Joint Thrust Techniques (JTT) course involves the comprehensive study of joint mobilization techniques and its application in multiple treatment protocols. Participants will be given an introduction that includes a lecture on current evidence-based research on joint mobilizations followed by a discussion on the competing theories regarding its application.

Participants will also be given a clinical/lab session where they will learn proper patient preparation in various positions. Additionally, participants will be taught the different hand hold options and proper body mechanics of the various mobilization techniques by distinct locations on the body.



  • Chiropractor, Physical Therapist
  • 1:16  Instructor to Attendee



  • Course Manual on portable flash drive
  • Approved CEU/ 8 Contact hours (DC, PT)
  • Certification of Completion
  • Lecture with demonstration and hands-on lab






Self Study (2.5 Hours)

  • Overview of Joint Thrust Techniques
  • Theories and evidence
  • Latest research
  • Indications & contraindications

In-Person (5.5 Hours)

  • Cervical Spine (All Three Positions)
  • CT Junction to Mid Thoracic Spine (All Four Positions)
  • TL Junction to SI Joint Lab (All Four Positions)

  • Identify the current best evidence for the implementation of thrust joint spinal manipulation in clinical practice.
  • Identify the safety issues, precautions, and contraindication to thrust joint manipulation.
  • Distinguish the choice of manipulative procedures in the evidence-based multi-modal approach to spinal pain.
  • Analyze the risk factors associated with spinal manipulation to screen patients properly using a thorough history and targeted physical examination.
  • Identify the use of body and posture in application of high velocity low-amplitude thrust to make them an integral part of technique delivery.
  • Demonstrate the psychomotor skills necessary to appreciate the pre-manipulative barrier (end-feel) utilized in minimal leverage or momentum induced manipulative technique by concentrating on combining multiple leverages in order to minimize the overall amplitude and force required to achieve cavitation.
  • Demonstrate clinical reasoning skills in the selection of high-velocity low-amplitude thrust manipulation techniques for a variety of neuromusculoskeletal dysfunctions.
  • Apply and demonstrate how to effectively diagnose and treat upper, mid, and lower cervical joint dysfunction, sacro-iliac joint dysfunction, lumbar spine facet syndromes, second and third rib syndromes, and cervicothoracic joint dysfunction.

9:30am-9:45am  Check-In
9:45am-11:45am LECTURE: Intro
11:45am-12:00pm Break
12:00pm-1:00pm  LAB 1/Cervical Spine
1:00pm-2:00pm Lunch
2:00pm-3:45pm LAB 2/CT Junction to Mid Thoracic Spine
3:45pm-4:00pm Break
4:00pm-5:30m LAB/TL Junction to SI Joint
6:15pm-6:45pm Lab & Written Exams
6:45pm-7:00pm Q & A, Participant Evaluations

Course Curriculum

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  • $175.00$350.00
  • 8 Hours
  • Course Badge
  • Course Certificate
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