Mulligan Concept for Treatment of Mechanical Derangement of Lumbar Spine 

Course Description-This course will provide the participant with a learning experience in the Cyriax approach in examination of the lumbar spine followed by the Mulligan approach in the treatment of mechanical low back pain.    Teaching methods will include demonstration, hands on lab practice and a mock lab. 

Educational Objectives

Upon completion of this course the participant shall be able to:

Perform the lumbar examination and identify a patient who is a candidate for the Mulligan approach.
Explain what a Sustained Natural Apophyseal Glide (SNAG) is.
Demonstrate good verbal communication with a patient in order to employ SNAG.
List the guidelines for providing a safe and therapeutic SNAG.
Employ SNAGS to improve lumbar articular signs and dural signs.
Teach a patient how to perform Mulligan self- reduction techniques
Given a patient navigate through a treatment algorithm

Class Schedule

8:30-9:00 Demonstration of the lumbar spine examination

9:00-10:00  Lab practice and question and answer session of the lumbar examination

10:00-10:15 Break

10:15-10:30 Description and principles of SNAGS

10:30-12:00- Demonstration and lab Practice for lumbar SNAGS performed in the sitting position and introduction to standing SNAGS

12:00-1:00    Lunch (included with registration)

1:00-1:30 Complete SNAG lab

1:30-2:30   Demonstration and lab practice for lumbar SNAGS specifically designs for dural signs

2:30-2:45 Break

2:45-4:00  Demonstration and lab practice for lion stretch, self traction, and self snags followed by a discussion of a treatment algorithm

Presenters:

Russell Woodman PT MS DPT FSOM OCS MCTA is professor emeritus at Quinnipiac University, where he still teaches part time.  He also practices at three out- patient clinics in the New Haven area. In 1981, Dr. Cyriax awarded him full teaching membership in the British Society of Orthopaedic Medicine. He has been an APTA board certified orthopaedic specialist since 1988.  In 1996 under the tutorial of Brian Mulligan, he was accredited as an instructor in the Mulligan Concept Teachers Association.  Professor Woodman has authored numerous articles on orthopaedic physical therapy and has taught continuing education courses since 1980.

Patricia Black PT, MS, MCTA completed her undergrad at Boston University in Physical Therapy and completed her Masters in Orthopedics at Quinniapac University. She has been a Mulligan instructor  since 2001.

David Mikos, PT, co-owner of Quinnipiac Physical Therapy & Sports Medicine, graduated from Northeastern University in 1990 with a bachelor's degree in Physical Therapy. He has been practicing orthopedic manual therapy in the New Haven area since that time. In 1996, David completed a post graduate Doctorate in Chiropractic from the University of Bridgeport. Combining both of these disciplines, David has offered the community the most comprehensive approach to manual therapy. David has specialized in treatment of surgical rehabilitation, sports injuries, as well as, pediatric and geriatric musculoskeletal conditions. 

In 1998, David became an accredited teacher in the Mulligan Concept Teachers Association which teaches a nonthrust joint mobilization technique emphasizing pain free treatment. He teaches this concept nationally. David has also been an adjunct faculty member at Quinnipiac University, teaching spinal manipulation in an Advanced Masters in Orthopedic Physical Therapy program.

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