Date: 09-10th June 2012
Tutor: Jay Flitter
Location: Avon Orthopaedic Centre, Southmead Hospital
Price: £195
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Venue: Southmead Hospital, Bristol
Time: 9am till 4:30/ both days
The Manual Concepts and Practical Application of Grade V Spinal Manipulation TechniquesThe spinal manipulation grade V techniques course has been designed to provide comprehensive and progressive tuition over two days, allowing time to practice and consolidate the manipulative skills learnt. 

The two days are intended to develop pre-existing manual therapy skills to a level and competency where manipulation can be introduced and applied safely to the spine. Cervical spine pre-manipulative testing and manipulation techniques are taught on the course. Unique spinal rehabilitation techniques that maintain the effects of manipulation post application are also covered.

The group size is kept to a maximum of 12 for excellent tutor/student ratio.Topics included in the 2 days

• Active and passive mobility testing of the cervical, thoracic and lumbar spine specifically in relation to grade V techniques;
• Grade V manipulation techniques for the cervical, thoracic and lumbar spine including rib techniques, cervicothoracic junction, thorocolumbar junction, lumbosacral junction and sacroiliac joint manipulation;

• Cervical spine pre-manipulative assessment – theory and practical components;
• Upper cervical spine neural integrity testing;
• Upper cervical spine instability testing;
• Presentations on: research, effects, precautions, contraindications of manipulation, tips to achieve a successful technique and common faults;
• Rehabilitation techniques;

• Case studies: used to apply clinical reasoning to spinal manipulation.

Tutor’s approachIt takes time to develop the necessary skills to effectively apply manipulative techniques. The tutor has a relaxed, patient, hands-on approach to teaching. He concentrates on firstly developing the participant’s ability to correctly position the spinal segment for manipulation. Then concentrates on developing the participant’s ability to feel for the appropriate amount of resistance at the spinal segment before finally developing the skill to appropriately apply the high velocity thrust. 
Who is this course aimed at?This course is aimed at any Physiotherapist who is looking to enhance their existing manual therapy skills.  All participants must be HPC registered and members of the CSP.  All participants will be required to fill in a spinal manipulation screening form at the beginning of the course.  The screening form is an in-depth subject and physical assessment to rule out any participant who could be at risk of injury from spinal manipulation.

Course Content
Day 1

08:45           Registration

09:00           Introduction lecture

10:00           Thoracic spine assessment and manipulation techniques

PA/dog/pistol/rotational gliding manipulation technique
11:15           Break 

11:30           Thoracic spine manipulation techniques

PA/screw/ rotational gliding manipulation technique

PA/extension gliding sitting manipulation technique
13:00 Thoracic spine mobility exercises

13:15           Lunch

14:00           Lumbar spine assessment and manipulation techniques

Neutral positioning – rotation techniques
14:30           SI joint manipulation techniques

  The Chicago/posterior rotation/ left innominate anterior technique 15:00 Lumbar pelvic mobility exercises

15:15           Break

15:30           Cervical spine assessment and PPIVMS

16:15           Questions and practice

16:30 Day 1 concludes
Day 2
09:00           Revision of techniques from Day 1

09:30 Rib manipulation techniques

Unilateral PA costovertebral joint rib manipulation techniques

10:15 Break

10:30 Cervicothoracic junction manipulation techniques

Lateral flexion/rotation gliding indirect manipulation technique

Nelson/longitudinal/ extension gliding sitting manipulation technique
12:00 Rib and cervicothoracic junction mobility exercises

12:15 Cervical spine PPIVMS

12:30 Lunch

13:15 Cervical spine pre-manipulative testing lecture and practical

14:15 Cervical spine manipulation techniques

Cervical spine up slope manipulation techniques
15:00           Break

15:15 Cervicothoracic junction manipulation techniques

Contra-lateral rotation/up slope direct sitting manipulation technique

16:00           Cervical manipulation techniques and revision of other manipulation techniques

16:30           Finish