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Digital Seminar

2-Day Thoracic Spine and Regional Interdependence to Advance Outcomes

Frank Layman, PT, DPT, EdD, MTC
Approx. 13 Hours
Apr 24, 2023
Product Code:
Media Type:
Digital Seminar - Also available: DVD | Live Webinar


When I sustained injuries during my time in the service, I realized elements were missing from my treatment. Progress was slow, and I knew there had to be a better way.

Many of my therapists isolated the evaluation and treatment to focus solely on the areas of pain.

We now know that acknowledging the biomechanical and functional role of the thoracic spine in neck, shoulder/back and hip dysfunction, leads to more insightful evaluations and better treatment options.

This concept of regional interdependence is the underutilized link to better outcomes. Thoracic spine contributions significantly impact the upper and lower extremity along with the upper and lower spine. We’ll explore a step-by-step process to integrate:

  • Global assessments that identify biomechanical deficits faster
  • Multimodal techniques to improve mobility, biomechanics, flexibility, and posture
  • Therapeutic exercise to decrease pain, stiffness, tightness
  • New ways to enhance manual therapy with kinesiology tape, mobilizations, postural restoration, soft tissue mobilization, myofascial release and more!

Go beyond traditional! Integrate the regional interdependence model today to improve mobility and functional stability of the thoracic spine and enhance your clinic outcomes!


CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Frank Layman, PT, DPT, EdD, MTC Related seminars and products

Frank Layman, PT, DPT, EdD, MTC, has been a specialist in the field of orthopedics and sports medicine for nearly three decades. He has a vast amount of experience treating patients and athletes of all age groups and activity levels.  Dr. Layman graduated with a Bachelor of Science degree in Sports Medicine/Athletic Training from Radford University, earned his Master of Science degree in Physical Therapy from Old Dominion University, and has an EdD from the University of Virginia in Curriculum and Instruction, with concentrations areas in Administration and Sports Medicine.  He received a transitional DPT from the university of St. Augustine, where he obtained his Manual Therapy Certification. He also holds a certification in Dry Needling.

Dr. Layman has taught Sports Medicine courses and has been active with programs in Athletic Training, Physical Therapy, and Physical Therapy Assistance. In addition to his clinical and administrative duties and patient care responsibilities, Dr. Layman is an officer in the United States Army Reserves, an author, lecturer, consultant, adjunct faculty member (HPU-Leadership and Professionalism), and Board Member and VP of Business Development for Tapout Fitness in the Raleigh/Durham area. He is also a member of the American Physical Therapy Association, the North Carolina Physical Therapy Association, and the American Academy of Orthopedic Manual Therapy.


Speaker Disclosures:
Financial: Frank Layman has an employment relationship with High Point University and receives compensation as a national and international speaker. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Frank Layman has no relevant non-financial relationships.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Evaluate the anatomy of the thoracic spine and surrounding musculature.
  2. Inspect the biomechanics associated with the influence of LE posture and UE movement by the thoracic spine.
  3. Demonstrate the importance of examining and treating globally.
  4. Determine the potential contributors of the thoracic spine on the UE and LE.
  5. Assess the importance of regional interdependence in treating UE and LE dysfunctions
  6. Employ treatment approaches that the thoracic spine has as a critical biomechanical link.
  7. Design elements to individualize comprehensive treatment sessions for improved outcomes.
  8. Inspect red flag indicators in the thoracic spine.
  9. Demonstrate exercises that improve motor skills required to enhance manual therapy interventions in the thoracic spine
  10. Investigate research to gain greater insight for best practice
  11. Formulate strategies to enhance clinical acuity in observations made during movement analysis
  12. Apply advance clinical reasoning skills for more effective impact of skilled care delivered to patients with thoracic spine involvement
  13. Construct a framework to improve sequencing of interventions and patient management to enhance movement systems and function.


Thoracic Spine Anatomy & Biomechanics
  • Regional interdependence model
  • Contributing factors for UQ/LQ/spinal pain
  • Coupling behavior of the thoracic spine
  • The unique anatomical interrelationships of the thoracic spine
Global Approach to Assessment and Evaluation
  • Identify biomechanical deficits faster
  • Improve understanding of remote areas of influence
  • Explore the differences in approaching dysfunctions through the lens of regional interdependence
Therapeutic Exercise to Enhance Mobility and Functional Stability
  • Big three go to verbal cues for improving spinal posture
  • Discover the missing elements to a comprehensive program
  • Coordinate therex and MPT to improve performance
Multimodal Approaches to Accelerate Progress
  • Self myofascial and mobilization techniques
  • Thoracic spine mobilization techniques
  • Kinesiology taping
  • Postural restoration
  • Spinal mobilization
  • Soft tissue mobilization & IASTM
  • Deep tissue release
  • Strain counterstrain technique
  • Myofascial release
Effective Interventions to Address:
  • Pain
  • Movement restrictions
  • Functional loss
  • Stiffness
  • Weakness
  • Referred pain
  • Parenthesis
  • Debility
Multifaceted Approaches for Common Dysfunction:
  • Shoulder pain
  • Low back pain
  • Hip pain
  • Rib pathology
  • Facet joint dysfunction
  • Scapula dyskinesia
  • Degenerative changes
  • T4 syndrome
  • Scoliosis
  • Kyphosis
  • Compression FX
  • Spondylosis
  • Postural faults

Target Audience

  • Physical Therapists
  • Physical Therapy Assistants
  • Chiropractors
  • Exercise Physiologists
  • Strength and Conditioning Coaches
  • Athletic Trainers


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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