0110 Evidence Informed Palpation and Muscle Testing

STAY AT THE LEADING EDGE WITH PROHEALTH CE SEMINARS

INSTRUCTOR
Dr. Nikita Vizniak
Dr. Nikita Vizniak, BSc DC RMT

Level up your muscle testing and palpation skills for better patient outcomes.

Did you only learn anatomy from a textbook? Want to see anatomical variation, what’s new, and apply more efficient treatments?

See beyond Netter with real anatomical variation and evidence based practical application. Learn to palpate, assess, test, stretch and strength. Find the true causes of tissue specific pathology and start getting real results with your patients. Go beyond the textbooks, see video and apply Anatomy, manual muscle testing and palpation as fundamental to accurate assessment and optimizing treatment—review your anatomy and learn things the textbooks don’t teach you.

There is an art and science to this process. In this hands-on seminar we will demonstrate proven palpation and muscle testing techniques for each region of the body from the best-selling Evidence Informed Muscle Manual and the proCentral Video Library. You will have fun gaining confidence and becoming re-energized in practice with refinement of your skill set—add more tools to your tool box!

Learn how to recognize compensation movement patterns, reciprocal inhibition, dysfunctional kinetic evaluation, and results based treatment options. Learn how to work smarter not harder.

CREDITS: 14 PE (7 per Day)
TEXTBOOKS
Recommended:
Muscle Manual
MODULES FOR CERTIFICATION
0110 Evidence Informed Palpation & Muscle Testing
LEARNING OUTCOMES
  • Identify and palpate structures of the region (give a list of structures below their palpating hands including muscle ligament bone vein artery lymphatics viscera)
  • Understand how anatomical variation and cadaver anatomy shows more realistic body shapes contours and function
  • Perform detailed evidence informed muscle testing (using high EMG activation) and palpation
  • Discuss anatomical variation, ADLs and common injuries of the body region
  • Know where to look for high quality easy access resources to facilitate anatomical and clinical decision making
CLASS LAYOUT
  • ~1hr lecture and open discussion – What the research currently suggests…
  • ~2.5hrs hands on mini-group assessment/treatment skills using evidence based clinical integration of best practices for pathology recognition
  • 1hr lunch
  • ~0.5hrs review of morning material and questions
  • ~2.5hrs hands on hands on mini-group assessment/treatment skills using evidence based clinical integration of best practices for pathology recognition

 

TAKEAWAY
  • Participants receive a certificate of completion.
Palpation & Muscle Testing
Palpation & Muscle Testing
Palpation & Muscle Testing
DAY 1: UPPER BODY (7hrs)

9-10am - Intro to palpation and muscle testing, theory and techniques

  • HIPMNRS assessment principle (History, Inspection, Palpation, Motion, Neurovascular Ref. Special tests)
  • Palpation Review ‘first contact and confidence’ – what the evidence suggests
  • Unfixed cadaver video – what anatomy really looks like!
  • Types and applications for muscle testing styles, common errors
  • Deciding what to test, modifying/creating tests based on need

10-11am – Head and Neck

  • Scalenes, Splenius capitis, Semispinalis capitis, Suboccipitals, Muscles of facial expression, Muscles of mastication, Mandible – TMJ, Zygomatic arch/cheeks, Masseter/Parotids, Salivary glands and lymph nodes, Suprahyoid muscles, SCM and Mastoid processes, Temporal and carotid pulse, Scalp and hair, Ears and eyelids, Upper trapezius, Levatorscapulae, Occipitalis and EOP, Oral cavity (gloved hand), Facet joints/Articular pillars, SPs and upper rib motion

11am-12pm – Torso and T-spine

  • Trapezius, Rhomboids, Latissimus dorsi, Quadratus lumborum, SPs and TPs T1-L5, Erector spinae, Upper ribs, Scapulae, Sternum/clavicle, Supraclavicular fossa, Axilla (anterior/posterior), Lymph nodes, Pectoralis major/minor, Sternoclavicular joint, Sternocostal joints, Abdominal muscles, Diaphragm, Abdominal viscera, Abdominal aorta, Ilium and sacrum

 

12-1pm - Lunch

1-2pm – Q&A, review key concepts and cadaver anatomy videos

2-3pm – Shoulder and Arm

  • Thoracic outlet, Scalenes, Deltoid muscle, Supraspinatus, Infraspinatus, Teres minor, AC and SC joint, GH joint/rotator cuff, Teres major, Latissimus dorsi, Subscapularis, Serratus anterior, Triceps brachii, Pectoralis major and minor, Coracoid process, Coracobrachialis, Biceps brachii and brachialis, Bicipital groove, Radial groove

3-4pm - Forearm, Wrist and Hand

  • Wrist flexors, Pronator teres, Lateral epicondyle, Wrist extensors, Thumb extensors, Medial epicondyle, Ulnar groove, Interossei, Thenar/hypothenar pad, Carpal tunnel, Tunnel of Guyon (ulnar), Anatomic snuff box, Metacarpals 1-5, Thumb (#1), Finger (#2-5), Scaphoid, Lunate, Triquetrum, Pisiform, Dorsal (Lister’s) tubercle, Trapezium, Trapezoid, Capitate, Hamate (hook), Ulnar/radial styloids, Collateral ligaments, Triangular fibrocartilage

4-5pm – Review

  • High value special tests by region
  • Differential diagnosis by tissue type
  • Questions, key concept, other resources and final thoughts
DAY 2: LOWER BODY (7hrs)

9-10am - Review palpation and muscle testing, theory and techniques

  • HIPMNRS and what the evidence suggests
  • Cadaver video – what anatomy really looks like!
  • Phasic vs. Postural Muscles
  • End-Feels of the body

10-11am – Low Back & Pelvis

  • Quadratus lumborum, SPs and TPs T1-L5, Erector spinae, Upper ribs, Lower ribs, Scapulae, Trapezius, Rhomboids, Latissimus dorsi, Sternum / clavicle, Supraclavicular fossa, Axilla (anterior & posterior), Lymph nodes, Pectoralis major/minor, Sternoclavicular joint, Sternocostal joints, Abdominal muscles, Diaphragm, Abdominal viscera, Abdominal aorta, Ilium and sacrum, Sacrotuberous and Sacrospinous ligament, SI joint

11am-12pm – Hip & Thigh

  • TFL/Iliotibial band (ITB), Ischial tuberosity, L-spine/sacrum, Gluteus max./med., Hamstrings, Popliteal fossa, Gastrocnemius heads, Adductor muscles, Quadriceps

 

12-1pm - Lunch

1-2pm – Review key concepts and cadaver anatomy videos

2-3pm – Knee

  • TFL/Iliotibial band (ITB), Greater trochanter, Hamstrings, Popliteal fossa, Gastrocnemius heads, ASIS/iliac crest, Femoral triangle and artery, Adductor muscles, Abdomen, Quadriceps, Patella (facets, bursa), Patellar ligament, Tibial tuberosity, Pes anserine, Med./lat. knee joint/meniscus, Med./lat. femoral condyle, Medial and lateral collateral ligs., Fibular head and neck

3-4pm – Leg, Ankle, Foot

  • TDH muscles (Tib post, flex Digi and Hal), Tarsal tunnel (tibial nerve), Fibularis L., B. and tertius muscles, Tib. ant., EHL, EDL muscles, Plantar fascia and muscles, Tibial crest and knee joint line, Lat./Med. Malleolus, Navicular (tuberosity), Cuboid and cuneiforms, Talus (head, neck, trochlea), Calcaneus, Sustentaculum tali, Metatarsals, Phalanges (MP/PIP/DIP joints), Sinus tarsi, Ant. talofibular lig., Calcaneofibular lig., Post. talofibular lig., Spring ligament, Deltoid ligament, Subtalar joint, Gastrocnemius/soleus, Achilles tendon, Tibial and dorsal pedal pulse

4-5pm – Review

  • High value special tests by region
  • Differential diagnosis by tissue type
  • Questions, key concepts and final thoughts

Students & Practitioners ❤

0110 Evidence Informed Palpation & Muscle Testing
Sep
1
31
2022
Location: Greater Vancouver (TBA), Specific Dates (TBA)
Credits: 14 CE for RMTs approved by CMTBC
Sep
1
31
2022
Location: Greater Vancouver (TBA), Specific Dates (TBA)
Credits: 14 CE for RMTs approved by CMTBC

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