iTHRUST PROFESSIONAL

Position in the iTHRUST Clinical Concept
The Professional level represents the second step of the iTHRUST Clinical Concept. It builds directly on the Practitioner foundations, expanding both the technical spectrum and the clinical reasoning.
Main Goals
• Deepen understanding of anatomy, neurophysiology, and pain models (nociceptive, neuropathic, nociplastic, psychogenic).
• Introduce and apply HV (High Velocity) and CR (Capsular Release) techniques alongside HVLA.
• Develop clinical evaluation, patient framework and management.
• Integrate thrust techniques into a structured pain management approach.
• Explore the role of the psychological and neuroendocrine dimensions of pain in collaboration with a clinical psychologist.
Learning Outcomes
• Conduct a clinical evaluation and differential diagnosis.
• Evaluate indications/contraindications with greater accuracy.
• Select the most effective treatment strategy.
• Apply the full spectrum of thrust techniques (HVLA, HV, CR).
• Manage complex patients through case-based reasoning.

Day 1 — Clinical Framework, Pain, Thoracic/Cervical, Upper Limb
09:00 – 10:30 | Clinical Framework & Neurophysiology Review of anatomy & neurophysiology; somatosensory system; receptors; access routes; range of motion; thrust typologies.
10:30 – 11:30 | Pain Models & Evaluation Nociceptive, neuropathic, nociplastic, psychogenic pain; patient management; practical exercise.
11:30 – 11:45 | Coffee Break
11:45 – 13:15 | Techniques Review & Upgrade Revision of Practitioner HVLA techniques; introduction to HV & CR methods; practice on thoracic spine, C7–T1 junction.
13:15 – 14:15 | Lunch Break
14:15 – 15:30 | HV & CR Techniques (Practice) Mid ribs, cervical spine, TMJ.
15:30 – 15:45 | Break
15:45 – 18:15 | Upper Limb & Rebound Techniques Shoulder, SCJ, ACJ; diaphragm, sternum; circuit practice.
18:15 – 18:30 | Debrief

Day 2 — Psychogenic Pain, Pelvis/Lumbar, Clinical Cases
09:00 – 10:15 | Psychogenic Pain & Hormonal Axis Description, tests and practice; role of neuroendocrine system.
10:15 – 11:30 | HV & CR Techniques (Practice) Lumbar spine, sacroiliac joint, pelvis.
11:30 – 11:45 | Break
11:45 – 13:15 | Patient Assessment & Management Framework analysis, data collection, differential diagnosis.
13:15 – 14:15 | Lunch Break
14:15 – 16:00 | Clinical Cases (Integration) From evaluation → choice of thrust → treatment simulation.
16:00 – 16:15 | Break