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 integrates the basic concept of “test-treat-retest” as a foundation to manage these challenging patients.
The basic principle that neural tissue needs space, motion, and slack for optimal healing potential underpins all concepts covered. This upper extremity focused course features motion-based interventions consisting of:
- neural flossing
- nerve bed/nerve differential gliding
- instrument assisted soft tissue mobilization (IASTM)
- negative pressure soft tissue mobilization (cupping)
- corrective exercises
- taping
Please dress to allow access to your entire upper quarter to enhance the learning process.
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 completion of this course you will be able to:
- Identify 2 main regions of the brachial plexus
- Given a patient scenario in which the patient demonstrates a numb hand map patients’ symptoms to the brachial plexus
- Identify 2 conditions that increase the potential for nerve injury vulnerability in patients with cervical sprain/strain.
- Identify 2 signs and 4 symptoms of brachial plexalgia
- 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 nerve tissue and nerve beds.
- 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
- Given a case scenario for a patient with lateral epicondylagia generate a treatment plan, including goals and prognosis based on exam results.
- Justify based on evidence how basic treatment to restore space, motion, and slack can be integrated into the overall treatment plan for patients with Upper Extremity Nerve Entrapment.
- Given a patient scenario choose 3 appropriate IASTM treatments to enhance movement and space for movement dysfunctions resulting from restricted neural mobility of the upper quarter
- Choose 3 basic negative pressure soft tissue techniques (cupping) over the nerve bed to enhance space and movement for addressing restricted neural dynamics in patients with shoulder sprain/strain.
- Following the course and given 3 case scenarios the participant will integrate cupping and IASTM strokes to each case.
- Choose 2 taping techniques to enhance slack promoting posture correction and inhibition of neuropathic pain for patients with cervical sprain/strain
CE Credits
14 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 | BOC Approved Provider
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 14 contact hours.
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)
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.
Board of Certification, Inc (BOC) Approved Provider #P8271: Rehab Education, LLC is recognized by the Board of Certification, Inc. (BOC) to offer continuing education for Certified Athletic Trainers. (Course must be taken prior to 12-31-2017)
*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.
Agenda
Day 1
| 7:30 – 8:00 | Continental Breakfast and sign in |
| 8:00 – 9:00 | Introduction and background of basic concepts: Neural Physiology for Optimal Healing – Space, Motion, Slack |
| Assessing the Sensitized Neural Tissue: The following Labs are focused on collecting baseline data for test-treat-retest guided clinical decision-making | |
| 9:00 – 9:45 | Palpation Lab |
| 9:45- 10:00 | Break |
| 10:00 – 11:15 | UE Mobility Assessment Lab |
| 11:15 – 11:45 | Novel nerve bed examination techniques |
| 11:45- 12:45 | Lunch Break |
| 12:45 – 1:15 | Quiz for concept retention & treatment conditions Review/ Quiz |
| 1:15- 1:30 | Indications/contraindications |
| Patient Case Scenarios – Application of concepts | |
| 1:30 – 3:00 | Concepts covered: misdiagnosed conditions & confusing symptoms, structural differentiation. Treatment principles: nerve bed IASTM – clinical cases Lab
|
| 3:00 – 3:15 | Break |
| 3:15 – 4:15 | Applying negative pressure (Cupping) principles in the treatment of the above clinical scenarios |
| 4:15 – 4:45 | Integrating IASTM and Cupping simultaneously over the nerve bed to promote space and motion in the above clinical scenarios |
Day 2
| 7:30 – 8:00 | Continental Breakfast and sign in |
| 8:00 – 9:00 | The Thoracic Outlet Syndrome – The Brachial Plexus Thoracic Outlet Syndrome – Lecture (0.5)/lab (0.5) |
| 9:00 – 9:30 | Brachial Plexalgia Case Scenarios – Application of examination techniques. (Independent small group clinical case scenarios examination skills integration lab)
|
| Treatment concepts to promote space and slack along the nerve bed for the UE | |
| 9:30 – 10:00 | Breathing Diaphragmatically – exercise lab |
| 10:00 – 10:15 | Break |
| 10:15 – 10:45 | Posture corrective exercises – cervical focus |
| 10:45 – 11:15 | Posture corrective exercises – scapular focus |
| 11:15 – 12:15 | Nerve bed mobilization with flossing |
| 12:15 – 1:15 | Lunch |
| 1:15 – 1:30 | Sustained cupping over the nerve beds while flossing the neural tissue |
| 1:30 – 3:00 | Taping along the nerve bed and for posture correction & treatment carry over |
| 3:00 – 3:15 | Break |
| 3:15 – 4:15 | Conclusion – small group skills integration clinical cases treatment lab – Brachial Plexalgia cases above |
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
Tuition
| Note: Early Bird rates are in effect if your application is postmarked four weeks or more prior to registration. | Early Bird Rate | Late Registration Rate |
| Scrape, Tape, Cup & Glide: Restoring Space, Motion, & Slack for Restricted Neural Dynamics of the Upper Quarter – NEW! | $479.00 | $529.00 |
Dates & Locations
| Date | City |
| Oct 7 - Oct 8, 2017 | Framingham, MA |
| Apr 14 - Apr 15, 2018 | West Orange, NJ |
| Apr 28 - Apr 29, 2018 | Silver Spring (Washington DC area), MD |
| Jun 15 - Jun 16, 2018 | New York, NY |
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
Live Course