M2 ADVANCED TRAINING

Course Description and Goals

M2 Training

This course will emphasize a Graston Technique® examination and treatment approach for musculoskeletal dysfunction/mechanical pain that can be applied in all patient cases.

Components of the GT examination will include movement loss, lesion localization and resistive testing. Preventative/corrective exercises to augment the GT intervention will be discussed. Participants will learn to select and implement the most efficient and effective GT interventions, while restoring function and alleviating pain. The goal of this course is to advance the clinician's skills in the successful management of musculoskeletal dysfunction using Graston Technique® and movement.

M2 Course Objectives

M2 Training course objectives are designed to:

  • Extend interest and commitment to professional development using GT.
  • Advance knowledge of GT examination procedures for assessing musculoskeletal dysfunction while introducing the principles of regional interdependence and functional testing.
  • Enhance clinical decision-making skills during the application of GT.
  • Advance repertoire of GT interventions for the management of musculoskeletal dysfunction/mechanical pain.
  • Develop a higher level of skill acquisition for utilizing GT while introducing movement, resistance, weight bearing, and provocation patterns to treatment.
  • Review major GT concepts covered in M1 (eight fundamental strokes, ergonomics, scar & edema techniques, physiology of GT, if necessary).
  • Provide an opportunity for participants to discuss patients that have challenged them since they started incorporating instrument-assisted soft tissue mobilization (IASTM) into their practice.
  • Introduce advanced GT skills incorporating IASTM with movement, with resistance, in weight bearing, during provocation, and with therapeutic exercise typically prescribed for common musculoskeletal pathologies.
  • Introduce IASTM with nerve flossing techniques for common nerve entrapments of the spine and extremities.
  • Review selected case studies that illustrate advanced clinical applications of IASTM.
  • Share most recent research findings pertaining to IASTM.

M2 Prerequisites

M2 Training

M2 participants must hold a valid clinical license and must have successfully completed M1-Basic Training and have access to the use of Graston Technique® instruments in one's current clinical practice. It is also recommended that participants currently be utilizing advanced orthopedic and functional testing in their clinical practices. A working knowledge of functional anatomy, human movement analysis, and the principles of regional interdependence, as they apply to injury recognition and treatment, are recommended. A list of suggested readings is disseminated to participants at the time of their registration in order to help them achieve these stated prerequisites.

Teaching/Learning Methods & Materials

Various teaching methods will be utilized consistent with the various levels of complexity of the stated learning objectives in order to assure their attainment at course completion. Teaching methods include lecture/discussion and instructor demonstration followed by laboratory practice. During laboratory practice sessions, small ratios of instructor-to-participants are available so that participants can receive ample instructor feedback as they practice. Teaching materials used include the M2 PowerPoint presentation, prepared case analyses, videotapes of selected GT techniques, and the M2 Participant Packet including its handouts.


Clothing Requirement

Most of the training is in a lab setting with hands-on instrument instruction, so proper dress is required. Proper clothing includes loose-fitting athletic shorts (not spandex). For women, a top that can expose the scapula such as a racerback sports bra, low-cut tank top, or cami will allow your lab partners proper access to the body regions that we will treat. To prevent any potential emollient exposure to your clothing, it is optional to bring a towel for draping.

Contraindications

Clinicians are treated with Graston Technique® instruments during the trainings. Any condition contraindicated for soft tissue mobilization is contraindicated for GT. We advise all pregnant clinicians to consult their treating doctor or healthcare provider before registering or attending a course.


M2-Advanced Training Agenda

Check-in and distribution of materials begin 15 minutes prior to the start time listed.

Times Times Objectives
Times

Day 1
8 a.m. - 5:30 p.m.
(8.5 hours)
Hour 0-0.5

Objectives

1. Participants will identify & discuss the effects, benefits, physiological responses, indications & contraindications for the Graston Technique® based on empirical evidence regarding manual therapy and its effects on the human neuromyofascial system.

  • Welcome and Introduction to Module 2
  • Principles relating to soft-tissue dysfunction
  • Anticipated responses and results from using GT instruments on the human neuromyofascial system (quick overview)
Times

Hour 0.5-1.5

Objectives

2. Participants will review & then demonstrate proper handholds and M1 treatment strokes using GT instruments.

  • Review of each instrument as needed
  • Proper handholds and treatment strokes
  • Laboratory practice reviewing most common applications of scanning, sweeping, strumming, brushing, swiveling, scooping, j-strokes and framing (regional applications)
Times

Hour 1.5-3
(includes 10 min. break)

Objectives

3. Participants will identify & discuss the human neuromyofascial system with regards to its physiology, structural considerations.

  • Fascial physiology & structural considerations
  • Anticipated responses and results from using GT instruments on the human neuromyofascial system (Expanded discussion to include relevant research updates)
  • Indications & Contraindications
  • Documentation & Billing
  • M2 Treatment Parameters
  • M2 Treatment Algorithm
Times

Hour 3-4.5

Objectives

4. Participants will view demonstration of and then practice additional M2 strokes (IA Skin Roll, C-Bowing, Fascial Spiral, Pin and Stretch/Glide, Interface Rock/Scoop).

  • Laboratory practice reviewing most common applications of IA Skin Roll, C-Bowing, Fascial Spiral, Pin and Stretch/Glide, Interface Rock/Scoop (regional applications); without then with movement & load
  • “Additional Treatment Considerations” & M2 Treatment Algorithm Lecture/Discussion
Times

Hour 4.5-5.5

Objectives

Lunch (not provided)

Times

Hour 5.5-6

Objectives

5. Participants will identify & discuss functional testing & its role in identifying dysfunction in the human neuromyofascial system.

  • What is Functional Testing & Common Systems
  • Test/Treat/Retest
  • Regional Interdependence
  • Selecting Functional Movement Assessment (SFMA) as a Means of Defecting Dysfunction in the Human Neuromyofascial System
Times

Hour 6-6.5

Objectives

6. Participants will identify & discuss the importance of breathing & assessment of anterior abdominal wall/diaphragm.

  • Why Assess Breathing
  • Breathing & Abdominal Wall Assessments
Times

Hour 6.5-7

Objectives

7. Participants will view demonstration of then practice GT M2 techniques to improve mobility & motor control of the abdominal wall, diaphragm & anterior pelvis.

  • Functional Testing of the abdominal wall, diaphragm & anterior pelvis
  • M1 & M2 strokes applied to the cervical, thoracic & lumbosacral spines static tissue preparation then addition of movement & load
  • Includes 10 minute break
Times

Hour 7-9
(includes 10 min. break)

Objectives

8. Participants will view demonstration of then practice GT M2 techniques to improve mobility & motor control of the cervical, thoracic & lumbosacral spines.

  • Functional Testing of the Cervical, Thoracic & Lumbosacral Spines
  • M1 & M2 Strokes applied to the cervical, thoracic & lumbosacral spines static tissue preparation then addition of movement & load
Times

Hour 9-9.5

Objectives

9. Participants will view demonstration of then practice GT scar mobilization & edema techniques with movement & load.

  • GT Scar Mobilization Principles
  • Nudging, Lifting & Skin Rolling Scars with movement & load
  • GT Edema Techniques
  • End Day 1 with Questions & Answers/Day 1 Wrap-up
Times

Day 2
7:30 a.m. - 1:30 p.m.
(5.5 hours)
Hour 9.5-10

Objectives

10. Participants will review Day 1 concepts as necessary, M2 Algorithm and Day 2 materials.

  • Review of Day Concepts
  • M2 Algorithm
  • Day 2 Agenda
Times

Hour 10-10.5

Objectives

11. Participants will identify & discuss concepts related to tendinopathy (specifically tendinosis) in light of most recent empirical evidence.

  • Tendonitis vs. tendinosis
  • Review of evidence regarding common interventions for tendinopathy (levels of evidence provided)
  • GT Tendinosis Protocol (Demonstration of)
Times

Hour 10.5-11

Objectives

12. Participants will view demonstration of then practice GT Tendinosis Protocol on Selected UE & LE Cases.

  • UE & LE Tendinosis Assessment Techniques
  • Rotator Cuff Tendinosis & Epicondylosis, Hamstring, Patellar & Achilles Tendinosis
  • Includes Active Learning Lab: Participants will be given a clinical case of tendinosis (specific level of acuity) & will demonstrate a GT treatment progression based on concepts learned in tendinosis lecture/lab
Times

Hour 11-12.5

Objectives

13. Participants will view demonstration of then practice GT M2 techniques to improve mobility & motor control of the UE.

  • Functional Testing of the UE
  • M1 & M2 strokes applied to the UE static tissue preparation then addition of movement & load
Times

Hour 12.5-13

Objectives

Mid-Morning Break

Times

Hour 13-14.5

Objectives

14. Participants will view demonstration of then practice GT M2 techniques to improve mobility & motor control of the LE.

  • Functional Testing of the LE
  • M1 & M2 strokes applied to the LE static tissue preparation then addition of movement & load
Times

Hour 14.5-15

Objectives

15. Active Learning Lab

  • Participants will be given a clinical case & will demonstrate a GT treatment progression based on concepts learned in M2
Times

Hour 15-15.5

Objectives

16. Course Wrap Up/Questions & Answers

  • Questions & Answers
  • Course Evaluation
  • Adjourn

Training fees and policies.