CT: Comprehensive Management of the Cervicothoracic Region


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This course focuses on skill acquisition of examination and intervention including manual therapy and therapeutic exercise/activities for the cervical and thoracic spine. Clinical reasoning and evidence-informed practice are underscored throughout instruction utilizing thrust and non-thrust manual techniques and exercise in accordance with participants’ state practice acts. Safety, skill, and indications with each technique are highlighted. Learning is enhanced with the practical application of patient cases. This is a lab-intensive course with the majority of time spent in skill acquisition with supervised practice encouraged.

Target Audience: PTs, PTAs, ATs

Instructional Level: Intermediate

Instructional Methods: Hands-on lab, lecture with Q&A, group discussion, patient cases, evidence review

Course Completion Requirements: must attend entire 2-day course, complete the post-course survey and post-course learner assessment

Cancellation policy

16 Hour Course


CEU Approval Information

For individual state approval, please contact us

17 CCUs awarded through ProCert

16 CEUs will be offered for Certified Athletic Trainers




SKU: N/A Category:

Course Rationale

Cervical disorders are one of the most commonly encountered in the orthopedic physical therapy population. There is increased demand for evidence-informed treatments in order to reduce variability in practice. This course teaches a standardized approach to examination and treatment of these conditions using the treatment-based classification system consistent with current physical therapy clinical practice guidelines.

Course Objectives

  • Participants will utilize evidence-informed examination of the cervical and thoracic spine, with a particular emphasis on active and passive motion testing in a standardized fashion.
  • Participants will discuss and determine patient appropriateness for physical therapy intervention also observing contraindications related to cervical and thoracic spine interventions for those that are appropriate for physical therapy care.
  • Participants will synthesize and analyze data from the examination of the cervical and thoracic spine based on signs and symptoms and treatment-based classification systems.
  • Participants will be able to identify key diagnostic and treatment studies including recent treatment-based classification systems for cervical and thoracic spine dysfunctions.
  • Participants will demonstrate proficiency with techniques for cervical and thoracic spine and justify these techniques using clinical reasoning and application of current best evidence.


Saturday Agenda

Time Topic
7:30-8:00 Breakfast
8:00-8:30 Introductions, course outline, ground rules
8:30-9:30 Background, Clinical Reasoning (SINSS), TBC
9:30-9:45 Break
9:45-10:30 Examination (CN, neuro and vascular)
10:30-11:00 Examination (Functional tests, posture, palpation)
11:00-12:00 Examination (Cervical ROM, Tests for Radiculopathy)
12:00-1:00 LUNCH ON YOUR OWN
1:00-2:00 Examination (Cervical and thoracic segmental exam, 1st rib, upper cervical)
2:00-3:00 Interventions (Thoracic Thrust techniques)
3:00-4:00 Interventions (CT Thrust Techniques)
4:00-5:00 Interventions (Exercises for enhancing mobility)
5:00-5:15 Round Robin, Q&A

Sunday Agenda

Time Topic
7:30-8:00 Breakfast
8:00-8:30 Round Robin
8:30-9:30 Case Study
9:30-9:45 Break
9:45-10:30 Cervical Spine mobilization Interventions
10:30-11:00 Cervical spine exercises
11:00-12:00 Cervical manipulation risk, harm, benefit
12:00-1:00 LUNCH ON YOUR OWN
1:00-2:00 Cervical Spine manipulation
2:00-3:00 Cervical spine mobility exercises
3:00-4:00 TMJ assessment and intervention
4:00-4:45 Directed Practice lab
4:45-5:15 Round Robin, Q&A



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