Course Objectives:

At the end of the course, participants will be able to:

  • Describe indications, precautions and contraindications to HVLAT techniques.
  • Demonstrate pre-manipulative screening tests for cervical instabilities and vertebro-basilar insufficiences.
  • Develop and enhance clinical reasoning behind determining when to utilize HVLAT techniques.
  • Demonstrate understanding and use of locking techniques above and below the dysfunction being treated.
  • Learn how to accurately identify restrictions to be manipulated utilizing a HVLAT technique through a biomechanical examination.
  • Demonstrate safe and effective use of HVLAT techniques in the cervical, thoracic, lumbar spine, costal cage and pelvic girdle.

What people are saying...

"...the material (was presented) in a clear, succinct fashion that allows confidence to perform right away."

"My first manipulation course and I feel that I learned a great deal.  Way more comfortable with technique and safety with a good foundation to improve my speed and amplitude."

"Fantastic course. I was pleasantly surprised at how easy on my body and how effective the cervical spine techniques were."

CrunkPT Seminars

Course Description:  This 16 hour course will focus on HVLAT techniques for the cervical, thoracic, rib, lumbar and pelvic regions. Joint stress testing, safety precautions and contraindications will be reviewed.  Proper patient set up, joint localization and therapist body mechanics will be emphasized.  Manual therapy experience localizing joint and soft tissue barriers is required.

Management of Lumbar Spine Dysfunction with Manual Physical Therapy

Management of Cervical Spine Dysfunction with Manual Physical Therapy

Cervical, Thoracic, Rib, Lumbar and Pelvic Girdle Regions

Contact CrunkPT if you would like to host any of the courses above.​​​​

Thrust Manipulation

Crunkeyser, LLC offers the following physical therapy continuing education courses.  Please go to for more information.

Manual Therapy Foundations
:  Clinical Reasoning for Direct Access including Safety, Palpation and Tests

Manual Therapy of the Lumbo-Pelvic Complex

Manual Therapy of the Cervico-Thoracic Complex

Go to for more information.

Management of Thoracic Spine Dysfunction with Manual Physical Therapy

Management of Pelvic Girdle Dysfunction with Manual Physical Therapy

THE FOLLOWING COURSESprovide the student with the tools to safely and effectively perform a biomechanical examination of the specific area of dysfunction. Students will be instructed in relevant functional anatomy and biomechanics and will gain skills in identifying signs and symptoms that require referral to other medical professionals. Treatment will include Muscle Energy Technique, neuromuscular re-education and prescriptive home exercises. High Velocity Low Amplitude Thrust Techniques will be demonstrated but will not be practiced. These courses involves both lab and lecture.

Contact Crunk Physical Therapy to host this course.



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