NWHSU logo
Methods 7 Selective: Advanced Motion Assessment - Neglected and Misunderstood Concepts in Spinal Manipulative Therapy #33675


 

 
Thomas Bergmann, DC
1.0
22.50
0
3.0

The purpose of this course is to develop cause and affect relationships pertaining to the structural and functional changes associated with dysfunctional processes affecting the spine and extremities. Terminology, theories, mechanisms, evaluative procedures and adjustive techniques will be explored, discussed and demonstrated. The course will include a number of brief, concise, and clinically relevant topics. Students will augment, amplify, and practice psychomotor skills and adjustive technique skills introduced in previous methods classes in the HWCC Integrated Methods curriculum. Further, modifications for patient and doctor differences will be presented including different positions and prestresses.

Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
Top

  1. Discuss differing mechanisms in the application of thrusting techniques, the effects of the adjustment on joints, and types of adjustive thrusts;
  2. Determine how to incorporate, apply or modify manual therapies into treatment plans for common conditions of the neuromusculoskeletal system;
  3. Better appreciate the need for integration of chiropractic technique procedures;
  4. Understand the nature of the pathophysiological changes common to the subluxation complex;
  5. See the need for and be able to perform a comprehensive spinal examination;
  6. Recognize the need to evaluate for and be able to treat problems affecting specific and often neglected areas of the spine;
  7. Understand the interrelationship of the joint systems of the skull including the anatomy, biomechanics, and kinetic relationships of the TMJ, atlanto-occipital articulation and cranium; evaluation and manipulative procedures will be discussed and demonstrated;
  8. Use long axis distractive thrust techniques in the spine and extremities;
  9. Correct lateral flexion dysfunction in spinal segments;
  10. Use the supine position for adjusting specific segmental dysfunction using prestresses allowed by the supine position;
  11. Use the side posture position for specific adjustment of the CO-C1-C2 complex;
  12. Appreciate options for adjusting the thoracolumbar and cervicothoracic transition areas;
  13. Explore the biomechanics and manipulative mechanics of the pelvis including the sacroiliac joints and pubic symphysis;
  14. Evaluate and apply indicated thrusting forms of manual therapy to the upper and lower extremities.
Materials
Top
A. Required Text(s):
  1. Bergmann, Peterson, Lawrence. Chiropractic Technique, Churchill Livingstone, 1993.
  2. Bergmann, Davis. Mechanically Assisted Manual Procedures, Mosby, 1997.
  3. Lecture Notes (available in the bookstore)

B. Recommended Text(s):
  1. Plaugher, Textbook of Clinical Chiropractic.
  2. Kirk, Lawrence, Valvo. States Manual of Spinal, Pelvic and Extravertebral Technics, 2nd ed.
  3. Vleeming, Mooney, Dorman, Snijders, Stoeckart. Movement, Stability & Low Back Pain.
  4. DeFranca. Pelvic Locomotor Dysfunction, A Clinical Approach.
  5. Lewit. Manipulative Therapy in the rehabilitation of the Locomotor System.
  6. Murphy. Conservative Management of Cervical Spine Syndromes.
  7. Maigne. Vertebral Origin of Pain.
  8. Gatterman. Chiropractic Management of Spine RElated Disorders.
  9. Kirkaldy-Willis. Managing Low Back Pain.
  10. Grieve. Common Vertebral Joint Problems.
  11. Grieve. Modern Manual Therapy.

C. Required Materials for Lab:
  1. See #2 below.
Assignments
Top
  1. Review psychomotor skills and procedures taught in previous Methods classes at NWCC.
  2. Proper attire is expected in the laboratory sessions: department policy will be followed. Please review the outline prior to class to ensure reasonable access to the scheduled body region.
Attendance
Top
Attendance is expected at all scheduled classes.
Grading Criteria
Top
Written Final: 100 points, multiple choice (in the style of Part 2 NBCE Chiropractic Practice)

Guaranteed grades are as follows:

A =

Grading is based on an S/F grading criteria:

S = 65 - 100 % of Total Possible Points

F = Failure to accrue at least 65% of the Total Possible Points
B = N/A
C = N/A
D = N/A
F = N/A
Course Competencies
Top
--

COGNITIVE DOMAIN


--

Conditions:
Enter conditions here.

PSYCHOMOTOR DOMAIN


--

AFFECTIVE DOMAIN


--
Weekly Calendar of Learning Objectives
Top
Week Dates Topics/Learning objectives
Week 1 -- Introduction: Syllabus, Joint Assessment. Sacroiliac evaluation, side posture positioning and adjustments of SI. Pelvic rotation adjustments, adjustive consideration for hyperflexible patients, pubic adjustment, coccyx adjustments.
Week 2 -- Lumbar Spine Assessment, side posture adjustments lumbar spine (R, LF) considering assisted and resisted prestresses, sitting lumbar adjustments.
Prone, supine, and knee-chest adjustments of the thoracic spine.
Week 3 -- CT Junction techniques; supine, seated, side posture and prone adjustments of the cervical spine.
TMJ Evaluation, TMJ Manipulation.
Week 4 -- Shoulder Evaluation and Adjustments.
Elbow, Wrist, and Hand evaluation and adjustments.
Week 5 -- Hip, Knee, Ankle, Foot evaluation and adjustments.
Week 6 -- Written Final Exam: TBA
Week 7 -- --
Week 8 -- --
Week 9 -- --
Week 10 -- --
Week 11 -- --
Week 12 -- --
Week 13 -- --
Week 14 -- --
Week 15 -- --
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Clinical Sciences
Last updated: 27 October, 2003
 

Copyright ©2006 Northwestern Health Sciences University, 2501 W. 84th St., Bloomington, MN 55431, (952) 888-4777.
Send your questions/comments about the website to Northwestern Health Sciences University Web Coordinator.