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Spinal Manipulation: Demystifying and Mastering the Technique

Our Spinal Manipulation course is designed to enhance and further develop the knowledge and skills of physical therapists by building upon their entry level training in orthopedic manual therapy of the spine and pelvis.  This course is based on the most recent and best available evidence regarding spinal assessment, screening, risk factors associated with manual therapy, safety, including precautions and contraindications, and the clinical implementation of spinal manipulation. The history of spinal manipulation, informed consent, and different theories of how to apply proper spinal manipulation will be discussed to improve the clinician’s understanding of current topics in manual therapy.  Discussion of other interventions such as therapeutic exercise, pain science, and education will be included in this course to ensure that clinicians are able to provide a multimodal treatment approach to spinal conditions that would benefit from spinal manipulative therapy. 

The primary emphasis of this course is the safe and skillful application of manipulative therapy of the spine.  Therefore, this course is a lab intensive seminar in order to achieve competence in performing high velocity low amplitude thrust procedures.  Instructor to student ratio is monitored in order ensure quality supervision and feedback on safe performance of all procedures.

Physical therapists, student physical therapists, medical doctors, and osteopaths.

Cost: ONLY $299 (9CEUs)


Target Audience:


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"Fantastic course! I came into the course with a little experience with manipulations, but had lost a lot of confidence in doing them. Eric not only helped me regain confidence in performing manipulations again but taught me many new techniques in a way that was easy to learn. We got to practice each one thoroughly and had a great time doing it! Would highly recommend this course to anyone looking to improve their manual therapy skills!
There you go! Thanks again Eric!"
-Kyle B.


"This course was extremely helpful in building my confidence to actually try doing all the techniques on a patient in the clinic since we got so many reps in the course. Had successful pops on my very first patient that Monday, couldn't wait to do it."
-Andy S.


Course Objectives
Upon completion of this course, participants will:
- Demystify the delivery of spinal manipulation and associated cavitation or “pop” with HVLAT.

- Utilize sound clinical reasoning skills and screening in order to determine if a patient

is a candidate for manual therapy and HVLAT.
 -Develop proper psychomotor skills to confidently perform spinal manipulation in a safe and effective manner.
- Master the use multiple levers/components to manufacture a pre-manipulative barrier for a safer application of a HVLAT to the cervical spine, thoracic spine, lumbar spine, rib cage sacroiliac joint and associated junctional zones in a way that avoids HVLAT at the end of patients range of motion.
- Able to perform different types of thrust joint manipulation and possess the reasoning for selecting the type of manipulation for each joint or patient.
-Recognize the current and best evidence for the implementation of spinal manipulation in clinical practice.
- Knowledgeable in safety, precautions and contraindications to manual therapy and high velocity low amplitude thrust techniques in order to apply spinal manipulation safely in a clinical setting.

About the Instructor 

Dr. Eric Jorde is an orthopedic Physical Therapist at Direct Performance Physical Therapy in the
Richmond Metropolitan area in Virginia. Dr. Jorde earned his Bachelors of Science degree in Biology
from the State University of New York at Plattsburgh in 1998, his Master of Physical Therapy degree in
2001 and a Doctorate of Physical Therapy in 2004 from Shenandoah University.

Dr. Jorde's post graduate certifications include the following: Certification in Mechanical Diagnosis &
Therapy (McKenzie Method) in 2004, Board Certified in Orthopedics (OCS designation) by the American
Board of Physical Therapy Specialties (2006), APTA Certified Clinical Instructor (2006), Direct Access to
Physical Therapy Certification (2008), Certification in Spinal Manipulation by the Spinal Manipulation
Institute of the American Academy of Manipulative Therapy (2011).

Dr. Jorde has served as an adjunct faculty member of the School of Physical Therapy and Athletic
Training at Old Dominion University and taught courses regarding spinal manipulation and Mechanical
Diagnosis and Therapy. He has taught a guest lecturer at Radford University Program in Physical
Therapy regarding cervical spine Mechanical Diagnosis and Therapy.

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