of Day 1 Key principles
• 8:00-9:30 Demonstration and lab practice: MWM for the hip
• 9:30-10:30 Lumbar demonstration and lab practice: central and unilateral SNAGS for flexion, extension, HEP
• 10:30-11:00 Break time
• 11:00-12:00 Techniques for restricted or symptomatic SLR: demonstration and lab practice
• 12:30-1:30 Sacroiliac joint MWMs: demonstration and lab practice
• 1:30 Post Test and Closing