This 2-day course focuses on high velocity low amplitude thrust (HVLAT) techniques to the lumbar spine, sacroiliac joint, pelvis, and hip. The onsite portion is a blend of 10% lecture and 90% lab with 4 hours of precourse materials. Lecture material consists of evidenced based breakouts on the following topics: Lumbar HVLAT: practicing safely; State of the evidence: HVLAT and non-thrust mobilization; Utilizing HVLAT within a clinical reasoning framework: Who, when, and why. The laboratory portion of the course will focus on: 1. Refinement of basic thrust techniques to each region with an emphasis on perfecting the subtle details of set up and delivery to maximize patient comfort and minimize operator exertion. 2. Exploring variations on the most commonly used techniques with different options of primary leverages and patient positioning. This combination of intensive lab time and supporting didactic material is designed to significantly elevate the comfort level of each student with incorporating HVLAT into clinical practice. The course will also include lab sessions on proper performance of non-thrust mobilization to the lumbar spine and hips to complement thrust techniques.


This course is delivered in a blended learning fashion, combining online and on-site learning experiences to facilitate participant learning. An interactive and media-rich online precourse is provided to participants 30 days in advance of an intensive 2-day on-site laboratory weekend. The online precourse provides an evidence-based overview of the management of cervical and thoracic spine disorders using a series of web-based video presentations, key evidence summaries and primary research articles. The on-site lab intensive weekend provides participants with hands-on demonstration and practice of selected examination and manipulative techniques for the upper thorax and neck regions. A heavy focus is placed on the skill development and proficient use of hold-relax, mobilization, and manipulation interventions for these regions. The course will have a student to faculty ratio of no greater than 18:1. An online post-test and on-site skill assessments are used to reinforce course objectives and assess learning. Successful completion of this course requires 80% or higher on post-test, skills assessment and attendance at each onsite day.

Instructor: Dr. Jeff Moore PT, DPT, MTC, Cert-SMT, OCS, FAAOMPT

Target Audience: Advanced level course open to licensed physical therapists.

Credits: 24 contact hours (8 online and 16 on-site) from EIM Institute of Health Professions

EIM Program Applicability: None.

Prerequisites: This course requires participants to have either attended an EIM LP WI or specific post professional coursework in manipulation. Additionally PTs with FAAOMPT and MTC are eligible. EIM reserves the right to accept or waive prerequisites based on individual background and course work.

Appropriate dress: Participants are asked to bring appropriate attire for lab sessions (i.e. shorts and t-shirts and sports bras for women) and air-conditioned environments throughout the day (i.e. warm-up or work-out clothes).


Upon completing this course, you’ll be able to:

  1. Students will effectively screen patients for any contraindications or precautions to the use of HVLAT using a combination of targeted patient interview and physical examination.
  2. Students will demonstrate proper pre-thrust procedures to ensure safety and patient comfort, including but not limited to pre-thrust positioning and stability screening.
  3. Students will demonstrate appropriate and effortless control of leverages and thrust amplitude for two different techniques in each region of the lumbar spine, sacroiliac joint, and pelvis.
  4. Students will verbalize and demonstrate the key physical components of each technique that minimize force loss during thrust delivery.
  5. Students will understand the current evidence supporting and challenging the effectiveness of lumbar and hip HVLAT in different patient populations and clinical syndromes.
  6. Most importantly – be able to apply this stuff to your clinical practice next week!

References Required and supplementary articles are listed in each weekly module and can be downloaded from the Moodle Learning Management System.


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