CTET: Cervico Thoracic Examinations and Treatments


This course covers clinical examination, manual therapy and exercise treatment interventions for the cervicothoracic region. The course considers the current literature and compares and contrasts the varying classification systems from competing schools of thought. Further emphasis is placed on tissue differential diagnosis and the influence of the shoulder and thoracic spine on movement dysfunction. The course covers examination and treatment for common diagnosis such as cervicogenic headache, instability, discogenic pain, radiculopathy, facet syndrome, thoracic outlet syndrome and myofascial pain syndromes associated with movement dysfunction. This lab intensive course covers a variety of proven manual therapy interventions and exercise prescription utilized to achieve optimum patient outcomes. All required prereading material will be sent in a link via your registration confirmation email.

At the completion of this course, the participant will be able to:

  • Describe the three main areas of focus on clinical examination and treatment as described by IAMT
  • Apply clinical integration of current evidence for examination and treatment in physical therapy practice.
  • List the proposed classifications systems utilized to help guide diagnosis and specific treatment of the cervicothoracic region
  • Demonstrate and apply the clinical reasoning approach and procedural flow in the clinical examination and treatment process
  • Proficiently demonstrate a comprehensive cervicothoracic manual therapy examination
  • Proficiently demonstrate joint mobilization interventions for the cervicothoracic region
  • Proficiently demonstrate soft tissue mobilization interventions for the cervicothoracic region
  • Proficiently prescribe a specific exercise intervention for the cervicothoracic region
  • Demonstrate a working knowledge of medical screening / visceral referral / flags
  • Explain the relationship between a quality examination treatment approach and the effect on patient compliance

Course Outline

Day 1

  • 7:30-8:00 Registration
  • 8:00-8:15 Introduction / Course Overview
  • 8:15-9:15 Classification Systems / Evidence for Treatment
  • 9:15-10:00 Clinical Reasoning Approach / Procedural Flow
  • 10:00-10:15 Break
  • 10:15-11:00 Clinical Reasoning / Differential Diagnosis Lab
  • 11:00-12:00 Cervico / Thoracic and Ribs Anatomy and Biomechanics
  • 12:00-1:00 Lunch
  • 1:00-2:00 Cervico/Thoracic Clinical Examination
  • 2:00-3:00 Cervico/Thoracic Mobilization / Palpation Lab
  • 3:00-3:15 Break
  • 3:15-4:00 Continue Lab for Ribs / Thoracic Outlet
  • 4:00-5:00 Thoracic Mobilization Lab
  • 5:00-5:30 Soft Tissue Mobilization Lab

Day 2

  • 8:00-8:15 Review / Questions
  • 8:15-9:00 Medical Screening / Associated Structures / Visceral Referral Lecture
  • 9:00-9:45 Myokinetics Lecture
  • 9:45-10:30 Cervical Muscular Testing and Exercise Lab
  • 10:30-10:45 Break
  • 10:45-11:15 Upper Cervical Anatomy / Biomechanics
  • 11:15-12:00 Upper Cervical Precautionary Tests Lab
  • 12:00-1:00 Lunch
  • 1:00-2:15 Upper Cervical Functional Examination Lab
  • 2:15-3:00 Upper Cervical Segmental Exam Lab
  • 3:00-3:15 Break
  • 3:15-5:00 Upper Cervical Mobilization Lab
  • 5:00-5:30 Closing Remarks / Course Evaluation

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Currently, there are no CTET: Cervico Thoracic Examinations and Treatments courses available. Please contact us for more information or to request a course.

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