Cervical Spine Management: Efficiency and Efficacy

Date: September 22-23, 2018
Cost: $395
Speaker: Tim Fearon, PT, DPT, FAAOMPT
Contact hours: approximately 14
Open to: PT

All clinicians are faced with the conflict of rapidly emerging evidence and the push to be more efficient in patients per man-hour resulting from the decreasing reimbursement seen across the spectrum of insurance coverage. This class is intended to assist the clinician in maintaining their primary focus on being effective for the patient while still being efficient with the use of their time through recognition of, and response to common clinical syndromes seen in the cervical spine. Pattern recognition allows experts to recognize when they are faced with a known phenomenon, which has been shown time and time again to respond in a familiar way in the hands of many clinicians. If the physical therapist develops expertise in treating these syndromes they become more efficient& effective at facilitating the management of these patients liberating time for the cases that lie outside of the norm and require focused analysis todetermine the appropriate path of treatment. These commonly occurringclinical syndromes are the basis of treatment based classification (TBC), but the class will emphasize a clinical perspective of what is actually seen in the clinic rather than in the algorithmic suppositions of TBC. The class will be primarily hands on participation with a minimum of lecture via patient demonstration to give context to the content. This class is willfully designed to be efficient with your time as well effective with developing, improving or mastering your skill set. All enrollees will receive the majority of the didactic portion of the class before the actual class day allowing time for absorption before the physicalinterface. This will ideally liberate the class to spend the majority of the time together in a genuine “hands on” refinement of skills to be assimilated into their present matrix.

Course Objectives
1. Develop a conceptual framework for evaluating and treating the cervical patient in the treatment-based classification system .
2. Understand the evolution of cervical spine TBC from the clinical perspective of common clinical syndrome recognition.
3. Discuss the genuinely common clinical syndromes, the rapid recognition of them and the applicable treatments.
4. Understand the application of principles for spinal mobilization on a continuum through to manipulation of the region.
5. Develop manual skills in mobilization through manipulation of the thoracic & cervical spine in a seated position. A level of proficiency in the techniques will be emphasized as the class comes to conclusion.
6. Understand the application of principles for therapeutic exercise augmenting manual intervention, to development of trunk controland prophylaxis in the cervical-thoracic region.
7. Nurture continued development of skills with accurate and informative feedback from the ‘patient’ therapists with each session. Understand the experiential nature of motor skills.
8. Frame a system of treatment that moves beyond passive intervention to enable patients to self treat, attain functional independence and manage pathology that cannot be eliminated.

Common Clinical Syndrome Concept
Kypholordotic Structure
Postural Predisposition
Upper Cross Syndrome
Hypomobility in Upper Thoracic & Upper Cervical
Hypermobility in Mid Cervical Spine
Anterior Scapular Positioning
Patient Presentation
Subjective Complaints
Safety Concerns
Examination Plan
Functional Assessment
Patient complaint: Motion or Pain Dominant
Possible etiology
Active Movement Assessment
Muscle Ability & Balance
Joint Mobility
Passive Motion Assessment
Passive Physiologic Intervertebral Motion Assessment
Available Range: Quantity
Response to Motion: Quality - Resistance & Pain
End feel: Normal or Abnormal – Response
Passive Accessory Intervertebral Motion Assessment
Available Range: Quantity
Response to Motion: Quality - Resistance & Pain
End feel: Normal or Abnormal – Response
Trial treatment planning
What does the accumulation of the information gathered suggest?
What are we capable of doing to intervene with current presentation?
How will a successful treatment be assessed?
The best examination is the trial treatment
Planning the progression
What will be the next step if the trial treatment is successful?
What if it creates no change?
What if the presentation worsens?
Active Engagement
What must the patient do to facilitate sustainable change?
Therapeutic Exercise
How will we reassess the value?
How can the patient reassess the value

Registration for this event is now closed.