Sponsored by California Orthopedic Manual Therapy Special Interest Group of the CPTA
Saturday, June 9, 2018
Agile Physical Therapy
3825 El Camino Real
Palo Alto, CA
Abe Shamma, PT, DPT, OCS, Cert. MDT, FAAOMPT and Ed Schiavone PT, COMT, OCS, FAAOMPT
CA Orthopedic Manual PT, SIG
Common barriers to the use of HVLA techniques cited by physical therapists include lack of confidence and insufficient instruction. These lead to underutilization of spinal HVLA techniques in clinical practice. This course will address specific barriers to implementation of HVLA techniques in the clinic, including safety, therapist confidence, and patient selection. Techniques will be presented with an emphasis on patient and therapist comfort, ease of use, and safety. Strategies to facilitate ongoing practice and technique refinement will also be discussed. The course will primarily consist of lab sessions with interspersed instructional components. There will be a review of evidence pertaining to HVLA, indications/contraindications to HVLA, a discussion of VBI/CAD testing, and concepts related to the model of spinal positioning and locking for HVLA. Specific techniques and strategies from osteopathic and Australian traditions will be presented. There will be ample time for practice and one on one attention.
Participants: Physical Therapists only
Instructor to Student Ratio: 1:12
Educational level: Intermediate/Advanced
COMPTSIG members - $180
APTA members - $210 Non-APTA members - $300
At the conclusion of the course the participant will be able to:
- Discuss current best evidence relating to the use of High Velocity Low Amplitude (HVLA) techniques on the spine
- Describe and demonstrate spinal positioning and locking used in upper cervical, cervicothoracic, and lumbosacral HVLA techniques necessary to ensure patient comfort and safety while delivering an effective thrust.
- Demonstrate enhanced proficiency in the delivery of HVLA techniques to the spine – upper cervical, cervical, CT junction and lumbosacral regions.
Morning Topic Time
Theoretical Models for HVLA,
Spinal Biomechanics and principles of successful thrust technique
CAD Discussion, Demo feedback
Mid-Cervical Upslope and Downslope 9:30-10:15
Break – 15 minutes 10:15-10:30
Lumbar Rotation in Neutral/Extension 10:30-11:15
Seated CT Extension Gliding 11:15-11:45
Thoracic Supine PA (variation) 11:45-12:15
Afternoon Topic Time
Mid Cervical Upslope/Downslope 1:15-1:45
Thoraco-lumbar rotation in side lying 1:45-2:15
C1/2 Rotation 2:15-2:45
Cradle hold/Chin hold
Break – 15 minutes 2:45-3:00
L5/S1 Rotation in Neutral/Extension and Lumbar Rotation
Seated Thoracic Extension Gliding 3:30-4:00
Discussion and Review Cervical Cradle hold, Lx Rot, DEMO/refinement, problem
Ed Schiavone PT, COMT, OCS, FAAOMPT
Ed Schiavone earned a BS in Physical Therapy from Youngstown State University, Ohio. He received his Orthopedic Manual Therapy certification in 2005. Ed completed the Advanced Orthopedic Manual Therapy Fellowship at Kaiser Permanente Northern California in 2006 and has been an OCS since 2009. He is clinic director at Agile Physical Therapy in Palo Alto, CA. Ed was the Agile Orthopedic Physical Therapy residency coordinator prior to taking on the clinic director position. As residency coordinator Ed has taught and mentored residents, and led faculty and education curriculum development. Ed has been on faculty of the Kaiser Permanente Northern California Orthopaedic Manual Physical Therapy Fellowship since 2011. As part of the fellowship faculty he mentors Fellows in training, teaches clinical reasoning in the use of manual therapy, and has taught many classes on thrust and non-thrust mobilization/manipulation. He also teaches continuing education classes on the topic of thrust techniques for the spine and extremities to physical therapists of all skill levels. In 2016, Ed co-founded PhysioTree LLC, a healthcare information technology start-up specializing in clinical applications.
Abe Shamma, PT, DPT, OCS, Cert. MDT, FAAOMPT
Abe earned a BS in Physical Therapy from The State University of New York at Buffalo, and a DPT from Chatham University in Pittsburgh, PA. He is certified in Mechanical Diagnosis and Treatment of the spine. Abe completed the Advanced Orthopedic Manual Therapy Fellowship at Kaiser Permanente Northern California in 2006 and has been an OCS since 2007. He is a PT clinical specialist at Kaiser Permanente in Union City, CA. Abe was on the faculty of the Kaiser Permanente Northern California Orthopaedic Manual Physical Therapy Fellowship for several years. As part of the fellowship faculty he mentored Fellows in training, taught clinical reasoning in the use of manual therapy, and has taught many classes on thrust and non-thrust mobilization/manipulation. He and Ed teach continuing education classes on the topics of exercise and thrust techniques for the spine and extremities.