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Mobilization of the Cervical and Thoracic Spine and Ribs

Many clinicians lack a structured approach to treat dysfunctions involving the neck, shoulders and upper thoracic spine, while often overlooking rib cage involvement. This course will give you a strong foundation to treat these areas as well as an understanding of where to look next if you’re not getting the desired outcome with your spine patients.

 

We make a complicated region of the body simple to diagnose and treat, giving you a wide array of treatment approaches to choose from that best fit your patients’ needs. Techniques include Muscle Energy Technique (MET) and direct articulations to the cervical and thoracic spine and ribs. All course material is evidence-based and every technique is repeated multiple times until you feel comfortable and confident. When you leave this class, you’ll walk away with a straightforward, yet comprehensive foundation for treatment of the neck, upper back and ribs.

 

As with all our manual therapy courses, this course is at least 75% hands-on lab, and will give you skills you can use immediately upon returning to the clinic.

Sat 25 Jan 2025

2 days, 08:00 AM - 05:30 PM

OK - Tulsa

Select Medical Center - 51st St
11414 E 51st St
Tulsa OK 74146
United States

Karl Buche

  • $650.00 incl. Tax

Saturday, 25 January 2025 - Sunday, 26 January 2025

08:00 AM - 05:30 PM (2 days)

Presented by
Karl Buche
  • $650.00 incl. Tax

Sat 25 Jan 2025

2 days, 08:00 AM - 05:30 PM

OK - Tulsa

Select Medical Center - 51st St
11414 E 51st St
Tulsa OK 74146
United States

Karl Buche

  • $650.00 incl. Tax

Sat 12 Apr 2025

2 days, 08:00 AM - 05:30 PM

MN - North Branch

Physical Therapy Consultants - North Branch
5466 St Croix Trail, Suite 107
North Branch MN 55056
United States

Karl Buche

  • $650.00 incl. Tax

Saturday, 12 April 2025 - Sunday, 13 April 2025

08:00 AM - 05:30 PM (2 days)

Presented by
Karl Buche
  • $650.00 incl. Tax

Sat 12 Apr 2025

2 days, 08:00 AM - 05:30 PM

MN - North Branch

Physical Therapy Consultants - North Branch
5466 St Croix Trail, Suite 107
North Branch MN 55056
United States

Karl Buche

  • $650.00 incl. Tax

Sat 17 May 2025

2 days, 08:00 AM - 05:30 PM

NJ - Cherry Hill

3D Physical Therapy - Cherry Hill
496 Kings Hwy N, Suite 110
Cherry Hill NJ 08034
United States

Karl Buche

  • $650.00 incl. Tax

Saturday, 17 May 2025 - Sunday, 18 May 2025

08:00 AM - 05:30 PM (2 days)

Presented by
Karl Buche
  • $650.00 incl. Tax

Sat 17 May 2025

2 days, 08:00 AM - 05:30 PM

NJ - Cherry Hill

3D Physical Therapy - Cherry Hill
496 Kings Hwy N, Suite 110
Cherry Hill NJ 08034
United States

Karl Buche

  • $650.00 incl. Tax

Sat 4 Oct 2025

2 days, 09:00 AM EDT - 05:00 PM EDT

Live Hybrid

Karl Buche

  • $600.00 incl. Tax

Saturday, 4 October 2025 - Sunday, 5 October 2025

09:00 AM EDT - 05:00 PM EDT (2 days)

  • Live Hybrid
Presented by
Karl Buche
  • $600.00 incl. Tax

Sat 4 Oct 2025

2 days, 09:00 AM EDT - 05:00 PM EDT

Live Hybrid

Karl Buche

  • $600.00 incl. Tax

Sat 4 Oct 2025

2 days, 09:00 AM - 05:00 PM

OH - Toledo

Great Lakes Seminars
2768 Centennial Rd.
Toledo OH 43617
United States

Karl Buche

  • $650.00 incl. Tax

Saturday, 4 October 2025 - Sunday, 5 October 2025

09:00 AM - 05:00 PM (2 days)

Presented by
Karl Buche
  • $650.00 incl. Tax

Sat 4 Oct 2025

2 days, 09:00 AM - 05:00 PM

OH - Toledo

Great Lakes Seminars
2768 Centennial Rd.
Toledo OH 43617
United States

Karl Buche

  • $650.00 incl. Tax

Sat 13 Dec 2025

2 days, 08:00 AM - 05:30 PM

VA - Norfolk

Sentara Therapy Center Orthopedics and Sports Performance
6201 E Virginia Beach Blvd
Norfolk VA 23502
United States

Karl Buche

  • $650.00 incl. Tax

Saturday, 13 December 2025 - Sunday, 14 December 2025

08:00 AM - 05:30 PM (2 days)

Presented by
Karl Buche
  • $650.00 incl. Tax

Sat 13 Dec 2025

2 days, 08:00 AM - 05:30 PM

VA - Norfolk

Sentara Therapy Center Orthopedics and Sports Performance
6201 E Virginia Beach Blvd
Norfolk VA 23502
United States

Karl Buche

  • $650.00 incl. Tax

At the completion of this seminar, the participant will be able to:

  • Correctly describe the normal and abnormal biomechanics of the vertebrae in the upper cervical spine (OA, AA), lower cervical Spine (C2-7), thoracic spine (T1-I2) and ribs
  • Confidently describe 5 specific spinal and rib anatomical structures
  • Correctly describe the neurophysiological mechanism behind muscle energy technique (MET)
  • Correctly and confidently identify 3 key components necessary to administer proper MET
  • Through the discussion of relevant evidence based research, support the use of METs/mobilization and manipulations to the cervical and thoracic spine and ribs for specific diagnoses
  • Through the use of 3 varying case studies, correctly demonstrate a systematic approach for the treatment progression through the cervical and thoracic spine and rib complex
  • Demonstrate the appropriate force direction for 5 specific MET/mobilization and manipulations

At the completion of this seminar, the participant will be able to:

  • Correctly describe the normal and abnormal biomechanics of the vertebrae in the upper cervical spine (OA, AA), lower cervical Spine (C2-7), thoracic spine (T1-I2) and ribs
  • Confidently describe 5 specific spinal and rib anatomical structures
  • Correctly describe the neurophysiological mechanism behind muscle energy technique (MET)
  • Correctly and confidently identify 3 key components necessary to administer proper MET
  • Through the discussion of relevant evidence based research, support the use of METs/mobilization and manipulations to the cervical and thoracic spine and ribs for specific diagnoses
  • Through the use of 3 varying case studies, correctly demonstrate a systematic approach for the treatment progression through the cervical and thoracic spine and rib complex
  • Demonstrate the appropriate force direction for 5 specific MET/mobilization and manipulations

Saturday


7:30am
Doors Open
8:00am
Lecture: Overview of MET and Joint Articulations, Anatomy, Biomechanics, Spinal Kinematics, Types of Dysfunctions, Treatment Principles
10:30am
Lecture: Rib Dysfunctions
11:00am
Lab: Cervical-Thoracic Screening Tests
12:00pm
Lunch (on your own)
1:00pm
Lab: Thoracic Spine: Type II Flexion and Extension Lesions
3:15pm
Lab: Thoracic Spine: Type I Neutral Spine Lesions
4:15pm
Lab: Cervical Spine: Type II Lesions
5:00pm
Review of Evidence-Based Literature for Today’s Topics
5:30pm
Adjourn

Sunday


7:30am
Doors Open
8:00am
Lab: Review of Type II Dysfunctions in Cervical and Thoracic Spine
8:45am
Lab: Upper Cervical Screening Tests, AA Jt Dysfunctions
10:15am
Lab: OA Jt Dysfunctions
11:15am
Structural Rib Dysfunctions
12:00pm
Lunch (on your own)
1:00pm
Lab Continued: Structural Rib Dysfunctions
3:45pm
Case Studies/Speed Mobilizations
4:30pm
Review of Evidence-Based Literature for Today’s Topics
5:00pm
Adjourn

Course Instructors

Karl Buche

PT, DPT, CIMT, CIDN, TPS, OCS

Karl completed his undergraduate degree in Exercise Science from Michigan Technological University in 2012, then went on to graduate with his doctorate in physical therapy from Central Michigan University in 2016. He works at Probility Physical Therapy, which is based in southeast Michigan, and is the director of the Pinckney Clinic. After obtaining his CIMT credentials in 2019, he began teaching and assisting courses for GLS, with his main area of expertise being pain neuroscience. He believes in an eclectic treatment approach, including many styles of manual therapy, pain education, and individualized exercise. He cares deeply about the manner in which we communicate with our patients, and loves teaching others how to minimize nocebo effects during patient interactions. He lives in Chelsea, MI with his wife, Catherine, and puppy, Olive. He enjoys treating all orthopedic dysfunctions, and loves to incorporate breathwork into his practice.

Understanding Pain CEU Course Instructor Headshot

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