MedBridge

Manual Therapy for the Thoracic Spine

Instructor:
Louie Puentedura

Course Description:

Clinically, the thoracic spine tends to be a very challenging region to diagnose and treat. This course from Louie Puentedura offers a comprehensive investigation into the biomechanics of the thoracic spine and its physical evaluation and treatment. The course is designed to provide the clinician with the skills to diagnose common thoracic spine pathologies, recognize subjective and objective signs, determine the necessary precautions and contraindications, and design comprehensive treatment protocols. Throughout the course, Louie cites the most updated research conducted on the topic of thoracic spine manipulation.

View course chapters and learning objectives Watch the First Chapter FREE

Meet Your Instructor

  • Louie Puentedura, PT, DPT, PhD, OCS, GDMT, CSMT, FAAOMPT
    Louie Puentedura, PT, DPT, PhD, OCS, GDMT, CSMT, FAAOMPT
    • Originally from Melbourne, Australia. Relocated to the USA in 1995
    • Assistant professor in the DPT program at University of Nevada Las Vegas
    • Earned a Post-Professional Doctorate in Physical Therapy with a focus on musculoskeletal conditions from Northern Arizona University
    • Earned PhD through Nova Southeastern University (NSU)
    • Has presented at national conferences in Australia, New Zealand, the USA, and Spain
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Course Chapters & Learning Objectives

  1. How Do We Treat the Thoracic Spine?
    1. How Do We Treat the Thoracic Spine?

    Learn the subgroups of patients with neck and back pain, review the epidemiology of back pain, understand the Maitland concept and determine the goals of manual therapy.


  2. Clinical Anatomy of the Thoracic Spine
    2. Clinical Anatomy of the Thoracic Spine

    Review the anatomy of the thoracic spine, understand the dynamics between the bones, joints and muscles which contribute to pathology, and demonstrate surface anatomy palpation.


  3. Biomechanics of Thoracic Spine
    3. Biomechanics of Thoracic Spine

    Understand the results of recent biomechanics research studies, review the different actions of the ribs and vertebra, and enhance your knowledge on the biomechanics of the thoracic spine.


  4. Subjective and Objective Evaluation of Patients
    4. Subjective and Objective Evaluation of Patients

    Determine how to elicit patient history for subjective evaluation and to review the difference between input and output mechanisms in the analysis of pain. Determine how to approach a patient with thoracic pain in terms of objective evaluation and describe the appropriate manipulation therapy and exercises for rehabilitation.


  5. Thoracic Spine Pathology
    5. Thoracic Spine Pathology

    Review the common causes of thoracic disc lesions, mechanisms of rib cage and muscle injuries and determine the causes of thoracic hypomobility and referred pain from the thoracic spine.


  6. Screening for Red Flags in Thoracic Spine Pain
    6. Screening for Red Flags in Thoracic Spine Pain

    Learn how to identify the red flags of different medical conditions whose symptoms mimic that of thoracic spine pain.


  7. Treatment Techniques for the Thoracic Spine
    7. Treatment Techniques for the Thoracic Spine

    Determine the proper thoracic spinal manipulation techniques for patients with thoracic spine pain and advise regarding exercises as an adjunct to therapy.


  8. Case Studies
    8. Case Studies

    Louie conducts two on-camera case studies of patients that are experiencing thoracic spine pain. The patients include a male competitive pole vaulter and a female dancer.

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