Movement system introduction
→ Anatomical, biomechanical and neurophysiological considerations for the classification of muscle functional roles
→ Local & global muscle function
→ Influence of pain on motor control and recruitment threshold
→ Site & direction of stability dysfunction

Management process & rehab strategies to improve functional stability
→ Restriction and compensation 'give' inter-relationships
→ Principles for retraining stability dysfunction
Review of thoracic ribcage and shoulder girdle anatomy and function

Palpation & mobilisation of cervico-thoracic & rib restrictions
→ Upper quadrant loading dysfunction
→ Cervico-thoracic palpation & mobilization → Manual assessment & mobilization of segmental rotation restrictions

Assessment & mobilisation of rib dysfunctions
→ Positional diagnosis and identification of compensation for primary restrictions
→ Structural rib dysfunctions

• Anterior shear
  
• Posterior shear
  
• Internal rotation
  
• External rotation
  
• 1st rib
  
• 2nd rib
  

→ Assessment and palpation
→ Mobilization

Uncontrolled Movement in the Thorax
→ Tests for uncontrolled thoracic flexion
→ Tests for uncontrolled thoracic extension
→ Tests for uncontrolled thoracic rotation
→ Tests for uncontrolled thoracic & rib respiration

• Movement faults associated with thoracic and ribcage movement
  
• Restrictions & compensation
  
• Indications to test for thoracic flexion UCM:
  
• Thoracic tests for uncontrolled movement
  
• Destabilization of thoracic uncontrolled movement
  

Assessment and rehab of local muscle control of the thoracic translation
→ Transversus Abdominis
→ Segmental thoracic multifidus
→ Lower trapezius

Assessment and retraining of global muscle imbalance at the hip
→ Restrictions due to over-dominant mobilizers
→ Uncontrolled movement due to inefficient stabilisers

COURSE OBJECTIVES - LEARNING OUTCOMES:
At the end of this course the student should be able to:
1) Classify muscles roles based on function & dysfunction
2) Understand the development of movement and stability dysfunction
3) Analyze the inter-relationship between restriction and compensation in articular and myofascial tissues
4) Identify and palpate all relevant landmarks, ligaments and muscles of the lumbo-pelvic region
5) Perform and interpret the relevance of tests of rib mobility
6) Demonstrate the ability to choose appropriate and apply articular or myofascial techniques to restore normal thoracic and rib function
7) Develop a home exercise program to maintain mobility and function after manual mobilization
8) Clinically assess thoracic and ribcage motor control strategies to identify and diagnose the site and direction of uncontrolled movement and retrain direction specific dysfunction
9) Assess and rehab local stabilizer function at the hip
10) Identify and correct global imbalance in stabilizer - mobilizer function
11) Develop an evidence based management plan to improve functional control
12) Use clinical reasoning to prioritize initial management and plan a progression of rehab
13) Apply rehabilitation strategies to manage thoracic stability dysfunction
14) Use re-assessment tools to guide the rate of progression of an individual patient through their rehab program

● Seminar includes coffee breaks and handouts. Lunch is not included.

● Course related products (if any) will be available at the course, however, in a limited quantity.

● Certificates of Attendance will be given to all participants and may be used for those who need C.E.U. verification and credits.

● Participants will be required to sign a Release of Liability prior to the commencement of this seminar.

● Northeast Seminars is recognized by the NATA Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers.

● Location, Instructor, Dates and Cost of seminar are subject to change.

● For group rate accommodations, please call hotel directly and be sure to mention Northeast Seminars. A limited number of rooms are reserved for participants, when available, on a first-come, first-served basis. Within 30 days of the course, rooms and/or rates may no longer be available. If course is to be held at a facility, Northeast only provides suggested hotels nearby for room accommodations.

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