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CT: Comprehensive Management of the Cervicothoracic Region


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This intermediate course focuses on psychomotor skill acquisition of examination utilizing a treatment based classification as well as intervention techniques emphasizing manual therapy. Therapeutic exercise/activities for the cervical and thoracic spine will also be discussed. 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



Additional information


April 10-11, 2021 Hummelstown, PA, April 10-11, 2021 Redmond, OR, December 4-5, 2021 Kansas City, MO, July 10-11, 2021 Crossville, TN, July 31-August 1, 2021 Atlanta, GA, March 6-7, 2021 Hilliard, OH, November 13-14, 2021 Ridgeland, MS, October 16-17, 2021 Birmingham, AL

Course Agenda

8:00Introduction, Course Outline
8:30Cervicothoracic Background, Clinical Reasoning (SINSS), TBC
9:30Examination (CN, neuro and vascular)
10:30Examination (Functional tests, posture, palpation)
1:00Examination (Cervical ROM, Tests for Radiculopathy)
2:00Examination (Cervical and thoracic segmental exam, 1st rib, uppercervical)
3:15Interventions (Thoracic Thrust techniques)
4:00Interventions (CT Thrust Techniques)
4:30Round Robin
5:00Discussion, Wrap-up, Q&A
5:30End of Day 1


8:00Round Robin
8:30Case Study
9:00Cervical Spine Mobilization Interventions
10:15Cervical Manipulation Risk, Harm, Benefit
10:45Cervical Manipulations and Upper Cervical Techniques
1:00Cervical Spine Exercises
2:00Cervicogenic Dizziness
3:15TMJ Assessment and Intervention
4:30Round Robin-skills check, wrap-up
5:30End of Course

Course Objectives

By the end of the course participants will be able to conduct an evidence-based examination of the cervical and thoracic spine

By the end of the course, given a case study, participants will independently design an examination regarding the differential diagnosis between cervical radiculopathy and upper extremity dysfunction

By the end of the course, participants will be able to describe the 4 sub groupings of treatment based classification for neck pain.

By the end of the course participants will demonstrate accurate and properly sequenced performance of active and passive motion testing in the cervical and thoracic spine.

By the end of the course, given a case study for a patient with neck pain,  participants will recognize red flag findings suggestive of sinister pathology.

By the end of the course, participants will independently demonstrate 3 HVLAT techniques to the cervicothoracic region with appropriate speed, direction, and application of force

By the end of the course, participants will independently demonstrate 3 grades of force during a given cervicothoracic mobilization technique.

By the end of the course, participants will be able to analyze data from a given cervicothoracic case scenario and formulate an appropriate treatment strategy based on the SINSS clinical reasoning model and published clinical practice guidelines.

By the end of the course, participants will be able to independently teach a patient how to correctly perform 2 self-mobilization techniques for neck pain

By the end of the course, given a case study for a patient with the diagnosis of cervicogenic headache, the participants will independently integrate 3 exercise progressions based on objective and functional impairments.

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 Instructors

Meredith Cabe

Derek Clewley

Derek Freshman

JJ Junkin

Elizabeth Lane

Daniel Maddox

Ryan McConnell

Tyler Miller

Grace Mollohan

Christina Myers

Hannah Norton

Keri Rogers

Misty Seidenberg

Josh Subialka

Jenna Winn


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