TMJ Courses
TMJ Courses for Physical Therapists & Health ProfessionalsIntroductory Level I Minimal Lever Mid Range (MLMR) Manipulation
Instructor: Dr. Daryl Herbert, DO
Course Description
This three-day seminar (23.5 contact hours) will focus on Minimal Lever Mid Range (MLMR) Manipulation of the spinal regions Mid Cervical, Mid Thoracic Mid Lumbar and Sacro-Iliac Joint. Particular attention will be paid to safety, comfort, control, effectiveness and efficiency. MLMR techniques will be clearly defined and described using current research, as well as the difference between MLMR and High Velocity Low Amplitude (HVLA). The course will be 75% practical and 25% theory, with clearly demonstrated and rehearsed hands on practice with exercises for developing the different types of practical skills required and necessary to develop optimum manipulation. Classes will be taught using computerised audio-visual aids, a course hand out will be provided and Online Streaming Video material in the form of 3 series of material of techniques & treatment can be purchased at the course at a discounted price but are available for viewing at manipulation.dh-o.com or early purchase at the normal price.
Course Objectives
At the completion of this course, participants will be able to:
- Describe and understand the theory of MLMR techniques in the spinal regions.
- Be aware of their own body requirements through optimum handling, operator posture, operator and patient positioning and stance (feet) and clearly aware of how this helps to improve their effectiveness, efficiency, control, comfort and safety.
- Understand the need for multiple components and have suggestions for different spinal regions in order to build the tension to the barrier point, within the mid range of the joints movement
- Have the skills to understand primary and secondary levers and how they help to create and build the barrier
- Have the skills to understand focussing and targeting to a specific single segment and / or facet joint.
- Be aware of the need for adaptation to anatomical, morphological and developmental differences in a variety of patients
- Be aware of different skill exercises which will help to reduce manipulation anxiety and improve success rates
- Be able to identify and recognise red flags and contra-indications to manipulation, relative and absolute, with up to date information on the value of pre manipulative questions as well as relevant objective testing, particularly for the upper cervical spine.
- Have a range of techniques for the different regions of the spinal and junctions
- Be more positive with their manipulation skills and techniques. This course will demystify the feat often associated with manipulation techniques and courses
Agenda
Day 1
| 9:00 – 9:15 am | Introduction to the group, basic information about the course, material, subjects and practical techniques to be demonstrated and rehearsed and actually how the course will run in terms of theory, practice and table tutoring. |
| 9:15 – 10:30 am | Foundation ideas and concepts of osteopathic technique using audio-visual aids, audience participation theory and practical exercises. |
| 10:30 – 10:45 am | Break |
| 10:45 – 11:45 am | Practical exercise to follow on from previous material and implement ideas into practice. Introduce a practical exercise to help understand combining components in a mobilising technique |
| 11:45 – 12:30 pm | Theory of minimal leverage with explanation of modifying factors, multiple components and effectiveness and efficiency |
| 12:30 – 1:00 pm | Practical introduction to Lumbar manipulation using minimal lever. Break down of the technique into smallest parts and then rebuild with explanations and justifications |
| 1:00 – 1:30 pm | Lunch on your own |
| 1:30-3:30 pm | Building up of Lumbar manipulation using minimal lever, with practical demonstrations, practice time, table tutoring and audio-visual aids. |
| 3:30 – 3:45 pm | Break |
| 3:50– 4:15 pm | Explanation and practice of impulse skills, with practice of whole technique. |
| 4:15-5:00 pm | Further practice of the whole Lumbar manipulation Technique |
| 5:00-5:50 pm | Introduction to Thoracic manipulation breakdown, building up using minimal leverage approach |
| 5:50-6:00 pm | Summary of the days material and practice and brief introduction of the morning and next days material |
Day 3
| 9:00 – 9:15 am | Introduction to day 3 material |
| 9:15 – 10:45 am | Further cervical manipulation practice |
| 10:45 – 11:00 am | Break |
| 11:00 – 12:00 pm | Introduction to Sacro-iliac Joints, structure v function |
| 12:00 – 1:00 pm | Techniques for the Sacro-iliac joints |
| 1:00 – 1:30 pm | Lunch |
| 1:30 – 3:30 pm | Continuation of practice of the Sacro-iliac joints & Repetition of all spinal Regions Techniques previously practiced |
| 3:30 – 3:50 pm | Break |
| 4:30 – 5:25 pm | Repetition of all spinal Regions Techniques previously practiced & ‘Round Robin’ Exercise |
| 5:25 -5:30 pm | Final rounding up and finish |
Day 2
| 9:00 – 9:15 am | Introduction to day 2 material and very brief summary of foundation ideas |
| 9:15 – 10:45 am | Further breakdown and building up with practice of the thoracic manipulation technique |
| 10:45 – 11:00 am | Break |
| 11:00 – 11:45 am | Re-practice of the Lumbar manipulation |
| 11:45 – 12:30 pm | Thoracic manipulation focusing to the upper and lower segments using same technique with minor adaptation(s) |
| 12:30 – 1:00 pm | Contra-indications to manipulation general and for the cervical spine with consideration of validity of testing the cervical spine pre-manipulation |
| 1:00 – 1:30 pm | Lunch |
| 1:30 – 3:30 pm | Completion of contra-indications and Introduction the cervical manipulation (cradle & chin holds) |
| 3:30 – 3:45 pm | Break |
| 3:50 – 4:30 pm | Introduction to the cervical manipulation with practical exercises and audio visual aids |
| 4:30 -5:45 pm | Further breakdown and building up with practice of the cervical manipulation technique |
| 5:45-6:00 pm | Summary of the days material and practice and brief introduction of the morning and next days material |
Registration Details
| Target Audience: | Physical Therapists, Chiropractors, Osteopathic Physicians |
| Price: | $1125 |
Upcoming Dates for this Course
| Date | Location | Host | Registration |
| July 18, 19, 20, 2025 | Fox Point, WI | Freedom Physical Therapy Services |