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A Systematic Manual Therapy Approach to the Thoracic Spine

Why take this Continuing Education Course?

This two-day, intermediate level, seminar is designed to provide the medical professional with the information, evaluation skills and treatment techniques to effectively manage disorders of the thoracic spine. Course participants will learn a systematic approach for evaluating and treating dysfunctions of the thoracic spine. Instruction begins with anatomy, physiology and biomechanics and progresses to assessment of soft tissue, joint motion and the interrelationship between biomechanical motions in the thoracic region. The participants will be led through the specific evaluation and treatment plans using and applying manual techniques as well as learning to utilize the most appropriate therapeutic exercises to maximize outcomes. Thorough discussion and laboratory time will provide the tools necessary to identify the underlying mechanism of thoracic dysfunction when dealing with hypomobility, compression fractures, scoliosis, positional faults, disc, joint and rib motion dysfunctions and pain. In-depth understanding of the thoracic region will enable the participants to fully participate in the treatment discussion and lab sessions detailing differential diagnosis, manual techniques, therapeutic exercises and home maintenance programs for specific disorders. The interrelationship between the cervical-thoracic, thoracolumbar and shoulder complex will also be examined.

Participants will gain the skills necessary to identify the underlying mechanism of injury and treat appropriately. A comprehensive course manual with illustrations and step-by-step instructions will assist the clinician in their understanding of the material. The skills and techniques learned in this class can be immediately applied in the clinical setting.


Physical therapy and Occupational Therapy Continuing Education Courses
  • Recognize the functional anatomy, physiology and normal biomechanics of the thoracic spine and ribs.
  • Perform palpation to determine normal and abnormal biomechanics.
  • Identify the interrelationship between the cervical/thoracic region, thoracic region and shoulder, thoracic spine and ribs and the thoracic/lumbar region.
  • Perform a thorough evaluation of joint motion in the thoracic and rib region in supine, prone, and sidelying and be able to differentiate between muscular and joint restrictions.
  • Perform specific muscle techniques to decrease hypomobility at specific segments.
  • Recognize when to utilize thoracic disc traction, thoracic facet traction and joint gliding techniques.
  • Identify appropriate breathing patterns and how they affect the thoracic spine and ribs.
  • Perform provocation alleviation tests and special tests to identify the source of dysfunction.
  • Identify which segmental level is the source of dysfunction and develop an appropriate treatment plan utilizing joint mobilizations, muscle energy and exercise to achieve positive outcomes.
  • Develop comprehensive treatment programs for the thoracic spine and ribs to restore normal function.
  • Develop home maintenance programs to maintain patient results.
  • Utilize appropriate terminology when discussing evaluation and treatment programs.
  • Instructor name

    Brian Nalazek, OMPT, PT, CWT

    My approach to orthopedic dysfunction combines an eclectic approach of joint mobilizations, muscle reeducation, manual therapy, exercise and education.
    More Instructor Info

    OT PT Continuing Education Courses, Dates & Locations

    There are no course dates available for this course. This is available for a private course at your facility, Learn more

    State Continuing Education Course Approvals

    All courses are pre-approved by the state licensing boards for physical therapists, physical therapy assistants and occupational therapists, occupational therapy assistants and athletic trainers for license renewal in the state the course is offered.

    Courses provided by AOTA providers are accepted by NBCOT. 1 hour = 1.25 PDU. North American Seminars is and AOTA provider, provider #4487

    North American Seminars, Inc. (BOC provider #P2047) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for the maximum stated hours of Category A hours/CEUs. Athletic Trainers should claim only those hours actually spent in the education program.

    Online Continuing Education Course Resource For This Course

    PT PTA OT Online Continuing Education Course

    Clinical Examination and Treatment of the Cervical and Upper Thoracic Spine

    Price when purchased with registration: $ 79.95

    Delivery: DVD (if DVD - delivered to course site)

    More Info

    *Promotional prices for e-learning products are only provided when registering for live course attendance