Spinal Thrust Technique

Instructors
William H. O’Grady, PT, DPT, OCS, FAPTA, FAAOMPT, DAAPM
Davis Koh, DPT, MBA, GCS, CSCS

Thrust Joint Manipulation Skills to the Lumbar Spine and Pelvis

A Laboratory Class for Physical Therapists
This will be lecture discussing the basics of thrust manipulation using larger muscle groups, the effects of breathing, position, amplitude and speed on performing effective thrust manipulation. A demonstration of technique(s) using multiple components/levers will be provided. The preponderance of the course will be laboratory with the demonstration and application of thrust techniques.

OVERVIEW

Why Thrust Manipulation?
• Theories of why it works
• Historical perspective
• Evidence of its success
• Risks with not using thrust techniques
• Thrust technique risk analysis
• Management of adverse reactions
• Essential tests and screens

GOALS OF MODULE

• Recognize the current best evidence for the implementation of thrust joint spinal manipulation in clinical practice
• Have a working knowledge of the safety issues, precautions, and contraindication to thrust joint manipulation and be able to apply them in the course
• Safely, effectively, and skillfully apply the tests and techniques taught in the course
• Have a working knowledge in the choice of manipulative procedures in the evidence-based multi-modal approach to spinal pain

LEARNING OBJECTIVES

This course is designed to maximize physical therapists’ ability to successfully modify manipulation techniques to produce the best results.  These techniques will focus on operator stance, posture, and handling; patient positioning; and modifying factors.  This course will be primarily dedicated to hands-on lab practice.  Guided discussions will provide for rationale, indications, and contraindications of manipulation and risks.

• Recognize the current best evidence for the implementation of thrust joint spinal manipulation in clinical practice
• Have a working knowledge of the safety issues, precautions, and contraindication to thrust joint manipulation and be able to apply them in the course
• Safely, effectively, and skillfully apply the tests and techniques taught in the course
• Have a working knowledge in the choice of manipulative procedures in the evidence-based multi-modal approach to spinal pain

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