Manual Therapy Forum

Seated CT junction gapping HVLAT technique

Hi again!  An interesting thing happened in the clinic today.  A friend and colleague shared a video he had seen on Facebook of another therapist teaching a manipulation to a group of chiropractic students and asked what my thoughts were on the technique shown.  Not to be overly critical, but in my humble opinion it incorporated poor positioning and locking of the patient’s head/neck.  In addition, the choice of thrusting hand, direction of thrust, and amplitude of thrust were all done very poorly… and at great risk to the patient!  For those reasons, I wanted to create a video to demonstrate how I believe this technique can be done more properly; and ultimately, safer for the patient.  Below are two videos, the first is a detailed description and demonstration of technique, and the second is a live demonstration without description (more of what would occur in the clinic… sans pre-manipulative dialogue).



Comments, critiques, questions?  Please let us know below!




Palpating vertebral landmarks

In our latest video, Dr. Thomason demonstrates how different the size of vertebrae are on an actual patient when compared to the typical plastic models we see in the clinic.  Our subject for this demonstration is a younger male that is about 5’6″ in height.

As part of this video, a lumbar vertebra and thoracic vertebra are shown.  Also, methods to confirm which transverse and spinous processes correspond to one another are demonstrated.  All of this is to illustrate how to confirm where you are palpating when assessing position/motion, or setting up for a treatment technique.



Interview with Bill O’Grady PT, DPT, OCS, COMT, FAAOMPT, DAAPM, FAPTA

Welcome back to our interview series!  For this one, we speak with Bill O’Grady, a veteran (in more ways than one) within the world of physical therapy and manual therapy.

Bill earned his Bachelor of Science in physical therapy from California State University, Long Beach during 1972; his master’s from the University of Southern California during 1977; and his doctorate at the University of St. Augustine for Health Sciences in Florida during 2001. He completed three-year fellowship in manual therapy with the North American Institute of Orthopaedic Manual Therapy during 1995.

Bill has served on the board of directors of the orthopedic section for the American Physical Therapy Association, chaired the orthopedic specialty council and was an original item writer for the specialty exam. He was chairman of the board of examiners for the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT).

Dr. O’Grady has received many honors for his contributions to the profession including the John McMennell Service Award from AAOMPT, the Paris Distinguished Service Award from the Orthopedic Section, the Lucy Blair Service award, and the Catherine Worthingham Fellow of the American Physical Therapy Association. Dr. O’Grady retired from the U.S. Army in 2002 as a full colonel after 38 years of service. He was the first “Life Fellow” of the AAOMPT, and is a diplomat of the American Academy of Pain Management.

Currently, Bill teaches as adjunct faculty with the University of Nevada – Las Vegas (UNLV) DPT program.  In recent years, he also teaches occasionally with Professor Laurie Hartman DO, PhD.

As you can read, Bill is well versed within the world of manual therapy and has much wisdom to share.  Take a listen to our interview with him and comment below!




Thank you!

The weekend of June 9 – 11, I had the pleasure of teaching a continuing education course in Chico, CA to a talented group of physical therapists.  The course is called “Foundations of Manual Therapy:  Clinical Reasoning for Direct Access” and is offered through Crunkeyser (Comprehensive Manual Therapy Seminars).  To add to this honor, six Japanese physical therapists flew all the way to California just to take this course!  Talk about pressure!  In the end, we all had a lot of fun and really enjoyed our time together.  Below are some pictures from a dinner out and our last day together.  Hope to see everyone again at another course!


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Application of biomechanics to hip extension mobilization

In our latest video, Dr. Thomason explains biomechanics of the hip joint for sagittal plane motions (i.e. a pure spin).  Then he demonstrates a highly effective mobilization to regain loss of hip extension using this biomechanical knowledge.  Watch and add your comments below to tell us what you think!