1. Comprehensive Cervico-Cranio-Mandibuar (CCM) – 48 Hours
| Course title | Comprehensive CCM therapeutics |
| Instructor | Tzvika Greenbaum, BPT MaPT (Manip & Sports) PhD |
| Participants | Physiotherapists, Osteopaths, Chiropractors |
| Description | The main role of the neck is to carry the head and to serve its main functions as vision, hearing, mastication (including taste) and position in space (proprioception). This major role connects the neck-head-face & jaw into one major functional complex in which its components are inter-related and affects each other. Additionally, the modern neuroanatomy research points out the tight neural sensory connection between the complex parts so that noxious stimuli in one part (right side of upper neck) can easily lead to pain presentation in other part (around the right eye) and vice versa.
Therefore, the ideal management for us as Physiotherapists in this region requires understanding of the whole Cervical-Cranio-Mandibular complex. In this comprehensive course, participants will learn the evidence informed effective assessment & practical management of people with musculoskeletal pain and dysfunction in their CCM complex. The course consists of 3 equal parts: |
| Contact hours | This is a 48 hour course (6 full days) |
| Course objectives | After completing to course participant will be able to:
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| Course format | Instructor led course: lectures (40%) & practical (60%) sessions |
2. Cranio-Mandibular (CM) – 16 Hours
| Course title | CM therapeutics |
| Instructor | Tzvika Greenbaum, BPT MaPT (Manip & Sports) PhD |
| Participants | Physiotherapists, Osteopaths, Chiropractors |
| Description | Temporomandibular Disorders (TMD) refer to several highly common clinical disorders that involve the masticatory muscles, the temporomandibular joint (TMJ) and the adjacent structures. TMD is one of the most frequent causes of orofacial pain & headache and is associated with basic functional limitations such as difficulties in chewing, talking and yawning. Additionally TMD patients tends to suffer from other disabling pain syndromes such as Migraine, tension type HA and neck pain – therefore introducing a challenge to clinicians.
In this course, participants will learn an effective evidence informed assessment & practical management of people with TMD |
| Contact hours | This is a 16 hour course (2 full days) |
| Course objectives | After completing to course participant will be able to:
|
| Course format | Instructor led course: lectures (40%) & practical (60%) sessions |
Course Schedule:
Day 1
| 8:30-9:00 | Registration |
| 9:00-11:00 | Clinical oriented scientific background:
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| 11:00-11:30 | Morning coffee |
| 11:30-13:00 | Clinical reasoning of temporomandibular disorders:
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| 13:00-13:45 | Lunch |
| 13:45-15:15 | Assessment & therapeutics of the TMD: topographical anatomy, evidence based diagnostics of TMD (DC-TMD assessment tools) – clinical applications for physiotherapists |
| 15:15-15:30 | Coffee break |
| 15:30-17:00 | Assessment & therapeutics of pain related TMD: myogenic components |
Day 2
| 8:30-9:00 | Summary of day 1 |
| 9:00-9:30 | Dental background: oral appliances & bruxism |
| 9:30-11:00 | Assessment & therapeutics of pain related & degenerative TMD: TMJ components |
| 11:00-11:30 | Morning coffee |
| 11:30-13:00 | Assessment & therapeutics of intra-articular TMD: rehabilitation approaches to the different TMJ disc conditions |
| 13:00-13:45 | Lunch |
| 13:45-15:15 | Assessment & therapeutics upper neck involvement in TMD: upper neck differential diagnosis, upper neck short segmental assessment |
| 15:15-15:30 | Coffee break |
| 15:30-16:30 | Real case study demonstration & brain storming.
End of course |
3. Cranio-Cervical (CC) – 16 Hours
| Course title | CC therapeutics |
| Instructor | Tzvika Greenbaum, BPT MaPT (Manip & Sports) PhD |
| Participants | Physiotherapists, Osteopaths, Chiropractors |
| Description | The upper neck is a unique spinal anatomical region which requires a special clinical approach in rehabilitation. It is a very mobile region with highly accurate and sensitive motor skills and with important neurological connections to the vestibular, ocular and trigeminal nervous systems. Noxious stimuli & dysfunction in this region may quite easily lead to cranio-facial pain (Cervicogenic Headache) and sensory-motor complaints as dizziness.
This region tends to response well to manual therapy techniques combined with specific therapeutic exercise. In this course, participants will learn an effective evidence based assessment & practical management of people with musculoskeletal pain and dysfunction in their CC region |
| Contact hours | This is a 16 hour course (2 full days) |
| Course objectives | After completing to course participant will be able to:
|
| Course format | Instructor led course: lectures (40%) & practical (60%) sessions |
Course Schedule:
Day 1
| 8:30-9:00 | Registration |
| 9:00-11:00 | Clinical oriented scientific background:
|
| 11:00-11:30 | Morning coffee |
| 11:30-13:00 | Clinical reasoning of common upper neck related clinical patterns: Cervicogenic Headache, Cervicogenic dizziness, potential involvement of upper neck in primary headaches (tension type & migraine) |
| 13:00-13:45 | Lunch |
| 13:45-15:15 | Assessment & therapeutics of the upper neck: topographical anatomy, Deep neck flexors assessment and rehabilitation |
| 15:15-15:30 | Coffee break |
| 15:30-17:00 | Assessment & therapeutics of the upper neck: Occ-C1 segmental assessment and treatment |
Day 2
| 8:30-9:00 | Summary of day 1 |
| 9:00-11:00 | Assessment & therapeutics of the upper neck: C1-C2 segmental assessment and treatment, Cervicogenic Dizziness assessment & treatment |
| 11:00-11:30 | Morning coffee |
| 11:30-13:00 | Assessment & therapeutics of the upper neck: C2-C3 segmental assessment and treatment |
| 13:00-13:45 | Lunch |
| 13:45-15:15 | Assessment & therapeutics of the upper neck: soft tissue assessment and treatment (sub-occipitals, Upper trap, splenius capitis, SCM) |
| 15:15-15:30 | Coffee break |
| 15:30-16:30 | Real case study demonstration & brain storming.
End of course |
4. Cervico-Brachial (CB) – 16 Hours
| Course title | CB therapeutics |
| Instructor | Tzvika Greenbaum, BPT MaPT (Manip & Sports) PhD |
| Participants | Physiotherapists, Osteopaths, Chiropractors |
| Description | Neck pain in one of the most common musculoskeletal disorders. Both up to date research findings and current experts opinions suggest good response of people with neck pain to modern musculoskeletal rehabilitation (better than people with LBP). In order to achieve good responses a thorough clinical assessment which reveal specific impairments is required.
The effective rehabilitative approach is based on the recognition of specific neck related clinical pattern. In this course, participants will learn an effective evidence informed assessment & practical management of people with musculoskeletal pain and dysfunction in their CB region |
| Contact hours | This is a 16 hour course (2 full days) |
| Course objectives | After completing to course participant will be able to:
|
| Course format | Instructor led course: lectures (40%) & practical (60%) sessions |
Course Schedule:
Day 1
| 8:30-9:00 | Registration |
| 9:00-11:00 | Clinical oriented scientific background:
|
| 11:00-11:30 | Morning coffee |
| 11:30-13:00 | Clinical reasoning of common lower neck related clinical patterns:
|
| 13:00-13:45 | Lunch |
| 13:45-15:15 | Assessment & therapeutics of the lower neck: topographical anatomy, common contributing factors: posture & breathing pattern |
| 15:15-15:30 | Coffee break |
| 15:30-17:00 | Assessment & therapeutics of the lower neck: Disc/Nerve root irritation |
Day 2
| 8:30-9:00 | Summary of day 1 |
| 9:00-11:00 | Assessment & therapeutics of the lower neck:
Thoracic outlet syndrome & Myofascial pain syndrome |
| 11:00-11:30 | Morning coffee |
| 11:30-13:00 | Assessment & therapeutics of the lower neck:
Facet joint irritation |
| 13:00-13:45 | Lunch |
| 13:45-15:15 | Assessment & therapeutics of the lower neck:
Neck on trunk + scapula on thorax dysfunctions |
| 15:15-15:30 | Coffee break |
| 15:30-16:30 | Real case study demonstration & brain storming.
End of course |
5. Dry Needling for Orofacial Pain and Headaches- 9 Hours
| Course title | Dry Needling for Orofacial Pain and Headaches | |||
| Instructor | Dr Tzvika Greenbaum, BPT, MaPT (Manip & Sports), PhD | |||
| Participants | Physiotherapists and dentists with previous qualification in dry needling and training in temporomandibular disorders rehabilitation. | |||
| Description | Orofacial Pain and Headache are highly common complaints seen in physiotherapy practice. In most cases, the musculoskeletal system plays the main role in the clinical presentation of orofacial pain and headaches (primary or secondary role). Dry needling of specific facial and cervical myofascial structures which have been shown to be relevant in orofacial pain and headaches have been proven to be highly effective both clinically and by research.
In this one-day workshop participants will learn and practice safe and effective dry needling approaches for the most commonly involved myofascial structures in patients with orofacial pain (mainly TMD) and headaches (cervicogenic, tension type and migraine). |
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| Contact hours | This is a 9 hour course (1 full days) | |||
| Course objectives | After completing to course participant will be able to:
1. Clinically assess, evaluate and identify common myofascial structures that can be source of pain in people orofacial pain and headache. 2. Clinically apply the clinical reasoning model of management in people with orofacial pain and headaches. 3. Effectively and safely apply dry needling techniques to several myofascial structures that are relevant to patients with orofacial pain and headache. |
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| Course format | · Theoretical lessons (20%)
· Practical workshop (80%) |
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Course Schedule:
Day 1
| 8:30-9:00 | Registration |
| 9:00-10:30 | 1. Scientific background of headache & orofacial pain in the musculoskeletal practice
2. Dry Needling safety |
| 10:30-11:00 | Coffee break |
| 11:00-12:00 | Clinical anatomy of the upper neck & masticatory system |
| 12:00-13:30 | DN for the upper neck muscles: SCM, Upper trapezius, Sub occipitals and Splenius capitis |
| 13:30-14:15 | Lunch break |
| 14:15-15:45 | DN for the mouth closers: Masseter, Temporalis, Medial pterygoid |
| 15:45-16:00 | Coffee break |
| 16:00-17:30 | DN for the mouth closers: Lateral pterygoid, Supra-Hyoids (Digastric, Mylohyoid), Infra-Hyoids (Sterno & Omohyoids) |
| 17:30-18:00 | Clinical points and day summary |