Therapy Network Seminars
Neuro-Mobilization of the Upper Quadrant On-Site Training
This two day; hands on intensive seminar is designed to develop clinical assessment and treatment skills in advanced concepts of pain management and dysfunction in the upper quadrant.
This two day; hands on intensive seminar is designed to develop clinical
assessment and treatment skills in advanced concepts of pain management and
dysfunction in the upper quadrant. This course will combine an efficient
examination process to effectively differentiate between musculoskeletal and
neurological sources of pain in order to identify and sequence a custom
treatment plan tailored to the dysfunction. Hands on lab sessions will further
facilitate proper examination and treatment interventions involving evidence
based special testing, neuromobilization, manual therapy, orthotic interventions
and exercise prescription. Finally, case scenarios will be incorporated to pair
clinical reasoning to situations that are encountered in the clinical setting.
The purpose of this seminar is to allow the clinician to move from protocol
derived treatment to professional assessment and treatment of the nervous system
and the interfacing musculoskeletal system. The emphasis is on creative
solutions to difficult problems by integrating neuroanatomical,
neurophysiological and kinesiological principles creating a fresh approach to
difficult patient problems resulting in improved functional outcomes and patient
- Upon completion of this seminar the participant will:
- Identify complex neurophysiological sources of pain and distinguish between acute, chronic,
referred and neuropathic pain conditions
- Demonstrate an effective Upper
Quadrant Screening that will locate proximal pain generators.
- Demonstrate soft
tissue and joint mobilizations, exercise prescription and activity adaption
germane to resolving issues of the thoracic outlet.
- Identify neuraldynamic
theory as applied to the integration of nerve assessment and intervention
designed to resolve difficult pain issues.
- Identify rehabilitation strategies
for upper quadrant pain conditions that consider the client's cultural, social
and environmental context enabling the individual client to return to maximum
||Continental Breakfast and Sign In
||The ABC s of behavioral medicine
Ultrastructure of peripheral nerve
Physiology of the peripheral nerve
Biomechanics of the peripheral nervous system
Pain propagation and relationship to central nervous system
||Lab 1: Cervical spine screening/Periscapular assessment and soft
Lab 2: The Thoracic Outlet: Brachial Plexus Compression: Assessment
and traditional intervention strategies
||Lunch (on your own)
||Lab 3: Proximal Compressive Neuropathies/Assessment traditional
strategies/soft tissue and neural mobilization.
||Lab 3 Cont
|Q & A and Adjourn.
||General Principles of Neurodynamics
||Neurodynamics of the Upper Quadrant/Neuropathology/Neuropathic
||Musculoskeletal vs. Neural Dysfunction
Assessment and treatment planning concepts.
||Lab 1: Physical examination and neuro orthopedic assessment
||Lunch (on your own)
||Lab 1 Cont
||Lab 2: Neuro orthopedic intervention for compressive
neuropathies of the upper extremity
||Lab 3: Musculoskeletal intervention for pain syndromes of the
||Questions and Adjourn.
Paul J. Bonzani, OTR/L, CHT, M.H.S.
...currently maintains a very busy clinical practice in Concord, NH. Throughout
his career he has had the fortunate opportunity to work with some of the finest
hand surgeons and therapists in the country having held management positions at
both The University of Vermont-Fletcher Allen Medical Center and Duke
University Medical Center. Additionally he has been an adjunct instructor in
both the Duke University Physical Therapy Program and the Program in
Occupational Science at the University of North Carolina-Chapel Hill. Mr.
Bonzani brings 22 years of clinical experience in orthopedic and industrial
rehabilitation. Paul has presented nationally in the areas of biomechanics and
rehabilitation of the shoulder, nerve compression syndromes, RSI/CTD management
and pain syndromes. He has published on the subjects of CTD/RSI management,
thumb reconstruction, management of the rheumatoid elbow, shoulder and elbow
tendonopathy, hand anatomy and nerve injuries. Clinical specialties include
rehabilitation of the shoulder, elbow, wrist and hand, chronic pain syndromes,
TOS, nerve compression syndromes and neural dynamic disorders of the upper limb.
Current research interest is pain management of ulnar sided wrist pain
following distal radius fractures. Paul is a clinician, researcher, author and
educator and considered to be one of the leading therapists in the care of
shoulder, elbow and hand injuries in North America.
- A certificate of attendance for 15 Contact Hours will be awarded to each
participant. All Therapy Network Seminars are pre-approved for CEUs in the
state where the course is conducted when required for PT, OT, ATC &
- BOC Board of Certification, Inc. Approved Provider # P-2563
- AOTA Approved Provider of Continuing Education # 3073
- The assignment of AOTA CEUs does not imply endorsements of specific
course content, products, or clinical procedures by AOTA
- NSCA Approved for 15 CEUs
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