Summary

This seminar was specially developed for the Physical Therapists who want to have a comprehensive approach in high velocity low amplitude manipulation technique for the Pelvic, Lumbar Spine and Lower Extremity.

Anatomy and biomechanics of the spine and its relationship with the foot, ankle and hip along with fundamental knowledge required to apply the techniques as well as safety skills.

Assessment methods and techniques to establish a diagnosis as well as differential diagnosis will be thoroughly covered. 

Participants will be taught manipulation techniques for adjustment of the sacroiliac joint in the movements of flexion, extension, rotation, torsion and side bending and iliosacrum joint in the movements of anterior and posterior rotation. For the lumbar spine, in the movements of flexion, extension, rotation and side bending, with variations positions with the patient in prone position, supine position and side lying position. The high velocity low amplitude manipulation techniques will cover also the foot, the ankle and the hip.

The course is indicated for Therapists who work with Manual Therapy and treat patients with pain, disfunction and decreased mobility of the pelvic, lumbar spine and lower extremity.

Objectives

Objectives
- Upon completion of this course, participants will:

• Understand the concepts of High Velocity Low Amplitude manipulation, through a presentation of the evidence of the neurophysiological, biomechanical and functional effects of HVLA manipulation techniques.
• Demonstrate knowledge of the anatomy, biomechanics and pathology, evidenced by participation in discussion of clinical cases for pathology of the pelvis, lumbar spine and lower extremityl.
• Establish differential diagnosis pelvic, lumbar spine and lower extremity pathology by adequately performing special orthopedic, neurologic and vascular tests with high sensitivity and specificity.
• Know how to identify the red flags of the HVLA manipulation, and the partial contra-indications, as evidenced by participation in discussion of clinical cases for pathology of the pelvis, lumbar spine and lower extremity.
• Know how to evaluate the dynamic mobility of Pelvis, Lumbar Spine and Lower Extremity via specific palpation, through the demonstration and an intensive training and development of the specific sensitivity of the PT to feel the mobility of joint play with participation in extensive lab sessions.
• Demonstrate a deep understanding and appropriate handling of all the HVLA manipulation techniques presented in this course, through the demonstration and intensive hands-on participation and training of the various techniques.
• Know how to choose the most effective and the most appropriate technique for each patient case, through the presentation and discussion of clinical cases.
• Develop appropriate clinical reasoning to manage the true cause of pathology and not just the symptoms, evidenced by participation in discussion of clinical cases for pathology of the pelvis, lumbar spine and lower extremity.
• Apply with safety HVLA manipulation techniques during the workshop, and receive instructor feedback for corrections and improvements.

UPDATED 7/09/2008