BEGIN:VCALENDAR VERSION:2.0 PRODID:-//wp-events-plugin.com//7.1.7//EN BEGIN:VEVENT UID:55@club-physio.com DTSTART;TZID=Africa/Johannesburg:20160203T090000 DTEND;TZID=Africa/Johannesburg:20160205T170000 DTSTAMP:20160113T081345Z URL:https://club-physio.com/courses/integrative-fascial-release-autonomic- manipulations-ct/ SUMMARY:INTEGRATIVE FASCIAL RELEASE COURSE - AUTONOMIC MANIPULATIONS - Cape Town DESCRIPTION:[spoiler title='Important Information']\nTHE INTEGRATIVE FASCI AL RELEASE (IFR) COURSE\; PART 1 - Autonomic Manipulations - Cape Town\; 3-5 Feb 2016\; R3900\n[/spoiler]\n\n[spoiler title='Course material']\nMO RE INFO\nSyllabus Autonomic Manipulation-Foundations Workshop 2016 in S outh Africa By Steven Goldstein\n\nBachelor Arts in Education\, Western Washington University 1984 &\; Bachelor Health Sciences Musculoskeleta l Therapy\, Australian College of Natural Medicine 2007\n\nSyllabus\n\nFo undations:  Autonomic Manipulation\nDay One\nModule 1 One\n\nIntroduction s &\; Information     1. Hour/60min\n\nIntroductions and Informatio n about Integrative Soft-Tissue Release\n\nReferences and Reading List:\n\ nThe Fascia: Serge Paoletti\n\nAnatomy Trains 3nd Edition\, Thomas Myers\, \n\nARTICLE Neurobiology of Fascial Plasticity\, Parts 1 &\; 2: Robert Schleip\n\nFascia: The Tensional Network of the Human Body: Robert Schlei p\n\nAssessment &\; Treatment of Muscle Imbalance - The Janda Approach: Page\, Frank &\; Lardner\n\nIntegrative Manual Therapy for the Connect ive Tissue System Vol.IV\, Giammatteo &\; Kain\, 2005 North Atlantic Bo oks\n\nBiotensgrity-The Structural Basis of Life\, Graham Scarr 2014 Hands pring Press\n\n \n\n MyoFascial Treatment Appraoches and Methods: Autonom ic\, Movement and Mechanical\n Properties of Connective Tissue-Fascial Ana tomy-Tensegrity\n The Nervous System: Theory-Ability to Manipulate Touch S timulating Sensory Receptors through Lighter Touch and Low Force Active Re sistive\n\n Two Point Holding Technique\n ‘Stacking’ for three dimensi onal change\n\n\n Expressions of the Autonomic Nervous System and Autonomi c Exhaustion\n\n \;\n\nModule 2 Two                             2 hour/120 min\n\nAssessments Principles\n\nPostural Considerations\n\n Sum of all body positions\n\nFunctional Patterns for As sessment\n\n Janda’s Cross Patterns\n\nMyofascial Patterns\n\nGlobal Myo fascial Line Restrictions\n\n Cardinal Line Restrictions: Anterior\, Poste rior &\; Lateral\n Myers: Anatomy Trains: SFL\, SBL\, LL\n Paoletti: Fa scial Chains: Anterior\, Posterior\n Schleip\; High Leverage Points in the Myofascial Net\n Schultz: Endless Web-Body Straps: circumference restrict ions\n\n \n\nMuscular Patterns\n\n \;\n\n Assessing muscular patterns is necessary to understand soft-tissue dysfunction\n Basic patterns such as Upper and Lower cross syndrome (Janda)\n Muscular subsystems functionin g:\n\n Lateral Subsystem LSS\n Deep Longitudinal DLS\n Posterior Oblique P OS\n Anterior Oblique AOS\n\n\n\n \;\n\n MET Modified for ISTR\n\n Low er Force Contractions 10% or less\n Use of Reciprocal Inhibition to change pain or pressure sensation\n Compound Resistive\n\n\n\nFunctional Assessm ent\n\n Muscular Firing Patterns\n Compound Movement Relationships\n\n \n \nJoint Accessory Motion Assessment-Fascial Articulations\n\n All planes o f gliding motion are needed for optimal function for all joints.\n Assessm ent is:\n\n Compression/Distraction\n Lateral translatory glide\n Anterior /posterior direction\n Inferior/superior direction\n\n\n\n \;\n\nBreak .3 hour/ 20 min     \n\n \n\nLigaments:\n\n Properties\n Treatment\n \n \;\n\nAssessment\n\nLocating Myofascial Restrictions  \n\nAreas to which fascia adheres:\n\n Bony prominences\n Musculotendinous junctures\n Muscular boundaries and layers\n\n \n\nPalpation: Ease and Bind As An Os teopathic Assessment: \n\n Palpation and Motion Restrictions\n\n Used for myofascial restrictions\n Joint motion assessment\n\n\n Application of For ce\n\nTensegrity Techniques\n\n Compression\n Tension\n\n \n\nModule 3 Th ree         2 hour/120 min\n\nActive-Passive Techniques Utilized in ISTR: \n\n Compression\n Tension\n Active Movement Participation\n ‘Sta cking’\n Modified MET\n Ligament ‘Friction’\n\nAutonomic Nervous Sys tem Techniques\n\nCoordinating the ‘eight diaphragms.’\n\nPassive ‘h olding’ techniques for parasympathetic stimulation\n\n Use of the Two Po int\n Listening for ANS Parasympathetic Response\n Ease &\; Bind for Ti ssue Change\n Three cardinal planes of skin motility to assess superficial fascia\n Application of the ‘Fulcrum’\n\n \n\nOsteopathic Autonomic Nervous System Techniques \n\n Sequence 1.1   Two Point To Coordinate t he Eight Diaphragms \n\nAxial Spine   \n\nComplete Protocol\n\nTwo-Point Technique for Coordinating the Eight Diaphragms.\n\n Pelvic/Urogenital\n Lumbar-Abdomen\n Respiratory-Solar Plexus\n Thoracic Outlet-Inlet\n Hyoid\ n Cranial Base\n\nSequence 1.2  Integrating Two-Pointing for Lower Extrem ity Joints &\; Diaphragms \n\nProtocol\n\n Sacrum or Illiac Crest / Umb ilical\n Sacrum / Ischial Tuberosity\n Inguinal Crease / Ischial Tuberosit y\n Patella / Politeal Fossa\n Ankle / Calcaneal / Talus\n Ankle / Lateral &\; Medial Malleolus\n Transverse Arch\n\nSequence 1.3:  \n\nPalpatio n Assessment Using Ease-Bind\n\n Assess three planar direction of myofasci a using skin direction to assess superficial fascia restriction\n Assess ‘ease-bind’ to joint motion\n\n \n\nSequence 1.4  \n\nStacking with the 3D Planar Fulcrum (Giammatteo) -Two Point\n\n Osteopathic ‘Stacking ’: engaging multiple barriers in 3 planes/vectors through demonstration of technique.\n\nFulcrum Application\n\n4 directions of compressive force are now occurring\n\nEase-Bind Assessment\n\n Engagement of superficial fa scia\n Superior/inferior sagittal plane\n Coronal plane clockwise/counterc lockwise\n Transverse plane medial or lateral directions\n Do not release ‘fulcrum’\, resist the urge to follow tissue.\n Maintain fulcrum\n\n&n bsp\;\n\nSequence 1.5:  Active Resistive Muscle Testing:\n\n Assessment for Facilitation/Inhibition of Muscular Units\n\nThe use of active resisti ve for muscle evaluation is a fundamental assessment tool and technique fo r sensory receptor manipulation through the motor control center to change muscular function.\n\nActive muscle testing is used in which a minimum of force is first used to detect if the muscle is inhibited.\n\n \n\n \n\n Muscle Firing Patterns  -  Functional Assessment\n\n Muscular Firing Pat terns\n Compound Movement Relationships\n\n \n\nLunch  45 min- 1 hour\n\ nModule 4  Four                 2.5 hour/ 150 min\n\nCard inal Lines of Myofascial Tension\n\nLine Palpation: Myers Anatomy Trains\n \n Ease-Bind Palpation Assessment\n Superficial Front Line\n Superficial B ack Line\n Lateral Line\n\nSequence 2.1  Sidelying Static Compression for Lateral Line      \n\nDirect Technique: Static Compression for the H igh Leverage Points  \n\nSidelying Position\n\n Greater Trochanter\n Serr atus Anterior\n Shoulder/Scapula/Thorax\n\nSequence 2.2   Sidelying  Sl eeve Release: Superficial Front &\; Back Line \n\nSidelying Position\n\ n Ease-Bind Palpation Assessment\n Superficial Front Line Sleeve Release\n Superficial Back Line Sleeve Release\n\n \;\n\nLeverage Compression/T ension for Hip &\; Pelvis\n\nSequence 3   Low Extremity Levers   \n \nSequence 3.1  Compression Long Levers-Straight Leg\n\n Femoral Long Lev er Neutral\n Femoral Rotations\n Engage Ease position first\n\nSequence 3. 2: Low Extremity Short levers  \n\nShort Levers-Bent Knee Three Positions :\n\n Foot on table walking leg/thigh though flexion\, abduction &\; re turn to straight leg on table\n Foot on table\, adding slight compression to foot on table through knee into SI Joint\n Foot on or off table\, re-en forcing SI Joint with forearm.\n Foot off table\, adding slight compressio n to foot on table through knee into SI Joint\n\nGolgi Tendon Organ Releas e for Hamstrings &\; Rectus Femoris Musculature\n\nSequence 3.3   Ten sion Leg Pulls-‘Straight Leg Raise’\n\n Ease-Bind Motion Assessment\n Line of tension\n Engaging tension\n Stack various tension directions\n As sess lower extremity twists\n Engage thigh sleeve-counter-twist sural/crur al sleeve\n\nModule 5 Five                    .75 hour/ 45 min     \n\nLeverage Compression for Hip &\; Pelvis\n\nSequence 3.4  Compression \n\nFemoral Hip ‘Scour’\n\nSupine\n\n Circumduction of the hip joint with sustained compression while re-enforcing stability o f SI Joint with bottom hand.\n\nSequence 3.5: Two Legged SI Joint Release            \n\n Pelvic Hip Balancer\n Straight- leg raise with bo th legs in long lever position\n Light compression engagement of SI joint and release.\n\n \n\n \;\nDay Two\n \n\nModule 6 Six             .75 hour/ 45 min              \n\nRevision day one mate rial\n\n \;\n\nModule 7 Seven       1 hour/ 60 min          \n\nIntroduction to Modified MET : Thoracic Spine Levers\n\nSequence 4: View Video\n\nJoint Receptor Enhancement for the Thorax Utilizing Levers - Active Resistive\n\nActive Resistive  \n\nSequence 4.1  Thoracic Spine Levers Short Lever \n\nSide Lying Position – ‘Prayer Position’\n\n Bring both client’s arm across their body with 90° elbow flexion\n Put in ‘prayer’ position\n Apply paired resistive 5% or less in the follow ing planes of motion:\n flexion/extension\n Both arms left\n Both arms rig ht\n Push elbows towards ceiling\n Lock elbows &\; ask for resistance i nto table\n\n \n\nSequence 4.2 Thoracic Spine Levers Long Lever \n\nSide lying position\n\nThese are performed exactly the same as the Thoracic spi ne Short levers\, except you address the thoracic spine with both arms ext ended in a straight-arm manner.\n\n Ask your client to resist at 10% again st the following directions:\n Both hands pushing down into the table for SB/Rotation\n Both hands pushing the opposite direction towards the ceilin g for SB/Rotation\n Both hands pushing cranially or superiorly for extensi on\n Both hands pushing caudally or inferior for flexion\n Both elbows ‘ pulling apart’ scapular adduction\n Both elbows ‘pulling’ together s capular abduction\n Initiate a spiral or rotational push\n Initiate a spir al or rotational pull.\n\n \n\nSequence 4.3\n\nActive Resistive – Supin e \n\nThoracic Receptor Enhancement\n\nPaired Crossed Bent-Arm Humeral\n\n Bring client’s brings both arms across their body with 45° elbow flexi on\n Apply active resistive 5% or less force in the following planes of mo tion:\n Flexion/extension\n Bent arm left\n Bent arm right\n Push elbow to wards ceiling\n Lift scapula with hand\, ask for ‘pull towards table’\ n Apply to opposite shoulder.\n\n \n\nSequence 4.4\n\nUni-Lateral Crossed Bent-Arm Resistive\n\nSupine \n\nBring client’s arm across their body w ith 45° elbow flexion\n\nApply resistive 5% or less in the following plan es of motion:\n\n flexion/extension\n Bent arm left\n Bent arm right\n Ass ess and engage rotations\n Push elbow towards ceiling\n Lift scapula with hand\, ask for ‘pull towards table’\n Axillary pectoral fascia lateral translation with active resistive into bind\n Straight arm – serratus a nterior resistive pushing to ceiling or pulling scapula into table\, upon release of resistive\, mobilize in sagittal plane.\n\nApply to opposite sh oulder.\n\n \n\nModule 8  Eight  1.5hour/ 90 min \n\nSequence 5\n\nPron e Superficial Back Line Releases\n\nSequence 5.1\n\nMFR\n\nSacral ‘Twist ’ Static\n\nCompound posterior cervical sleeve with sacrum\n\n Shift\n R otation\n Superior/inferior\n\n \n\nSequence 5.2\n\nPosterior Oblique Sys tem\n\n \n\n Cross releases for Glutues Maximus and contralateral Latissi mus Dorsi.\n Check ‘ease-bind’ with hands coming together\n Check ‘e ase-bind’ with hands pulling apart\n Check ‘ease-bind’ with both han ds paired towards Latissimus\n Check ‘ease-bind’ with both hands paire d towards Glutueals\n\n \n\nSequence 5.3\n\nLigaments of the Sacrum and P elvis\n\nSacrotuberous Ligament\n\nSacral Ligaments\n\nPosterior S.I. Liga ment\n\n Palpation of taut ligamentous strands\n ‘Strumming’ friction to release ligaments\n Multi-directional friction\n Rapid but light applic ation of friction\n\n \;\n\nSequence 5.4\n\nTendon Receptor Stimulatio n\n\nGolgi Tendon Organ\n\n Static on Tendon\n Wedge: with elbow on tendon lateral translation\n\n \n\nSequence 5.5\n\nRamic Adductors – Prone - Elbow\n\n Forearm-elbow is placed to the medial aspect of the ischial tube rosity.\n Ask your client to lightly actively ‘squeeze’ inward into yo ur elbow for 3 seconds. Ask for light adduction.\n Upon release passive ro ll into the ischial tuberosity in the opposite direction.\n Normally if ad hered you will ‘hear’\, ‘feel’ a slight ‘pop’ or ‘crunch’ indicating the qrelease of the adhesion.\n\n \n\nSequence 5.6\n\nPaired F emoral Lateral Flexion MET\n\nSupine\n\n Assess bind for lateral flexion b y moving both paired legs together from medial to lateral.\n Whichever is ease\, place the paired legs in that position\n Ask the client to resist 5 -10% force into the direction of ‘bind’ first at the ankles\n Then as above al the lateral aspect of the kness.\n Place paired legs back into th e middle neutral position\, wait 20 seconds\, re-assess and reapply if nec essary.\n\n \n\nModule 9 Nine         2 Hour/ 120 min\n\nbilatera ls releases \n\nSequence 6: \n\nSidelying Bilaterals Techniques-ITB-Passiv e\n\nSide Lying Position\n\nSequence 6.1 : ITB\n\n ‘Rolling &\; Pivot ’\n ITB lower portion\n\n Externally rotated position release\n Internal ly rotated position release\n\n\n\n \;\n\n ITB upper portion\n\n Exter nally rotated position release\n Internally rotated position release\n\n\n \n \n\nLunch Break           .75-1 Hour/ 45-60 min\n\n \n\nBila terals Techniques\n\nThorax Passive\n\nSide Lying Position\n\nSequence 6.2 Intercostals \n\nTransverse-intercostal/Vertebral-intercostal joint compr ession\n\n From posterior externally rotated position release\n\n \n\nSeq uence 6.3 Sternum\n\n Sternal/manubrial-costal\n Internally rotated positi on release\n\n \;\n\nSequence 6.4 Illicostalis Line Release\n\n Assess &\; engage mid-illiocostalis thoracicis\n Let your palms rest near the boundary of the illiocostalis thoracicis\, and your superior or cranial f ingers curve or curl so the fingertips are on the lateral boundary of the illiocistalis.\n With your cranial hand assess and ‘feel’ the barrier as you roll the lateral margin towards the spine or axial mid-line.\n With your inferior or cephalic hand locate\, assess\, palpate and engage the l ongitudinal line barrier of the illiocostalis lumborum\, where it anchors at the illium.\n\n \n\n \n\nSequence 6.5\n\nThorax Release: 1st Rib /Cla vicle- 12th Rib/Illiac Crest\n\nSequence 6.5\n\nThoracic cage release\n\n1 st Rib /Clavicle- 12th Rib/Illiac Crest\n\n Place hands as shown on the ri ght\n With both hands assess the ease and bind directions as follows:\n Bo th hands move towards illium\n Both hands move towards mastoid process\n B oth hands compress towards each other\n Both hands tension away from each\ n Choose the first ease position from the above assessment and.\n Ask your client move both positions towards the direction of bind.\n If the client cannot perform compound activity\, then ask them to move into bind first at the illium\, then at the clavicle.\n Upon release of the 5-10% contract ion\, mobilize into the bind\, then the ease.\n\n \;\n\n \;\n\nSeq uence 6.6\n\nSupine Sternal Comp ression\n\nThe sternal compression is a p owerful technique to utilize the breath as the component to create capacit y change to the thorax\, and myofascial restriction from the ‘inside out ’ so to speak.\n\n It is the use of hydrostatic pressure supplied by the client when the point of contact\, such as the sternum is ‘pinned’. T his is similar to a pin &\; stretch\n Is using compressive force palm a nd fingertips to ‘pin’ sternum with 5 kg of pressure and utilizing the breath to increase compressive force.\n Steps\n Place palm relaxed on ste rnum.\n Ask client to take a deep breath\n On exhale\, follow the exhalati on by taking ‘up the slack’ and pressing slightly stronger.\n Upon inh alation do not yield the pressure\n Do this 3x\n On the third inhalation\, the practitioner will feel the increased pressure\, ‘like ‘surfing a wave’\, and the instruction will be for the client to ‘push me off’ with a hard in breath\n At the maximum point of inhalation release your st ernal quickly.\n If done correctly\, there will be an audible ‘whoosh’ .\n At this point\, some clients will appear to hyperventilate\, or have a mild spell of dizziness.\n Once the system settles\, re-assess motion to the sternum.\n The assessment should show increased movement of the superf icial fascia and often greater ‘spring’ to the sternum when downward p ressure is applied.\n\n \;\n\nModule 10 Ten                   1.5hour/90 min\n\nIntroduction to Osteopathic MET Muscle Energy Tec hnique Applied to Joints\n\n \;\n\n MET Muscle Energy Technique modifi cation for chronic pain\n JET Joint Energy Technique\n Resistive utilized for Myofascial &\; Ligamentous structures\n Apply to Scapular Complex\n Use 5-10% directional resistive based on restriction to motion.\n Apply i n all directions.\n\n \n\n \;\n\nDay three\n\n \n\nModule 11 Eleven    .5 hour/30 min\n\nReview Day Two Material\n\n ‘Two Point’\n ‘Fu lcrum’\n Static Compression\n Long Lever Compression\n Long Lever Tensio n\n Short Lever Compression\n Review Cardinal Lines\n Articular Receptor E nhancement\n\n \n\nModule 12 Twelve  1 hour/60 min\n\nBalance Between AN S &\; Structure:\n\nThe Expression of the Automomic Nervous System-Shea (1995)\n\n Shea’s Postulates\n Expression of the ANS\n Tone Shifts\n Re lease versus Discharge\n Phenomena\n Integration\n Avoiding Autonomic Exha ustion\n\n \;\n\nModule 13 Thirteen  1 hour/60min\n\nIntroduction to Upper Extremity Techniques\n\nPalpation of Superficial/Deep- Front/Back Ar m Lines (Myers)\n\n Ease-Bind Palpation Assessment\n Superficial Front Arm Line\n Superficial Back Arm Line\n Deep Front Arm Line\n Deep Back Arm Li ne\n\nModule 14 Fourteen \n\nSequence 7\n\nTechniques for the Shoulder Com plex \n\nSequence 7.1:  .5hour/30min\n\nTwo Point for Thoracic Outlet-Bra chial Plexus\n\nSupine Position \n\n Thoracic Outlet\n Brachial Plexus\n G H Joint\n Elbow Complex\n Wrist Complex\n\n \n\nSequence 7.2\n\nBrachial Plexus Release – Neurofascial Technique\n\nManipulation of the plexus is achieved by first understanding and visualising the branches location.\n\ nIf supine position\, Take the arm/shoulder into bent-arm flexion with 60 °-90°abduction with about 30° flexion shoulder.\n\nUse your body to bra ce the olecranon process and locate just lateral to the anterior scalene\, applying gentle pin. With your other hand use the arm/forearm as a lever to apply the lightest of brachial stretches.\n\nNormally the nerve pathway is very tight and restricted. It usually has never been released\, you wi ll have to ‘hang out’ for at lest 60-90 seconds before you’ll feel a give or release or ‘letting go’ of the cord or strands.\n\n \n\nSequ ence 7.3: .5hour/30min\n\nJoint Humeral Levering Long &\; Short \n\nSup ine Positions  \n\n Supine Bilateral Humeral Short Lever\n Supine Bilater al Humeral Long Lever\n Supine Unilateral Long Lever Sleeve Assessment\n S upine Unilateral Long Lever Humeral Compression\n\n \n\n \n\nLunch Break   .75-1 hour/45-60 min\n\n \n\nModule 15 Fifteen   3.5-4 Hours\n\nHumer al Vertical levers\n\nSequence 7.4:                     \n\nJoint Humeral Vertical Short Levers\n\nSide Lying Position  \n\n Ole cranon crowd into GH Joint\n “Corkscrew”\n Add rotational ease positio n\n Add rotational bind position\n Tensional Lift versus Compression\n App ly active resistive to ‘ease’ direction\n\n \;\n\nSequence 7.5\n\n Joint Humeral Vertical Long Levers\n\nSideLying Positions \n\n Elbow must in extended relaxed lock position\n No flexion whatsoever\n Use your forea rm to lock elbow into extension\n ‘Stir scapular complex around thorax ’\n Tensional Lift versus Compression\n Apply active resistive\n\n \n\n Sequence 7.6:\n\nAssessment of Scapula Motion Using Glenohumeral Joint\n\n Side Lying Position\n\n Assess three planes of motion restriction from neu tral horizontal adducted lever position.\n Assess elevation/depression\n A ssess protraction/retraction- abduction/adduction\n Assess ’sleeve’ ro tation\n Assess internal/external rotation\n Engage three planes in ‘eas e’\n Await release\n\n \;\n\nSequence 7.7\n\nJoint Horizontally Addu cted Humeral Long Levers –\n\nActive Resisted\n\nSide Lying Position\n\n Practitioner seated anterior to client with humerus placed in a horizonta lly adducted position with 90° flexion\, which is also 90° between abduc tion and adduction of the shoulder.\n Assess sleeve rotational restriction s: Capsular\, Brachial &\; Supination/Pronation of Radial/Ulnar\n Engag e mid-posterior deltoid and assess for bind. Use a static compress to rele ase GH capsule.\n Assess for rotational restriction and engage ease or bin d once again.\n Then ‘stir’ the scapula to mobilize the shoulder compl ex.\n Engage Low Load Resistive\n\n \n\nSequence 7.8 \n\nSide Lying Posit ion \n\nActive Light Friction ‘Strum’\n\nHumeral Intermuscular Septums – Neurofascia Technique \n\nMFR Arm Line Release           \n \n(Refined palpation required)\n\n Medial &\; Lateral Septums along Bra chialis/Biceps &\; Triceps Lateral/Long head\n Slight flick &\;/or m ovement of the artery\, median-radial nerves &\; veins as they are adhe red to the humeral inter-muscular septums.\n\n \;\n\nSequence 7.9 \n\n Passive\n\nRotational Sleeve Releases\n\n Static compression combined with rotational bind ‘Twists in the Sleeve’ &\; Humeral Compressions\n From sidelying position place arm comfortably on side of body in long leve r position\n Extend and internal rotate UE so it is placed slightly behind thorax in long lever position\n Place positioned limb in bilateral hand p ositions. That is rotated limb is engaged simultaneously with thorax on th e top while bottom hand is placed the same as in intercostal bilateral pos ition\n\n \;\n\nSequence 7.10\n\nArm Lift Active Resistive \n\nSide Ly ing Position\n\n Ease-Bind Palpation Assessment\n This is referred to as t he ‘teeter totter’ technique\n Ask client to resist with 5% or less fo rce by pulling down with client hand as practitioner pulls upward while ho lding medial brachial aspect of arm.\n Upon release pull superiorly to bre ak collangenous adhesions at axillary fold.\n\n \n\n \;\n\n \;\n\ n \;\n\n[/spoiler]\n\n[spoiler title='How to book for this course?']\n How To Book This Course:\n• Step 1: Create an account\; register your de tails here or click on the 'Members Area' button on the top menu: we need your details in order to reserve your seat and email you the preliminary m aterials for the course - ps\; please note that registering your details d oes not book you onto the course - you need to follow step 2 below.\n\n• Step 2: Book your place\; Once you have registered your details\, come ba ck to this course webpage to submit your booking below and choose your pa yment method\; to book\, click on the Submit button below.\n\n• Step 3: Choose and make your payment method below\; Payment by Bank Transfer: If y ou wish to pay via a bank transfer\, simply follow the payment details on the proforma invoice that has been emailed to you now that you have made y our booking. Payment by PayPal or Credit Card: Click the "Buy Now" Paypal button above to pay via PayPal or Credit Card. You are now booked and will receive a confirmation email shortly!\n\n[/spoiler]\n\n[spoiler title='Co urse Times']\nView the course times:\n\n Day 1: 1:00pm - 8:30pm\n Day 2: 9 :00am - 5:00pm\n Day 3: 9:00am - 5:00pm\n\n[/spoiler]\n\n \; ATTACH;FMTTYPE=image/jpeg:https://club-physio.com/wp-content/uploads/rsa.p ng CATEGORIES:IFR Courses,Southern Africa Courses LOCATION:met golf club\, fritz sonnenberg drive\, mouille point\, Cape Town \, South Africa GEO:-33.9000058;18.40818999999999 X-APPLE-STRUCTURED-LOCATION;VALUE=URI;X-ADDRESS=fritz sonnenberg drive\, mo uille point\, Cape Town\, South Africa;X-APPLE-RADIUS=100;X-TITLE=met golf club:geo:-33.9000058,18.40818999999999 END:VEVENT BEGIN:VTIMEZONE TZID:Africa/Johannesburg X-LIC-LOCATION:Africa/Johannesburg BEGIN:STANDARD DTSTART:20150203T090000 TZOFFSETFROM:+0200 TZOFFSETTO:+0200 TZNAME:SAST END:STANDARD END:VTIMEZONE END:VCALENDAR