Physical Therapy 
Education Specialists
 

Comprehensive Management of the Cervical Spine


Instructor: Robert Landel, PT, DPT, OCS, CSCS

This course is designed for the physical therapist who wishes to learn and refine the manual skills necessary for the examination, evaluation and management of patients with cervical musculoskeletal disorders. Participants are required to read assigned articles prior to class, which maximizes the effectiveness of lecture and discussion time, prepares the participant with the relevant evidence, and leaves more time for hands-on lab sessions. Discussion will focus on the validity and clinical usefulness of manual examination procedures, and the indications and outcomes for given manual interventions. Introduction of topics follows a case-based theme. Clinical problems covered include determining the appropriateness of PT for a patient with acute onset (traumatic and atraumatic) of neck pain, cervical radiculopathy, cervicogenic headache, cervicogenic dizziness, cervical hypo- and hypermobility.
The majority of the course is spent in lab instruction and practice time, to allow time for acquisition of motor skills. The participant will be able to utilize techniques learned in this course immediately. A CD-ROM with all of the techniques (photos, written descriptions, and videos) will be provided as part of the course fee.

Level: Intermediate
Audience: Physical Therapists


Objectives

At the conclusion of this course, the participant will be able to:
  1. Analyze selected research articles on the examination and management of cervical spine conditions, and apply their conclusions appropriately.
  2. Defend orthopedic cervical spine evaluation and treatment including its effectiveness based on the best available evidence.
  3. Design and perform a cervical spine examination, including manual techniques.
  4. Interpret evaluation findings and relate them to common orthopedic problems.
  5. Design and implement an appropriate management program for given cervical spine condition, including manual techniques and exercises.


Course Schedule


DAY ONE
8:00
Introduction to Course and CD-ROM
8:15
Lecture/Discussion:
Utility of manual examination
Indications and outcomes of manual interventions

9:00
Exam and Intervention Lab.
Case: Upper cervical Hypermobility
Sharp-Purser, Alar ligament tests

9:30
Exam and Intervention Lab/Discussion: VBI
Case: Dizziness
Hallpike, VBI; Joint position error; Modified neck torsion nystagmus test; Cx muscle endurance

10:30
Break
10:45
Exam and Intervention Lab.
Case: Radiculopathy: ULTTA, Spurling’s, Traction, neural mobilization, Cx lateral glides

12:00
Lunch
1:00
Exam and Intervention Lab.
Case: Headaches
Upper cervical rotation stretch; Upglides; Downglides

3:00
Break
3:15-5:00
Mid-cervical rotation sitting; Manual Stretch: Suboccipitals, upper trap, levator, scalenes



DAY TWO
8:00
Written Examination
9:00
Exam and Intervention Lab. Grade 5
Upslope; Downslope; Traction

10:15
Break
10:30
GPM 5 Continued
12:00
Lunch
1:00
Upper thoracic mobilization
2:00
Exercise Interventions
3:15
Break
3:30-5:00
Exercise interventions continued
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