Advanced Manual Therapy Techniques for the Extremities

Course Description

This course teaches techniques that are for the difficult extremity patient who doesn’t respond well to normal treatments. Through it, you'll learn unique joint mobilizations and myofascial release techniques, along with retraining exercises that will help your patients maintain the improvements that you gain in the clinic. These are the “clinical pearls” that Patrick has learned over the years and have helped him get patients better when nothing else works.

As with all of our manual therapy courses, this course is at least 75% hands-on lab, and will give the clinician skills they can use immediately upon their return to the clinical setting.

What people find useful about this course!

State Approvals

This course is approved for 16 hours in the states of: AL, AK, AZ, AR, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, MD, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OH, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WY

This course is pending approval for 16 hours in the state of: OK

This course is not approved in the states of: LA, ME, MA, NY, TX, WV

Course Objectives

At the completion of this seminar, the participant will be able to:
1. Correctly and independently state the anatomy and physiology behind a joint cavitation.
2. Correctly and independently identify and palpate 5 specific joint dysfunctions.
3. Correctly and independently identify and palpate 5 specific myofascial dysfunctions.
4. Correctly and independently perform 5 upper quarter mobilization/MFR techniques.
5. Correctly and independently perform 5 lower quarter mobilization/MFR techniques.

Course Instructors

Ashwin Datt


Ashwin graduated from San Francisco State University with a degree in kinesiology with an emphasis in human movement studies in 2003. He continued to the University of the Pacific to finish his doctoral degree in physical therapy in 2007. Ashwin's primary focus is outpatient orthopedic and rehabilitative physical therapy, specializing in the treatment of a wide variety of injuries, surgeries and pathologies. He emphasizes a whole-body approach when treating patients. Ashwin started his Great Lake Seminars journey in 2008 and achieved his certification in Integrated Manual Therapy (CIMT) in 2010. Since then, he has assisted many courses for GLS and is excited for his role as a lead instructor. When he is not in the clinic, Ashwin enjoys spending time with his family, hiking, surfing, snowboarding, golfing, gardening and being outside.

Ashwin Datt
Patrick Hoban

Patrick Hoban


Patrick has been a Physical Therapist and Athletic Trainer since 1994. He graduated from Grand Valley State University and started Great Lakes Seminars in 1996. He is the co-owner and Clinical Director for Great Lakes Seminars and is also the president of Probility Physical Therapy. Probility is a company which has 13 clinics in the Southeast, MI area. He has created the manual therapy courses for Great Lakes Seminars and has trained the instructors to ensure high quality courses and effective, consistent delivery. He has also taught manual therapy courses around the country for 20 years, has taught in PT and PTA programs since 1994, was the head athletic trainer at a high school for 5 years and he has performed both independent medical exams and peer reviews for Physical Therapy. He has an eclectic background in biomechanics, anatomy, and manual therapy.

Course Outline



Lecture: Introduction, Overview of Mobilizations and MFR


Lecture: Key Concepts – Upper Extremity


Lecture: Key Concepts – Lower Extremity




Lab – Shoulder Girdle Complex


Lab – Elbow, Wrist


Review Questions, Self-Assessment, Case Studies





Review Questions


Lab - Hip


Lab - Knee




Lab – Foot/Ankle


Review/Critique of Skill in Techniques in Each Area



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