This two-day, evidenced based, laboratory intensive course will focus on teaching a historically useful manual therapy technique, Proprioceptive Neuromuscular Facilitation (PNF). The course introduces PNF as a manual therapy and exercise intervention technique to address common pathologies of both upper and lower extremities. The course is intended to provide the clinician with the skill to rehabilitate the patient with a hands-on, integrative approach. This will be accomplished through a combination of lecture, demonstration, and significant lab time. The structured sessions are aimed at emphasizing important concepts in neurophysiology and motor learning to improve neuromuscular control in orthopedic patients. Mastery of these techniques requires a solid foundation in basic anatomy and the pathomechanics of the shoulder and hip. Attendees will learn useful terminology, basic procedures, and techniques.

Participants will learn to successfully apply PNF techniques in a manner that each patient-centered session is both therapeutic intervention and assessment or evaluation. The clinician will learn to develop and sequence a dynamic treatment plan incorporating PNF techniques that can be used for conservative and post-operative approaches. Current clinical evidence supports the combination of these treatments when properly performed and prescribed by a skilled clinician. Strategies for documentation and coding will also be covered.

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Low back pain is a significant contributor to disability worldwide and is one of the most common conditions for which patients seek care. Treatment approaches can often be confusing due to dogmatic classification systems, which can be overly complicated and difficult to apply in a clinically meaningful way. However, patients with regional disorders often present with similar clinical presentations. These clinical presentations can often guide clinicians towards the best treatment options.

This course is designed to be eclectic in its delivery to best suit the needs the busy clinician. Treatment approaches are organized based on categories that are consistent with how patients that report low back pain are likely to present. Patients presenting with chronic low back pain, referred leg pain, SI dysfunction or even stenosis will often respond to similar treatment approaches. This course will provide treatment options in a multimodal context that are grouped to address the most common clinical presentations. Finally, treatment approaches are organized in a logical way providing examples of how the treatments could be integrated.

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This seminar is designed to advance clinical competence in treating upper-extremity pain associated with tendinopathy and neural compression. A thorough review of pain science, tendon and nerve structure, physiology, and pathomechanics will create a foundation for proper intervention for pain reduction, tissue health, and engagement in life. The course content includes current conservative treatment options, activity analysis, activity modification, orthotic options, soft tissue mobilization, tissue loading, and lifestyle redesign. The student will participate in lecture and discussions before implementing assessment and treatment strategies in laboratory sessions.

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