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Course Description, Goals and Outlines

PARTS TO CREDENTIALLING EXAMINATION

The MDT Program of Certification consists of a sequential four-part course series followed by the Credentialling Exam. Credentialled clinicians may then apply to the MII Diploma Program to achieve the highest level of MDT Certification. In addition, we offer two advanced courses for the Extremities and Clinical Skills Update.

Once certified, practitioners become part of a patient referral network and will be required to maintain MDT Certification Continuing Educations standards (CCES).

Click here for the CCES Policy.

Part A: The Lumbar Spine

Course Description
Part A (26 hrs) begins with a new comprehensive online session, followed by a three day live course. Having an online component allows you to work at your own convenience and learn from an interactive blend of visuals, audio and video, but still participate in the live course that is so integral to the McKenzie educational programming.

The course will present the theoretical aspects and concepts of the McKenzie Method in Mechanical Diagnosis and Therapy, as applied in the examination and treatment of patients with complaints of low back and related referred pain. Through lectures and patient demonstrations, the derangement, dysfunction and postural syndromes are described in detail and appropriate treatment plans are outlined with emphasis on the use of patient self-treatment procedures. The clinical efficacy and limitations of the McKenzie approach as applied to the lumbar spine, are illustrated by follow-up patient demonstrations.

Course Goals
Following attentive participation and completion, this course will provide participants with the introductory knowledge, basic skills and abilities to begin to:

  1. Appropriately apply the McKenzie Method of Mechanical Diagnosis and Therapy to patients with lumbar spine problems.
  2. Distinguish between the McKenzie syndromes (derangement, dysfunction, postural) and other spinal conditions and provide appropriate management regimens for each of the McKenzie syndromes.
  3. Identify when the application of external forces is required for the resolution of symptoms using McKenzie's concept of progression of forces.
  4. Assist patients to design and apply the therapeutic processes on their own to achieve management goals.

Part B: The Cervical and Thoracic Spine

Course Description
Part B (26 hrs) also begins with a new comprehensive online session, followed by a three day live course.

The course will present the theoretical aspects and concepts of the McKenzie Method in Mechanical Diagnosis and Therapy, as applied in the examination and treatment of patients with complaints of neck, upper back and related referred pain. Through lectures and patient demonstrations, the derangement, dysfunction and postural syndromes are described in detail and appropriate treatment plans are outlined with emphasis on the use of patient self-treatment procedures. The clinical efficacy and limitations of the McKenzie approach as applied to the cervical and thoracic spine, are illustrated by follow-up patient demonstrations.

Course Goals
Following attentive participation and completion, this course will provide participants with the knowledge, basic skills and abilities to begin to:

  1. Appropriately apply the McKenzie Method of Mechanical Diagnosis and Therapy.
  2. Distinguish between the McKenzie syndromes (derangement, dysfunction, postural) and other spinal conditions and provide appropriate management regimens for each of the McKenzie syndromes.
  3. Identify when the application of external forces is required for the resolution of symptoms using McKenzie's concept of progression of forces.
  4. Assist patients to design and apply the therapeutic processes on their own to achieve management goals.

Part C: Advanced Lumbar Spine & Extremities - Lower Limb

Course Description
This four day (28 hrs) course will review and advance the theory and practical application of Mechanical Diagnosis and Therapy in relation to the Lumbar Spine. Problem solving, reflective learning and clinical reasoning activities are utilized to refine the assessment, classification, differential diagnosis and management of patients presenting with symptoms related to the lumbar spine. Practical sessions are utilized to develop skills in the application of both self-treatment and clinician procedures. The theory and practical application of MDT for the lower limb musculoskeletal disorders is presented. Lectures, patient assessments and practical sessions are utilized to demonstrate the characteristics and management of the syndromes as they present in the lower limb.

Course Goals
Following attentive participation and completion, this course will provide participants with the intermediate knowledge, skills and abilities to:

  1. Identify and discuss common problems encountered in the application of Mechanical Diagnosis and Therapy for the lumbar spine.
  2. Analyze and discuss the MDT assessment and how it assists with patient classification.
  3. Discuss the application of clinician forces, and how they fit with McKenzie's "progression of foces" concept.
  4. Perform clinician techniques for the lumbar spine at an advanced level and to identify problems with their application.
  5. Analyze case studies of patients presenting with lumbar spine symptoms and determine classification.
  6. Describe and discuss the current evidence base for the use of MDT for lower limb musculoskeletal disorders.
  7. Describe the characteristics of derangement, dysfunction and postural syndromes as they present in lower limb musculoskeletal disorders.
  8. Perform MDT assessments for lower limb musculoskeletal disorders and determine the presence of McKenzie syndromes.
  9. Design appropriate management programs for patients who present with derangement, dysfunction and postural syndromes in the lower limb.
  10. Analyze case studies of patients presenting with lower limb symptoms and determine classification.

Part D: Advanced Cervical and Thoracic Spine & Extremities - Upper Limb

Course Description
This four day (28 hrs) course will review and advance the theory and practical application of Mechanical Diagnosis and Therapy in relation to the Cervical and Thoracic Spine. Problem solving, reflective learning and clinical reasoning activities are utilized to refine the assessment, classification, differential diagnosis and management of patients presenting with symptoms related to the cervical and thoracic spine. Practical sessions are utilized to develop skills in the application of both self-treatment and clinician procedures. The theory and practical application of MDT for the upper limb musculoskeletal disorders is presented. Lectures, patient assessments and practical sessions are utilized to demonstrate the characteristics and management of the syndromes as they present in the upper limb.

Course Goals
Following attentive participation and completion, this course will provide participants with the knowledge, skills and abilities to:

  1. Identify and discuss common problems encountered in the application of Mechanical Diagnosis and Therapy for the cervical and thoracic spine.
  2. Analyze and discuss the MDT assessment and how it assists with patient classification.
  3. Discuss the application of clinician forces, and how they fit with McKenzie's "progression of forces" concept.
  4. Perform clinician techniques for the cervical and thoracic spine at an advanced level and to identify problems with their application.
  5. Analyze case studies of patients presenting with cervical/thoracic spine symptoms and determine classification.
  6. Describe and discuss the current evidence base for the use of MDT for upper limb musculoskeletal disorders.
  7. Describe the characteristics of derangement, dysfunction and postural syndromes as they present in upper limb musculoskeletal disorders.
  8. Perform MDT assessments for upper limb musculoskeletal disorders and determine the presence of McKenzie syndromes.
  9. Design appropriate management programs for patients who present with derangement, dysfunction and postural syndromes in the upper limb.
  10. Analyze case studies of patients presenting with upper limb symptoms and determine classification.


The Credentialling Examination

Click here to download important CE Information Booklet.

This is the 5th component of the McKenzie Educational programme. Successful completion of this examination concludes the minimal level of training to be considered "certified" in the McKenzie Method (Cert. MDT). To qualify to take this examination, the clinician must have completed the four part (A-D) McKenzie course series, have at least two years post-graduate clinical experience and have an active professional license.

This examination consists of both written and performance components that are designed to assess the clinical knowledge and skills developed by the clinician throughout the four part course series. The seven major components of this clinical competency examination are: History, Examination, Conclusion, Principle of Treatment, Re-assessment, Prophylaxis and Practitioner Procedures.

The testing methods currently used in the examination are paper-and-pencil, audio visual presentation, case study, chart evaluation, static laboratory station and performance simulation.

Once certified, practitioners become part of a patient referral network and will be required to maintain MDT Certification Continuing Educations standards (CCES).

Click here for the CCES Policy.

Part E: The Human Extremities

Course Description
This intensive two day (14 hrs) course consists of lecture, analysis of case studies, clinical reasoning, problem solving and an emphasis on assessment and treatment of patients - a trademark of McKenzie courses.

Eligibility Requirements
Part C completion or higher. This level of our educational programming assures the higher level of knowledge and skills required to assimilate McKenzie material to the extremities in these two days.

To prepare for the course, we strongly advise reading the textbook, Human Extremities: Mechanical Diagnosis and Therapy by Robin McKenzie and Stephen May.

Course Goals
The goal of this course is to provide introductory knowledge and basic skills and abilities to begin to:

  1. Appropriately apply the McKenzie Method of Mechanical Diagnosis and Therapy to patients with extremity problems.
  2. Distinguish between the McKenzie syndromes (postural, dysfunction and derangement) as applied to the extremities and provide appropriate treatment regimens for each syndrome and their sub-classification.
  3. Identify when the application of external forces or external stabilization is required for the resolution of symptoms using McKenzie's "progression of forces" concept.
  4. Assist patients to design and apply the therapeutic processes on their own to maintain treatment goals.
  5. Distinguish non-mechanical disorders and provide appropriate advice.

Outline

  • The McKenzie Method: Review of Basic Principles and Epidemiology
  • Anatomy/Biomechanics and Physiology of Upper and Lower Extremities
  • Pathophysiology
  • Contraindications and Precautions
  • Assessment of the Extremity
  • Patient Treatment Procedures
  • Treatment of the Three Syndromes
  • Reassessment and Outcome Predictors
  • The Prophylactic Concept
  • Practical Sessions

MDT Clinical Skills Update (CSU)

Course Description
This intensive two day (12 hrs) course focuses on review and update of the principles and application of the McKenzie theory and techniques of Mechanical Diagnosis and Therapy. The curriculum will include more intensive clinical reasoning and problem solving through a high volume of patient demonstrations and case study analysis involving all regions of the spine, as well as the extremities. Each major subdivision of the course has very specific educational objectives that will reinforce and increase knowledge and skills, which further refine your own abilities in applying these principles.

Course Goals
Following attentive participation and completion, this course will provide participants with the advanced knowledge and skills to:

  1. More effectively apply the McKenzie Method of Mechanical Diagnosis and Therapy to patients with spine or extremity problems.
  2. Further cultivate patient interviewing skills to accurately determine the most efficient examination pathway.
  3. With the more challenging patient, distinguish between the McKenzie syndromes (postural, dysfunction and derangement) as applied to the spine and extremity problems and provide appropriate treatment regimens for each syndrome and their sub-classification.
  4. More readily identify when the application of external forces or external stabilization is required for the resolution of symptoms using McKenzie's "progression of forces" concept.
  5. Refine the ability to teach patients to apply the therapeutic processes on their own to maintain treatment goals.

Course Objectives
The McKenzie Method - Review and Update of the Principles and Application
With sufficient time to practice, participants will be able to meet and achieve the following objectives:

  1. Review and differentiate the characteristics of the three McKenzie syndromes (postural, dysfunction, derangement).
  2. Review the assessment form documentation terminology pertinent to MDT.

Patient Treatment Sessions
With sufficient time to practice, participants will be able to meet and achieve the following objectives:

  1. Accurately record the examination process.
  2. Accurately predict course of treatment following the patient interview.
  3. Identify the most applicable mechanical, symptomatic and functional baselines.
  4. Accurately assess patient response to treatment at follow-up(s).
  5. Alter treatment plans as necessary based on mechanical, symptomatic and functional baselines.

Practical Sessions
With sufficient time to practice, participants will be able to meet and achieve the following objectives:

  1. Perform and teach the self-treatment procedures for the spine and extremities.
  2. Perform clinician techniques (mobilizations only) for the spine and extremities.
  3. Apply the "progression of forces".

Diploma in Mechanical Diagnosis and Therapy®

For those eligible clinicians who have passed the Credentialling Exam that seek to develop their clinical skills to the highest level of achievement in the McKenzie Method®of Mechanical Diagnosis and Therapy, The McKenzie Institute International offers this program, which leads to The McKenzie Institute International Diploma. Attainment of the McKenzie Diploma earns the right to carry the credentials of Dip. MDT.

Click here for more details...

 


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