Neural Mobilization: Examination & Intervention Strategies
The concept of restricted neural dynamics is not new, however its impact on our patients’ daily activities and movement tolerance is often overlooked during the examination and treatment of our patients. This course covers concepts for examination and quantifying restricted neural dynamics and intervention strategies to address the dura, nerve bed, and peripheral nerves.
Included is a critical review of the most up-to-date literature in peer-reviewed journals regarding the use of neural mobilization as an examination and treatment technique. This course is appropriate for physical therapists, occupational therapists, and athletic trainers; both assessment and treatment concepts will be covered to aid in the care of their patients. This course includes laboratory sessions in which participants will practice neural mobilization and examination techniques.
Participants are encouraged to wear loose, comfortable clothing. Shorts are recommended as well as halter or swim suit tops for women in order to allow for proper practice of techniques.
Course Prerequisite: EB abstracts will be emailed to participants prior to the course
“During hands-on lab sessions, the course instructor(s) will evaluate each participant’s techniques/skills learned to determine proficiency for course completion. If 3/5 criteria are not attained the instructor will work with the attendee until all the criteria is met. Post test at end of course will be used as a tool to review answers and rationale, ensuring attendees have gained all content knowledge.
At the conclusion of this presentation the participant will be able to:
- Identify the 3 components of the brachial plexus
- Describe 3 possible pathologies of the nervous system as covered in this course
- Identify 3 symptoms of brachial plexopathy of the upper quadrant
- Following the course and given 3 case scenarios the participant will match all appropriate testing of the UE using novel neural mobility grading scales (0-5) for biasing the Brachial Plexus, Radial, Median and Ulnar nerves
- Apply 3 basic treatment techniques based on results obtained from neural mobility testing of the upper extremity for a patient with lateral epicondylagia.
- Apply 2 basic treatment techniques based on results obtained from neural mobility of the LE with metric measurements (of the hip or knee) using: the Straight Leg Raise with biasing of the Tibial and Fibular nerves, Prone Knee bend with biasing of the Femoral and Saphenous nerves for a given case study.
- Apply the concept of structural differentiation as referenced in the literature to determine neural vs non-neural tissue movement restrictions of the UE through joint positioning, palpation and symptom behavior
- Apply the concept of structural differentiation as referenced in the literature to determine neural vs non-neural tissue movement restrictions of the LE through joint positioning, palpation and symptom behavior
- Design a comprehensive intervention plan including exercises, manual techniques and home exercises based on exam results from a given case study
15 contact hours
BOC Level: Advanced
This course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. Certificate of Attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.
California OT Board: This course and instructor have been approved by the CA Board of OT for 7.5 contact hours of post-professional education in the advanced practice area of hand therapy. Approval #22-H20.
Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 15 contact hours.
Florida Board of Athletic Trainers: This course meets the standards set forth in Chapter 64B17-9, Florida for 15 (live) continuing education hours for Athletic Trainers (HIV/AIDS). Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. (Course must be taken after 10-27-2016)
NJ Board of Chiropractic Examiners: The New Jersey State Board of Chiropractic Examiners has approved Rehab Education as a pre-approved provider/sponsor of chiropractic continuing education courses. This course has been approved for 15 contact hours. (Course must be taken between 09-1-2019 and 08-31-2021)
NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2022)
The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. At the time of listing, these states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:
District of Columbia
Florida **(self-report to CE Broker)
Wisconsin (self study courses only)
*Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.
The following PT Boards accept courses approved by other PT State boards*:
District of Columbia
The following PT Boards accept courses approved by other APTA state associations*:
District of Columbia
Florida **(self-report to CE Broker)
**FL licensees may need to self-submit courses in CE Broker
*NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC… Hand Therapy Certification Commission (view recertification requirements)
Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.
|7:30 – 8:00||Registration|
|8:00 – 9:00||Introduction of Topic
Anatomy and Physiology
|9:00 – 10:30||Palpation Lab|
|10:30 – 10:45||Break|
|10:45 – 12:00||Mobility Assessment Lab Part 1|
|12:00 – 12:45||Lunch|
|1:00 – 2:30||Mobility Assessment Lab Part 2|
|2:30 – 2:45||Documentation of Findings|
|2:45 – 3:00||Break|
|3:00 – 3:15||Indications for Neural Mobility Assessment|
|3:15 – 5:30||
Basic Teaching Case Studies Lab/Lecture
|8:00 – 8:30||Literature review|
|8:30 – 10:00||Review of examination techniques Lab|
|10:00 – 10:45||The Thoracic Outlet Syndrome|
|10:45 – 11:00||Break|
|11:00 – 11:45||Examination and Treatment Lab|
|11:45 – 12:30||
Complex Case Studies and Problem Solving Lab
|12:30 – 1:30||Lunch|
|1:30 – 2:45||
Complex Case Studies and Problem Solving: Lab Part 2
|2:45 – 3:00||Break|
|3:00 – 4:00||Continued- Complex Case Studies|
|4:00 – 4:15||Post-Test|
|4:15 – 4:30||Review, Q & A, Post-course assessment|
Mark W. Butler, PT, DPT, OCS, Cert. MDT
is a board certified Orthopaedic clinical specialist and Mckenzie certified specialist for mechanical diagnosis and treatment of the spine. He started his own practice eighteen months after graduating from the Philadelphia College of Pharmacy and Science (now the University of Science in Philadelphia), which he sold to NovaCare in 1997.
He is an Adjunct Assistant Professor at UMDNJ, guest lecturer at Stockton College in New Jersey, and Medical College of Virginia where he lectures on Advanced Orthopedics, Neural Mobilization, Radiology, and Evaluation and Treatment of TMJ Disorders. Mark is also a continuing education speaker on Evaluation and Treatment of Brachial Plexopathies, Neural Mobilization, the lumbar spine, and the shoulder. He was honored in 2006 with the James Tucker Excellence in Clinical Practice and Teaching Award by the APTAnj. He presented at the national conference in Hollywood of the American Society of Hand Therapists on Evaluation and Treatment of the Brachial Plexopathy Patient. His lecture series was selected as the featured topic on CD ROM to be available to the ASHT membership.
Mark is a frequent presenter at conferences, including the APTAnj annual conference, the InNovations and Sports Medicine conferences at the Philadelphia Eagles Complex, and the Cincinnati Fracture conference. He authored the shoulder chapter in the textbook Fundamentals of Hand Therapy: Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity, which was published in 2014. Mark continues to manage the NovaCare Medford outpatient clinic, where the majority of his caseload is brachial plexopathy, shoulder, and spine patients.
Classes taught by Mark W. Butler:
- Neural Mobilization: Examination & Intervention Strategies
- Musculoskeletal Imaging for the Physical and Occupational Therapist
- Instrument Assisted Soft Tissue Mobilization (IASTM): Comprehensive Skills Course
- Introduction to Instrument Assisted Soft Tissue Mobilization (IASTM)
- Examination and Interventions for Shoulder Pathologies: A Practical and Evidence-Based Approach
- Scrape, Tape, Cup & Glide: Restoring Space, Motion, & Slack for Restricted Neural Dynamics of the Upper Quarter
- Scrape, Tape, Cup & Glide: Restoring Space, Motion, & Slack for Restricted Neural Dynamics of the Lower Quarter