Advanced Extremities

This intensive two day course will focus on more advanced principles and practical application through clinical reasoning, problem solving, analysis of case studies, assessment and treatment of patients, and technique work.

The goals of this course are to build on prior knowledge gained from the introduction of extremities in Parts C and D to:

• Appropriately apply the McKenzie Method of Mechanical Diagnosis and Therapy to patients with extremity problems;
• Distinguish between the McKenzie Syndromes (Derangement, Dysfunction, Postural, and OTHER) as applied to the extremities;
• Provide appropriate management regimens for each of the syndromes;
• Identify when force progressions and force alternatives are required for the resolution of symptoms using McKenzie's 'progression of forces' concept;
• Design and apply appropriate MDT management for patients presenting with extremity symptoms to enable them to achieve their management goals.

Pre-requisite: Part D completion.

To best prepare for the Advanced Extremities course experience, those who completed the curriculum prior to the inclusion of extremities in Parts C and D are highly encouraged to audit C/D courses or read the textbook, The Human Extremities: Mechanical Diagnosis and Therapy, before attending.

Instructional Level: Advanced
Student-to-Faculty Ratio: 16:1
Program Goals, Objectives and Schedule:click here
Eligibility: click here
Registration Details: click here

Standard Live Course Timeline*: 2 days; 14 contact hours

Course Format	Time
Saturday	8:00am - 6:00pm
Sunday	7:30am - 1:15pm

*Timelines may vary based on patient scheduling. etc. View the 'Details' online via the Course-Exam Schedule Locator

Course Fee:
$400 (First Time), $300 (Retake)

Advanced Extremities Course Information and Preparation Suggestions:

• Bring a pen/pencil and highlighter for note taking
• Attire is business casual; appropriate for lab that can easily allow you to move and provide exposure to back, trunk or extremities
• Read the textbook, The Human Extremities: Mechanical Diagnosis and Therapy

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Advanced MDT: Clinical Decision Making

This advanced level course, formerly known as Clinical Skills Update (CSU), focuses heavily on intensive clinical reasoning and problem solving through a high volume of patient demonstrations and case study analysis involving all regions of the spine as well as the extremities. Each major subdivision of the course has very specific educational objectives that will refine your own abilities in applying the principles and application of the MDT classification and treatment system to continuously improve patient management and outcomes.

With two instructors, the opportunity for one-on-one tutelage is significantly greater.

Following attentive participation and completion, this course will provide participants with advanced knowledge and skills to:

1. Through discussion and quiz responses, demonstrate expanded knowledge base of MDT principles, evaluation, and clinical reasoning and treatment interventions.
2. Through live patient presentation and lab activities, demonstrate accuracy in eliciting, recording and analyzing the history of patients presenting with spinal or extremity musculoskeletal problems and use this information to determine relevant and pertinent information to rule out serious pathology and guide the examination process.
3. Demonstrate the ability to competently perform relevant tests and measures identifying and using the most applicable symptomatic, mechanical and functional baselines to guide clinical reasoning.
4. Use clinical reasoning to synthesize history and examination findings to classify patients' conditions using proper MDT terminology.
5. Based on an expanded knowledge base of MDT and patient classification, develop a plan of care with appropriate loading strategies, education and self-management strategies.
6. Enhance patient education strategies related to pain and MDT by encompassing biopsycho-social factors and patient empowering strategies.
7. Competently perform four common clinician generated procedures.

Pre-requisite:
Completion of Parts A, B, C and D (This course is not a requirement to sit the Credentialing Examination.)
Instructional Level: Advanced
Student-to-Faculty Ratio: 16:1
Program Goals, Objectives and Schedule: click here
Eligibility: click here
Registration Details: click here

Standard Live Course Timeline*: 2 days, 14 contact hours

Course Format	Time
Saturday	8:00am - 6:00pm
Sunday	7:30am - 1:15pm

*Timelines may vary based on patient scheduling. etc. View the 'Details' online via the Course-Exam Schedule Locator

Course Fees:
$450 (Retake Pricing Not Applicable)

Become a Member and get 10% off 1st time course fees

Advanced MDT: Fine Tuning Clinician Procedures

This 14-hour advanced level course consisting of lecture presentations, practical demonstrations and supervised practice is open to PTs, DCs, DOs, MDs, and ATCs who are Credentialed in MDT or have completed Parts A through D of the McKenzie MDT Education Programme. Clinicians who have had experience using MDT for spinal disorders will find the course most beneficial. Please note, as with all MDT educational offerings, it is the responsibility of the clinician to utilize knowledge and skills gained in the course in accordance with their education, profession, and state practice acts.

Participants will further develop the concepts of MDT clinical decision making and critical thinking regarding the application of clinician procedures. Analysis of the literature in regards to mobilisation and manipulation and the indications and contraindications to manipulation will be discussed. Supervised practical sessions will promote the development of psychomotor skill in the application of MDT clinician procedures including manipulation.

Two McKenzie Institute faculty who are also FAAOMPT, as well as lab assistant support, will significantly increase one-on-one attention in the practical sessions.

Following attentive participation and completion, this course will provide participants with the knowledge and ability to:

1. Analyze the MDT classifications and discuss where clinician procedures may be utilized in their management.
2. Discuss the MDT Progression of Forces concept and where clinician procedures are utilized.
3. Analyze the indications and contraindications for manipulations within MDT principles of force progression.
4. Discuss the theory of force progression.
5. Discuss the current evidence for the use of mobilisation and manipulation.
6. Discuss the literature relating to cervical spine stability and become competent in assessing for signs and symptoms.
7. Discuss the literature relating to clinicial testing of the vertebral artery.
8. Discuss the theory of learning psychomotor skills.
9. Understand the principles of and apply proper body positioning/postures, line of drive and manual contact during the performance of MDT clinician procedures.
10. Developer psychomotor skills required for assessing pre-manipulative end-feel in conjunction with symptom response.
11. Develop appropriate low amplitude velocity thrust techniques required for manipulation.
12. Demonstrate competent performance of MDT clinician procedures including mobilisation and manipulation.
13. Analyze and perform commonly used variations of the basic MDT clinician procedures.

Instructional Level: Advanced
Student-to-Faculty Ratio: 16:1
Program Goals, Objectives and Schedule: click here
Eligibility: click here
Registration Details: click here

Total Course: 14 hours
Course Timeline: 2 days

Course Format	Time
Saturday	8:00am - 5:30pm
Sunday	8:00am - 3:00pm

Course Fee:
$450 (Retake Pricing Not Applicable)

Course Preparation Suggestions:

• Bring a pen/pencil and highlighter for note taking
• Attire is business casual; appropriate for lab that can easily allow you to move and provide exposure to back, trunk or extremities

Become a Member and get 10% off first time course fees

Masterclass: MDT and the Athlete

This extremely interactive masterclass has been designed to emphasise the application of MDT to the athletic and sporting population. Discussion will focus on the role of MDT in sports medicine and the challenges of the current model of sports medicine. Case studies will be presented and practical sessions addressing the various key principles of MDT will be included to give examples of applying these principles. Return to sport testing, including MDT and traditional methods, will be instructed and participants will demonstrate all tests and interpret findings. This course is intended for clinicians who have experience using MDT for both spine and extremities with interest in and a basic understanding of the principles of sports medicine and sports physiotherapy.


Following attentive participation and completion, this masterclass will provide participants with knowledge and abilities to:

1. Explain the relevance and apply the principles of MDT (assessment, management, recovery of function, and prevention) to an athlete / member of the sports population presenting with a musculoskeletal injury;
2. Identify key questions and possible considerations in the History and Physical Examination, that will assist in understanding the athlete’s training situation, ruling out serious pathology and establishing an MDT provisional classification.
3. Analyse and adapt the use of a variety of mechanical loading strategies, based on the sub-group classification and principles of MDT, in the intervention and management of sport injuries, optimal sports training and injury prevention;
4. Effectively apply the MDT evaluation algorithm and force progression concepts to identify athletes who may require alternative management strategies in their injury recovery.

Upon completion of this masterclass, participants will be able to utilise and promote Mechanical Diagnosis and Therapy (MDT) in the examination, intervention and management of patients presenting with sports related musculoskeletal injuries, pain and limited function.

Please note, as with all McKenzie Institute educational offerings, it is the responsibility of the clinician to utilize knowledge and skills gained in the course in accordance with their education, profession, and state practice acts.

Instructional Level: Advanced
Program Goals, Objectives and Schedule: Click Here
Eligibility: Part C completion; and only those clinicians who are eligible to pursue Credentialing (Read Policy Here)
Registration Details: Click Here
Masterclass Registration Form (Fax/Mail): Click Here

**Note: This course has NOT been pre-approved for continuing education credits. You will be provided with a digital Certificate of Completion following the end of the course which may be used to seek credits with your respective licensing boards. The McKenzie Institute USA in no way guarantees the receipt of full or partial credit for successful completion of this course.**

Total Course: 14 hours
Course Timeline: 2 days

Course Format	Time
Saturday	8:00am - 6:00pm
Sunday	7:30am - 1:15pm

Course Fee:
$450 (Retake Pricing Not Applicable)

Course Preparation Suggestions:

• Athletic attire is highly recommended as participants will be demonstrating and practicing return to sport testing.  

Become a Member and get 10% off first time course fees