Neural Mobilization: Examination & Intervention Strategies

MNT 2The 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. The course is appropriate for physical therapists, occupational therapists, physical therapy assistants and occupational therapy assistants as both assessment and treatment concepts will be covered to aide them 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, course instructor(s) will evaluate each participant’s techniques/skills learned to determine proficiency for course completion. Post test at end of course will assess your new knowledge.

At the end of the course each participant will be given a course evaluation and a self reflective questionnaire.

Course Objectives:

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

CE Credits

15 contact hours

BOC Skill Level: Essential

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.

AOTA Approved Provider | FSBPT Approved

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 PT Association: This course meets the standards set forth in Chapter 64B17-9, Florida for 17.5 (live) continuing education hours for Physical Therapists. Approval #CE17-553143. Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. (Course must be taken between 01-1-2017 and 12-31-2017)

Florida PT Association (Physical Therapist Assistants): This course meets the standards set forth in Chapter 64B17-9, Florida for 15 (live) continuing education hours for Physical Therapist Assistants. Approval #CE17-553143. Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. (Course must be taken between 01-1-2017 and 12-31-2017)

FL State Occupational Therapy Board: Rehab Education, LLC is recognized as an approved provider for general Live CE courses. This course has been approved for 15 contact hours. (Course must be taken between 10-27-2016 and 02-28-2019)

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 to 10-27-2016)

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, Approval #216.000227. (Course must be taken prior to 09-30-2018)

Maryland State Board of Physical Therapy Examiners: Approved by the Maryland State Board of Physical Therapy Examiners for 1.5 CEUs. (Course must be taken between 08-2-2013 and 08-2-2017)

New Jersey State Board of Physical Therapy Examiners: This course has been approved by the New Jersey State Board of Physical Therapy Examiners for 15 continuing education credits, Approval #2016-1172. (Course must be taken between 03-5-2016 and 01-31-2018)

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 05-10-2018)

American Occupational Therapy Association (AOTA) Approved Provider #6177: These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska
Arkansas
Delaware
District of Columbia
Illinois
Indiana
Kentucky
Louisiana
Maryland
Minnesota
Mississippi
Missouri
Montana
Nevada
New Hampshire
New York
North Carolina
North Dakota
Ohio
Oregon
Oklahoma
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Vermont
Virginia

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Federation of State Boards of Physical Therapy (FSBPT): This activity is certified for 17 CCUs by the Federation of State Boards of Physical Therapy (FSBPT) and accordingly accepted by the physical therapy regulatory boards/agencies in certain U.S. jurisdictions. The physical therapy boards in the following states currently accept the Federation of State Boards of Physical Therapy (FSBPT) certification:

Alaska
Arizona
Arkansas
California
Delaware
District of Columbia
Georgia
Hawaii
Illinois
Indiana
Kansas
Kentucky
Michigan
Mississippi
Missouri
Montana
Nebraska
North Carolina
North Dakota
Oregon
South Carolina
Tennessee
Utah
Vermont
Virginia
Wisconsin
Wyoming
(Course must be taken between 03-11-2017 and 03-10-2019)

*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 state PT boards or APTA state associations*:

Georgia
Kentucky
Montana
North Carolina
Oregon
Virginia

The following PT Boards accept courses approved by other APTA state associations*:

Arizona
Florida
Indiana
Mississippi
Missouri
Rhode Island
Utah
Vermont
Wisconsin

The following PT Boards accept courses provided by AOTA approved providers*:

Arizona
District of Columbia
Rhode Island

HELPFUL LINKS:
*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.

State PT Boards
State OT Boards

Agenda

Day 1

7:30 – 8:00 Registration
8:00 – 9:00 Introduction of Topic
Anatomy and Physiology
Pathology
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
Concepts covered: misdiagnosed conditions, structural differentiation, test modification to track outcomes. Treatment principles: flossing, tensioning

  • Meralgia Paresthetica
  • Lateral epicondylalgia
  • Restless leg syndrome
  • TKR with persistent burning in the anterolateral lower leg
  • Little league elbow
  • Softball player with eversion sprain from sliding into second base

 

Day 2

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

  • Focus activities: Identify potential sources of symptoms, develop examination strategy, provide comprehensive intervention plan
    • Baseball pitcher with “Dead Arm” syndrome and SICK Scapula
    • Marathon runner with buttock, thigh, and heel pain – no back pain
12:30 – 1:30 Lunch
1:30 – 2:45

Complex Case Studies and Problem Solving: Lab Part 2

  • Stockbroker who recently returned to surfing with facial and chest wall pain + numbness of the ring and small fingers.
  • LPN with burning along the medial scapular border, posterior shoulder, lateral epicondyle and into the dorsum of the hand occurring after transferring a patient
  • Weekend tennis player – recovering from Achilles tendon repair with persistent burning along the lateral heel
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:

Tuition

Note: Early Bird rates are in effect if your application is postmarked four weeks or more prior to registration.Early Bird RateLate Registration Rate
Neural Mobilization: Examination & Intervention Strategies$449.00$504.00

Dates & Locations

Course Prerequisite: EB abstracts will be emailed to participants prior to the course

DateCity
Feb 24 - Feb 25, 2018Toms River, NJ
Nov 3 - Nov 4, 2018Miami, FL
Please note the date: 2018

Please note:
Live courses require a minimum number of participants to operate. You will receive a written confirmation when minimum is met. Do not purchase non-refundable travel until you receive official written confirmation. Please see our cancellation policy here.

INTERESTED IN HOSTING? PLEASE CALL 845-368-2458 OR E-MAIL info@RehabEd.com

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