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.
Louie Puentedura obtained his entry-level Physiotherapy degree in Melbourne, Australia, and subsequently earned a Graduate Diploma in Manipulative Therapy in 1983. In 1985 his presentation at the Australian Manipulative Therapists Association Conference in Brisbane entitled 'The Straight Leg Raise Test and Spinal Posture' helped to sparked an interest in mobilization of the nervous system. Louie relocated to the USA with his family in 1995, where he received his OCS (Orthopedic Certified Specialist) in 1996 and recertified in 2006. He is also a Fellow of the American Academy of Orthopaedic Manual Therapists (FAAOMPT). In 2005, he completed a Post-Professional Doctorate in Physical Therapy with a focus on musculoskeletal conditions through Northern Arizona University (NAU) in Flagstaff, Arizona. He also completed his PhD in Physical Therapy through Nova Southeastern University (NSU) in Fort Lauderdale, Florida in 2011. Louie is currently an assistant professor in the Doctor of Physical Therapy program at the University of Nevada Las Vegas. Throughout his 32+ years as a physical therapist, Louie has presented at many National Conferences, initially in Australia and New Zealand, and more recently in the USA and Spain. His presentations focus on manual therapy theory and practice, neurodynamics, and more recently, on the motor control issues surrounding pain sciences and pain science education.
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.
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.
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.
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.
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.
Learn how to identify the red flags of different medical conditions whose symptoms mimic that of thoracic spine pain.
Determine the proper thoracic spinal manipulation techniques for patients with thoracic spine pain and advise regarding exercises as an adjunct to therapy.
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.