LEARNING OBJECTIVES

• 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.