Overview

Combined Movement Theory is a component in a holistic approach in the management of vertebral column disorders. One of the most popular paradigms of passive movement treatment in spinal dysfunction is the Maitland Concept (Spinal manipulative thrust technique - SMTT) and the corollary of this, Combined Movement Theory (CMT).

The aims of this course are to introduce the fundamental similarities in approach between SMTT and CMT and introduce a process of SMTT selection based upon CMT. It is envisaged that adopting this rational of SMTT selection will provide the participant with a method of applying SMTT that integrates the two concepts. Learn when, where and how to achieve the benefits of effective mobilisation and gentle manipulation.

This workshop will be delivered in 2 parts. Interested participants are encouraged to sign up for both parts for maximum learning outcomes. It can be taken up individually if necessary.
Combined Movement Theory and Practice (Part 2)
This 2-day workshop focuses on the thoracic and lumbar spine posteriorly. Participants will be able to clinically reason the decision on when to mobilise and when to manipulate a thoracic or lumbar spinal joint. The workshop will also go through the evidence base behind mobilisation and manipulation in the treatment of thoracic and lumbar spinal dysfunction.

Teaching Team

What You’ll Learn

Upon completion of the workshop, participants will be able to:

  • Clinically reason what patient presentation type would be suited to the CMT approach.
  • Develop the skills needed to determine primary movement patterns, suggest source structures and apply the corresponding starting positions for treatment.
  • Develop skills in palpating the cervical spine anteriorly, and the rest of the spine posteriorly. Participants will be able to palpate muscle spasm and passive joint restriction.
  • Clinically reason the decision of when to mobilise and when to manipulate a spinal joint.
  • Appreciate the complexities of issues surrounding pre-manipulative screening and the risk/benefits of end of range mobilisation and SMTT’s.
  • Appreciate the evidence base behind mobilisation and manipulation in the treatment of spinal dysfunction.
  • Clinically reason progression and regression of treatment and be conversant with the notation of treatment.

Who Should Attend

  • AHPC registered physiotherapist
 

Certificate and Assessment

A Certificate of Participant will be issued to participants who:
  • Attend at least 75% of the workshop
  • Undertake non-credit assessment (during course)

Schedule

Day 1: Thoraco-lumbar spine - Mobilisations, Manipulation and Muscle Energy Techniques

Time Topics
8:30 am  Registration and Recap
9:00 am

Introduction

  • The justification for this approach

Principles

  • The concept of treatment dose and indications

Assessment Principles

  • Prime Movement
  • Prime Combination
  • Regular Pattern
  • Irregular Pattern

Treatment Selection and Progression

  • Severe, inflammatory nature
10:30 am Tea Break and Networking Session
11:00 am 

Practical

Examination and Treatment

  • Observation, functional demonstration, palpation
  • SJ Biomechanics and Integration

Active Movements

  • Ranking, prime movement, prime combination

Differentiation

  • Muscular restriction, neurogenic restriction

Palpation

  • Anatomy, paraspinal tone, fibrosis
12:30 pm Lunch
1:30 pm

Passive Movement

  • Physiological movement
  • Accessory movement

Regular Patterns

  • Ext, ipsilateral lateral flex
  • Flex contralateral flex

Irregular Patterns

  • Ext, ipsilateral lateral flex
  • Flex contralateral flex
3:00 pm Tea Break and Networking Session
3:30 pm

Treatment

  • Case studies and discussion
  • Review of key themes of the day
4:30 pm Review of key themes of the day
5:30 pm End of Day

 

Day 2: Lumbo-Sacral Spine - Mobilisations, Manipulation and Muscle Energy Techniques

Time Topics
8:30 am  Registration and Recap
9:00 am
  • Introduction to Muscle Energy Techniques
  • Selection of Techniques
  • Discussion of Manual Therapy as An Intervention
10:30 am

Tea Break and Networking Session
10:30 am

Practical Session

  • Combined PPIVMS
  • High Velocity Low Amplitude
12:30 pm

Lunch
1:30 pm 

Manipulations
3:00 pm 

Tea Break and Networking Session
3:30 pm

Progression of Treatment
4:30 pm

Summative Discussion
5:00 pm

Assessment and Feedback Evaluation
5:30 pm

End of Day

Fees

Full Fee After SF Series Funding After SF Mid-Career
Enhanced Subsidy
Singapore Citizen (Below 40) /
Singapore PR		 $1,391.00 $417.30 Not Eligible
Singapore Citizen (40 & Above) $1,391.00 $417.30 $157.30
Non Singaporeans $1,391.00 Not Eligible Not Eligible

Note:
  • All figures include GST. GST applies to individuals and Singapore-registered companies.
  • You can opt for either SF Series Funding or Mid-Career Enhanced Subsidy. Both cannot be combined.

» Learn more about funding types available

Terms & Conditions:

SkillsFuture Funding
To be eligible for the 70% training grant awarded by SkillsFuture, applicants (and/or their sponsoring organisations where applicable) must:
  1.  Be a Singaporean Citizen or Singapore Permanent Resident
  2.  Not receive any other funding from government sources in respect of the actual grant disbursed for the programme

SkillsFuture Mid-Career Enhanced Subsidy
To be eligible for the 90% enhanced subsidy awarded, applicants (and/or their sponsoring organisations where applicable) must:
  1.  Be a Singaporean Citizen
  2.  Be at least 40 years old
  3.  Not receive any other funding from government sources in respect of the actual grant disbursed for the programme

SIT reserves the right to collect the balance of the programme fees (i.e. the potential grant amount) directly from the applicants (and/or their sponsoring organisations where applicable) should the above requirements not be fulfilled.

Key Info

Venue SIT@Dover, 10 Dover Drive S138683
Time 08:30 AM to 05:30 PM
Date 09 Mar 2019 (Sat) to
10 Mar 2019 (Sun)
Registration is Closed.

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