Join us for Part 2:Treatment Parameters in IASTM: Modes of Application!

Advanced Self-Paced Online Training

Course Overview

In this Advanced Training you will learn three-dimensional clinical “neuromyofascial” applications using a unique approach developed by Graston Technique, LLC. Skills demonstrated in this course are applied along the kinetic chains of the trunk and extremities for modulation of pain and to eliminate movement dysfunction. They reflect the most current evidence regarding manual therapy.

At the end of this course you will have:

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Extended interest and commitment to personal development using Graston Technique® therapy

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Advanced knowledge of Graston Technique® therapy and examination procedures for assessing musculoskeletal dysfunction

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Introductory exposure to principles of regional interdependence and 3-D kinetic chain neuromyofascial applications

Course Instructors

Jacqueline Shakar DPT, PT, GTS

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.

Mike Ploski ATC, PT, GTS

Mike maintains a clinical practice at a rehabilitation company with four sites in the Indianapolis area and is a guest instructor in orthopedic manual therapy at the University of Indianapolis. He was a clinic director in Indianapolis for 12 years for a national rehabilitation company. Prior to that, he was a Physical Therapist/Athletic Trainer for the PGA Tour and the CART racing league. Mike has been a GT-trained clinician since 1996 and a GT instructor since 1998. He joined Graston Technique, LLC in 2013 and now serves as Clinical Advisor. He works in close collaboration with the faculty members who teach Graston Technique in the curriculum of advanced degree programs in physical therapy and athletic training and represents GT at national conferences. Mike received a Bachelor of Arts degree from Wabash College in 1984 and a Master of Education degree with a major in exercise physiology from Temple University in 1986. He earned a Master of Science degree from the Krannert School of Physical Therapy at the University of Indianapolis in 1988. He has been a certified Athletic Trainer since 1985 and board certified in orthopedics since 1998.

Course Content

Pre-Course Information
General Information
2 Topics
Basic Information
Conflict of Interest
Graston Technique Advanced Course
Chapter 1: Introduction
46 Topics
Advanced Applications
Social Media
Short Questionnaire
Meet Your Instructors
Conflict of Interest
Disclaimer
Disclaimer (cont.)
Graston Technique, LLC
Prohibited During Training
More Than Just a Name
Please Be Careful
The Graston Technique® Training Series
GTS Credential
Non-Completion Policy
Advanced Course Materials
Preferred Provider Program (i)
Preferred Provider Program (ii)
Preferred Provider Program (iii)
Advanced Course Topics
Administrative
GT Therapy is Multidisciplinary
GT Therapy
Advanced Course Description
Advanced Course Objectives
Advanced Course Objectives (cont.)
Advanced GT Therapy Algorithm
GT Therapy Modes of Application: Dictated by Stage of Healing
GT Therapy Modes of Application (i)
GT Therapy Modes of Application (ii)
GT Therapy Modes of Application (iii)
GT Therapy During Therapeutic Exercise/Neuromuscular Re-Education
Essential GT Treatment Algorithm
Review of GT Instruments & Essential Strokes
GT Instruments
Shape of the GT Instruments
Bevel Edges of the GT Instruments
Essential Instrument and Handhold Review
Overview: Clinical Applications for Each Instrument
Review of Essential Strokes and Handholds
GT Treatment Preparation
To Glove Up or Not?
Avoid Snow Plowing
GT Dosage Parameters
Intensity of GT Session
Intensity of GT Session (cont.)
Chapter 2: Fascial Physiology and Additional Advanced Considerations
84 Topics
Fascia: Physiological, Structural & Functional Considerations
Lecture Topics
Relevant Connective Tissue Physiology
Fascial Physiology
Fibroblasts
Fibroblast Responses to Pressure
Extracellular Matrix (ECM): Function
Fascial Physiology: Mechanotherapy
Neurophysiological Effects: Altered Neural Activity Increased
Structural Considerations
Structural Considerations: Superficial and Deep Fascia
Structural Considerations: Superficial Fascia
Superficial Fascia: Advanced Stroke Selection
Structural Considerations: Deep Fascia
Structural Considerations: Deep Fascia (cont.)
T-L Fascia: Force Transmission
Structural Considerations: Aponeuroses
Structural Considerations: What Is A Tissue Interface?
Graston Technique Therapy to Tissue Interfaces
Structural Considerations: Retinaculum
Dynamic Graston Technique® Therapy to Retinacular Tissues
Structural Considerations: Musculotendinous Junctions
Functional Considerations: Dynaments
Fascial Expansions/Load Transfer
Functional Considerations: Fascial Linking
Functional Considerations: Fascial Strain
Functional Considerations: Fascia and The Kinetic Chain
Functional Considerations: Biotensegrity & Regional Interdependence
Functional Considerations: Anatomy Trains or Fascial Line Concept
Evidence Supporting Myofascial Chains
Posterior Chain
Untitled - #378813
Anterior Chain
Anterior Chain Therapeutic Exercise
Lateral Chain
Lateral Chain Therapeutic Exercise
Functional / Performance Chain
UE Fascial Chain
Dynamic Therapeutic Exercise Multiple Chains
Pathological Considerations: Fascial Pain and Joint Dysfunction
Summary: Structural & Functional Considerations of Fascia
Why Address Connective Tissue in 3D?
Why Treat Under Load?: Impact of Tension and Stress
Why Treat Under Load?: The Physical Stress Theory
Why Treat Under Load?: Davis’ Law
New Advanced Strokes
Connective Tissue Assessment: Finger Glide and Clock, Skin Roll
I-A Skin Rolling
IA-C Bowing
IA Skin Rolling & C-Bowing Applications
Fascial Spiral
Fascial Spiral Applications
Pin & Stretch (Stationary Instrument/Bevel Down)
Pin & Glide GT4
Pin & Stretch/Glide Applications
GT4 Interface Rock/Scoop
Interface Rock/Scoop Applications
Lab 2: New Advanced Strokes
Advanced Additional Treatment Considerations
Advanced Graston Technique® Therapy Algorithm
Potential Treatment Response
General Treatment Guidelines
General Treatment Guidelines (cont.)
Advanced Treatment Parameters
Other Important Points…
Documentation of Graston Technique® Therapy Intervention
Coding and Billing
Clinical Indications
Clinical Indications (cont.)
Relative Contraindications
Relative Contraindications (cont.)
Injections
Post-Surgical Graston Technique® Therapy Considerations
ABSOLUTE CONTRAINDICATIONS
ABSOLUTE CONTRAINDICATIONS (cont.)
Chapter 3: Functional Testing
39 Topics
Functional Testing and Exercise Prescription
Functional Testing and Exercise Prescription (cont.)
Considerations for Neuromyofascial Interventions
What Does This Mean for our Treatments?
Do Not Be Intimidated By Jargon!
Common Functional Testing Systems
Functional Tests Examine Movements vs. Muscles
Pain Site vs Pain Source
Pain Alters Motor Control
Time Spent In Assessment
The Test Determines The Treatment
Goal of the Advanced System of Functional Testing
Principles of the Advanced Functional Testing System
Advanced System of Functional Testing (SFMA Top Tier Tests)
Functional Testing
Tight Hamstrings vs. Stability/Motor Control Deficit
Lab 3: Advanced Functional Testing System
Cervical Patterns
Cervical Movement Patterns (i)
Cervical Movement Patterns (ii)
Cervical Movement Patterns (iii)
Upper Extremity: MREP & LRFP
Upper Extremity: MREP & LRFP (cont.)
Multi-Segmental Flexion
Multi-Segmental Flexion (cont.)
Multi-Segmental Extension
Multi-Segmental Extension (cont.)
Multi-Segmental Rotation
Multi-Segmental Rotation (cont.)
Single Leg Stance
Single Leg Stance (cont.)
Overhead Deep Squat
Squatting Pattern
Therapeutic Exercise Prescription Progression
Functional Exercise Positions
Functional Exercise Positions (cont.)
Functional Exercise Progression
What Do You Give Your Patients For “Homework”?
Chapter 4: Breathing, the Diaphragm and the Abdominal Wall
12 Topics
Breathing, Diaphragm, and Abdominal Wall
Neuro-Development
The Case for Breathing First
Why Should We Assess Breathing?
Pain & Breathing: What Does the Evidence Say?
The Importance of Breathing
Basic Breathing Retraining: Let’s Try!
What Constitutes “Good” Breathing?
Assessing Breathing: What is a Rib Flare and What Does it Mean???
Abdomen, Diaphragm and Psoas/Iliacus Fascia Pre-Tests
Abdomen/Diaphragm and Psoas/Iliacus
Abdominal Wall/Diaphragm Exercises
4 Topics
GT to Improve Mobility and Motor Control
Lab 5A: Cervical Spine Techniques
Lab 5A: Cervical Spine Techniques (Continued)
3 Topics
Lab 5B Thoracic Spine Techniques
Lab 5C Lumbar Spine Techniques
Spine Exercises
Chapter 6: GT and Tendinosis
8 Topics
GT for Tendinosis & Ligament Healing
Acute Tendinitis
Chronic Tendinosis
Histopathology of Tendinosis
Mechanical Loading Effects on Tendons
Making a Case of Graston Technique® Therapy
Graston Technique® Therapy Tendinosis Progression
Chapter 7: GT Scar Management Techniques
3 Topics
GT and Scar Mobilization
Lab 7: Graston Technique® Therapy Dynamic Scar Mobilization
Graston Technique® Therapy Dynamic Scar Mobilization
6 Topics
Lab 8A GT to Improve Shoulder Mobility & Motor Control
Shoulder Exercises
Lab 8B GT to Improve Elbow/Forearm Mobility & Motor Control
Elbow/Distal UE Exercises
Lab 8C GT to Improve Wrist/Hand Mobility & Motor Control
Chapter 9: GT to Improve Mobility of Motor Control of the Lower Body
8 Topics
Lab 9 GT to Improve Mobility & Motor Control LE: Pre-Test
Chris Johnson’s Table Test
Lab 9A GT to Improve Hip Mobility & Motor Control
Hip Exercises
Lab 9B GT to Improve Knee Mobility & Motor Control
Knee Exercises
Lab 9C GT to Improve Ankle & Foot Mobility & Motor Control (Part 1)
Lab 9C: Foot/Ankle Lab
Chapter 10: Case Study Lower Extremity
6 Topics
Case Study Outline
KB Subjective Information
KB Key Objective Findings
KB Treatment Plan of Care
KB Outcomes After 8 Sessions
KB Key Take Home Points
Chapter 11: Case Study Upper Extremity
5 Topics
HH Subjective Information
HH Key Objective Findings
HH Treatment Plan of Care
HH Outcomes After 10 Sessions
HH Key Take Home Points
Chapter 12: Course Wrap-Up
8 Topics
Course Wrap-Up
Online Courses @ MedBridgeEducation.com/Graston-Technique
Demo Graston Technique® Therapy
After the course…
GTS Credential
Industry Partners
Congratulations
Setting Up Your Practical Skills Exam
Final Exam, Evaluation & Skills Assessment
Advanced Final Exam
1 Quiz
Advanced Self-Paced Training – Final Exam
Advanced Practical Skills Assessment & Participant Evaluation Survey
2 Topics
Advanced Practical Skills Assessment
Virtual (Required)
Participant Evaluation Survey