iTHRUST Academy

ITHRUST HVLA BASIC is a theorical and practical course of Manual Therapy through manipulation techniques HVLA-T (High Velocity Low Ampliture – Thrust), better known as Thrust. The Manipulation with HVLA-T techniques consists in a fast and constrained mobilization applied to a joint segment that goes beyond the physiological joint range (Barrier),
without exceeding the anatomical limit. The Thrust techniques are absolutely painless and secure, but they must be
severely administered specifically in a measured and aimed way on the segment in which you want to act.

The manipulation with HVLA-T Techniques, when not in contraindication, allows:

• An articular release, often responsible of sterness/stiffness and soreness/phlogosis;
• Release of endorphins, neurotransmitters produced by the pituitary gland, that have a powerful painkiller
and anti-inflammatory effects;
• Pain improvement by reflex neural pathway.

The Thrusts, that are subjects of the course, are basic and advanced HVLA-T Techniques revised &/or adapted to the
daily clinical practice of the Instructor of the seminar to make them easier, outright, effective and easy learning.

Aims

At the end of the course the participants will be able to:

• Locate correctly and precisely the segment/s to be treated;
• Evaluate the indications and contraindications;
• Place the patient correctly for the specific technique;
• Treat by using fast and precise osteopathic techniques;
• Perform correctly and precisely the specific the Manipulative Thrust (HVT – High Velocity Thrust).

Seminar Structure
The course spreads in n°3 days, for a total of 24hours course. The didactics consist in 20% theory, by frontal learning,
and 80% practice. Overall it will be taught over 35 HVLA-T “adapted” Techniques, from Osteopathy, Chiropractic: and
Manual Medicine direct, indirect, short and long levers.

DAY 1

Methods

Generality about HVLA-T manipulations
Clinical and Neurophysiological aspects
Gear of action of HVLA-T manipulation
Concept of Anatomic Barrier
HVLA-T Reflex Techniques
Triangles system approach
Working with “open” or “close” techniques
Placing, Tensioning and Performing the Thrust
Trainers Demonstration
Practical Sessions of Listening and Engagement of the Anatomic Barrier
Description of the Techniques – Indications -Warnings
Thoracic Spine, Ribs and Cervical Spine
Description of the Techniques – Indications -Warnings
Thoracic spine: “Butterfly” and “Cup” direct techniques
Thoracic spine: “Direct” and “Dog”
Cervicothoracic Junction: C7-T1 (sitting, prone, side positions)
Ribs: 1 st Rib – High, Mid and Lower Ribs
Cervical spine: Upper Mid and Lower open and close – cervical distraction
Trainer demonstrations: placing , tensioning, thrust

Practical Sessions
09:00 Start session
10:45 – 11:00 Coffee Break
13:00 – 14:00 Lunch Break
15:45 – 16:00 Coffee Break
18:00 End session

DAY 2

Shoulder complex , Arm, Lumbar Spine
Description of the Techniques – Indications -Warnings
Shoulder: Combo technique, GH Joint – SC Joint – AC Joint

Elbow: proximal radius and ulna – open and close techniques
Wrist/Hand: distal radius and ulna – scaphoid, lunate, physiform, fingers
Y-Axial Distracion: short and long distractions
Lumbar Spine: Lumbar Roll –Lumbar Roll with Kick
Hip Bone: Sacroiliac Joint Open (Banana – Side)
Trainer demonstrations: placing , tensioning, thrust
Practical Sessions
09:00 Start session
10:45 – 11:00 Coffee Break
13:00 – 14:00 Lunch Break
15:45 – 16:00 Coffee Break
18:00 End session

DAY 3
TMJ, Hip, Knee, Ankle and Foot
Description of the Techniques – Indications -Warning
TMJ: open and close techniques
Hip: Disatraction
Knee: Tibia – Fibula (prone – supine) – open and close techniques
Ankle: Tibiotalus joint (supine x2)
Foot: Talus – Cuboid – Navicular – 1
st, 2nd, lateral Cuneiform – Calcaneous – Fingers
Trainer demonstrations: placing , tensioning, thrust
Practical Sessions
Clinical cases assessment and discussion
09:00 Start session
10:45 – 11:00 Coffee Break
13:00 – 14:00 Lunch Break
15:45 – 16:00 Coffee Break
18:00 End session