Here’s a clear and comprehensive outline for a CPD (Continuing Professional Development) Foundational Course in Spinal Manipulation. This course is typically aimed at physiotherapists, chiropractors, osteopaths, and other manual therapy professionals seeking formal training or refreshment in spinal manipulation techniques.

Course Duration:

Typically, 2 days (16 CPD hours)

Format:

In-person practical sessions + theoretical modules (can be hybrid)

Course Objectives

Upon completion of this course, participants will be able to:

1. Understand the Principles of Spinal Manipulation and mobilisation
   • Define high-velocity, low-amplitude (HVLA) techniques.
   • Define graded mobilisation techniques.
   • Describe indications and contraindications.
   • Recognize the neurophysiological effects of manipulation and mobilisation
2. Apply Clinical Reasoning in Patient Selection:
   • Identify when spinal manipulation is appropriate.
   • Integrate red flag screening (e.g., for fractures, malignancy, infection).
   • Use informed consent and risk communication effectively.
3. Demonstrate Safe and Effective Technique:
   • Perform mobilisation techniques for cervical, thoracic, and lumbar spine
   • Perform basic HVLA techniques for cervical, thoracic, and lumbar spine
   • Use appropriate patient positioning and therapist biomechanics.
   • Practice palpation, joint assessment, and technique selection.
4. Ensure Patient Safety and Professional Conduct:
   • Identify and manage adverse responses.
   • Maintain ethical standards and documentation.
   • Work within professional scope and local regulations.
5. Integrate Manipulation into Broader Management:
   • Use manipulation as part of a multimodal treatment plan.
   • Understand evidence-based use and limitations

Here is a detailed outline for an Advanced CPD (Continuing Professional Development) Course in Spinal Manipulation, designed for clinicians who already have foundational training and are looking to enhance their clinical reasoning, precision, and technique in spinal manipulation therapy.

Course Duration

2 days (16 CPD hours)

Format:

In-person (strong emphasis on hands-on practical sessions)

Course Objectives

By the end of the course, participants will be able to:

1. Enhance Clinical Reasoning for Complex Cases
   • Apply spinal manipulation in complex or persistent musculoskeletal conditions.
   • Refine differential diagnosis and integrate advanced red flag screening.
   • Modify techniques based on patient-specific variables (e.g. age, comorbidities, hypermobility).
2. Refine Manual Therapy Techniques
   • Perform advanced and region-specific HVLA techniques with precision.
   • Adjust force vectors, leverage, and positioning for improved outcomes.
   • Develop skill in "non-thrust" variants and combined movements.
3. Integrate Spinal Manipulation into Multimodal Approaches
   • Combine spinal manipulation with exercise, education, and other manual therapies.
   • Use evidence-informed strategies to improve long-term outcomes.
4. Advance Safety, Consent, and Risk Mitigation
   • Address medico-legal challenges in advanced practice.
   • Perform advanced screening (e.g. for vertebral artery insufficiency, instability).
   • Handle adverse events with confidence.
5. Critically Evaluate and Apply Current Research
   • Interpret and critique current evidence for spinal manipulation efficacy.
   • Apply research to clinical decision-making