Principles of Mulligan MWM

The Physiotherapy treatment of musculoskeletal injuries has progressed from its foundation in remedial gymnastics and active exercise to therapist-applied passive physiological movements and on to therapist-applied accessory techniques. The Brian Mulligan concept of mobilizations with movement (MWMS) in the extremities and sustained natural apophyseal glides (SNAGS) in the spine are the logical continuance of this evolution with the concurrent application of both therapist applied accessory and patient generated active physiological movements.

Principles of Treatment

In the application of manual therapy techniques, Physiotherapists acknowledge that contraindications to treatment exist and should be respected at all times. Although always guided by the basic rule of never causing pain, therapist choosing to make use of SNAGS in the spine and MWMs in the extremities must still know and abide by the basic rules of application of manual therapy techniques.

Learn more about the Mulligan Concept of MWM here.

Descriptions and Curriculum

Upper Quarter – Peripheral Joints, Cervical and Thoracic Spines

This two-day course presents the Mulligan approach to manual therapy for the Cervical and Thoracic spine as well as for the upper extremity. It includes lecture, patient demonstrations, and lab time to give the participants a thorough and in depth coverage of the Mobilization With Movement approach for the upper quarter. This unique approach to manual therapy was discovered and developed by Brian Mulligan F.N.Z.S.P. (Hon), Dip. M.T. from Wellington, New Zealand. This simple yet effective manual approach addresses musculoskeletal disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain.

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Lower Quarter – Peripheral Joints, Lumbar Spine and Sacroiliac joints

This two-day course presents the Mulligan approach to manual therapy for the lumbar spine and sacroiliac joint as well as for the lower extremity. It includes lecture, patient demonstrations, and lab time to give the participants a thorough and in depth coverage of the Mobilization With Movement approach for the lower quarter. This unique approach to manual therapy was discovered and developed by Brian Mulligan F.N.Z.S.P. (Hon), Dip. M.T. from Wellington, New Zealand. This simple yet effective manual approach addresses musculoskeletal disorders with pain free manual joint “repositioning” techniques for restoration of function and abolition of pain.

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Advanced Course
The Mulligan Concept™ Advanced Course introduces a custom approach to manual therapy, founded and created by Brian Mulligan. Mobilization With Movement™ with the Mulligan Concept™ is a simple and practical method of addressing musculoskeletal disorders with painless manual therapy forces that can restore pain-free functional movement. Our two-day advanced course introduces new techniques and refines students’ skills with the Mulligan Concept™.
Additionally, this course will offer instruction in the application of Pain Release Phenomenon methods and compression techniques. This course incorporates a comprehensive lecture, patient demonstrations, as well as extensive lab time to allow students the chance to gain full knowledge and understanding of Mobilization With Movement™ and the Mulligan Concept™.

Pre Requisites:
Completion of both the upper and the lower quadrant, Mulligan Canada courses.

Course Objectives:
At the end of the Mulligan Concept™ Advanced Course, students will be able to:

    • List two indications and two clinical rules for the utilization of Pain Release Phenomenon techniques (PRP’s) and compression techniques.
    • Exhibit three ankle Mobilization With Movement™ methods for ankle range-of-motion impairment.
    • Display two knee Mobilization With Movement™ techniques for range-of-motion impairments.
    • Incorporate a combined proximal/distal Mobilization With Movement™ method on the lower leg when faced with findings consistent with lower leg dysfunction after an ankle sprain.
    • Display one advanced Mobilization With Movement™ combination that may be used for medial knee pain.
    • Exhibit five manual approaches for the alleviation of straight leg raise pain.
    • Illustrate central and unilateral manual SNAG methods for pain-free improvement of the cervical, lumbar, and thoracic range of motion.
    • Reveal three shoulder Mobilization With Movement™ approaches to shoulder-elevation impairment.
    • Display three manual approaches for mitigating cervicogenic headaches and dizziness.

This course will also prepare students to take the Certified Mulligan Practitioner (CMP) examination which will come to Canada in the fall of 2024.

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