Mulligan Manual Therapy Concept: Part B: The Lower Quadrant: Peripheral Joints, Lumbar Spine and Sacroiliac joints

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NCORE (National Centre of Rehabilitation Education)

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Mulligan Manual Therapy Concept: Part B: The Lower Quadrant: Peripheral Joints, Lumbar Spine and Sacroiliac joints


Saturday 21st – Sunday 22nd November 2020


Venue: Horton General Hospital, Banbury OX16 9AL


Lecturer: Thomas GC Mitchell, BSc (Hons) MSc MCTA

Ref. 2824


A two-day course presenting the Mulligan approach to manual therapy for the lumbar spine and sacroiliac joint as well as for the lower extremity.

Course Outline:

Aimed at the frontline practitioner, the Mulligan Concept is a series of instantaneous and pain-free manual therapy techniques to allow assessment and treatment of musculoskeletal disorders to provide symptom and functional modification. Mulligan Concept courses provide clinically-directed education in:

  • hands-on techniques
  • self-treatment and self-management strategies
  • taping and home taping techniques

These interventions shall be underpinned by sound clinical reasoning in the application of Mobilisation with Movement on patients. Current rationalisation of the evidence base for the use of the Mulligan Concept and manual therapy will be considered to facilitate participants a thorough and in-depth coverage of the Mobilisation with Movement approach.


Course objectives:

On completion of this course participants will be able to:

  • Describe the underpinning theory of NAG's, SNAG's and Mobilisations with Movement (MWM's).
  • Demonstrate and justify the use of spinal NAG's and SNAG's in the cervical, thoracic and lumbar spine.
  • Demonstrate and justify the use of peripheral MWM's for the shoulder, elbow, wrist and hand, hip, knee and foot and ankle with reference to common musculoskeletal disorders.


Who is this course suitable for?

This course is suitable for all musculoskeletal practitioners. It will be particularly useful to Newly Qualified, Junior or Senior Physiotherapists within musculoskeletal practice or aspiring ESP clinicians within First Contact Roles of MSK/Orthopaedic triage.


If you haven't previously attended Part A, you will receive the following course materials.

The candidate shall receive the following to allow immediate application of the Mulligan Concept in their clinical environment:

  • A copy of 'NAGS, SNAGS, MWM's etc.' by Brian Mulligan
  • A Mulligan treatment belt
  • An extensive printed course Handbook
  • Sponge foam for improved comfort with handling



14 hour CPD certificate handed at end of course signed by tutor


Fee:£300 (Refreshments included)

SPECIAL OFFER: £300 per part; £575 for Part A and B, £825 for all three parts and £350 for the exam (Part D)


Limited funded places may be available for AHPs working for the NHS within the East Midlands.

01332 254679 | |


Course Programme




Commencement of course



12:30 – 13:15






Day 1

  • Revision of basic principles

    • The concept of the positional fault

      • Evidence for the positional fault
    • Alternative mechanisms of the effect of Manual therapy
      • Non-specific effects of Manual Therapy
      • Neurophysiology
    • Delivery of treatment- the golden rules:
      • CROCKS
      • PILL
    • Principles of MWM
      • Concave/convex rule- Kaltenborn
      • Appling glide at 90 degrees to motion plane
      • Medial glide/lateral glide/rotation
      • Long bone Vs Short bone theory
      • Overpressure
      • Taping


  1. Ankle/Foot

    1. First MTP Extension

      1. MWM: Open Kinetic Chain
      2. MWM: Closed Kinetic Chain FWB
      3. Taping
      4. Home treatment
    2. Metatarsalgia MWM
    3. InterMetatarsal Inversion MWM
    4. The Tarsal bones
      1. Mid Foot DorsiFlexion MWM: NavicularCuneiform
      2. Taping for NavicularCuneiform joint
    5. 9.1. Sprained Ankle MWM
      1. Starting Position Medial
      2. Starting Position + Sponge
      3. Sprained Ankle MWM: Inferior TibFib
      4. Taping for Sprained Ankle
    6. Ankle Dorsi‐Flexion MWM:
      1. Inferior Tib‐Fib in Closed Chain
      2. Ankle Dorsi‐Flexion MWM: Closed Kinetic Chain
    7. Ankle Plantar‐Flexion MWM
    8. Taping for Plantar Fasciitis Heel pain


  1. Knee

    1. Knee Extension MWM:

      1. Side Glide Open Chain
      2. Rotation
      3.  Knee Taping for Internal Rotation
      4.  Side Glide in Closed Chain
      5. Sup. Tib‐Fib in Open Chain
      6. Superior Tib‐Fib in Closed Kinetic Chain
    2. Knee Flexion MWM:
      1. Rotation in Open Chain
      2. Knee External Rotation MWM: Open Kinetic Chain + OP via Belt
    3. Knee Flexion MWM:
      1. Rotation in Closed Kinetic Chain
      2. Glides in Closed Kinetic Chain
      3. MWM in Supine: Side Glide with Belt Assistance
      4. Posterior Glide
    4. Squeeze for the Knee


  1. Hip


  1. Hip Internal Rotation MWM: Open Kinetic Chain
  2. Hip Flexion MWM
  3. Hip Extension MWM: Open Kinetic Chain
  4. Hip Extension MWM: Closed Kinetic Chain
  5. Hip Abduction MWM: Closed Kinetic Chain
  6. Hip External Rotation MWM: Faber Position




Continue course



12:30 – 13:15





Day 2

  1. Lumbar SNAGS
  2. Lumbar Flexion
    1. Lion - NWB
    2. Sitting - PWB
    3. Standing - FWB
    4. Self-SNAG with Belt
  3. Lumbar Extension SNAG
    1. Lion – NWB
    2. Prone- PWB
    3. Sitting - PWB
    4. Standing - FWB
    5. Self-SNAG with belt
    6. SNAGS with the Lion Exercises Unilateral L5/S1
  4. SLR Techniques
    1. Two Leg Rotation or Gate technique

      1. Two Leg Rotation or Gate technique: alternative grip
      2.  Gate Technique Homework Exercise
    2. Bent Leg Raise
    3. Straight Leg raise With Traction
    4. Straight Leg Raise With Compression
    5. SMWLM
      1. Hip Flexion- Side-Lying
      2. Hip Flexion- Prone Lying
      3. HIP Extension SMWLM
      4. Knee Flexion SMWLM in Supine


  1.      SI-joint

    1. SI Anterior Innominate MWM: Extension in Lying
    2. SI Posterior Innominate MWM: Extension in Lying
    3. SI Anterior Innominate MWM: Extension in Standing
    4. SI Posterior Innominate MWM: Flexion in Standing
    5. SI Posterior Innominate MWM: Side Bending in Standing
    6. SI Anterior Innominate MWM: Assisted Walking
    7. Explanation of the international MCTA
      • Route of training
      • Process of becoming a CMP