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Graston Advanced training

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Advanced 2-Day Training. 25 miles NE of Boston.

Date:
Sat Jul 13 - 14, 2024
Location:
376 Hale Street
Beverly, MA 01915
Overview

This course will emphasize a Graston Technique® examination and treatment approach for musculoskeletal dysfunction/mechanical pain that can be applied in all patient cases.

The Advanced Training course objectives are designed to:

  • Advance knowledge of GT examination procedures for assessing musculoskeletal dysfunction while introducing the principles of regional interdependence and functional testing.
  • Enhance clinical decision-making skills during the application of GT.
  • Advance repertoire of GT interventions for the management of musculoskeletal dysfunction/mechanical pain.
  • Develop a higher level of skill acquisition for utilizing GT while introducing movement, resistance, weight bearing, and provocation patterns to treatment.
  • Review major GT concepts covered in the Essential course (eight fundamental strokes, ergonomics, scar & edema techniques, physiology of GT, if necessary).
  • Provide an opportunity for participants to discuss patients that have challenged them since they started incorporating instrument-assisted soft tissue mobilization (IASTM) into their practice.
  • Introduce advanced GT skills incorporating IASTM with movement, with resistance, in weight bearing, during provocation, and with therapeutic exercise typically prescribed for common musculoskeletal pathologies.
  • Review selected case studies that illustrate advanced clinical applications of IASTM.
  • Share most recent research findings pertaining to IASTM.

INSTRUCTOR

Jacqueline Shakar

Jackie has maintained a clinical practice in musculoskeletal physical therapy for more than 30 years, specializing in manual therapy and lower extremity biomechanics, including custom foot orthotics. She is a professor at Mount Wachusett Community College, where she has taught anatomy, kinesiology, clinical orthopedics and evidence-based practice/clinical research for more than 20 years. Jackie is an avid runner and works with a number of elite and recreational runners and triathletes. She also works with high school and college athletes. She has been a GT instructor since 2007. Jackie is also the clinical advisor for Graston Technique�. She completed a transitional Doctoral Degree at Massachusetts General Hospital Institute of Health Professions in 2010. Jackie became board-certified as a clinical specialist in orthopedic physical therapy by the American Board of Physical Therapy Specialties in 2011. She earned a master's degree in physical therapy from Boston University in 1983. She has been an Athletic Trainer since 1984, and she received a certificate in massage therapy from the Bancroft School of Massage Therapy in 2001.

Hour 0-0.5
Participants will identify & discuss the effects, benefits, physiological responses, indications & contraindications for the Graston Technique® based on empirical evidence regarding manual therapy and its effects on the human neuromyofascial system.
  • Welcome and Introduction to Module 2
  • Principles relating to soft-tissue dysfunction
  • Anticipated responses and results from using GT instruments on the human neuromyofascial system (quick overview)
  • Foundational Science
  • Intervention
  • Lecture with Questions & Answers
Hour 0.5-1.5
Participants will review & then demonstrate proper handholds and m1 treatment strokes using GT instruments.
  • Review of each instrument as needed
  • Proper handholds and treatment strokes
  • Laboratory practice reviewing most common applications of scanning, sweeping, strumming, brushing, swiveling, scooping, j-strokes and framing (regional applications)
  • Intervention
  • Demonstrations
  • Lab-application of techniques and information
Hour 1.5 - 3 (includes 10 min. break)
Participants will identify & discuss the human neuromyofascial system with regards to its physiology, structural considerations.
  • Fascial physiology & structural considerations
  • Anticipated responses and results from using GT instruments on the human neuromyofascial system (Expanded discussion to include relevant research updates)
  • Indications & Contraindications
  • Documentation & Billing
  • M2 Treatment Parameters
  • M2 Treatment Algorithm
  • Foundational Science
  • Intervention
  • Lecture with Questions & Answers
Hour 3 - 4.5
Participants will view demonstration of and then practice additional M2 strokes (IA Skin Rolling, c-bowing, fascial spiral, pin and stretch/glide, interface rock/scoop).
  • Laboratory practice reviewing most common applications of IA Skin Roll, C-Bowing, Fascial Spiral, Pin and Stretch/Glide, Interface Rock/Scoop (regional applications); without then with movement & load
  • “Additional Treatment Considerations” & M2 Treatment Algorithm Lecture/Discussion
  • Intervention
  • Demonstrations
  • Lab-application of techniques and information
  • Lecture with Questions & Answers
Hour 4.5-5.5
Lunch (on your own)
Hour 5.5 - 6
Participants will identify & discuss functional testing & its role in identifying dysfunction in the human neuromyofascial system.
  • What is Functional Testing & Common Systems
  • Test/Treat/Retest
  • Regional Interdependence
  • Selective Functional Movement Assessment (SFMA) as a Means of Detecting Dysfunction in the Human Neuromyofascial System
  • Examination
  • Evaluation, Diagnosis and Prognosis
  • Lecture with Questions & Answers
  • Demonstration
  • Lab-application of techniques or information
Hour 6 - 7.5 (includes 10 min. break)
Participants will view demonstration of then practice GT M2 techniques to improve mobility & motor control of the cervical, thoracic & lumbosacral spines.
  • Functional testing of the cervical, thoracic & lumbosacral spine
  • M1 & M2 strokes applied to the cervical, thoracic, & lumbosacral spine static tissue preparation then addition of movement & load
  • Examination
  • Intervention
  • Demonstrations
  • Lab-application of techniques and information
)
Hour 7.5 - 8
Participants will identify & discuss the importance of breathing & assessment of anterior abdominal wall/diaphragm.
  • Why Assess Breathing
  • Breathing & Abdominal Wall Assessments
  • Examination
  • Evaluation, Diagnosis and Prognosis
  • Intervention
  • Lecture with Questions & Answers
  • Demonstration
  • Lab-application of techniques or information
Hour 8 - 9
Participants will view demonstration of then practice GT M2 techniques to improve mobility & motor control of the abdominal wall, diaphragm & anterior pelvis.
  • Functional Testing of the abdominal wall, diaphragm & anterior pelvis
  • M1 & M2 strokes applied to the cervical, thoracic & lumbosacral spines static tissue preparation then addition of movement & load
  • Includes 10 minute break
  • Examination
  • Intervention
  • Demonstrations
  • Lab-application of techniques and information
Hour 9 - 9.5
Participants will view demonstration of then practice GT scar mobilization & edema techniques with movement & load.
  • GT Scar Mobilization Principles
  • Nudging, Lifting & Skin Rolling Scars with movement & load
  • GT Edema Techniques
  • End Day 1 with Questions & Answers/Day 1 Wrap-up
  • Examination
  • Intervention
  • Demonstrations
  • Lab-application of techniques and information
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