This course focuses on the application of the McKenzie Method of Mechanical Diagnosis and Therapy (MDT) to the cervical and thoracic spine. The course details the assessment, classification and management of patients with complaints of cervical and thoracic pain, related referred pain, and functional limitations.
The principles of MDT and how they apply in the context of the biopsychosocial framework of managing patients with cervical and thoracic pain and functional limitations will be the key focus. The participants will explore and practice the MDT assessment, classification and management process through lectures, discussions, and mock patient cases. The MDT classifications of Derangement, Dysfunction, and Postural syndromes in the cervical and thoracic spine are described in detail and appropriate management plans are discussed, with emphasis on the use of patient self-treatment procedures, patient education, and manual techniques as indicated by mechanical and symptom response. Indications for the use of clinician (manual) procedures will be discussed and the procedures demonstrated and practiced. Subgroups not fulfilling the criteria of the MDT syndromes are introduced and the basis for their differential diagnosis will be discussed.
Following attentive participation in, and completion of, this course will provide participants with the introductory knowledge, basic skills and abilities to begin to:
1. Appropriately apply the McKenzie Method of MDT to patients with cervical and thoracic spine problems.
2. Distinguish between the MDT syndromes (Derangement, Dysfunction, Postural) and OTHER subgroups and provide appropriate management regimens for each of the MDT syndromes.
3. Identify when the application of external forces is required for the resolution of symptoms using MDT's concept of 'Progression of Forces'.
4. Recognize how to assist patients to design and apply the therapeutic processes to achieve management goals, taking into account any personal or environmental barriers to recovery.