Continuing Education


HAPTA Spring Conference 2014

Course Description:

SB Seminars, LLC

Instructors: Dr. John N Flood, FACOS, FAOAO  Dr. Scott Benjamin

Course TitleDay One: Surgery of the Neck and Shoulder:

Rehabilitation of the neck and shoulder following common surgeries (i.e. Rotator cuff, labrum, bicep tenodesis, neck fusion, neck total disc replacement).

Course Title: Day Two: Surgeries for the lumbar spine, knee.

Rehabilitation of the pelvis, trunk, hips, and lumbar spine following common surgeries (lumbar laminectomy, fusion and total disc replacement, spinal stenosis, new spinal procedures, ankle pathologies and how they relate the lumbar spine and pelvis.

Both days: Include surgical pitfalls and what not to do from a surgical prospective:

Both days will include: Clinical reasoning, Differential diagnosis, and hypothesis and illness script determined diagnosis and treatment.  (What is truly wrong and how to fix it)

The principal investigator will be bringing with the Multifidus Muscle Integrator (MMI)  This patented machine will isolate the lumbar deep and superficial multifidus in 3 different angles, variable planes of motion and also with various resistances.  The machine will also provide up to 110# of force for each side of the spine.

Course Objectives:

  • The participants will learn about critical thinking and how to arrive at a particular diagnosis for the upper and lower quarter; illness scripts will be discussed the participants will learn about how to derive a differential diagnosis.
  • Review of anatomy of the cervical spine, shoulder, lumbar spine, pelvis and hips will be provided.
  • The participant will learn the anatomy regarding the ankle and common pathologies that are known and also how this affects the hips and lower back.
  • The participants will learn about the proper surgical techniques for common cervical, shoulder and lumbar spine surgeries.
  • The participant will learn about common cervical surgeries but also what rehabilitation is needed post-surgical.
  • The participants will learn about common shoulder rehabilitation time lines, what rehabilitation is proper for certain conditions and also what to avoid in therapy.
  • The participants will learn about what lumbar spine surgeries will need rehabilitation and also what time lines are needed for post surgical rehabilitation (i.e. Fusion, laminectomy, TDA, spinal stenosis) and what to avoid during rehabilitation.
  • The participants will learn about what protocols to avoid for patients that have had cervical or lumbar spine surgeries.
  • The participants will learn about shoulder pit falls and what to avoid after certain surgical interventions.
  • The participants will learn about what rehabilitation is proper for patients with LBP, and shoulder pain that does not require surgery.
  • The participants will learn about when to stop rehabilitation and what happens when an injury occurs during rehabilitation.

Laboratory Objectives:

  • Participants will review and learn topographical anatomy for the cervical spine and shoulder.
  • Participants will review the topographical anatomy for the shoulder.
  • Participants will review the topographical anatomy for the lumbar spine, pelvis, hips and knee.
  • Participants will see how a surgeon evaluates an ankle, hip, lumbar spine, shoulder and neck.
  • Participants will learn how to perform a full biomechanical evaluate for a neck patient post surgery.
  • Participants will learn how to perform a biomechanical evaluation for shoulder patient.
  • Participants will learn how to evaluate a lumbar spine patient post surgery and how to perform a biomechanical examination.
  • Participants will learn how to evaluate a hip and S-I that has not had surgery.
  • Participants will systematically learn how to work on patients who have not had surgery for their shoulder (i.e., soft tissue injuries) and also what to do if they have had surgery.


Dates & Times:

April 26th & 27th
7:30 for registration & coffee
8am-5pm for the classes


Shriners Hospital

Question and answer after each section and at the end of the day.

Target audience:

Physical Therapists

Physical Therapy assistants

Surgical residence

Athletic trainers


Power point slides provided for future reference:

Also 10% off Dr. Benjamin’s book titled Cram Session in Functional Anatomy (A handbook for Students and Clinicians, available at Slack books)

Also, 20% off of Dr. Benjamin, Lower back Machine called the Multifidus Muscle Integrator (MMI) which will be used at the course.

To watch a film clip of the MMI: (



Please fill out the form below and submit. You will be taken to paypal to process your payment. If you have any questions please contact Angela Perrozzi at 808-639-5058.



Certified Clinical Instructor Course

When: Friday, June 27th 6:00-9:30pm and Saturday, June 28th 8:00am to 6:00pm
Where: Rehabilitation Hospital of the Pacific 3rd floor boardroom
Instructor: Janet Crosier, PT, DPT, MEd
Cost: HAPTA members $150, non-members $250, other professionals $300
Registration: Deadline to register is May 24th. Must register/pay online and submit Participant Dossier Form via email (see below).
No refunds after May 24th as course materials will be already be ordered.
Questions: email or
Important Notice: This course will be capped at the first 24 participants.

For more information regarding the course:

"The Credentialed Clinical Instructor Program (CCIP) is intended for health care providers who work primarily in a clinical setting and are interested in developing their teaching abilities. Participants will explore different aspects of the clinical learning environment and will learn skills and techniques necessary to provide a structured and effective learning environment for students. The goal is not to improve individual clinical skills, but to develop and each refine participant's ability to teach, instruct, and guide the development of his or her students.

CCIP courses are taught throughout the year in both Canada and the United States, and enrollment is open to physical therapists and physical therapist assistants. Clinicians from other health care professions are also welcome to participate - courses regularly include speech therapists, occupational therapists, nurses, and more.

Successful completion of the course provides physical therapists and physical therapist assistants with 1.5 CEU's and the Clinical Instructor (CI) Credential. Healthcare providers from other professions are eligible to receive 1.2 CEU's, but may not be awarded the CI Credential."

***In addition, the Participant Dossier Form below must be filled out and emailed to Jandra ( for your registration to be complete:

Please download the Participant Dossier Form here



Honolulu Seminars Information:

Local Contact: Lawrence Ma DPT, ATC, CSCS
Wk: (808) 483-6466

SMT-1: High-Velocity Low-Amplitude Thrust Manipulation of the Cervical, Thoracic, Lumbar & SI Joints

Date: June 28-29, 2014 (Sat, Sun)
Price: $595 per course
Time: 900am – 430pm Saturday and Sunday
Place: Straub Physical Therapy Center
             800 South King Street.
             Honolulu, HI 96813
Instructor: Dr. James Dunning
Parking: Neal Blaisdell Center $6.00/day, Sunday only parking is free in Straub Hospital’s main parkiung structure
Dress: casual dress, dress for clinical lab work
Food: Light refreshments and snacks will be provided. Lunch is not provided.
Nearby food locations: Kats Sushi, Kabuki Restaurant, Doraku, Yanagi’s, Jack in the Box, Asahi Grill, Straub Café, Tai Sei Ramen, Pho Nam, The Mandarin.
Register online at:

Seminar Description:

TWO-DAY SEMINAR FOR PT, DO, or MD practitioners
This two-day seminar includes 70% hands-on practical training and 30% didactic lecture instruction. The content of the seminar highlights the biomechanical principles and practical hands-on skills required to perform high-velocity low-amplitude (HVLA) thrust manipulation techniques in a competent and safe manner for all of the spinal regions. Clinical case studies are presented for discussion of diagnosis and management based upon clinical reasoning and the best available empirical evidence. Course tuition includes 110 page booklet with detailed description and pictures of all HVLA thrust techniques, current evidence underpinning the use of spinal manipulation in cervicogenic headaches, acute and chronic low back pain, sacroiliac joint dysfunction, and idiopathic neck pain.


At the completion of this course, participants will be able to:
Describe the indications, precautions and contra-indications (relative and absolute) of high-velocity low-amplitude thrust manipulation. Demonstrate pre-manipulative screening tests for cervical artery dysfunction (Vertebro-Basilar-Insufficiency) and upper cervical instability and understand their limitations. 
1. Improve the use of body and posture in application of high-velocity low-amplitude thrust, making them an integral part of technique delivery. 
2. Start combining leverages using multiple components in order to focus forces and build “mechanical barriers” at target motion segments. 
3. Develop the psychomotor skills necessary to appreciate the pre-manipulative barrier (end-feel) utilized in minimal leverage or momentum induced manipulative technique by concentrating on combining multiple leverages in order to minimize the overall amplitude and force required to achieve cavitation. 
4. Facilitate sound clinical reasoning processes behind the choice (or not) of high-velocity low-amplitude techniques and an appreciation of the current evidence base behind their application. 
5. Demystify the delivery of high-velocity low-amplitude thrust manipulation and develop an appreciation of its merits and limitations in every day clinical practice. 
6. Utilize clinical reasoning skills in the selection of high-velocity low-amplitude thrust manipulation techniques for a variety of neuromusculoskeletal dysfunctions. 
7. Demonstrate safe, competent and proficient performance of HVLA thrust manipulation techniques, including pre-thrust positioning and actual thrust application of mid and lower cervical, thoracic, rib, lumbar and sacro-iliac regions. 
8. Describe and demonstrate HVLA thrust manipulation for the junctional zones: upper cervical, cervicothoracic, thoracolumbar and lumbosacral regions. 
9. Learn how to effectively diagnose and treat upper, mid, and lower cervical joint dysfunction, sacro-iliac joint dysfunction, lumbar spine facet syndromes, second and third rib syndromes, and cervicothoracic joint dysfunction. This course is 70% practical (hands-on) and 30% didactic. Participants should bring clothing each day that allows for participation in the practical sessions. Schedule may change to allow for lab flexibility & participant interaction. 15 contact hours will be awarded upon course completion. Space is limited, early registration is suggested. No other course prerequisites are required for this course. Must be licensed PT, DO or MD to enroll. Times are approximate. As applicable for each state, CEU approval is submitted to the respective Physical Therapy State Boards.



SMT-2: Cervicothoracic Dysfunction & Cervicogenic Headaches: Diagnosis & Management with HVLA Thrust Manipulation & Exercise

Date: July 11-12, 2014 (Fri, Sat)
Price: $595 per course
Time: 12:00 pm to 7:30 pm Friday, 9:00 am to 4:30 pm Saturday
Place: Straub Physical Therapy Center
             800 South King Street.
             Honolulu, HI 96813
Instructor: Dr. James Dunning
Parking: Neal Blaisdell Center $6.00/day, Sunday only parking is free in Straub Hospital’s main parking structure
Dress: casual dress, dress for clinical lab work
Food: Light refreshments and snacks will be provided. Lunch is not provided.
Nearby food locations: Kats Sushi, Kabuki Restaurant, Doraku, Yanagi’s, Jack in the Box, Asahi Grill, Straub Café, Tai Sei Ramen, Pho Nam, The Mandarin.
Register online at:
SMT-1 must be taken before this course. SMT-2 is a two-day (15 contact hours) course with an emphasis on upper cervical, mid-cervical and upper thoracic spine dysfunction, as it relates to cervicogenic headaches, whiplash associated disorders, and idiopathic neck pain diagnosis and management. 
Advanced HVLA thrust manipulation techniques for the occipito-atlantal (C0/1), atlanto-axial (C1/2), C2/3 articulations (in supine and sitting positions) along with a focus on 1st, 2nd and 3rd rib articulation HVLA thrust manipulation procedures (costotransverse and costovertebral articulations). A special emphasis will also be given to a variety of HVLA thrust manipulation procedures used to treat the cervicothoracic junction (C7-T3) including side-lying, prone, sitting and supine variations of such. An evidence-based approach to the diagnosis and management of deep cervical flexor dysfunction will be undertaken; in addition, the best way to train the deep neck flexors will be instructed. Furthermore, the inter-relationship between arthrogenic muscle inhibition of the craniocervical flexors and the immediate changes in motor control post HVLAT manipulation of specifically the upper cervical spine (C0/1 and C1/2) articulations will be explored. A comprehensive literature review of the neurophysiological effects of HVLAT manipulation will be presented and will include evidence to support alterations post-HVLAT manipulation in feed-forward activation times, isometric muscle strength, resting EMG activity of segmentally associated muscles, and passive range of motion. An exploration of pain physiology as it applies specifically to post manipulation hypoalgesic effects will be presented, and an overview of the sympathoexcitatory effects seen in the upper limbs following spinal manipulation will be explored. Current research (RCTs and systematic reviews) to support the effectiveness of HVLATand exercise in the treatment of cervicogenic headaches, idiopathic neck pain and whiplash associated disorders will be presented. This course is 70% hands-on and 30% didactic instruction.

The Australian Approach for Evaluation and Treatment of the Shoulder

Course Description:

This informative weekend course is designed to teach physical therapists the Australian method of evaluating and treating patients with mechanical shoulder pain. This course will cover efficient methods of subjective questioning, objective manual testing and differentiation techniques pertinent to the shoulder evaluation. Additionally, manual treatment techniques, therapeutic exercises, and home programs for the shoulder will be demonstrated and practiced.


Mike Schaack, M.S.P.T. FAAOMPT, DPT, graduated with a Bachelor of Science Degree in Exercise Physiology from U.C. Davis in 1992. Immediately following his undergraduate studies, Mike attended the University of the Pacific in Stockton and received his Master’s Degree in Physical Therapy in 1994. In 2009, Mike received his clinical Doctorate in Physical Therapy at Pacific University in Oregon. Currently Dr. Schaack works at both of his Schaack Physical Therapy outpatient clinics located in Lincoln and Roseville, California. 
Over the course of Dr. Schaack’s career, he has taken numerous short and long term spinal courses along with upper and lower extremity courses to hone his manual skills. His ongoing pursuit to improve his expertise included a full year of residency training. In 1999, Dr. Schaack completed the Kaiser Hayward Residency Program in Advanced Physical Therapy and became a Full Fellow in the American Academy of Orthopedic Manual Physical Therapy. 
In addition to clinical work, Dr. Schaack started Schaack Physical Therapy Seminars and teaches continuing education classes for fellow physical therapists at his Lincoln clinic and across Northern and Southern California as well as Hawaii.

Course Information:

Location: Action Rehab, 863 Halekauwila Street, Honolulu, HI, 96813
Dates: September 20-21, 2014
Times: 9:00 a.m. - 4:30 p.m.
Cost: $400
Please download and complete brochure. For more information please go to

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