Thrust Manipulation in Physical Therapy Practice: An Evidence Based Approach

Audience: Physical Therapist Only
Course level: Beginner/intermediate: Encouraging those who have not had much exposure to thrust manipulation but challenging those who have already have incorporated some techniques into their everyday practice.
Date: February 1, 2014
Check in time: 7:30-8 a.m.
Class time: 8-4:30 pm
Location: St. Catherine University. Held on the 5th floor in PT Lab E560
601 25th Ave. S, Minneapolis, MN 55454
Course Fee: $200

Contact Hours: 7.0

Register for this course

Dr. Kramer graduated from the University of Minnesota with a Bachelor’s of Science in Kinesiology and went on to earn a Masters of Science in Physical Therapy. In 2008, he became board certified in orthopedic physical therapy. In 2009, Dr. Kramer graduated from Regis University with his transitional DPT. Most recently he became a Fellow, graduating in 2011 from Regis University’s Manual Therapy Fellowship program. He is a member of the American Physical Therapy Association and the American Academy of Orthopedic Manual Physical Therapists. He currently works at Park Nicollet in Minneapolis.

Dr. Koch is a graduate of Marquette University in Milwaukee, WI where he earned a Bachelor of Arts degree in Criminology and Law Studies (1999) followed by a Masters degree in Physical Therapy (2001). He is Credentialed in Mechanical Diagnosis and Therapy through the McKenzie Institute International (2006), is board certified in Orthopedic Physical Therapy (2008) and completed the transitional DPT from Regis University in Denver, CO (2009). He recently completed a Manual Physical Therapy fellowship through Regis University and is a member of the APTA and AAOMPT. He practices for Park Nicollet Clinic in Wayzata.

Course Description
This will be a one day 8 hour course designed to help physical therapists implement thrust manipulation into clinical practice. By utilizing the best available evidence participants will be able to enhance their clinical decision making with the implementation of thrust manipulation. The focus will be on both the lumbar and thoracic spine with specific technique instruction and training.


1. An understanding of best evidence surrounding thrust manipulation related to the lumbar and thoracic spine
2. Demonstrate clinical decision making skills including clinical reasoning, judgment and reflective practice as it relates to the thoracic and lumbar spine
3. Describe the indications, precautions, contra-indications to the use of thrust manipulation for the thoracic and lumbar spine in treating musculoskeletal disorders
4. Skill proficiency as it relates to thrust manipulation of the thoracic and lumbar spine as it relates to musculoskeletal impairments.

7:30-8 a.m.
8-10:15 a.m.

10:15-10:30 a.m.
10:30 a.m.- 12 p.m.      

12-1 p.m.
1-2:30 p.m.

2:30-2:45 p.m.
2:45-4:30 p.m.



Introduction to thrust manipulation
Lumbar spine evidence
Lumbar spine manipulation
Lumbar spine manipulation
Round robin practice session on lumbar spine manipulation
Thoracic spine evidence
Thoracic spine manipulation
Round robin practice sessions on thoracic spine and lumbar spine manipulation
Clinical practice vignettes regarding the implementation of thrust manipulation
Questions/Closing comments

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