Course Summary

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Spinal Manipulation


Course Description:

Our Spinal Manipulation course is designed to enhance and further develop the knowledge and skills of physical therapists by building upon their entry level training in orthopedic manual therapy of the spine and pelvis.  This course is based on the most recent and best available evidence regarding spinal assessment, screening, risk factors associated with manual therapy, safety, including precautions and contraindications, and the clinical implementation of spinal manipulation.  The history of spinal manipulation, informed consent, and different theories of how to apply proper spinal manipulation will be discussed to improve the clinician’s understanding of current topics in manual therapy.  Discussion of other interventions such as therapeutic exercise, pain science, and education will be included in this course to ensure that clinicians are able to provide a multimodal treatment approach to spinal conditions that would benefit from spinal manipulative therapy. 

The primary emphasis of this course is the safe and skillful application of manipulative therapy of the spine.  Therefore, this course is a lab intensive seminar in order to achieve competence in performing high velocity low amplitude thrust procedures.  Instructor to student ratio is monitored in order ensure quality supervision and feedback on safe performance of all procedures.


Target Audience:

Physical therapists, student physical therapists, medical doctors, and osteopaths.


Course Objectives:

Upon completion of this course, participants will:

  • Develop proper psychomotor skills in combination with proper body mechanics and posture to safely and effectively perform manipulative techniques taught in this course.

  • Able to use multiple levers to manufacture a pre-manipulative barrier for a safer application of a HVLAT to the cervical spine, thoracic spine, lumbar spine, rib cage and associated junctional zones.

  • Recognize the role of short and long lever control when developing a pre-manipulative barrier for the application of HVLAT.

  • Demystify the delivery of spinal manipulation and associated cavitation or “pop” with HVLAT.

  • Recognize the current and best evidence for the implementation of spinal manipulation in clinical practice.

  • Knowledgeable in safety, precautions and contraindications to manual therapy and high velocity low amplitude thrust techniques in order to apply spinal manipulation safely in a clinical setting.

  • Utilize sound clinical reasoning skills in order to determine if a patient is a candidate for manual therapy and HVLAT.


Course schedule (15 CEUs)


Day One:

8:30 - 9:00 Course registration

9:00 - 9:15 Introduction and welcome to the course

9:15 - 9:30          History of spinal manipulation

9:30 - 9:45          What is spinal manipulation

9:45 - 10:15        Lab: Thoracic Spine HVLAT techniques

10:15 - 10:30 Review & Q/A for instructor

10:30 - 10:45 Safety and indications for cervical spine HVLAT techniques

10:45 - 11:15 Lab: Upper cervical spine screening.

11:15 - 12:15 Lab: C1-2 supine cradle hold HVLAT technique

12:15 - 1:00 Lunch

1:00 - 1:30 Lab: Seated Thoracic HVLAT techniques

1:30 - 1:45          Spinal manipulation & the audible pop.  What is it and does it matter? 

1:45 - 2:30 Lab: C2-5 supine cradle HVLAT techniques      

2:30 - 3:15 Lab: C5-7 supine cradle hold HVLAT techniques 

3:15 - 3:30 Review & Q/A for instructor

3:30 - 3:15 Safety & indications for Lumbar spine HVLAT techniques

3:15 - 4:15    Lab: Lumbosacral HVLAT techniques

4:15 - 4:45 Lab: Seated lower rib HVLAT techniques

4:45 - 5:30 Lab: Seated C1-2 HVLAT techniques

5:30 - 6:00 Lab: day one review, questions and conclusion

Day Two:

8:30 - 8:45 Questions and review of day one

8:45 - 9:00 Heterolateral coupling of cervical spine with HVLAT

9:00 - 9:45 Lab: C2-7 supine chin hold HVLAT techniques

9:45 - 10:00       How does spinal manipulation decrease pain?

10:00 - 10:15      Review & Q/A for instructor

10:15 - 10:45      Lab: Prone cervicothoracic junction HVLAT technique

10:45 - 11:30      Lab: Thoracolumbar junction HVLAT techniques 

11:30 - 12:00 Lab: Supine rib HVLAT techniques         

12:00 - 1:00 Lunch

1:00 - 1:30          Lab: Cervicothoracic junction sitting distraction HVLAT technique 

1:30 - 2:00         Sacroiliac Joint assessment

2:00 - 2:30         Lab: SIJ HVLAT technique  

2:30 - 2:45         Cervicogenic headache

2:45 - 3:00 Review & Q/A for instructor

3:00 - 3:45         Lab: C0-1 supine cradle HVLAT technique

3:45 - 4:15 General review and round robin lab of past techniques

About the Instructor:


Dr. Jorde is an orthopedic Physical Therapist working at Virginia Center for Spine & Sports Therapy in Midlothian, Virginia. Dr. Jorde earned his Bachelors of Science degree in Biology from the State University of New York at Plattsburgh in 1998. He earned his Master of Physical Therapy degree in 2001 and a Doctorate of Physical Therapy in 2004 from Shenandoah University.

Dr. Jorde's post graduate certifications include the following: Certification in Mechanical Diagnosis & Therapy (McKenzie Method) in 2004, Board Certified in Orthopedics (OCS designation) by the American Board of Physical Therapy Specialties (2006), APTA Certified Clinical Instructor (2006), Direct Access to Physical Therapy Certification (2008), Certification in Spinal Manipulation by the Spinal Manipulation Institute of the American Academy of Manipulative Therapy (2011).

He is also an adjunct faculty member of the School of Physical Therapy and Athletic Training at Old Dominion University and taught courses regarding spinal manipulation and Mechanical Diagnosis and Therapy. Eric has also taught as a guest lecturer at Radford University Program in Physical Therapy regarding cervical spine Mechanical Diagnosis and Therapy.


Upcoming Courses

Spinal Manipulation - June 14th & 15th - Martinsburg, WVA

This is course is being hosted by Blue Ridge Community & Technical College. Integrative Clinical Concepts will provide a website link to register when it is available.

Please email us if any questions regarding this upcoming course.