Diagnostic and mobilization techniques for functional pathologies of the musculoskeletal system in a global context
Mobilizations are the alpha and omega for a physiotherapist. The history of physiotherapy is built on mobilization techniques. If the mobilization technique is precisely targeted, the effect is immediate and the patient feels immediate relief. The course is very comprehensive and has 4 parts.
Date and place
2026. g. 27. febr. 09:00 – 2026. g. 01. marts 14:00
Zemgalas Darījumu centrs, 245 room, Atmodas iela 19, Jelgava, LV-3007, Latvija
About the course
Lecturer: Mgr. Lukáš Kasala
Course days: 12 (3 days each part)
Maximum number of participants: 12
Course intended for: physiotherapist, doctors
Price: 1200 EUR (price includes prepared scripts, coffee, tea, snacks, certificate). Payment can be divided into 4 parts.
TIP: 96 (24 each part)
Registration is only possible for the entire course.
The largest, most elaborate, most comprehensive, most manually filled course you can visit
Mobilization techniques are the alpha and omega for physiotherapists, and it basically doesn't matter what department we work in.
We are in no hurry. No quick-course on the entire spine in 2 days. We will devote enough time and precision to each part of the body. The entire course is 12 days in total. In order to learn mobilization techniques correctly, you need time, a lecturer who will check you, or hold your hands and teach you the correct technique, and training. The course is not only about mobilizing joints, but also about quality theory, palpation anatomy, differential diagnostics. We will discuss various pathological conditions and how to work with them. For each blockage, we will talk about with which muscles trigger points are connected, which organ it is connected to. We do not just give simple facts, but also explain why this is so, on what anatomical, neurological and neurophysiological principle the individual relationships work, and why the given techniques are effective.
We are accepting ONLY 12 participants for the course. The lecturer will have enough time to devote to everyone and teach the technique. The entire course is interconnected and the information complements each other. But not only between individual parts, but also with other courses that we offer.
We have created a comprehensive set of mobilization techniques, which consists of 4 parts. Each part has several days:
Peripheral joint mobilizations - 3 days - 27.2.-1.3.2026
Cervical spine and C/Th mobilizations - 10.-12.4.2026
Thoracic spine and rib mobilizations - 3 days - 15.-17.5.2026
Lumbar spine and pelvis mobilizations - 3 days - 5.-7.6.2026
In the 1st part of the course – periphery, you will learn:
• Palpate each joint, joint connection and bone on the upper and lower extremities
• Understand joint mobility
• Diagnose joint blockade of each joint on the upper and lower extremities
• Mobilize each joint on the upper and lower extremities
• Explanation of the functional relationships between muscle, joint, organ, skin (subcutaneous tissue)
• Why mobilizations are important for physiotherapists regardless of specialization
• What is joint blockade and how it typically or atypically manifests
• Why is it important to mobilize peripheral joints
• What is the effect of proper mobilization of joint blockade
• How peripheral joint blockade will affect muscle chain tension and how the change in tension will manifest centrally
• Barrier phenomenon – what is a barrier, how to distinguish physiological and pathological barrier and what does it mean for us
• Joint patterns of joints of the upper and lower extremities
• Carpal tunnel – symptoms, examination, therapy, recommendations for patients, when to recommend surgery
• TFCC complex – symptoms of the disorder, therapy,
• Epicondylitis – what it is and why it occurs, pathological muscle chains, how they typically manifest, therapy, recommendations for patients,
• Frozen shoulder (periarthritis humeroscapularis) – typical symptoms, course, therapy, what happens to the shoulder
• Thoracic outlet syndrome – what it means and where the problem is, associated pathological muscle chains, why it occurred, therapy options
• Referred pain to the upper and lower extremities from other parts of the body – radiation from C spine, ribs, Th spine, connections with lumbal spine, organs
• Foot – palpation, functional connections with the pelvis, deep spine stabilization system, thoracic and cervical spine
• Morton’s neuralgia – explanation of functional pathology, typical presentation, examination, therapy, recommendations for patients
• Knee – joint pattern, which muscles are hypertonic in knee injury, how the disorder affects the hip joint and pelvis, most common causes of pain
• Hip joint – examination of the acetabulum and femoral neck, examination in relation to low back pain, where the disorder manifests, FAI, muscle reaction to injury,
• PIR (postisometric relaxation) principles – explanation of the correct execution of the technique, demonstration of the technique on specific muscles
In the 2nd part of the course – cervical spine, you will learn:
• Palpate the structures of the cervical spine – vertebrae, processes of the vertebrae (spinosii, transversii, articulares), intervertebral joints, muscles and muscle attachments, palpate individual muscles of the cervical spine, deep and superficial neck flexors,
• Examination of each segment and joint from AO to C-Th
• Diagnose joint blockade from AO to C-Th
• Several mobilization techniques for each joint from AO to C-Th
• How functional disorder manifests itself, the difference between functional and structural disorder
• Contraindications to manual therapy
• Cervical spine – functional division, typical manifestations of blockades of individual segments (what bothers patients and what will come with it), their chains and associated functional pathologies
• Spine key points
• Functional anatomy of the C spine
• Facet joints – palpation, innervation, importance in joint blockade
• Gaysman's rule
• Clinical manifestations of cervical spine segment disorders
• Cervicocranial syndrome
• Referred pain to the upper extremities
• Cervicobrachial syndrome
• Connection of headache and neck pain with ribs
• Headache - types of headache, classification, treatment options
• Migraine
• Influence of scapular position and kinesiology on the cervical spine
• Hyoid bone and headache
• Pelvic chain
• Upper crossed syndrome
• Cervical myelopathy
• Vertebral artery involvement - tests
• Anteflex headaches
In the 3rd part of the course – thoracic spine and ribs, you will learn:
• Palpation examination of individual joints of the thoracic spine, costospinal and costosternal joints
• Diagnosis of joint blockade of each joint
• Anamnesis – a comprehensive approach to the anamnesis, what to ask, how to conduct therapy, what individual information tells us, how to get to the primary cause of the patient's problem
o What information is essential in each anamnesis
o Which symptoms are typical for a functional, structural, visceral, nervous, inflammatory or tumor cause of pain
o Which information speaks of a serious disorder or disease – red flags
o Typical signs of psychological pain and latent depression
o Timing of pain – when did it appear, how long does it last, is it constant or intermittent
o Recurrence after therapy – if the pain returns after therapy, what does the rate of return tell us
• Function vs. Structure – what are the typical manifestations of a functional disorder and what are the structural disorders
• Nonspecific symptoms that we notice and that indicate a problem
• Typical and atypical signs of malignancy and inflammation
• Differential diagnosis of chest pain
o Cardiac
o Pleuritic
o Musculoskeletal
• Head zones – presentation of organs on the musculoskeletal system
• Vertebrovisceral relationships – what do blockages of specific areas of the thoracic spine and ribs mean, where do they chain
• Typical and atypical presentations of thoracic spine blockages
• Typical and atypical presentations of rib blockages – sternocostal and costovertebral joints
• Relationship of headache and neck pain and thoracic spine – how thoracic spine disorders cause or contribute to neck and head pain
• Thoracic spine rotation disorders – how do they present
• Chaining of rib blockages – sternocostal and costovertebral joints
• Thoracic spine in relation to the deep stabilization system of the spine
• Palpation - position of individual spinous processes, ventral or dorsal position, rotation
• Palpation examination of surrounding tissues in relation to a specific segment
• Examination of the thoracic spine in extension, flexion, rotation
• Mobilization of the thoracic spine in flexion, extension, rotation, traction
• Mobilization of the sternocostal joint 1st-7th rib
• Mobilization of the sternovertebral joint 1st-12th rib rib
• Rib mobilization for inspiration and expiration – sternocostal articulation
• C-Th flexion in developmental position
• Traction and extension manipulation – various segments, with rotation focused on the costovertebral junction
• Cross maneuver
• Costovertebral articulation in supine position
• TH/L in sitting
• Th/L in developmental position with mobilization through the lower limb
• Scapula mobilization
• Thoracic spine release through foot mobilization – chaining of functional impairment through the foot
In the 4th part of the course – lumbar spine and pelvis, you will learn:
• Palpation examination of individual vertebrae of the lumbar spine and pelvic bones
• Palpation examination of individual joints of the lumbar spine and pelvis
• Palpation anatomy of the pelvis – bony processes, joints, ligaments
• Typical manifestations of disorders of the L spine and SI segments
• Typical manifestations of pelvic floor disorders, chaining of disorders and treatment options
• Deep trps and fascial changes in the pelvis, change in pelvic control – how they affect the motor function of the pelvis, L spine, lower extremities
• Discopathy – examination, diagnostic techniques, assessment of severity
• Ligament pain – typical manifestations, examination, therapy
• Spinal lumbar stenosis – manifestations, causes, treatment options
• Neurogenic intermittent claudication – manifestations of the disorder, examination, treatment options
• Bechterew's disease – typical and atypical manifestations, examination, treatment options therapy, in which cases do we think of this disease
• Organ disorders of the small pelvis and the effect on the L spine and pelvis - Vertebrovisceral relationships
• Scars - the effect on the organs, lumbar spine, pelvis and generally the entire musculoskeletal system, chaining, division of physiological and pathological scar, approach in therapy
• Outflare/inflare - what it is, how it manifests clinically, typical posture, therapy
• SI shift and SI blockade - typical presentations, difference, therapy options
• Musculoligamentous source of pain in the L spine and pelvis - causes, therapy
• Hip joint pain - how the hip joint affects the L spine and how the disorder can present as L spine pain
• Segmental syndrome - what it is, what belongs here and division - pain discogenic, facet, segmental instability - typical manifestations and distinction in practice, therapy options
• Radiculopathy - examination, precise division from pseudoradiculopathy, precise examination of individual nerves
• Cauda syndrome – typical clinical manifestations
• Meralgia paresthetica – typical clinical manifestations, what the disorder is, treatment options
• Facet syndrome – clinical manifestations, treatment options
• Relationship between trps in the diaphragm, chest position and change in adductor tension
Gallery from our courses
