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Formação Instrumental Adjustive Therapy
Counts - 30h to 70h

The IAT (Instrumental Adjusting Therapy) training can be carried out in two seminars. 
Module 1 (basic to intermediate)
1.    3-day, 6-shift format (regular)
2.    3-day, 5-shift format (intensive)
Module 2 (Advanced)
1.    3-day, 5-shift format (regular)
2.    2-day, 5-shift format (intensive, morning, afternoon, and evening)

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Why don't we call our method Instrumental Chiropractic? Simply, because Instrumental Chiropractic is too generic a term. Instrumental chiropractic is a very broad field, as it ranges from the application of soft tissue manipulative instruments such as the Graston method or IASTM, Petitbone, Chiropractic Biophysics, NIMO, to other fixed table-top instruments aimed at joint adjustment, actually based in extremely precise radiographic evaluation, like a true orthogonal atlas, of the Table Mounted type.

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“The basis for this method emerged at Logan University and combines the reflexive basis of Logan Basic, (counting apex and lowforce thrust), leg length analysis from TDLC - Thompson Derifield Leg Check and the scaled reasoning of hierarchical adjustments, based on primary subluxations and secondary, promoting neurophysiological responses that interact and, as they are corrected, promote instantaneous changes. Applied kinesiology also applies to the development of this technique.” Dr. Pablo Dias.

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Our instructors all have complete training in Chiropractic, as well as training in the Logan Method and the Thompson Terminal Point Technique, having carried out various monitoring and special training. We perform the Leg Check as it is originally and not contrary to Thompson's recommendations, in handling the lower limbs when performing the TDLC, bringing greater dignity to the course.

Specialized Clinicians

Find out how the IAT technique is done

Senza precedenti in Brasile, il corso promuove una formazione esclusiva con l'obiettivo di favorire le conoscenze teoriche e pratiche necessarie per la prestazione professionale, nella diagnosi e nel trattamento dei disturbi neuro-muscoloscheletrici attraverso un programma originale basato sull'evidenza, con tutti i protocolli rivisti, migliorati e accettati dalla comunità scientifica globale.

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Prerequisiti sono la formazione in Fisioterapia e la conoscenza dell'anatomia palpatoria e della biomeccanica. Per ottenere la certificazione completa, oltre a frequentare i seminari (base, intermedio e avanzato), è necessario superare un esame teorico pratico.

Tecnica di aggiustamento per correggere i disallineamenti della colonna vertebrale o delle articolazioni, essendo un trattamento sicuro e confortevole, in cui vengono effettuati aggiustamenti utilizzando uno strumento che genera colpi a basso impatto in punti specifici della colonna vertebrale o di qualsiasi articolazione, con l'obiettivo di trattarli quando è in un blocco che provoca lesioni muscoloscheletriche, limitazione dei movimenti e dolore. È possibile notare un notevole sollievo dal dolore già nella prima seduta. Tecnica efficace per il trattamento delle malattie della colonna vertebrale e delle articolazioni. Può essere applicato a pazienti di qualsiasi età e anche agli anziani che soffrono di osteoporosi.

Unprecedented in Brazil, the course promotes exclusive training with the aim of fostering the theoretical and practical knowledge necessary for professional performance, in the diagnosis and treatment of neuro-musculoskeletal disorders through an original evidence-based program, with all protocols revised, improved and accepted by the global scientific community.

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Prerequisites include training in Physiotherapy and knowledge of palpatory anatomy and biomechanics. To obtain full certification, in addition to attending the seminars (basic, intermediate and advanced), it is necessary to pass a practical theoretical exam.

Adjustment technique for correcting misalignments of the spine or joints, being a safe and comfortable treatment, in which adjustments using an instrument that generates low-impact shots are made at specific points of the spine or any joint, aiming at treating of these when it is in blockage that causes musculoskeletal injuries, movement restriction and pain. It is possible to notice great pain relief in the first session. Effective technique for treating spinal and joint diseases. It can be applied to patients of any age, and even to elderly people who have osteoporosis.

 

Learn more about Instrumental Adjustment Therapy by watching the slideshow below:

 

The technique has the following objectives:

– Generate body balance through precise, unidirectional low-power manipulations to correct neuro-articular dysfunction. Eliminate structural blockages, postural changes, acute and chronic pain, with the help of a mechanical instrument that produces a simple, gentle and effective vibration without stress for the patient (Soulier, 2009). Precise assessment by leg checking: form of examination to look for joint subluxations (somatic dysfunction).

 

Historical concepts:

Technique developed by chiropractors Alan Fuhr and Warren Lee, in 1967 in the city of Phoenix, Arizona, originating from the Logan school (Furh, 2009). In 1970, the first group of chiropractors used  procedures to detect subluxations by monitoring leg length. More than 70% of patients with low back pain had shorter legs. According to research, the instrument is capable of mobilizing the bone, but whether the benefit occurs or not, no one knows  (Osterbauer; Jour. Manip. Phy. Thera; 1992).

Fundamentals of the technique

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Pressure tests based on the neuromuscular concept, Leg length analysis (leg checking), Adjustment using the instrument. Recommended for the treatment of biomechanical restrictions, postural disorders, acute and chronic pain, with the help of a small instrument that produces a gentle and effective impulse for the patient. Allows specific adjustments, promoting activation

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Accurate assessment – analysis of leg length and interpretation of results

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34 patients were evaluated between two experienced applicators, the result shows that there was 85% agreement between the examiners.

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Indications for Instrumental Adjustive Therapy and Advantages

Postural musculoskeletal disorders; Various pathologies, orthopedic, osteoarthritis; Osteophytosis; Tendinitis; Disc herniations; Headache due to cervicogenic (tension headache) or discogenic dysfunction. Headache due to TMD (temporo mandibular dysfunction). The technique has specific points of contact which provides precision, in addition the technique is not considered aggressive to bone tissue, as the force applied is controlled, can be applied quickly, the results can be checked by the therapist at the time of application through of neuroreflexic analysis, bringing confidence in the application.

Workload and certification:

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After attending the Global Seminar (equivalent to the Introductory and Intermediate levels) of 30 hours and 6 shifts, and attending the 2nd module called the Advanced Seminar of 20 hours, the student must complete additional activities for another 20 hours, making a total certification of 70 hours of classes. (30+20+20).

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  1. Global Seminar: Module 1: 30 hours over three days and six shifts. (with certificate issuance).

  2. Advanced Seminar: Module 2: 20 hours over two days and four shifts.

  3. Complementary activities: After carrying out the complementary activities, the student will obtain an effective 70-hour certification.

  4. Recognition: National Association of Chiropractic Physiotherapy – ANAFIQ.Continuing Education and Postgraduate Program in              Chiropractic Physiotherapy: 12 credits

Program Content (3 DAYS)

 

Definition, Examples, History of the Technique, Technique, Instrument Graduation, Evaluation System, Correlation with other techniques, Advantages, Indications and Benefits, Contraindications, Difference between Manual and Instrumental Techniques, Positioning, Visual Inspection, Footwear and Clothing, Evaluation with Leg Checking , Interpretation of Initial Leg Scan Results, Specific Tests, General Rules, Additional Leg Length Analysis, Principle of Adjustments, Neurophysiology, Treatment Plan, Acronyms, Basic Scanning Protocol and Advanced Protocol (Sacrum and Pelvis, Additional Lumbar, Additional Thoracic, Additional Cervical)

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Day 1: Night Shift (6:00 pm to 10:00 pm)

Introduction to the Technique, Definition, History of the Technique, Origin of the Technique, Technique, Instruments Used to Apply the Technique, Evolution of Instruments, Correlation with Other Techniques, Indications and Contraindications, Advantages and Disadvantages, Neurophysiology, Correlation between Manual and Instrumental Technique, Assessment System, Leg Length Analysis, Identification of Functional Short Legs, Introduction to Technique, Positioning, Visual Inspection, Leg Checking.

 

 

Day 2: Morning Shift (8:00 to 12:00)

Leg Checking, Interpretation of Leg Checking Results, Possibilities for Starting Treatment, Neurophysiology, Assessment, Short/Long Rule, Specific Tests, Treatment Plan, Instrument Grading, Basic Scanning Protocol – Assessment and Treatment – Feet and Knees (Medial and Lateral), Iliacs (AS and PI), Pubic Symphysis, Lumbar Spine.

 

 

Day 2: Afternoon Shift (2:00 pm to 6:00 pm)

Basic Scanning Protocol – Assessment and Treatment – Thoracic Spine, Shoulder Girdle, Cervical and Occipital. Review of the Complete Basic Protocol and Supervised Practice. Protocol and Advanced Tests of the Sacrum, Pelvis, Pubic Symphysis and Lumbar Spine. Supervised Practice.

 

 

Day 3: Morning Shift (8:00 to 12:00)

Review and Supervised Practice of the Basic Scanning Protocol. Advanced Protocol Thoracic Spine, Ribs, Cervical Spine and Occipital. Specific Muscle Testing and Treatment.

 

 

Day 3: Afternoon Shift (2:00 pm to 6:00 pm)

Review of the Basic Scanning Protocol – Supervised Practice. Review of the Advanced Treatment Protocol – Supervised Practice.

Program Content Module 2 (2 DAYS)

 

Review of Basic and Advanced Scanning Protocols (column). Neurophysiology of Technique, Assessment and Treatment of Foot, Ankle, Knee, Hip, Shoulder, Clavicle, Elbow, Wrist, Hand and TMJ. Specific Assessment and Treatment Protocols correlated to the Clinical Picture.

 

Day 1: Morning shift  (8:00 to 12:00)

Review of Basic and Advanced Scanning Protocols. Neurophysiology of the Method. Specific Tests. Supervised Practice. Assessment and Treatment of the Foot and Ankle: medial, lateral, superior, inferior and posterior calcaneus, antero-superior navicular, cuboid, medial navicular, antero-lateral talus, anterior distal tibia, posterior distal fibula, first inferior metatarsal, infero-medial cuneiform, lower metatarsal heads, upper distal first metatarsal, upper first proximal phalanx, hallux valgus, posterior distal fibula.

 

Day 1: Afternoon shift (2:00 pm to 6:00 pm)

Knee Assessment and Treatment: external rotation of the tibia, internal rotation of the tibia, anterior tibial plateau, posterior tibial plateau, genu valgum, genu varus, medial and lateral knee joint, medial femur, inferior, lateral and superior patella, head of the fibula posterosuperior, lateral fibula, posterosuperior proximal fibula, MM hamstrings, MM quadriceps MM gastrocnemius/soleus Hip: Internal hip rotation (Anteroinferior Greater Trochanter), external hip rotation (Posterior Superior Greater Trochanter), Proximal Femur lateral, upper femur, lower femur, piriformis MM

 

Day 2: Morning shift (8:00 to 12:00)

Assessment and Treatment of Shoulder and Clavicle: Antero-inferior humerus, external and internal rotation of humerus, posterior humeral head, superior and inferior scapula, superior proximal clavicle, infero-medial coracoid, anterior and posterior distal clavicle, lateral clavicle, superior distal clavicle , acromion clavicular separation, acromion clavicular joint impingement, lower and upper proximal clavicle. Elbow: Lateral distal humerus, pronation and supination (elbow joint), anterior/posterior proximal ulna, posterior-superior proximal radius. and TMJ:  TMJ in anterior extension, superior TMJ, lateral TMJ, posterior TMJ and anterior TMJ.

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Day 2: Afternoon shift (2:00 pm to 6:00 pm)

Wrist and Hand Assessment and Treatment: MM pronator quadratus, MM wrist extensors, anterior lunate, inferolateral ulna, posterior carpals, proximal carpals, carpal tunnel, distal radio/ulna separation, distal radio/ulna approximation, trapezoidal joint metacarpal, anterior proximal first metacarpal, supero-medial hamate, pisiform and interphalangeal joints Clinical Correlations, Presentation of Specific Assessment and Treatment Protocols correlated to Pathological Conditions. Supervised Practice.

PEC – ANAFIQ Continuing Education Program:

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This course is accredited by the PEC – Continuing Education Program, crediting hours towards the program to obtain the Specialist Title in Chiropractic Physiotherapy. Click and understand the PEC.

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