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Program Overview

Physical Therapy Board of Craniofacial & Cervical Therapeutics (PTBCCT)Eureka Seminars is pleased to host this comprehensive course program organized by the Physical Therapy Board of Craniofacial & Cervical Therapeutics (PTBCCT).

During the entry-level or graduate physical therapy education relative little attention is paid to an understanding of various types of headaches, orofacial pain and temporomandibular disorders and their inherent patho-physiological mechanisms. While general practice physicians, neurologists and dentists may focus on a vascular, vestibular or neurological etiology, they commonly disregard the cervical spine or temporomandibular dysfunction as causative factors.

This specialty PTBCCT course program is designed to fill the void. The courses provide an in-depth review of the anatomical and neurophysiological factors relative to the trigeminocervical, sub-occipital and temporomandibular complex, as well as the cranium in relation to headaches and orofacial pain. Various pain syndromes will be analyzed leading to the development of comprehensive therapeutic paradigms. The courses combine workshops with theoretical lectures and case study analysis. Students will learn proper sequencing and use of manual upper quarter and craniofacial soft tissue and joint mobilization techniques, therapeutic exercise, adjunctive modalities, dry needling as well as postural and ergonomic intervention for the reduction of pain and inflammation, restoration of function and prevention of recurrence.

The course program is an excellent preparatory course for the PTBCCT Certification Examinations leading to becoming a Certified Cervical & Temporomandibular Therapist (CCTT). In addition, this course is a great step toward attending courses of the Cranio Facial Therapy Academy (CRAFTA) hosted by Eureka Seminars. Although the CCT – courses overlap slightly with the TMD/Craniofacial course offered by Michael Karegeannes, the two courses are in fact complimentary and offer different perspectives on the management of patients with complex TMD, suboccipital and orofacial pain syndromes.

The course program consists of three 2-day courses:

Course CCT-I: The Sub-Occipital Complex
Course CCT-2: The Temporomandibular Complex
Course CCT-3: Complicated and Post-Surgical TMC Treatment

The courses must be attended in order. Each course can be combined with a two-day course in Orofacial Dry Needling offered by Myopain Seminars.

About the Instructor

Jeffrey S. Mannheimer, PT, Ph.D, CCTT, CODN Jeffrey S. Mannheimer, PT, Ph.D, CCTT, CODN received a BS degree in Biology from Bradley University, MA degree and a Certificate in Physical Therapy from New York University. He completed his Ph.D studies in Health Science from Seton Hall University. Dr. Mannheimer has over 50 years of clinical experience in the evaluation and treatment of patients with neuro-musculoskeletal pain/dysfunction syndromes. His clinical interests, teaching, publications and specialization over the past 30 years have been strictly limited to the evaluation and treatment of cervical spine disorders, cervicogenic headaches, temporomandibular disorders and orofacial pain. He is a Certified Cervical and Temporo-mandibular Therapist (CCTT) by the Physical Therapy Board of Craniofacial and Cervical Therapeutics (PTBCCT) as well as Certified in Orofacial Dry Needling (CODN) by Myopain Seminars.

Jeff has many publications pertaining to the evaluation and management of pain by postural and ergonomic correction, manual techniques, therapeutic exercise and non-medicinal pain control in dental, medical and physical therapy texts and journals. He coordinated the chapter on “Cervicogenic Mechanisms of Headaches and Orofacial Pain” for the 4th edition of “Orofacial Pain: Guidelines for Assessment, Diagnosis & Management” of the American Academy of Orofacial Pain in 2008. He is the co-author of the first medical textbook on Transcutaneous Electrical Nerve Stimulation, “Clinical TENS”, F.A. Davis, 1984. His most recent publication with two other physical therapists “Dry needling for management of pain in the upper quarter and craniofacial region” was published in Current Pain & Headache Reports. 2014(18):437-446:

In addition to private clinical practice, Dr. Mannheimer is currently an Adjunct Clinical Professor in the Department of Regenerative and Rehabilitation Medicine (Program in Physical Therapy) at Columbia University. He was previously a Clinical Assistant Professor in the Dental School of the University of Medicine and Dentistry of New Jersey (UMDNJ) and director of the physical therapy tract for their continuing education program in the Diagnosis and Management of Temporomandibular Disorders and Orofacial Pain for 13 years until the program was discontinued.

Dr. Mannheimer is a member of the American Physical Therapy Association, the American Academy of Orofacial Pain (AAOP), and the International Association for the Study of Pain (IASP). He is currently serving for the third time on the examination committee of the American Board of Orofacial Pain (ABOP), which certifies dentists in this specialty field and previously served as an AAOP council member. Dr. Mannheimer is the founder and current president of the PTBCCT, which consists of an international group of physical therapists who desire to promote education and specialty certification in this field. He is a frequent invited speaker at national and international seminars and scientific meetings.

PREREQUISITES

None.

ELIGIBILITY REQUIREMENTS

The course is designed for physical therapists and physical therapy assistants, dentists, physicians, physician assistants and nurse practitioners, and chiropractors. All participants are expected to participate in the hands-on portions of the courses.

COURSE LEARNING OBJECTIVES

Objectives: Upon successful completion of the PTBCCT course program, each participant should be able to delineate the major types of headaches, craniofacial and temporomandibular pain and dysfunction syndromes and initiate appropriate and logically sequenced comprehensive therapeutic management. All concepts and techniques are supported by evidence-based, peer-reviewed publications. Completion of the course will allow the student to achieve the following goals and competencies, which will be determined/measured at the end of each day by participant interaction with case presentations:

GOALS
  1. Identify the components of the trigemino-cervical complex.
  2. Understand how cervicogenic mechanisms can impact the craniofacial region.
  3. Delineate between the general headache categories.
  4. Delineate between various causes of cervicogenic headaches (CGH), temporomandibular disorders (TMD) and orofacial pain (OFP) in order to direct treatment to the causative structures and eliminate perpetuating factors.
  5. Understand the significant impact of myofascial pain upon the cervical, shoulder girdle and craniofacial regions.
COMPETENCIES

At the conclusion of the PTBCCT course program, students will:

  1. Understand new evaluative concepts relative to the cervical/shoulder girdle, sub-occipital, craniofacial and temporomandibular regions, as well as their inherent interaction that frequently gives rise to co-morbidity.
  2. Demonstrate knowledge of the anatomy and arthrokinematics of the TMJ as well as related dental terminology.
  3. Identify occlusal abnormalities, intrinsic and extrinsic etiological factors that contribute to TMD, masticatory muscle hyperactivity or imbalance and the need for dental and/or physical therapy intervention.
  4. Properly interpret the findings of the evaluation and present it in verbal and written form to the referring physician (medical and dental) along with appropriate therapeutic goals and treatment plans for comprehensive management.
  5. Perform specific manual therapeutic procedures relative to joint and soft tissue mobilization, of the cervical, shoulder girdle, sub-occipital, craniofacial and temporomandibular regions.
  6. Instruct patients in therapeutic exercise techniques for postural correction, functional restoration, muscle imbalance, strengthening and relaxation.
  7. Understand the different TMJ surgical techniques and proper post-operative management.
  8. Assess the need for adaptive devices and ergonomic changes for correction of improper driving, sitting, sleeping and working postures.
  9. Understand the various dental oral appliances and techniques utilized in the management of TMD and OFP.
  10. Instruct patients in self-management and non-medicinal techniques to prevent a recurrence of pain and/or dysfunction.