VERTEBRAL MANIPULATION

AN INTEGRATIVE APPROACH FROM THE EVIDENCE-BASED

PHYSIOTHERAPY

Course Date:  24, 25 February 2024

  PROF. Juan José Boscà

PHYSIOTHERAPIST AND OSTEOPATH D.O.

• Physiotherapist from the University of Valencia (1st promotion of Physiotherapists Graduated in Spain) Collegiate Nº. 212
• Osteopath D.O by the International Court held at the University of Alcalá de Henares
• Degree in Kinesiology and Physiatry from the General San Martin University of Buenos Aires. ARGENTINA.
• Diploma in Nursing from the University of Valencia.
• Psychology Studies. Faculty of Philosophy and Education Sciences. (University of Valencia)
• Physiotherapist and osteopath of the professional tennis player, Sara Errani, No. 1 in Italy, and WTA World Top Ten.
• Director of the Physiotherapy and Osteopathy Clinic J.J. Boscà.
• Director of the Postgraduate Institute of Manual Therapy (INSTEMA)

Further training

• Manual Therapy Specialist. Postgraduates in various National and International Universities.
• Specialist in Sports Physiotherapy.
• Specialist in Myofascial Techniques and Cranio-Sacral Induction.
• Specialist in Physiotherapy and Osteopathy Urogynecological and obstetric pregnancy and postpartum. University of Castilla la Mancha and Barcelona.
• Specialist in Osteopathic Manual Physiotherapy. Alcala de Henares University.
• Specialist in Perineo-sphincteric Reeducation. Barcelona with professor Valancogne. France.
• Trained in Kaltenborn Manual Therapy Concept.
• Expert in Nutrition and Orthomolecular Medicine.
• Trained in the Schoroot Scoliosis Method. Autonomous University of Barcelona. University School. F. Gimbernat.
• Trained in Mitchell Techniques of Osteopathy (E.E.O.), by Professor Bournote and J. Sabory.
• Trained at St. Thomas Hospital in London” on Cyriax techniques and vertebral manipulation. London. England.
• Trained in Vertebral Manipulation with Professor Robert Maigne
• Trained in Quality Management in healthcare. Barcelona.
• Trained in Diacutaneous Fibrolysis Techniques “K. Ekman method” University of Zaragoza.
• Trained in the Robin Mckenzie method.”Mechanical Algias of the Vertebral Column. New Zealand.
• Trained in Neurodynamics.
• Trained in Muscular Chains of Leopold Busquet University of Seville.
• Postgraduate in Sohier. “Analytical Physiotherapy”, University of Zaragoza
• Trained in more than 50 courses in various specialties of Physiotherapy, Management, Osteopathy and Manual Therapy in General.
• Trained in the McConnell Approach to Chronic Low Back and Leg Pain, with Professor Jenny McConnell.
• Trained in Movement Alteration Syndrome of the Lumbar Spine and Shoulder Girdle, with Professor Shirley A. Sahrmann
• Trained in the Mulligan Concept with Professor Francisco Neto.
• Trained in Dermo-Neuro-Modulation with Dr. Diane Jacobs.
• Trained in Clinical Trials for Differential Diagnosis with Dr. Chad Cook.
• Trained in Therapeutic Exercise in disorders of the cervical spine with Dr. Débora Falla

Investigation

• Repercussion of the manipulation of the 1st rib c7-d1 cervico-thoracic hinge in patients with heart disease (angina heart attacks, cardiac surgery, etc. Juan José Boscá Gandia D.O.
• Study in the healthy population of the radiological modifications in the Lengthening Test according to Dawning. Rafael Caliente Marín D.O., Juan José Boscá Gandía D.O.
• Dysfunction of the talus involves the radiological modification of the talus-calcaneal angle. Joan Vicent Capó i Giner D.O, Juan José Boscá Gandía D.O
• Association between Cervical Hypomobility and Morphological Changes of the cervical multifidus muscles in patients with mechanical neck pain. Carles Albert Sanchos D.O., Juan José Boscá Gandía D.O.
• Randomized clinical trial on the effectiveness of the lumbar articulation technique with the Kaltenborn wedge compared with the manual articulatory technique for lumbar mobilization in chronic low back pain. Carlos López De Celis D.O., Juan José Boscá Gandía. DO
• Effect of the Manipulation of the Occipito-Atlo-Axoid hinge in the opening of the mouth. Pilar Mansilla Ferragud D.O., Juan José Boscá Gandía D.O.
• Immediate Effects of the Strain/Counterstrain Technique in Local Pain Evoked By Tender Points in the Upper Trapezius Muscle. Chiropractic Clinic. Vol. 9. No. 3. 2006. Pages 112 118 Albert Atienza
• Meseguer, Cesar Fernandez de las Peñas, Jl Navarro Poza, Cleofás Rodríguez Blanco, Juan Jose
  Bosca Gandia.
• Influence of the C7/T1 thumb move combined with stretching of the annular carpal ligament on the cross-sectional area of the median nerve in a case of bilateral CTS. Francisco Bautista Aguirre, PT, DO, Juan José Boscá Gandía, PT-DO-MRO, and Jesús Oliva Pascual-Vaca, PT .
• Ultrasound and algometric changes on the acromio-clavicular joint after the application of the SNAP technique. Boscà Gandia, J. Albert Sanchis C. J. Bruñó Montesa. Dr. Buil M.
• Study of the effect of the isolated liver pumping technique on liver enzymes in patients with non-alcoholic fatty liver disease (NAFLD). Boscà Gandia, J. (DO, MRO), Reis Da Sila,

INTRODUCTION

One of the physiotherapy techniques that most attracts our attention when applying a treatment to our patients is undoubtedly spinal manipulation with impulse. From the clinical point of view, we have been applying these techniques on joints with a significant restriction of the range of joint amplitude. But the approach to the most recent research studies of these techniques allows us to know more precisely all the benefits of their use.

General objective

• Know the importance of Vertebral Manipulation techniques to optimize the results of the physiotherapist’s treatment.
• Raise awareness of the importance of these techniques being in the hands of professionals, that is, physiotherapists and practically essential for physiotherapists who are experts in manual therapy.
• Although the course is eminently practical, an attempt will be made to establish a correlation of its applicability in the most frequent pathologies, such as degenerative arthropathies or disc dysfunctions.

Specific objectives

• Make known the Neurophysiological effects of spinal manipulation, as well as its indications and contraindications.
• To know the repercussion and immediate clinical benefits of these techniques, such as the reduction of pain, the neurovascular reflex, the influence on posture and especially on the gain in joint movement.

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