Modern Manual Therapy: The Eclectic Approach to Temporomandibular Management

This is a Non CE Course
with a duration of 12 Hour(s)

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Lesson Plan

Modern Manual Therapy: The Eclectic Approach to Temporomandibular Management presents a modern manual therapy look at the evaluation and treatment of Temporomandibular Joint Dysfunction. There is a lack of knowledge in the screening and treatment of this condition which may be affecting many of your upper quarter patients, especially those with concurrent headaches and/or cervical dysfunction. The Eclectic Approach uses Movement Screen and a Repeated Motions Exam to help classify the patient and find relevant movement and motor control issues. A strong emphasis on modern Pain Science Education and home exercises is used to make the patient independent of passive care. Manual therapy uses The EDGE Tool for Instrument Assisted Soft Tissue Manipulation or IASTM, as well as joint mobilization for the upper cervical spine and TMJ, function mobilization, and thrust manipulation of the cervical and upper thoracic regions.

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Objectives:

  • Describe the relevant cervicocraniomandibular anatomy
  • Describe the effects of head/neck posture on mandible position
  • Perform a UQ Movement Screen and Repeated Motions Exam to help classify the patient for movement strategies and manual therapy
  • Educate the patient on self care and self assessment
  • Perform a variety of soft tissue and joint mobilization/thrust manipulation to reset the patient’s nervous system

Disclosure: Dr. Religioso is the creator and owner of Edge Mobility Tools. This tool is used during the course for demonstration purpose only. Dr. Religioso receives payment for this course.
Content disclosure: This course does not focus on any product or service.

The course can be started and stopped any time. A quiz is provided at the end of the course with 27 questions to obtain a certificate for continuing education. 75% score required to receive a certificate, 1  hour time permitted and 3 attempts.

Target Audience: Athletic Trainers, Physical Therapy, Doctor of Chiropractic, Occupational Therapy
Prerequisite: None
Instructional Level: Intermediate

The course consists of several lessons. You can stop and exit the course at any time and start again. A link for the handout is provided when you start the course.

Course Outline (12 hours)

  • Lecture 3 hours
  • Introduction and Q&A – 1 hour 38 min
  • Upper Quarter Screening – 1 hour 8 min
  • Upper Quarter Screening pt. 1 – 13 min
  • Upper Quarter Screening pt. 2 – 29 min
  • Passive Cervical Retraction & Side Bending – 29 min
  • IASTM – 23 min
  • TMJ – 13 min
  • Shoulder – 12 min
  • Day 2 Q&A – 29 min
  • TMJ Mobilizations – 20 min
  • Masseter – 13 min
  • Cervical Retraction & Side Bending Pec Minor & Upper Trap Inhibition Techniques – 10 min
  • Live Case #2 – 1 hour
  • Positional Inhibition of the Rhomboid – 14 min
  • Breathing Assessment – 29 min
  • Subcranial Sheer Distraction – 9 min
  • Bruxing – 20 min
  • Quadriped Lumbar Lock Rotation & Positional Inhibition – 9 min
  • Recap – 23 min
  • Thoracic Spine IASTM – 8 min
  • Conclusion Q&A – 6 min

 

Continuing Education regulations may change. Please verify information with your licensure board.

Athletic Trainers: WebExercises is an approved provider for the BOC, provider P10199. This course is approved in all states for Athletic Trainers. WebExercises is approved in Florida and Arizona and attendance will be filed with CE Broker.
Topic: Intermediate

Physical Therapy Approval for this course:
This course has been approved by the Arkansas Board of Physical Therapy. The course abides by regulatory guidelines for continuing education or is approved by virtue of approval by the Arkansas Physical Therapy board.

Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Iowa, Kansas, Kentucky (Category 1), Maine, Massachusetts, Michigan, Missouri, Montana, Nebraska, New Hampshire,  North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, Wisconsin, Wyoming.

Doctor of Chiropractic course approval:
(see approval information below)
Alaska, Colorado, Connecticut, Delaware, District of Columbia, Idaho, Illinois, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, Wyoming.

PACE approval: ID # 9254 – 12 hours
WebExercises is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. PACE (Providers of Approved Continuing Education) is a Federation of Chiropractic Licensing Boards (FCLB) organization. Approved providers offer the highest standards of education and abide by guidelines and standards outlined by PACE to maintain approval status. Courses need to be listed with PACE and receive an approval number. PACE approved providers are accepted by the following Chiropractic State Boards:  Alaska, Connecticut, DC,  Idaho, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, Wyoming.

CCC accredited Chiropractic College:
WebExercises is sponsored by a CCC accredited Chiropractic College, Cleveland Chiropractic University. This course meets the appropriate standards for continuing education and qualifies for 11 CEUs (hour) in the following states:
Colorado, Delaware, Illinois, Michigan.

Occupational Therapy:
Course abides by regulatory guidelines of your board for continuing education. Please review your board guidelines before taking a course for CE credit to make sure the course is germane to your profession and fulfills requirements.
Arkansas, Idaho, Maine, Massachusetts, Michigan, Nebraska,  North Dakota, South Carolina, Texas, Virginia, Wisconsin.

Please verify information with your licensing board. Rules and regulations governing the practice of Physical Therapy and continuing education requirements may change.

Alabama
Hours Needed: Alabama PT and & PTAs need 10 hours.
Deadline: Due September 30th every year.
Home Study Limit: 100% allowed online
CE Approval: The Alabama Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Alaska
Hours Needed: Alaska PTs and PTAs need 24 hours every two years.
Deadline: Due June 30th of even years.
Home Study Limit: 100% allowed online
CE Approval: The Alaska Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Arizona
Hours Needed: Arizona PTs need 20 hours every 2 years.
Deadline: August 31st of even years
Home Study Limit: 100% allowed online
Additional Information: No more than five (5) Category A hours can be non-clinical.
CE Approval: The Arizona Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Arkansas
Hours Needed: Arkansas PTs need 20 hours; PTAs need 10 hours every two years
Deadline: December 31st of even years
Home Study Limit: 10 hours for PTs, 5 hours for PTAs
CE Approval: Courses have to be submitted for approval

California
Hours Needed: California PTs and PTAs need 30 hours every two years
Deadline: Every 2 years on the last day of the licensees birth month.
Home Study Limit: 100% online allowed
CE Approval: Courses have to be submitted for approval.

Colorado:
Hours Needed: Colorado PTs need 30 hours every two years. PTAs have no CEU requirements.
Deadline: October 31st of even years.
Home Study Limit: 100% allowed online
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.
Additional Information:
1 point =1 contact hour.
At least 15 points (15 hours) must be Category 1 (continuing education meeting the Board’s category I standards).

Connecticut:
Hours Needed: Connecticut’s PTs need 20 hours. PTAs have no CEU requirements.
Deadline: Due annually on the last day of the licensees birth month.
Home Study Limit: 100% allowed online
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Delaware:
Hours Needed: Delaware PTs and PTAs need 30 hours every two years
Deadline: Due January 31st of odd years.
Home Study Limit: 100% allowed online
CE Approval: The Delaware Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Additional Information:
1 unit = 10 contact hours.
Must complete 0.2 units (2 hours) of ethics and 0.1 units (1 hour) of CPR.
There is no carry-over of credits.

District of Columbia:
Hours Needed: District of Columbia PTs and PTAs need 40 hours
Deadline: Due January 31st of odd years
Home Study Limit: Maximum of 20 hours.
CE Approval: The DC Physical Therapy Board accepts approval of other State Licensing Boards or Chapters as well as BOC approved providers.

Florida:
Hours Needed: Florida PTs and PTAs need 24 hours
Deadline: Due November 30th of odd years.
Home Study Limit: 12 hours of non-live courses
CE Approval: Providers have to be approved by the Florida Board of Physical Therapy and courses have to be submitted for approval via CE Broker.

Georgia
Hours Needed: PTs need 30 credits every two years.
Deadline: Due January 31st of odd years.
Home Study Limit: 100% online allowed
CE Approval: The Georgia Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Hawaii
Hours Needed: 30 credits every even year for PTs, PTAs do not have a CE requirement.
Deadline: Due December 31st of even years.
Home Study Limit: 100% allowed online
CE Approval: The Hawaii Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Idaho
Hours Needed: PTs and PTAs need 16 credits every year
Deadline: Due annually on the licensees birthday
Home Study Limit: 100% allowed online
CE Approval: The Idaho Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Illinois
Hours Needed: Illinois PTs need 40 hours; PTAs need 20 hours.
Deadline: PTs license cycle starts September 30th on even numbered years. PTAs start Sept 30th on odd numbered years.
Home Study Limit: Maximum of 50% of the hours may be completed via self-study/online learning.
Courses to be offered by an approved sponsor or approved by the IPTA.

Indiana
Hours Needed: Hours Needed: Indiana PTs and PTAs need 22 hours.
Deadline: Due June 30th of even years.
Home Study Limit: 100% allowed online, 20 of the hours may be Category 1 (home study)
The Alabama Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Iowa
Hours Needed: Iowa PTs need 40 hours; PTAs need 20 hours.
Deadline: Due every two years on the 15th day of the licensees birthday.
Home Study Limit: 100% allowed online
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Additional Information:
For PTs at least 30 hours must be clinical.
For PTAs, at least 15 hours must be clinical.

Kansas
Hours Needed: Kansas PTs need 40 hours; PTAs need 20 hours.
Deadline: Due December 31st of even years.
Home Study Limit: 100% allowed online
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Additional Information:
Individual courses may be a maximum of 10 hours long.

Kentucky
Hours Needed: Kentucky PTs need 30 hours; PTAs need 20 hours every two years. One contact hour is 60 minutes of participation in a physical therapy-related activity. At least 18 hours shall be earned from Category 1 courses.
Deadline: Due March 31st of odd years.
Home Study Limit: 100% allowed online
Review 201 KAR 22:045 if a course needs to be reviewed for approval by the KPTA
CE Approval: The Kentucky Board of Physical Therapy accepts courses approved by the APTA or its state chapters and sections or another physical therapy licensing agency.

Additional Information:
There is a Category 2 limit of 10 hours for PTs, 8 hours for PTAs.
Courses 3 or more hours are Category 1.
Courses less than 3 hours are Category 2.
Board jurisprudence exam must be passed per renewal.

Louisiana
Hours Needed: Louisiana PTs and PTAs need 30 hours every two years.
Deadline: Due March 31st of even or odd years, based on licensees birth year. February 1, 2018 began renewal for all even-year birth year licensees.
Home Study Limit: No more than 15 hours shall be home study, internet or online courses. This excludes jurisprudence
CE Approval: Courses have to be submitted to the board for review and approval.

Maine:
Hours Needed: No CEUs needed
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Maryland
Hours Needed: PTs need 30 hours; PTAs need 20 hours.
Deadline: Due March 31st of even or odd years, based on licensees license number (odd license/odd year, even license/even year)
Home Study Limit: 100% allowed online
CE Approval: Courses need to be submitted to the board for review and approval.

Massachusetts:
No CEUs needed

Michigan
Hours Needed: Michigan PTs and PTAs need 24 hours (PDRs / Professional Development units)
Deadline: Due every 2 years by July 31st.
Home Study Limit:  100% allowed online
The Michigan Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Minnesota
Hours Needed: Minnesota PTs and PTAs need 20 hours.
Deadline: December 31st of even or odd years, based on initial year of license issuance.
Home Study Limit: 100% allowed online, maximum of 10 hours may be Category 2
CE Approval: Courses have to be submitted to the board for review and approval.

Mississippi
Hours Needed: Mississippi PTs and PTAs need 30 hours every two years
Deadline: Last names A through L due June 30th of odd years; Last names M through Z due June 30th of even years.
Home Study Limit: 100% allowed online
The Mississippi Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Missouri
Hours Needed: Missouri PTs and PTAs need 30 hours
Deadline: Due December 31st of odd years
Home Study Limit: 100% allowed online
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Montana
Hours Needed: Montana PTs and PTAs need 30 hours every two years
Deadline: Due March 31st of odd years
Home Study Limit: 100% allowed online
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Nebraska
Hours Needed: Nebraska PTs need 20 hours; PTAs need 10 hours.
Deadline: Due November 1st of odd years.
Home Study Limit: 10 hours of home study allowed
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Nevada
Hours Needed: Nevada PTs and PTAs need 15 hours.
Deadline: Due annually on July 31st.
Home Study Limit: 100% allowed online
CE Approval: Courses need to be submitted to the board of review and approval.

Additional Information:
Maximum of 8 hours may be non-clinical (documentation, marketing, etc).

New Hampshire
Hours Needed: New Hampshire PTs and PTAs need 24 hours
Deadline: Due December 31st of even years
Home Study Limit: 100% allowed
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Additional Information:
Half of the hours must be clinical in nature.

New Jersey
Hours Needed: New Jersey PTs and PTAs need 30 hours.
Deadline: Due January 31st of even years.
Home Study Limit: Maximum of 10 hours distance learning.
CE Approval: Courses need to be submitted to the New Jersey Board of Physical Therapy Examiners for review and approval.

New Mexico
Hours Needed: New Mexico PTs and PTAs need 30 hours.
Deadline: Odd license numbers due January 31st of odd years: Even license numbers January 31st of even years.
Home Study Limit: 100% allowed
CE Approval: Courses need to be submitted to the New Mexico Board of Physical Therapy for approval.

New York
Hours Needed: New York PTs and PTAs need 36 hours.
Deadline: Due last day of the licensees birth month every 3 years
Home Study Limit: 100% allowed
CE Approval: Sponsors need to be approved by the New York Board of Physical Therapy or courses approved by the NYPTA.

North Carolina
Hours Needed: North Carolina PTs need 30 hours; PTAs need 20 hours.
Deadline: Due every two years on Jan 31st, based on initial year the therapist was licensed.
Home Study Limit: See additional information
CE Approval: The NC Physical Therapy Board accepts approval of other State Licensing Boards or Chapters.

Additional Information:
Up to 15 hours may be interactive, electronic media (live webinars)
Up to 10 hours may be non-interactive (text/video)
Up to 10 hours may be home study (text/sod)

North Dakota
Hours Needed: North Dakota PTs and PTAs need 25 hours
Deadline: Due January 31st every other year (Odd license numbers due in odd years, even license numbers due in even years)
Home Study Limit: 100% allowed
CE Approval: The North Dakota Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Additional Information:
No carry-over of credit hours to next reporting period. A minimum of 15 hours must be clinically related, 5 of which may be CPR.

Ohio
Hours Needed: Ohio PTs need 24 hours; PTAs need 12 hours.
Deadline: PTs due January 31st of even years, PTAs due January 31st of odd years.
Home Study Limit: 100% allowed online
Additional Information: No carry-over of credit hours to next reporting period.
CE Approval: Courses need to be submitted to OPTA for review and approval.

Oklahoma
Hours Needed:
Oklahoma PTs need 40 hours, PTAs need 30 hours.
Deadline: Due December 31st of odd years.
Home Study Limit: See additional information.
CE Approval Information: Courses need to be submitted to the board for review and approval. Approved courses are listed on the board’s website or show approved on our website.
Additional Information:
Half of the hours MUST be Category A, such as live webinars.
Half of the hours may be Category B, home study courses.
3 hours of ethics required per cycle.

Oregon
Hours Needed: Oregon PTs and PTAs need 24 hours.
Deadline: Due March 31st of even years.
Home Study Limit: 100% allowed online
CE Approval: The Oregon Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.
Additional Information: PTs must fulfill a one-time only requirement of 7 hours of pain management education.

Pennsylvania
Hours Needed: Pennsylvania PTs and PTAs need 30 hours. Direct Access certificate holders need 10 hours of Evaluative Procedures in their 30 hours.
Deadline: Due December 31st of even years.
Home Study Limit: 100% allowed online
CE Approval: The Pennsylvania Board of Physical Therapy Examiners accepts CE Approval of other State Licensing Boards or Chapters.

Rhode Island
Hours Needed: Rhode Island PTs and PTAs need 24 hours
Deadline: Due March 31st of even years.
Home Study Limit: 100% allowed
CE Approval: The Rhode Island Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

South Carolina
Hours Needed: South Carolina PTs and PTAs need 30 hours.
Deadline: Due December 31st of even years.
Home Study Limit: 100% allowed
CE Approval: The South Carolina Board of Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

South Dakota
Hours Needed:
No CEUs required for this state.

Tennessee
Hours Needed: Tennessee PTs and PTAs need 30 hours.
Deadline: Due the last day of the month PRIOR to the licensees birth month eg: Birthday is April 15th, CEUs due by March 31st.
Home Study Limit: 10 hours are allowed online
CE Approval information: The Tennessee Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Texas
Hours Needed: Texas PTs need 30 hours; PTAs need 20 hours.
Deadline: Due every 2 years on the last day of the licensees birth month.
Home Study Limit: None.
CE Approval information: Courses need to be reviewed and approved by the TPTA.

Utah
Hours Needed: Utah PTs need 40 hours; PTAs need 20 hours.
Deadline: Due May 31st of odd years.
Home Study Limit: PTs may complete a maximum of 20 hours via distance learning, PTAs may complete a maximum of 10 hours.
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Vermont
Hours Needed: Vermont PTs need 24 hours; PTAs need 16 hours
Deadline: Due September 30th of even years.
Home Study Limit: 100% allowed online
CE Approval: The Vermont Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Virginia
Hours Needed: Virginia PTs and PTAs need 30 hours.
Deadline: Due December 31st of even years
Home Study Limit: No more than 15 hours for PTs and 20 hours for PTAs
CE Approval: The Virginia Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

Additional Information:
A minimum of 20 of the contact hours required for physical therapists and 15 of the contact hours required for physical therapist assistants shall be in Type 1 courses.

No more than 10 of the contact hours required for physical therapists and 15 of the contact hours required for physical therapist assistants may be Type 2 activities or courses, which may or may not be offered by an approved organization but which shall be related to the clinical practice of physical therapy. Type 2 activities may include but not be limited to consultation with colleagues, independent study, and research or writing on subjects related to practice.

Washington
Hours Needed: Washington PTs and PTAs need 40 hours.
Deadline: Due every 2 years on the licensees birthday.
Home Study Limit: None
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

West Virginia
Hours Needed: West Virginia PTs and PTAs need 24 hours.
Deadline: Due December 31st every 2 years based on original year the therapist got their license.
Home Study Limit: None.
CE Approval: Courses have to be submitted for approval

Wisconsin
Hours Needed: Wisconsin PTs need 30 hours; PTAs need 20 hours.
Deadline: Due February 28th of odd years.
Home Study Limit: 100% allowed
CE Approval: This course abides by regulatory guidelines for continuing education for Physical Therapists and Physical Therapist Assistants.

Wyoming
Hours Needed: Wyoming PTs and PTAs need 30 hours.
Deadline: Due October 1st of odd years for odd original license dates, even years for even original license dates.
Home Study Limit: 100% allowed
CE Approval: The Wyoming Physical Therapy Board accepts CE Approval of other State Licensing Boards or Chapters.

 

 

Instructor


Erson Religioso III, DPTErson Religioso III, DPT

Dr. Erson Religioso III, DPT, MS, MTC, CertMDT, CFC, CertMST, FAAOMPT, is a fellowship trained cash based PT practice owner, entrepreneur, blogger, and sought after lecturer in the topic of Modern Manual Therapy. Erson graduated from D'Youville College in 1998 with a dual Bachelor's of Science and Master's of Science in Physical Therapy. His interests in Orthopaedics and Manual Therapy lead him to pursue a Doctor of Physical Therapy degree from the University of St. Augustine. Studying under Stanley Paris, Ph.D, PT, internationally known for his manual skills and knowledge of the spine as well as his distinguished faculty, Dr. Religioso earned his DPT and Manual Therapy Certification in 2000. He later became credentialed in Mechanical Diagnosis and Treatment of the Spine in 2000. Dr. Religioso became certified in evaluation and treatment of oromaxillary, craniofacial, and temporomandibular pain in 2005; this from extensive training and certification from Dr. Mariano Rocabado, PT, of Chile, one of the world’s foremost experts in treatment of temporomandibular joint dysfunction. Later in 2005, Dr. E obtained Fellow status in the American Academy of Orthopaedic Manual Physical Therapists

Modern Manual Therapy: The Eclectic Approach to Temporomandibular Management