Qualification in Manipulative Therapy

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Dublin 2016 7th to 11th September
Manual medicine, or the application of the hands in patient care, is as old as medicine itself. In the past 100 years there has been increasing interest in the field, both in the orthodox medical community and with the development of Osteopathic medicine in the United Kingdom.
The Qualification in Manipulative Therapy is designed to support and add to your existing manual therapy skills, broadening the scope of your work and who you can help. This Qualification addresses the principles and concepts in the field of Manual Medicine.You will learn the safe application of specific technique procedures for the musculoskeletal system using high velocity low amplitude thrust (HVLA), articulation and soft tissue technique. This Qualification will provide learners with the principles and skill necessary to develop and utilize procedures that benefit their patients.
BIOGRAPHY
Cameron Reid BSc(Hons)DOBSc (Hons) – Human Biology 1982.
Ergonomics at Technical Institute Zurich, Prof E Grandjean MD 1980-81
DO – British School of Osteopathy, London 1986.
DTLLS – Professional Teaching Diploma – 2013Private Practice – since 1988
Positions Held
Visiting Lecturer in Osteopathic Technique – Dept Physiotherapy University of East Anglia – 2011 – current
Osteopath to Norwich City FC – 1999- current
Previous Clients – Royal Ballet Convent Garden, English Institute of Sport, Federation of Holistic Therapists, Content Consultants, Shell UK, Anglian Windows, Norwich City FC, Tottenham Hotspurs FC, Leinster Rugby Club, Sports Therapy Organisation.
Regulated by the General Osteopathic Council (No 1086).

Outline of Qualification Content

Time Monday
Tuesday Wednesday Thursday Friday Saturday
Introduction to Manipulative Therapy Integrated approach – Cervical Spine Integrated approach – Thoracic Spine Integrated approach – Lumbar Spine Manipulation Techniques for Key Areas Student Assessment
AM Soft Tissue Articulation –
Palpation and pain
Theory and Practical Technique Theory and Practical Technique Theory and Practical Technique Theory and Practical Technique Practical Viva
Lunch Lunch Lunch Lunch Lunch
PM Patient Evaluation and Assessment Practical Technique Practical Technique Practical Technique Practical Technique
‘This Qualification provides an effective learning opportunity for a better clinical understandingand take your manual therapy skills to a new level. Over the duration of this qualification, you will develop, and effective individual Manipulative Therapy style.’
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Cervical Dysfunction

  • Revision and consolidation of the cervical anatomy with special reference to stabilizing structures
  • Understand the techniques of Minimal Leverage (HVLA) manipulation to specific areas of the cervical spine, and C7/T1
  • Management of common disorders of the cervical spine

Objective

  • Participants will be after this course able to distinguish whether pain in the upper half of the body originates in the cervicals, thoracics or shoulder and identify the pain generators.
  • Participants will be able to make clinical decisions on what treatment approach to take as part of a short and medium term management plan.
  • Clinical recognition of a variety of cervical spine disorders and finding the key link
  • Participants will be able to perform treatment techniques with minimal force and maximum effectiveness to allow as quick and complete recovery as possible.
  • Soft tissue and articulation techniques to the cervical spine
  • Minimal leverage manipulation technique to C7/T1.
  • Understand the importance of functional rehabilitation for recovery and prevention.
‘This was a great course that was well presented and constructed. I have no doubt that this will have an instant and positive effect on my daily practice. ‘Mr A Bath MCSP Osteopathic Techniques for Physiotherapists 11.5.14
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Thoracic Dysfunction
  • History and physical examination for thoracic dysfunction
  • Management of common disorders of the thoracic spine
  • Understand how to manipulate key Thoracic areas T1 to T12 inc ribs

Objective

  • Participants will be after this course able to distinguish whether pain in the thorax originates in the cervicals, only the thorax, lumbar spine or shoulder and identify the pain generators.
  • Participants will be able to make clinical decisions on what treatment approach to take as part of a short and medium term management plan.
  • Clinical recognition of a variety of Thoracic spine disorders and finding the key link
  • Participants will be able to perform treatment techniques with minimal force and maximum effectiveness to allow as quick and complete recovery as possible.
  • Minimal leverage manipulation technique to mid thoracic spine, supine.
  • Understand the importance of functional rehabilitation for recovery and prevention
‘I now know how to manipulate a joint safely and accurately. I have more confidence in adding manipulations to my daily practice as a physiotherapist’
Mrs D Matchett MCSP 2014
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Lumbar Dysfunction
  • Understand how to manipulate the lumbar area L5/S1
  • History and physical examination of the lumbar spine
  • Biomechanics and musculoskeletal dysfunction of lumbopelvic region with special emphasis on dynamic stability.
Objective
  • Participants after this course will be able to distinguish whether pain in the lower half of the body has its origin in the lumbar spine, pelvis or hip, and whether these problems have a primary myofascial, or neural origin.
  • Clinical recognition of a variety of lumbar spine disorders and finding the key link
  • Efficient choice of strategies for the treatment and management of musculoskeletal disorders of the lumbo-pelvic region
  • Understand the importance of functional rehabilitation for recovery and prevention

Manipulation Techniques to Key AreasThe locomotor system “thinks” in terms of function and its individual parts are integrated to work as a system. No part of function is isolated but is intimately linked to the entire locomotor system. Muscles and joints normally function together in groups, creating purposeful movements or stabilisation. Key links often occur at critical anatomical areas such as spinal transitional areas, areas of high innervations and control (craniocervical region, pelvis and feet), possibly chronically dysfunctional. Minimal leverage techniques addressing the spinal transitional areas, e.g. C7/T1, T12/L1, L5/S1, will be learnt.

Neurological Examining

Examination of the upper and lower limbs
Performing a neurological examination is vital to make sure your patient is treated appropriately or needs referring to another health practitioner. Neurological testing will be explained and

Examination of each of the sensory modalities

Sharp touch (pinprick)
Temperature
Joint position sense (proprioception)

Motor PowerAssessment of power in the upper and lower limbs is required to be done in a systematic way. Testing flexion, extension, abduction and adduction of the muscle groups in the upper and lower body using the MRC scale for muscle power.

MRC scale for muscle power

 

0 No muscle contraction is visible.
1 Muscle contraction is visible but there is no movement of the  joint.
2 Active joint movement is possible with gravity eliminated.
3 Movement can overcome gravity but not resistance from the  examiner.
4 The muscle group can overcome gravity and move against some resistance from the examiner.
5 Full and normal power against resistance.

Deep tendon reflexes

Biceps, triceps, and brachioradialis reflexes

Knee and ankle reflexes

Superficial tendon reflexes
Sole of the foot, Babinski reflex

Observation of gait

Being aware of gait changes do to musculoskeletal dysfunction. Understand the observation of the patient as he or she rises e.g. from the chair to walk and note any abnormality of movement.

General Objectives

By the end of the course the successful Candidate will learn the

  • Diagnosis and evaluation of musculoskeletal pain and dysfunction, specific pathology and differential diagnosis.
  • Contraindications / indications: evaluation of red & yellow flags, classification of motion dysfunction, such as segmental hypo- mobile, motor control deficit, neurogenic.
  • Intervention, treatment and management of musculoskeletal lesions, using articulation, manipulation, soft tissue approaches
  • Describe risks and benefits of HVT thrust techniques in the management musculoskeletal conditions.
  • Demonstrate proficiency in pre-HVT spinal positioning, of the Cervical-thoracic, thoracic, thoracic-lumbar junction, lumbar, and sacroiliac regions.
  • Demonstrate enhanced proficiency in the delivery minimal leverage HVT thrust techniques to the C7/T1, Thoracic Spine, thoraco-lumbar spine T12/L1, and lumbar spine L5/S1
  • Demonstrate competency in the sideline minimal leverage Lumbosacral HVT using no rotation of the lumbar spine
  • Understand the crucial role of functional training and rehabilitation in the management of musculoskeletal disorders.

Safety

  • Pre-course reading material will focus on safety and safety awareness when using articulation and manipulation (HVT) techniques. This will require approximately 12 hours of reading
  • Participants will be able to describe absolute and relative contraindications of HVT thrust techniques
Contraindications

There are contraindications to using manipulative and articulation techniques. These risks are small and providing safe practice is used, there is minimal risk to the patient. Safe Practice will be taught on this course. The pre-course reading contains the most robust articles on the safety aspects of the minimal leverage thrust techniques used in manipulative therapy.

HVT Major Complications

  1. Cerebrovascular Accident / Stroke
  2. Spinal Cord Compression
  3. Cauda Equine Syndrome

HVT Contra-indications to treatment

  1. Disc Herniation
  2. Disc prolapse
  3. Nerve Root Compression
  4. Fracture

HVT Relative contra-indications to treatment.

  1. Headache / Migraine
  2. High blood pressure
  3. Radiating pain
  4. Dizziness

Assessment
All participants will be assessed at the end of the course in order to successfully pass this Qualification.

There will be;

  1. A practical viva designed to show technical competence, safety awareness, and understanding. There will be an external examiner acting as moderator. The final marks are Distinction, Pass, or Fail.
  2. Practical viva exam will definitely include neurological testing including upper and lower extremity reflexes.
  3. The use and interpretation of clinical tests, slump testing, straight leg raise (SLR).
  4. Demonstrate proficiency in safety and in the delivery of HVT thrust techniques such lift techniques, prone, side lying and supine techniques.
  5. There will be 10 Case Studies required after completion of the Qualification. These will be assessed and moderated where a candidate is borderline between; Distinction/Pass, and Pass/Fail.

Accreditation
The Qualification in Manipulative Therapy is accredited by the Sports Therapy Organisation, STO (UK)

Participants

Entry minimumLevel 5 Sports Therapy, Sports Massage, Physiotherapist, Physical Therapist
The successful candidate will be able to call themselves a Manipulative Therapist and can be insured by the following

http://westminster-indemnity.net/wi/?Introducer=8053

www.iptiuk.com

Venue: Marino Institute of Education www.mie.ie Dublin
Accommodation: Contact Marino Institute of Education

Cost: 1,150 euro
Deposit: 250 euro

Payment Methods: Cheque, Bank Draft, Bank Transfer

Contact: Tina or David 0857680469

Personal Indemnity Insurance

Any new qualification will mean you have to notify your insurers

Here is a link below for Westminster Insurance, follow this and you will get a 10% discount through Cameron, or mention Cameron Reid if you phone Westminster Insurance, ask for Chris, direct 01305 839 939

http://westminster-indemnity.net/wi/?Introducer=8053

Always check that you are doubling up with your insurance

(policies with Westminster Indemnity will cover claims worldwide excluding US & Canada)

Alternative insurance is also offered with

Independent Professional Therapists International IPTI

http://www.iptiuk.com/

telephone 01777 700383/703177

Booking Terms & Conditions

All bookings are subject to availability; a deposit fee must be made at the time of booking to secure your place. All deposits are non-returnable & non-transferable

Cancellations at least 21 days prior to the event will be subject to an administration fee of 20% of the final balance fee. Cancellations 14 days prior to the course start date will result in the full cost being forfeited.

Cameron Reid Training (CRT) reserves the right to cancel or reschedule events (subject to unforeseen circumstances i.e. illness, adverse weather conditions, etc. or course attendant numbers below 8 students 4 weeks prior to course date, any monies collected will be refunded in full). It is the individual’s responsibility to check for the status of events via email. Cameron Reid Training will keep you updated at regular intervals and if you have any queries please do not hesitate in contacting Cameron.

Cameron Reid reserves the right to cancel any student’s practical training without notice, in the event of abusive, aggressive or discriminatory behaviour towards any students. No refund of course fees will be given. The list is not an exhaustive one, but includes: foul and abusive language, racist, sexist or homophobic remarks, failure to participate in practical sessions, behaviour that results in the class being disrupted, or teaching being interrupted, derogatory or defamatory comments, either verbal or written, insulting behaviour, either verbal or written.

This contract is deemed valid by both parties upon agreement of the CRT Terms and Conditions by the candidate and by the acceptance of the enrolment by CRT.

Assuring you of our best attention at all times.