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The Canadian College of Naturopathic Medicine

COURSE OUTLINE
2006/2007
Course: Naturopathic Manipulation I
Course Code: PHM 201
Times: Wednesday 9:00AM – 10:00AM (LECTURE: Multipurpose Room)
Friday 12:30 PM – 2:30 PM (PRACTICUMS: Multipurpose Room and
break-out rooms to be announced)
Instructor: Kenneth R. Dunk, D.C., N.D., F.C.A.H., C.C.H., RS Hom (NA)
E-mail: kdunk@ccnm.edu
Office Hours: Course instruction times

Evaluation:
PERCENT TEST DATE / DUE DATE
Attendance 5% January 10, 2007 to February 14, 2007
10 Random quizzes (1% ea) 5% February 28, 2007 to April 18, 2007
Mid-Term Practical 40 % Friday, February 16, 2007
Exam
Final Practical 50 % Friday, April 20, 2007
Exam

Required Texts:
Custom Courseware Package for Naturopathic Manipulation PHM 201

Recommended Texts:
Any Anatomy Text for osseous and myology review
Menell, John, M.D., Joint Pain

Library Component
- Library Resources - RD731 - RD771
- RZ211 - RZ275
- Dry Lab – avail yourselves to dry spine models and anatomy charts
- Library Web Page – Digital Collection of Motion Palpation Techniques - TBA

Attendance/Participation

Refer to page 7 of this outline.

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PHM201 NATUROPATHIC MANIPULATION I
Dr. Kenneth R. Dunk, D.C., N.D., F.C.A.H., C.C.H., RS Hom (NA)

COURSE DESCRIPTION

This course will expose the students to the clinical assessment of subluxations/ fixations in the
cervical, including the occiput-atlas-axis articulations, thoracic and lumbar spinal areas, as well
as, the sacro-iliac joints, and the upper and lower peripheral articulations of the human body.
Clinical assessment of the subluxation/ fixation complexes will primarily involve the use of static
and motion palpation of these areas, and basic visual assessment techniques. These
assessment techniques will be accomplished by means of a one-hour lecture/demonstration led
by the course instructor, and a two-hour practicum with students gaining hand-on experience in
small tutorial groups under the guidance of a licensed practitioner, supervised by the course
instructor.

GOALS
The course is designed to:
♦ assist the students with a review of general spinal and pelvic osseous anatomy, and
to become proficient with a simplified short-form method of describing spinal and
pelvic subluxations/ fixations
♦ provide students with basic knowledge in assessment of spinal and peripheral joint
subluxations/fixations by visual, static, and motion palpation techniques
♦ provide students with ample opportunity to practice and develop skills in the various
methods of assessment in the spinal and peripheral joints of the human body
♦ help students to understand how spinal and peripheral joint subluxations/fixations
may have a significant impact on the autonomic nervous system and the body
systems controlled by branches of this system

OBJECTIVES
Upon completion of this course, students are expected to:
♦ have sufficient knowledge of general spinal, pelvic, and peripheral osseous anatomy
♦ be proficient with a simplified short-form method of describing spinal and pelvic
subluxations / fixations
♦ readily assess the presence of common subluxations/fixations in the cervical, upper
cervical, thoracic, lumbar, sacro-iliac, and peripheral joints of the human body by
means of visual assessment, static and motion palpation techniques

PEDAGOGY
An adult learning model will be used. This model is based on the presumptions that learning is
enhanced when:
♦ the learning climate fosters self-esteem and interdependence;
♦ the students’ experience and knowledge are recognized and added to;
♦ the students have an active role in decision-making and planning, and authority is
shared;
♦ a synergistic view of knowledge and learning is held (i.e. learners are encouraged to
integrate external knowledge with their own personal meanings; teachers are
engaged in a mutual exploration, discovery, learning experience with the learners so
that, through responsible interaction, both generate greater knowledge and insights
than existed for either prior to the course; ambiguity is tolerated and explored);
♦ students are encouraged to work with the concepts presented and discussed in the
course, and to articulate the outcome of that work within the classes and
examinations

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EVALUATION
It is expected that each student will read the required readings for each section prior to class,
and will supplement the required readings with selections from other readings according to
his/her interests. As this is a laboratory course, attendance is mandatory, and comprises 10% of
the final grade. A mid-term practical examination comprises 40% of the course grade and a final
practical examination comprises 50% of the course grade.
To successfully complete the course, students are required to achieve:
a. 70% on the final exam; and
b. 70% cumulative course average
ATTENDANCE/PARTICIPATION: Please refer to page 7.
INCLUSIVE LANGUAGE
Some of the reading materials used in this course lack gender inclusive language. Nevertheless,
students are expected to use gender inclusive language in their classwork and examinations.

COURSE OUTLINE
Week 1 (Classes 1 & 2): January 10 & 12, 2007: Spinal and Pelvic Anatomy
Spinal and Pelvic Listings of Subluxations
Static Palpation Methods
Objectives
 understand what topics will be covered in the course and what is expected of the students
 understand what is expected with respect to attendance
 understand what is expected with respect to the mid-term and final examinations
 learn and/or review spinal and pelvic anatomy
 learn spinal and pelvic subluxation listings
 learn and practice static palpation methods

Topics Covered
 introduction to course
 attendance expectations
 mid-term and final examination expectations
 spinal and pelvic anatomy
 spinal and pelvic subluxation listings (nomenclature)
 static palpation methods

Week 2 (Classes 3 & 4): January 17 & 19, 2007: Review of Previous Week’s Material
Motion Palpation of the Lumbar Spine
Objectives
• review and practice spinal and pelvic subluxation listings (nomenclature), and static palpation methods
• learn and practice motion palpation of the lumbar spine
Topics Covered
• review of spinal and pelvic subluxation listings (nomenclature), and static palpation methods
• motion palpation of the lumbar spine

Week 3 (Classes 5 & 6): January 24 & 26, 2007: Review of Previous Week’s Material
Motion Palpation of S/I Joints & Thoracic Spine
Objectives
 review and practice lumbar motion palpation techniques
 learn and practice motion palpation of S/I joints and thoracic spine
Topics Covered
 review of lumbar motion palpation techniques
 motion palpation of S/I joints and thoracic spine

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Week 4 (Classes 7 & 8): January 31 &Feb 2, 2007: Review Previous Week’s Material
Motion Palpation of Costo-Sternal and Costo-Vertebral Joint
Techniques
Motion Palpation of C2 – C7 Techniques
Objectives
 review and practice motion palpation of S/I joints and thoracic spine
 learn and practice motion palpation of costo-sternal and costo-vertebral techniques
 learn and practice motion palpation of C2 – C7
Topics Covered
 review of motion palpation of S/I joints and thoracic spine
 motion palpation of costo-sternal and costo-vertebral techniques
 motion palpation of C2 – C7

Week 5 (Classes 9 & 10): February 7 & 9, 2007: Review Previous Week’s Material
Motion Palpation of C0 – C1 – C2
Objectives
 review motion palpation of C2 – C7
 learn and practice motion palpation techniques for C0 – C1 – C2

Topics Covered
 review of motion palpation C2 – C7
 motion palpation C0 – C1 – C2

Week 6 (Classes 11 & 12): February 14, 2007: Question & Answer Session For Mid-Term Examination
February 16, 2007: Mid-Term Examination

Objectives
 Review and answer specific questions related to spinal motion palpation
 Secure a minimum of 70% on mid-term examination

Topics Covered
 Entire spinal motion palpation assessment techniques

February 21 & 23, 2007: Reading Week – No Classes

Objectives
 N/A

Topics Covered
 N/A

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Week 8 (Classes 15 & 16): March 7 & 9, 2007: Review Previous Week’s Material
Scapula and Elbow Joint Motion Palpation Techniques

Objectives
 review and practice G/H joint and A/C joint motion palpation techniques
 learn and practice scapula and elbow joint motion palpation techniques

Topics Covered
 review G/H joint and A/C joint motion palpation technique
 scapula and elbow joint motion palpation techniques

Week 9 (Classes 17 & 18): March 14 & 16, 2007: Review Previous Week’s Material
Wrist, Hand and Finger Motion Palpation Techniques

Objectives
 review and practice scapula and elbow joint motion palpation techniques
 learn and practice wrist, hand and finger motion palpation techniques

Topics Covered
 review scapula and elbow joint motion palpation techniques
 wrist, hand, and finger motion palpation techniques

Week 10 (Classes 19 & 20): March 21 & 23, 2007: Review Previous Week’s Material
Hip and Knee Joint Motion Palpation Techniques

Objectives
 review and practice wrist, hand, and finger motion palpation techniques
 learn and practice hip and knee joint motion palpation techniques

Topics Covered
 review wrist, hand, and finger motion palpation techniques
 hip and knee joint motion palpation techniques

Week 7 (Classes 13 & 14): February 28 & March 2, 2007: G/H Joint and A/C Joint Motion Palpation Techniques
Review Selected Spinal Motion Palpation Techniques

Objectives
 learn and practice G/H joint and A/C joint motion palpation techniques
 practice selected spinal motion palpation techniques

Topics Covered
 G/H joint and A/C joint motion palpation techniques
 selected spinal motion palpation techniques

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Week 12 (Classes 23 & 24): April 4, 2007: Review of Spinal Motion Palpation
April 6, 2007: Good Friday – No Classes

Objectives
 review and practice motion palpation of the lumbar spine, S/I joints, thoracic spine, costo-sternal and costo-vertebral
joints, cervical spine (including C0 – C1 – C2), G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and
knee joint, ankle, foot, and toes

Topics Covered
 review motion palpation of the lumbar spine, S/I joints, thoracic spine, costo-sternal and costo-vertebral joints, cervical
spine (including C0 – C1 – C2), G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle,
foot, and toes

Week 13 (Class 25): April 11 & 13, 2007: Review of Peripheral Joint Motion Palpation

Objectives
 review motion palpation of G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle, foot,
and toes

Topics Covered
 review of motion palpation of G/H and A/C joints, scapula and elbow, wrist, hand, fingers, hip and knee joint, ankle, foot,
and toes

Week 14 (Classes 26 & 27): April 18, 2007: Question & Answer Session For Full Course Examination
April 20, 2007: Full Course Examination

Objectives
 Review and answer specific questions related to spinal motion palpation
 Secure a minimum of 70 % on Full Course Examination

Topics Covered
 Entire course work

Week 11 (Classes 21 & 22): March 28 & 30, 2007: Review Previous Week’s Material
Ankle, Foot and Toe Motion Palpation Techniques

Objectives
 review and practice hip and knee joint motion palpation techniques
 learn and practice ankle, foot and toe motion palpation techniques

Topics Covered
 review hip and knee joint motion palpation techniques
 ankle, foot and toe motion palpation techniques

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Attendance/Participation: Attendance and participation is MANDATORY in all practical
sessions. Students must attend the section in which they are scheduled unless the instructor
gives consent prior to the class. The teaching assistants will mark participation (pass or fail)
during each practical session. Participation for each class includes:
Arrival on time for every class.
Actively locating anatomical parts of the body.
Actively palpating (static and motion) the structures of the spine and peripheral joints.
Attendance for the entire class.

Students must provide appropriate documentation for all absences. Only cases of extreme
emergency and/or urgent medical situations with appropriate documentation will be considered.
All absences must be brought to the attention of both the instructor and the Associate Dean,
immediately (within 3 working days), after the event, or prior to the event if it a foreseen absence.
An absence will be documented as a participation fail for the practical session missed. The
teaching assistant and instructor will discuss any participation failure mark with the student.

Any student receiving a failing mark for 2 practical sessions without consent from the
academic department will be given a 20% penalty on their final grade for the course, and
will be responsible for the missed information at their own expense. Students receiving a
failing mark for 3 practical sessions will receive a failure for the course. The instructor
and/or the Associate Dean will review each case individually.

Students, who have missed I or 2 practical sessions with appropriate documentation or


with permission from the academic department must make up the missed material on their
own, and at their own expense. Students, who have missed 3 practical sessions with
appropriate documentation or with permission from the academic department, will need to
repeat the course.

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PHM 201
Winter 2007 – Timetable

Class Date Topic Lecturer


1 Jan. 10 LECTURE: Dr.Kenneth Dunk
Introduction
Attendance & Exam Expectations
Spinal & Pelvic Anatomy,
Subluxation Listings,
Static Palpation Methods
2 Jan. 12 PRACTICUM: Teaching Assistants
Spinal & Pelvic Anatomy,
Subluxation Listings,
Static Palpation Methods
3 Jan. 17 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Motion Palpation of Lumbar Spine
4 Jan. 19 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Motion Palpation of Lumbar Spine
5 Jan. 24 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Motion Palpation of S/I Joints & T/S Spine
6 Jan. 26 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Motion Palpation of S/I Joints & T/S Spine
7 Jan. 31 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Motion Palpation of Costo-Sternal &
Costo-Vertebral Joints
Motion Palpation of C2 – C7
8 Feb. 2 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Motion Palpation of Costo-Sternal &
Costo-Vertebral Joints
Motion Palpation of C2 – C7
9 Feb. 7 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Motion Palpation of C0 – C1 – C2
10 Feb. 9 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Motion Palpation of C0 – C1 – C2

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11 Feb. 14 LECTURE: Dr.Kenneth Dunk
Question & Answer Session for Mid-Term
Examination
12 Feb. 16 Mid-Term Examination Dr.Kenneth Dunk &
GOOD LUCK! Teaching Assistants

Feb. 21 Reading Week – No Classes


& 23
13 Feb. 28 LECTURE: Dr.Kenneth Dunk
G/H & A/C Joint Motion Palpation
Review Selected Spinal Motion Palpation
14 Mar. 2 PRACTICUM: Teaching Assistants
G/H & A/C Joint Motion Palpation
Practice Spinal Motion Palpation
15 Mar. 7 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Scapula & Elbow Joint Motion Palpation
16 Mar. 9 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Scapula & Elbow Joint Motion Palpation
17 Mar. 14 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Wrist, Hand & Finger Motion Palpation
18 Mar. 16 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Wrist, Hand & Finger Motion Palpation
19 Mar. 21 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Hip & Knee Joint Motion Palpation
20 Mar. 23 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Hip & Knee Joint Motion Palpation
21 Mar. 28 LECTURE: Dr.Kenneth Dunk
Review of Previous Week’s Material
Ankle, Foot & Toe Motion Palpation
22 Mar. 30 PRACTICUM: Teaching Assistants
Review of Previous Week’s Material
Ankle, Foot & Toe Motion Palpation
23 Apr. 4 LECTURE: Dr.Kenneth Dunk
Review of Spinal Motion Palpation
24 Apr. 6 Good Friday – No Classes Teaching Assistants
25 Apr. 11 LECTURE: Dr.Kenneth Dunk
Review of Peripheral Joint Motion Palpation
Apr. 13 PRACTICUM:
Spinal & of Peripheral Joint Motion Palpation
26 Apr. 18 LECTURE: Dr.Kenneth Dunk
Question & Answer Session for Full Course
Examination
27 Apr. 20 Full Course Examination Dr.Kenneth Dunk &
GOOD LUCK! Teaching Assistants

The Academic Department reserves the right to make any changes in the schedule.

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