Joint Manipulation: Lumbar Spine, Sacroiliac Joint and Pubic Symphysis

Joint Manipulation: Lumbar Spine, Sacroiliac Joint and Pubic Symphysis is organized by Brookbush Institute.

Course Description:
Introduction
This course describes joint manipulation techniques for the lumbar spine, sacroiliac joint (SIJ), and pubic symphysis. Various synonyms and definitions have been used to describe the term "manipulation". The Brookbush Institute uses one conventional definition of the term "manipulations;" implying low-amplitude (relatively small motions), high-velocity (quick) techniques, intended to target and reduce the stiffness of specific joints or segments, that exhibit a decrease in passive accessory range of motion (a.k.a. stiffness during arthrokinematic motion; specifically glide). Research does imply that manipulations affect multiple joints simultaneously; however, the Brookbush Institute asserts that efforts to target the stiffest joints or segments will increase the likelihood that the stiffest segments are included in the "multiple joints" affected.

The Brookbush Institute has carefully selected manipulation techniques with the intent to increase the probability of practitioner success. That is, techniques have been chosen that are relatively easy to teach, reliably improve outcomes, and are the most commonly used. The Brookbush Institute does not wish to assert that these manipulation techniques are the only techniques that are effective, and/or that these are the best techniques for every outcome measure. It is possible that a highly complex, and/or advanced technique, may result in better outcomes, or that a particular pathology is better addressed with a rarely used technique. 

Behavioral Objectives
• List 3 pathologies/dysfunctions that may benefit from lumbar spine, sacroiliac joint, or pubic symphysis manipulation
• Explain (4 steps or more) two of the techniques taught in the course
• Create an efficient plan of care to optimize the amount of therapy in a session, averaging 1 technique/2 minutes of therapy
• List 3 short-term outcomes that may be expected from administering manipulations
• Based on re-assessment, choose the most effective techniques for use in future sessions as part of an on going care plan
• Integrate at least 2 of the manipulation techniques covered in this course into a plan of care