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RESEARCH STUDIES
Q & A
MEET OUR STAFF
DATES & LOCATIONS
SPECIAL PROMOTION
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Dear Colleagues and Course Participants:
Welcome to the November 2008 edition of Manual Therapy Horizons the official
newsletter of Hands-On Seminars.
At this point the presidential elections are over and it will be very important
for everyone to stay involved by continued pressing upon the essential issues of
our profession. Medicare, insurance reimbursement, high co-pays, POPTS etc
At the same time therapists must continue expanding their field of knowledge and
expertise. Hands-On Seminars offers a wide variety of programs helping
therapists achieve greater skills that can lead to enhanced career
opportunities.
Doctorate in Physical Therapy (DPT degree) with Manual Therapy Electives
In conjunction with Hands-On Seminars (HOS), Rocky Mountain University of Health
Professions (RMUoHP) is offering the transitional Doctor of Physical Therapy (DPT)
degree with manual therapy electives. RMUoHP’s limited-residency model allows
students to balance professional, personal, and academic commitments. For this
program, students complete two semesters of coursework, each of which includes a
one-week instructional module at our Provo, Utah campus. All coursework is
completed from the student’s home community. Significant discounts are offered
to HOS students who have completed some or all of HOS courses. For additional
information please visit our web site:
www.handsonseminars.com
Application Deadline for next session is: December 12, 2008
FREE Manual Therapy Course to benefit APTA’s PT-PAC
Hands-On Seminars in an effort to increase awareness about Manual Therapy is
proud to present this FREE Manual Therapy Seminar with immediate Clinical
Applications.
CLINICAL ROUNDS WITH DR. KOSTOPOULOS
Manual Therapy expert Dr. Dimitrios Kostopoulos, PT, PhD, DSc will tour several
cities around the country disseminating very important and clinically applicable
Manual Therapy techniques for the most common clinical scenarios that therapists
face daily. Instead of a tuition for this seminar Dr Kostopoulos and Hands-On
Seminars, encourage course participants to visit APTA's PT-PAC
donation site and make a voluntary donation of their choice to the American Physical Therapy
Association. Donation to the APTA is not a requirement for attendance and course
participants may donate only if they choose so.
Dr. Kostopoulos will visit:
Nov 23, 2008 - New York, NY
Dec 13, 2008 – Orlando, FL
Mar 15, 2009 - Astoria, NY
Mar 21, 2009 – Houston, TX
For detailed course information and to Register in this FREE Manual Therapy
course
Click Here
NEW Seminar Schedule for 2009 announced
Hands-On Seminars announced our 2009 schedule.
Click here for details
HOLIDAY REBATES FOR COURSES & MCMT PROGRAM
To celebrate the holiday season, Hands-On Seminars announces its holiday
rebate program that includes the deepest discounts that we have ever offered:
Register now for any 2 courses and receive a $100 rebate off the full seminar price*.
Register now for the MCMT program and receive a $250 rebate off the discounted price*.
*Rebates are not combined with other offers or discounts. Above discounts
effective November 15, 2008 to January 15, 2008. New registrations only.

Hands-On Seminars on FACEBOOK
Hands-On Seminars made last month its Facebook debut. Join the group by
following this link.
Click Here To Join
On another note keep sending your clinical comments and questions at:
hos@handsonpt.org
Feel free to forward the newsletter to any other colleagues and friends.
All the best,
Dimitrios Kostopoulos, PT, PhD, DSc
Konstantine Rizopoulos, PT, FABS
Founders Hands-On Seminars
1-888-767-5003
www.handsonseminars.com
EVIDENCE BASED PHYSICAL THERAPY
The purpose of this column of the newsletter is to provide you with either a
research article or a review of research pertinent to the area of manual
therapy. We will select articles that are friendly to read.
Kostopoulos D, Nelson A, Ingber R, Larkin R: “The Effects of Ischemic
Compression and Passive Stretching on Spontaneous Electrical Activity and
Pain Perception on Myofascial Trigger Points in the Upper Trapezius Muscle”
Journal of Musculoskeletal Pain, 2008, 16(4), 267-279
Abstract
Objectives: Investigate the effects of ischemic compression [IC]
technique and passive stretching [PS] in isolation and in combination on the
reduction of spontaneous electrical activity [SEA] and perceived pain in
TrPs located in the upper trapezius muscle.
Methods: Ninety participants with TrPs in the upper trapezius muscle
were randomly assigned to three treatment groups: IC, PS, and IC + PS.
Trigger point compression was applied on the TrP for three applications of
60 seconds each, followed by 30-second rest period. Passive stretching was
applied for three 45-second applications, with 30-second rest intervals. All
patients received the same amount of therapy.
Results: Significant decreases were found in pain perception and on
SEA for all study participants. The IC + PS group evidenced greater declines
in pain perception and SEA when compared to the IC and PS groups.
Conclusion: Because of ethical considerations, a control group design
was not possible, limiting the robustness of the findings. Although each
technique significantly reduced pain perception and SEA, the combination of
IC and PS was superior, apparently because of the complementary nature of
the therapeutic interventions.
CLINICAL ROUNDS:
“I find rather challenging treating patients with TMJ dysfunction. Sometimes, braces provided by dentists make the pain worse. Do you offer any suggestions?”
Vicky M.- Forest Hills, NY
ANSWER:
Provided that there is no severe joint problem both myofascial trigger point therapy techniques as well as mobilization techniques can be very helpful. Make sure that you properly assess the opening and closing both in terms of degree of opening as well as any deviations present. You need to restore proper opening, usually 3 finger-breadths, correct deviations and relieve pain. From a myofascial dysfunction point of view useful muscles to treat are: masseter, temporalis, medial and lateral pterygoids and of course sternocleidomastoid. Mobilization techniques aiming in correcting any deviations should be applied. Relevant HOS courses that cover these approaches are:
PT-1 and
PT-MCMT
Each month we showcase one of the instructors of Hands-On Seminars. In this issue we would like to introduce
Joy Davala, MPT, MCMT
Joy
is a faculty member of the HOS team of professionals and a clinical director for Southern Delaware Sports Care & Rehabilitation, concentrating in orthopedics.
She has worked with people of all ages including athletes ranging from club to professional.
She has experience with aquatic, chronic pain and spinal dysfunctions. She is a graduate of the University of Maryland Eastern Shore and has received her MCMT from HOS and was certified as an instructor. She enjoys teaching Manual Therapy techniques and offering her integrative approach to course participants. Joy is also a clinical instructor for PT and PTA students.
Joy thank you for a great job. Keep it up!
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