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Mobilization of the Cervical and Thoracic Spine and Ribs

Course Description

Many clinicians lack a structured approach to treat dysfunctions involving the neck, shoulders and upper thoracic spine, while often overlooking rib cage involvement. This course will give you a strong foundation to treat these areas as well as an understanding of where to look next if you’re not getting the desired outcome with your spine patients.

​

We make a complicated region of the body simple to diagnose and treat, giving you a wide array of treatment approaches to choose from that best fit your patients’ needs. Techniques include Muscle Energy Technique (MET) and direct articulations to the cervical and thoracic spine and ribs. All course material is evidence-based and every technique is repeated multiple times until you feel comfortable and confident. When you leave this class, you’ll walk away with a straightforward, yet comprehensive foundation for treatment of the neck, upper back and ribs.

 

As with all our manual therapy courses, this course is at least 75% hands-on lab, and will give you skills you can use immediately upon returning to the clinic.

Many clinicians lack a structured approach to treat dysfunctions involving the neck, shoulders and upper thoracic spine, while often overlooking rib cage involvement. This course will give you a strong foundation to treat these areas as well as an understanding of where to look next if you’re not getting the desired outcome with your spine patients.

​

We make a complicated region of the body simple to diagnose and treat, giving you a wide array of treatment approaches to choose from that best fit your patients’ needs. Techniques include Muscle Energy Technique (MET) and direct articulations to the cervical and thoracic spine and ribs. All course material is evidence-based and every technique is repeated multiple times until you feel comfortable and confident. When you leave this class, you’ll walk away with a straightforward, yet comprehensive foundation for treatment of the neck, upper back and ribs.

 

As with all our manual therapy courses, this course is at least 75% hands-on lab, and will give you skills you can use immediately upon returning to the clinic.

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Sat 2 Dec 2023

2 days, 08:00 AM - 05:30 PM

PA - King of Prussia

Ivy Rehab - Excel
475 Allendale Road, Suite 205
King of Prussia PA 19060
United States

John Duncombe

  • $650.00 incl. Tax
Register

Saturday, 2 December 2023 - Sunday, 3 December 2023

08:00 AM - 05:30 PM (2 days)

Presented by
John Duncombe
  • $650.00 incl. Tax
Register
More Information

Sat 2 Dec 2023

2 days, 08:00 AM - 05:30 PM

PA - King of Prussia

Ivy Rehab - Excel
475 Allendale Road, Suite 205
King of Prussia PA 19060
United States

John Duncombe

  • $650.00 incl. Tax
Register

Sat 6 Jan 2024

2 days, 08:00 AM - 05:30 PM

NJ - Southern

Southern New Jersey - TBD
Trenton NJ
United States

John Duncombe

  • $650.00 incl. Tax
Register

Saturday, 6 January 2024 - Sunday, 7 January 2024

08:00 AM - 05:30 PM (2 days)

Presented by
John Duncombe
  • $650.00 incl. Tax
Register
More Information

Sat 6 Jan 2024

2 days, 08:00 AM - 05:30 PM

NJ - Southern

Southern New Jersey - TBD
Trenton NJ
United States

John Duncombe

  • $650.00 incl. Tax
Register

Sat 24 Feb 2024

2 days, 08:00 AM - 05:30 PM

MD - Annapolis

Spine and Sport Annapolis
134 Holiday Ct, Suite 309
Annapolis MD 21401
United States

John Duncombe

  • $650.00 incl. Tax
Register

Saturday, 24 February 2024 - Sunday, 25 February 2024

08:00 AM - 05:30 PM (2 days)

Presented by
John Duncombe
  • $650.00 incl. Tax
Register
More Information

Sat 24 Feb 2024

2 days, 08:00 AM - 05:30 PM

MD - Annapolis

Spine and Sport Annapolis
134 Holiday Ct, Suite 309
Annapolis MD 21401
United States

John Duncombe

  • $650.00 incl. Tax
Register

Sat 24 Aug 2024

2 days, 08:00 AM - 05:30 PM

IL - Des Plaines

Team Rehabilitation Illinois Training Center
2250 Devon Ave, Suite 244
Des Plaines IL 60018
United States

John Duncombe

  • $650.00 incl. Tax
Register

Saturday, 24 August 2024 - Sunday, 25 August 2024

08:00 AM - 05:30 PM (2 days)

Presented by
John Duncombe
  • $650.00 incl. Tax
Register
More Information

Sat 24 Aug 2024

2 days, 08:00 AM - 05:30 PM

IL - Des Plaines

Team Rehabilitation Illinois Training Center
2250 Devon Ave, Suite 244
Des Plaines IL 60018
United States

John Duncombe

  • $650.00 incl. Tax
Register

Sat 19 Oct 2024

2 days, 08:00 AM - 05:30 PM

MI - Sterling Heights

Synergy Health Partners - Sterling Heights
35735 Mound Rd
Sterling Heights MI 48310
United States

Patrick Hoban

  • $650.00 incl. Tax
Register

Saturday, 19 October 2024 - Sunday, 20 October 2024

08:00 AM - 05:30 PM (2 days)

Presented by
Patrick Hoban
  • $650.00 incl. Tax
Register
More Information

Sat 19 Oct 2024

2 days, 08:00 AM - 05:30 PM

MI - Sterling Heights

Synergy Health Partners - Sterling Heights
35735 Mound Rd
Sterling Heights MI 48310
United States

Patrick Hoban

  • $650.00 incl. Tax
Register

Sat 2 Nov 2024

2 days, 09:00 AM EDT - 05:00 PM EST

Live Hybrid

John Duncombe

  • $600.00 incl. Tax
Register

Saturday, 2 November 2024 - Sunday, 3 November 2024

09:00 AM EDT - 05:00 PM EST (2 days)

  • Live Hybrid
Presented by
John Duncombe
  • $600.00 incl. Tax
Register
More Information

Sat 2 Nov 2024

2 days, 09:00 AM EDT - 05:00 PM EST

Live Hybrid

John Duncombe

  • $600.00 incl. Tax
Register

Sat 2 Nov 2024

2 days, 09:00 AM - 05:00 PM

OH - Toledo

Great Lakes Seminars
2768 Centennial Rd.
Toledo OH 43617
United States

John Duncombe

  • $650.00 incl. Tax
Register

Saturday, 2 November 2024 - Sunday, 3 November 2024

09:00 AM - 05:00 PM (2 days)

Presented by
John Duncombe
  • $650.00 incl. Tax
Register
More Information

Sat 2 Nov 2024

2 days, 09:00 AM - 05:00 PM

OH - Toledo

Great Lakes Seminars
2768 Centennial Rd.
Toledo OH 43617
United States

John Duncombe

  • $650.00 incl. Tax
Register

At the completion of this seminar, the participant will be able to:

  • Correctly describe the normal and abnormal biomechanics of the vertebrae in the upper cervical spine (OA, AA), lower cervical Spine (C2-7), thoracic spine (T1-I2) and ribs
  • Confidently describe 5 specific spinal and rib anatomical structures
  • Correctly describe the neurophysiological mechanism behind muscle energy technique (MET)
  • Correctly and confidently identify 3 key components necessary to administer proper MET
  • Through the discussion of relevant evidence based research, support the use of METs/mobilization and manipulations to the cervical and thoracic spine and ribs for specific diagnoses
  • Through the use of 3 varying case studies, correctly demonstrate a systematic approach for the treatment progression through the cervical and thoracic spine and rib complex
  • Demonstrate the appropriate force direction for 5 specific MET/mobilization and manipulations

At the completion of this seminar, the participant will be able to:

  • Correctly describe the normal and abnormal biomechanics of the vertebrae in the upper cervical spine (OA, AA), lower cervical Spine (C2-7), thoracic spine (T1-I2) and ribs
  • Confidently describe 5 specific spinal and rib anatomical structures
  • Correctly describe the neurophysiological mechanism behind muscle energy technique (MET)
  • Correctly and confidently identify 3 key components necessary to administer proper MET
  • Through the discussion of relevant evidence based research, support the use of METs/mobilization and manipulations to the cervical and thoracic spine and ribs for specific diagnoses
  • Through the use of 3 varying case studies, correctly demonstrate a systematic approach for the treatment progression through the cervical and thoracic spine and rib complex
  • Demonstrate the appropriate force direction for 5 specific MET/mobilization and manipulations

Saturday

7:30am
Doors Open
8:00am
Lecture: Overview of MET and Joint Articulations, Anatomy, Biomechanics, Spinal Kinematics, Types of Dysfunctions, Treatment Principles
10:30am
Lecture: Rib Dysfunctions
11:00am
Lab: Cervical-Thoracic Screening Tests
12:00pm
Lunch (on your own)
1:00pm
Lab: Thoracic Spine: Type II Flexion and Extension Lesions
3:15pm
Lab: Thoracic Spine: Type I Neutral Spine Lesions
4:15pm
Lab: Cervical Spine: Type II Lesions
5:00pm
Review of Evidence-Based Literature for Today’s Topics
5:30pm
Adjourn

Sunday

7:30am
Doors Open
8:00am
Lab: Review of Type II Dysfunctions in Cervical and Thoracic Spine
8:45am
Lab: Upper Cervical Screening Tests, AA Jt Dysfunctions
10:15am
Lab: OA Jt Dysfunctions
11:15am
Structural Rib Dysfunctions
12:00pm
Lunch (on your own)
1:00pm
Lab Continued: Structural Rib Dysfunctions
3:45pm
Case Studies/Speed Mobilizations
4:30pm
Review of Evidence-Based Literature for Today’s Topics
5:00pm
Adjourn

Course Instructors

John Duncombe

PT, DPT, OCS, MSPT, CIMT, CSCS, GCS, USATF Level 1 Coach

John received his Master’s of Physical Therapy degree from the University of Wisconsin – Madison in 2001. He obtained his Doctorate in Physical Therapy through the Evidence in Motion Institute of Health Professions (EIM) while simultaneously finishing a 2 year Orthopedic Residency program with EIM. He is board certified as an Orthopedic Clinical Specialist from the American Physical Therapy Association. While at the University of Wisconsin he became a Certified Strength and Conditioning Specialist with the National Strength and Conditioning Association as well as a Golf Conditioning Specialist. John treats a vast array of outpatient orthopedic dysfunctions, looking at a wide variety of structures, tissues, and systems that may be contributing to the source of symptoms. His special interests are in post-surgical shoulder and knee patients, cervical-thoracic injuries, and runners with varying types of lower extremity dysfunctions. John currently works for Team Rehabilitation Physical Therapy and is the clinic director and owner of an outpatient orthopedic clinic in the northern suburbs of Chicago. When any free time presents itself, you can find him running the trails training for his next Ultra Marathon or spending time with his wife and 2 children.

What Attendees Are Saying

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I was apprehensive about the cervical spine before the course but after learning the various techniques that can be used for not only the cervical spine but the thoracic as well, I feel much more capable.

Raleigh, NC

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Slide 1 Heading

I can use the techniques starting Monday without confusion or difficulty. I feel better able to treat cervical dysfunctions after this course.

Shawnee, OK

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Organized, practical treatment approaches that I can implement immediately. Enough repetition and review to increase confidence in applying techniques when back in clinic.

Detroit, MI

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I appreciated the low pressure, collaborative environment and frequent review of techniques and application.

Grand Rapids, MI

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Overall the course took a complex part o the body and broke it down into a manageable process to assess, treat and recheck.

Stoughton, WI

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