Orthopedic and Muscle Testing for the Acupuncturist

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Standard Certificate (12.25), NCCAOM (12)
Access Period: Lifetime
Series Length: 12.25hrs

Series Overview

This series will provide the acupuncturist with the clinical skills to test for orthopedic conditions appropriately and accurately. The orthopedic and manual muscle tests selected for this training are easy to implement for any acupuncturist. And they are relevant to the clinic environment, regardless of previous orthopedic background. The instructors, Derrick McBride and Whitfield Reaves, believe understanding the anatomical nature of orthopedic conditions is the first step to precisely treating pain and injuries.

Course 1 covers the low back and hip tests, Course 2 covers the upper extremity, and Course 3 covers the lower extremity.

In each course, Derrick McBride lectures on the proper way to perform the test and possible positive findings for each test. High definition videos of each test are used to demonstrate.Helpful tips on positioning, cueing, and other clinical tricks to ensure reliable testing conditions are emphasized. The instructor often comments on clinical relevancy and real-life applications, especially for the Acupuncturist.

Derrick McBride and Whitfield Reaves developed this course out of a need for expanded conversations on testing and assessment. Whitfield Reaves’ series Mastering the Treatment of Injury and Pain covers in depth techniques for treatment of the conditions. Students should consider using these series together for a complete understanding of assessment and treatment of orthopedic conditions. Viewing these two series in sequence will greatly improve any practitioner’s understanding of orthopedic conditions and improve clinical outcomes!

Tests for the Low Back and Hip

In this course, we will discuss orthopedic and muscle tests of the lumbar spine, sacral spine, and hip complex.
Total CPDs: 4
Standard Certificate (4), NCCAOM (4)
Access Period: Lifetime
Course Length: 4hrs
Course Notes: Notes are provided with this course.

Course Overview

This course will provide the acupuncturist with the clinical skills to test for orthopedic conditions appropriately and accurately. The orthopedic and manual muscle tests selected for this training are easy to implement for any acupuncturist. And they are relevant to the clinic environment, regardless of previous orthopedic background. The instructors, Derrick McBride and Whitfield Reaves, believe understanding the anatomical nature of orthopedic conditions is the first step to precisely treating pain and injuries. These courses are organized to be viewed in order, as an entire series Orthopedic and Muscle Testing for the Acupuncturist. We strongly recommend that the practitioner complete the courses of this series from beginning to end. In Course 1, Derrick McBride lectures on the proper way to perform the test and possible positive findings for each test. High definition videos of each test are used to demonstrate. Helpful tips on positioning, cueing, and other clinical tricks to ensure reliable testing conditions are emphasized. The instructor often comments on clinical relevancy and real-life applications, especially for the Acupuncturist. Course 1 covers Orthopedic and Muscle Tests of the Low Back and Hip. The following topics are covered: (1) Dural Root Involvement of the Lumbar Spine (2) Sacroilliac Joint Dysfunctions (3) Primary Stabilizers of the Lumbar Spine (4) Hip Joint Assessments (5) Soft Tissue Nerve Entrapment (6) Hip Stability Assessments (7) Hip Bursitis (8) Hip Flexors (9) Hip Extensors (10) Hip Rotators (11) Hip Abductors (12) Hip Adductors Whitfield Reaves’ series Mastering the Treatment of Injury and Pain covers in depth techniques for treatment of the conditions. Students should consider using these series together for a complete understanding of assessment and treatment of orthopedic conditions. Courses 5 and 6 of Whitfield's Mastering the Treatment of Injury and Pain correspond to the topics covered in this course, the Low Back and Hip.

Course Objectives

  • Participants will understand how orthopedic and muscle testing should be utilized in an acupuncture setting. An in depth knowledge of when to perform the different tests and how that can help drive treatment strategy will be emphasized.
  • Participants will feel comfortable with appropriate positioning and cuing for all tests covered. Specific instructions on how to best instruct the patient to produce force or resist force given the test, will be explicitly outlined.
  • Participants will be able to accurately and effectively conduct orthopedic and muscle testing for the low back. The student will be taught the tests using verbal instruction, written instruction, and visual instruction.

Course Outline

0 hrs - 30 min
A Introduction of the course begins by defining orthopedic and muscle tests and give examples we will cover in this course. We cover the importance of testing and how to implement it within the acupuncture clinic setting.
30 min - 45 min
The first tests covered are the Straight Leg Raise and Crossed Straight Leg Raise Tests. These tests are for assessing neural involvement from the Lumbar Spine.
45 min - 1 hrs
Next we will cover SI Joint tests. The tests covered are Supine SI Joint Stress Tests, Prone SI Joint Stress Test, and Yeoman's Test.
1 hrs - 1.25 hrs
We discuss manual muscle testing of the Transverse Abdominus. A description of the muscular actions, how to conduct the test and positive findings are covered.
1.25 hrs - 1.5 hrs
We discuss manual muscle testing of the Quadratus Lumborum. A description of the muscular actions, how to conduct the test and positive findings are covered.
1.5 hrs - 2 hrs
The first hip section covers the hip orthopedic tests Thomas Test and FABER tests. With these tests, we're assessing hip flexor range of motion, hip joint range of motion, hip rotator range of motion, and adductor range of motion.
2 hrs - 2.5 hrs
Next we cover the hip orthopedic tests Trendelenburg Sign, Piriformis and Trochanteric Bursitis assessment. With these tests we are assessing hip stability, possible nerve entrapment from the hip, and a common inflammatory condition of the hip.
2.5 hrs - 3 hrs
We discuss manual muscle testing of the psoas and gluteus maximus. A description of the muscular actions, how to conduct the tests and positive findings are covered.
3 hrs - 3.5 hrs
We discuss manual muscle testing of the main Adductors and Abductors of the hip. A description of the muscular actions, how to conduct the tests and positive findings are covered.
3.5 hrs - 3.75 hrs
In the final section I introduce bigger concepts of movement patterns of the hip. An in depth conversation of the functional and complete actions of the glutues medius is covered.
3.75 hrs - 4 hrs
We conclude the course with a review, corrections, and additional comments of the previously covered tests. The review will allow the student to quickly reference specific tests and to quickly review assessment for segments of the body.

Tests for the Upper Extremity

In this course, we will discuss orthopedic and muscle tests of the cervical spine, glenohumeral joint, elbow, wrist and hand.
Standard Certificate (4.75), NCCAOM (4.5)
Access Period: Lifetime
Course Length: 4.75hrs
Course Notes: Notes are provided with this course.

Course Overview

This course will provide the acupuncturist with the clinical skills to test for orthopedic conditions appropriately and accurately. The orthopedic and manual muscle tests selected for this training are easy to implement for any acupuncturist. And they are relevant to the clinic environment, regardless of previous orthopedic background. The instructors, Derrick McBride and Whitfield Reaves, believe understanding the anatomical nature of orthopedic conditions is the first step to precisely treating pain and injuries. These courses are organized to be viewed in order, as an entire series Orthopedic and Muscle Testing for the Acupuncturist. We strongly recommend that the practitioner complete the courses of this series from beginning to end. In Course 2, Derrick McBride lectures on the proper way to perform the test and possible positive findings for each test. High definition videos of each test are used to demonstrate. Helpful tips on positioning, cueing, and other clinical tricks to ensure reliable testing conditions are emphasized. The instructor often comments on clinical relevancy and real-life applications, especially for the Acupuncturist. Course 2 covers Orthopedic and Muscle Tests of the Upper Extremity. The following topics are covered: (1) TMJ (2) Cervical Spine Nerve Root Involvement (3) Cervical Musculature (4) AC Joint Syndromes (5) Glenohumeral Joint Syndromes (6) Glenohumeral Joint Musculature (7) Elbow Structure Tests (8) Elbow Inflammatory Syndromes (9) Elbow Musculature Tests (10) Wrist and Hand Nerve Entrapment (11) Wrist Inflammatory Syndromes Whitfield Reaves' series Mastering the Treatment of Injury and Pain covers in depth techniques for treatment of the conditions. Students should consider using these series together for a complete understanding of assessment and treatment of orthopedic conditions. Courses 1 through 4 of Whitfield's Mastering the Treatment of Injury and Pain correspond to the topics covered in this course, the Upper Extremity.

Course Objectives

  • Participants will understand how orthopedic and muscle testing should be utilized in an acupuncture setting. An in depth knowledge of when to perform the different tests and how that can help drive treatment strategy will be emphasized.
  • Participants will feel comfortable with appropriate positioning and cuing for all tests covered. Specific instructions on how to best instruct the patient to produce force or resist force given the test, will be explicitly outlined.
  • Participants will be able to accurately and effectively conduct orthopedic and muscle testing for the upper extremity. The student will be taught the tests using verbal instruction, written instruction, and visual instruction.

Course Outline

0 hrs - 45 min
The first section begins with an introduction of orthopedic and muscle tests. Then testing for the TMJ and Cervical Nerve Root compression is covered.
45 min - 1.25 hrs
Muscle tests for the cervical spine including the longus colli, upper trapezius, splenius capitus, splenius cervicis, and levator scapulae are covered. Proper positioning and methods for completing the tests is emphasized.
1.25 hrs - 2.25 hrs
Orthopedic tests for the glenohumeral joint and AC joint are covered. Arc of Pain, Speeds Test, Cross Over Impingement, Hawkins Kennedy, Posterior Impingement, Piano Key Sign, Sulcus Sign, Grind Test, Jobe Relocation Test, and Roos Test are covered.
2.25 hrs - 2.75 hrs
Glenohumeral muscle tests of the supraspinatus, Infraspinatus, Subscapularis, Anterior Deltoid, and the Lateral Deltoid are covered. Proper positioning and methods for completing the tests is emphasized.
2.75 hrs - 3.25 hrs
Orthopedic tests for the elbow including Tennis Elbow, Golfers Elbow, Elbow Hyperextension, Elbow Flexion, Elbow Valgus, Elbow Varus, and Tinels Sign are covered. Proper positioning and methods for completing the tests is emphasized.
3.25 hrs - 3.75 hrs
Elbow muscle tests of the Pronator Teres, Supinator, Brachioradialis, Biceps, and Triceps are covered. Proper positioning and methods for completing the tests is emphasized.
3.75 hrs - 4 hrs
Orthopedic tests for the wrist and hand including Finkelstein's Test, Phalens, Reverse Phalens, and Tinels Sign are covered. Proper positioning and methods for completing the tests is emphasized.
4 hrs - 4.25 hrs
An introduction to some basic movement patterns including glenohumeral joint rotation and scapulohumeral rythym are covered. Proper positioning and methods for completing the tests is emphasized.
4.25 hrs - 4.75 hrs
I go over additional comments and corrections to topics covered in the previous tests. A review of all the tests is conducted.

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You will have unlimited access to this series for as long as it is on Net of Knowledge, so that you can keep reviewing and learning from it over the years. CEU requirements must be completed within 1 year from the purchase. During this time, you must view the training and complete any required documents to get your certificate. You must also print and save your certificate for your own records. Each individual course has a separate certificate of completion. There is no certificate for the entire series.
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