BEGIN:VCALENDAR VERSION:2.0 PRODID:-//wp-events-plugin.com//7.1.7//EN BEGIN:VEVENT UID:57@club-physio.com DTSTART;TZID=Africa/Johannesburg:20160210T090000 DTEND;TZID=Africa/Johannesburg:20160212T170000 DTSTAMP:20160208T075034Z URL:https://club-physio.com/courses/integrative-fascial-release-autonomic- manipulations-jhb/ SUMMARY:INTEGRATIVE FASCIAL RELEASE COURSE - AUTONOMIC MANIPULATIONS - Joha nnesburg DESCRIPTION:[spoiler title='Important Information']\nTHE INTEGRATIVE FASCI AL RELEASE (IFR) COURSE\; Autonomic Manipulations - Jo'burg\; 10-12 Fe b 2016\; R3900\n[/spoiler]\n\n[spoiler title='Course material']\nMORE INFO \nSyllabus Autonomic Manipulation-Foundations Workshop 2016  in  South Africa By Steven Goldstein\n\nBachelor Arts in Education\, Western Wash ington University 1984 &\; Bachelor Health Sciences Musculoskeletal Th erapy\, Australian College of Natural Medicine 2007\n\n \;\n\nSyllabu s\n\nFoundations:  Autonomic Manipulation\nDay One\nModule 1 One\n\nIntro ductions &\; Information     1. Hour/60min\n\nIntroductions and Inf ormation about Integrative Soft-Tissue Release\n\nReferences and Reading L ist:\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 Schleip\n\nAssessment &\; Treatment of Muscle Imbalance - The Janda Ap proach: Page\, Frank &\; Lardner\n\nIntegrative Manual Therapy for the Connective Tissue System Vol.IV\, Giammatteo &\; Kain\, 2005 North Atla ntic Books\n\nBiotensgrity-The Structural Basis of Life\, Graham Scarr 201 4 Handspring Press\n\n \n\n MyoFascial Treatment Appraoches and Methods: Autonomic\, Movement and Mechanical\n Properties of Connective Tissue-Fasc ial Anatomy-Tensegrity\n The Nervous System: Theory-Ability to Manipulate Touch Stimulating Sensory Receptors through Lighter Touch and Low Force Ac tive Resistive\n\n Two Point Holding Technique\n ‘Stacking’ for three dimensional change\n\n\n Expressions of the Autonomic Nervous System and A utonomic Exhaustion\n\n \;\n\nModule 2 Two                             2 hour/120 min\n\nAssessments Principles\n\nPos tural Considerations\n\n Sum of all body positions\n\nFunctional Patterns for Assessment\n\n Janda’s Cross Patterns\n\nMyofascial Patterns\n\nGlob al Myofascial Line Restrictions\n\n Cardinal Line Restrictions: Anterior\, Posterior &\; Lateral\n Myers: Anatomy Trains: SFL\, SBL\, LL\n Paolet ti: Fascial Chains: Anterior\, Posterior\n Schleip\; High Leverage Points in the Myofascial Net\n Schultz: Endless Web-Body Straps: circumference re strictions\n\n \n\nMuscular Patterns\n\n \;\n\n Assessing muscular pa tterns is necessary to understand soft-tissue dysfunction\n Basic patterns such as Upper and Lower cross syndrome (Janda)\n Muscular subsystems func tioning:\n\n Lateral Subsystem LSS\n Deep Longitudinal DLS\n Posterior Obl ique POS\n Anterior Oblique AOS\n\n\n\n \;\n\n MET Modified for ISTR\n \n Lower Force Contractions 10% or less\n Use of Reciprocal Inhibition to change pain or pressure sensation\n Compound Resistive\n\n\n\nFunctional A ssessment\n\n Muscular Firing Patterns\n Compound Movement Relationships\n \n \n\nJoint Accessory Motion Assessment-Fascial Articulations\n\n All pl anes of gliding motion are needed for optimal function for all joints.\n A ssessment is:\n\n Compression/Distraction\n Lateral translatory glide\n An terior/posterior direction\n Inferior/superior direction\n\n\n\n \;\n\ nBreak .3 hour/ 20 min     \n\n \n\nLigaments:\n\n Properties\n Treat ment\n\n \;\n\nAssessment\n\nLocating Myofascial Restrictions  \n\nAr eas to which fascia adheres:\n\n Bony prominences\n Musculotendinous junct ures\n Muscular boundaries and layers\n\n \n\nPalpation: Ease and Bind As An Osteopathic Assessment: \n\n Palpation and Motion Restrictions\n\n Use d for myofascial restrictions\n Joint motion assessment\n\n\n Application of Force\n\nTensegrity Techniques\n\n Compression\n Tension\n\n \n\nModul e 3 Three         2 hour/120 min\n\nActive-Passive Techniques Utili zed in ISTR: \n\n Compression\n Tension\n Active Movement Participation\n ‘Stacking’\n Modified MET\n Ligament ‘Friction’\n\nAutonomic Nervo us System Techniques\n\nCoordinating the ‘eight diaphragms.’\n\nPassiv e ‘holding’ techniques for parasympathetic stimulation\n\n Use of the Two Point\n Listening for ANS Parasympathetic Response\n Ease &\; Bind for Tissue Change\n Three cardinal planes of skin motility to assess super ficial fascia\n Application of the ‘Fulcrum’\n\n \n\nOsteopathic Auto nomic Nervous System Techniques \n\n Sequence 1.1   Two Point To Coordi nate the Eight Diaphragms \n\nAxial Spine   \n\nComplete Protocol\n\nTwo -Point Technique for Coordinating the Eight Diaphragms.\n\n Pelvic/Urogeni tal\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 Extremity Joints &\; Diaphragms \n\nProtocol\n\n Sacrum or Illiac Crest / Umbilical\n Sacrum / Ischial Tuberosity\n Inguinal Crease / Ischial Tub erosity\n Patella / Politeal Fossa\n Ankle / Calcaneal / Talus\n Ankle / L ateral &\; Medial Malleolus\n Transverse Arch\n\nSequence 1.3:  \n\nPa lpation Assessment Using Ease-Bind\n\n Assess three planar direction of my ofascia using skin direction to assess superficial fascia restriction\n As sess ‘ease-bind’ to joint motion\n\n \n\nSequence 1.4  \n\nStacking with the 3D Planar Fulcrum (Giammatteo) -Two Point\n\n Osteopathic ‘Stac king’: engaging multiple barriers in 3 planes/vectors through demonstrat ion of technique.\n\nFulcrum Application\n\n4 directions of compressive fo rce are now occurring\n\nEase-Bind Assessment\n\n Engagement of superficia l fascia\n Superior/inferior sagittal plane\n Coronal plane clockwise/coun terclockwise\n Transverse plane medial or lateral directions\n Do not rele ase ‘fulcrum’\, resist the urge to follow tissue.\n Maintain fulcrum\n \n \;\n\nSequence 1.5:  Active Resistive Muscle Testing:\n\n Assessm ent for Facilitation/Inhibition of Muscular Units\n\nThe use of active res istive for muscle evaluation is a fundamental assessment tool and techniqu e for sensory receptor manipulation through the motor control center to ch ange muscular function.\n\nActive muscle testing is used in which a minimu m of force is first used to detect if the muscle is inhibited.\n\n \n\n  \n\nMuscle Firing Patterns  -  Functional Assessment\n\n Muscular Firing Patterns\n Compound Movement Relationships\n\n \n\nLunch  45 min- 1 hou r\n\nModule 4  Four                 2.5 hour/ 150 min\n\n Cardinal Lines of Myofascial Tension\n\nLine Palpation: Myers Anatomy Trai ns\n\n Ease-Bind Palpation Assessment\n Superficial Front Line\n Superfici al Back Line\n Lateral Line\n\nSequence 2.1  Sidelying Static Compression for Lateral Line      \n\nDirect Technique: Static Compression for t he High Leverage Points  \n\nSidelying Position\n\n Greater Trochanter\n Serratus Anterior\n Shoulder/Scapula/Thorax\n\nSequence 2.2   Sidelying   Sleeve Release: Superficial Front &\; Back Line \n\nSidelying Positi on\n\n Ease-Bind Palpation Assessment\n Superficial Front Line Sleeve Rele ase\n Superficial Back Line Sleeve Release\n\n \;\n\nLeverage Compress ion/Tension for Hip &\; Pelvis\n\nSequence 3   Low Extremity Levers    \n\nSequence 3.1  Compression Long Levers-Straight Leg\n\n Femoral Lon g Lever Neutral\n Femoral Rotations\n Engage Ease position first\n\nSequen ce 3.2: Low Extremity Short levers  \n\nShort Levers-Bent Knee Three Posi tions:\n\n Foot on table walking leg/thigh though flexion\, abduction & \; return to straight leg on table\n Foot on table\, adding slight compres sion to foot on table through knee into SI Joint\n Foot on or off table\, re-enforcing SI Joint with forearm.\n Foot off table\, adding slight compr ession to foot on table through knee into SI Joint\n\nGolgi Tendon Organ R elease for Hamstrings &\; Rectus Femoris Musculature\n\nSequence 3.3   Tension Leg Pulls-‘Straight Leg Raise’\n\n Ease-Bind Motion Assessme nt\n Line of tension\n Engaging tension\n Stack various tension directions \n Assess lower extremity twists\n Engage thigh sleeve-counter-twist sural /crural sleeve\n\nModule 5 Five                    .75 h our/ 45 min     \n\nLeverage Compression for Hip &\; Pelvis\n\nSequ ence 3.4  Compression \n\nFemoral Hip ‘Scour’\n\nSupine\n\n Circumduc tion of the hip joint with sustained compression while re-enforcing stabil ity of SI Joint with bottom hand.\n\nSequence 3.5: Two Legged SI Joint Rel ease           \n\n Pelvic Hip Balancer\n Straight- leg raise wit h both legs in long lever position\n Light compression engagement of SI jo int and release.\n\n \n\n \;\nDay Two\n \n\nModule 6 Six             .75 hour/ 45 min              \n\nRevision day one material\n\n \;\n\nModule 7 Seven       1 hour/ 60 min          \n\nIntroduction to Modified MET : Thoracic Spine Levers\n\nSequenc e 4: View Video\n\nJoint Receptor Enhancement for the Thorax Utilizing Lev ers - Active Resistive\n\nActive Resistive  \n\nSequence 4.1  Thoracic S pine 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 fo llowing planes of motion:\n flexion/extension\n Both arms left\n Both arms right\n Push elbows towards ceiling\n Lock elbows &\; ask for resistan ce into table\n\n \n\nSequence 4.2 Thoracic Spine Levers Long Lever \n\nS ide lying position\n\nThese are performed exactly the same as the Thoracic spine Short levers\, except you address the thoracic spine with both arms extended in a straight-arm manner.\n\n Ask your client to resist at 10% a gainst the following directions:\n Both hands pushing down into the table for SB/Rotation\n Both hands pushing the opposite direction towards the ce iling for SB/Rotation\n Both hands pushing cranially or superiorly for ext ension\n Both hands pushing caudally or inferior for flexion\n Both elbows ‘pulling apart’ scapular adduction\n Both elbows ‘pulling’ togeth er scapular abduction\n Initiate a spiral or rotational push\n Initiate a spiral or rotational pull.\n\n \n\nSequence 4.3\n\nActive Resistive – S upine \n\nThoracic Receptor Enhancement\n\nPaired Crossed Bent-Arm Humeral \n\n Bring client’s brings both arms across their body with 45° elbow f lexion\n Apply active resistive 5% or less force in the following planes o f motion:\n Flexion/extension\n Bent arm left\n Bent arm right\n Push elbo w towards 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 Cro ssed Bent-Arm Resistive\n\nSupine \n\nBring client’s arm across their bo dy with 45° elbow flexion\n\nApply resistive 5% or less in the following planes of motion:\n\n flexion/extension\n Bent arm left\n Bent arm right\n Assess and engage rotations\n Push elbow towards ceiling\n Lift scapula w ith hand\, ask for ‘pull towards table’\n Axillary pectoral fascia lat eral translation with active resistive into bind\n Straight arm – serrat us anterior resistive pushing to ceiling or pulling scapula into table\, u pon release of resistive\, mobilize in sagittal plane.\n\nApply to opposit e shoulder.\n\n \n\nModule 8  Eight  1.5hour/ 90 min \n\nSequence 5\n\n Prone Superficial Back Line Releases\n\nSequence 5.1\n\nMFR\n\nSacral ‘T wist’ Static\n\nCompound posterior cervical sleeve with sacrum\n\n Shift \n Rotation\n Superior/inferior\n\n \n\nSequence 5.2\n\nPosterior Oblique System\n\n \n\n Cross releases for Glutues Maximus and contralateral Lat issimus Dorsi.\n Check ‘ease-bind’ with hands coming together\n Check ‘ease-bind’ with hands pulling apart\n Check ‘ease-bind’ with both hands paired towards Latissimus\n Check ‘ease-bind’ with both hands p aired towards Glutueals\n\n \n\nSequence 5.3\n\nLigaments of the Sacrum a nd Pelvis\n\nSacrotuberous Ligament\n\nSacral Ligaments\n\nPosterior S.I. Ligament\n\n Palpation of taut ligamentous strands\n ‘Strumming’ frict ion to release ligaments\n Multi-directional friction\n Rapid but light ap plication of friction\n\n \;\n\nSequence 5.4\n\nTendon Receptor Stimul ation\n\nGolgi Tendon Organ\n\n Static on Tendon\n Wedge: with elbow on te ndon lateral translation\n\n \n\nSequence 5.5\n\nRamic Adductors – Pron e - Elbow\n\n Forearm-elbow is placed to the medial aspect of the ischial tuberosity.\n Ask your client to lightly actively ‘squeeze’ inward int o your elbow for 3 seconds. Ask for light adduction.\n Upon release passiv e roll into the ischial tuberosity in the opposite direction.\n Normally i f adhered you will ‘hear’\, ‘feel’ a slight ‘pop’ or ‘crunch ’ indicating the qrelease of the adhesion.\n\n \n\nSequence 5.6\n\nPair ed Femoral Lateral Flexion MET\n\nSupine\n\n Assess bind for lateral flexi on by 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 resi st 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 int o the middle neutral position\, wait 20 seconds\, re-assess and reapply if necessary.\n\n \n\nModule 9 Nine         2 Hour/ 120 min\n\nbila terals releases \n\nSequence 6: \n\nSidelying Bilaterals Techniques-ITB-Pa ssive\n\nSide Lying Position\n\nSequence 6.1 : ITB\n\n ‘Rolling &\; P ivot’\n ITB lower portion\n\n Externally rotated position release\n Inte rnally rotated position release\n\n\n\n \;\n\n ITB upper portion\n\n E xternally rotated position release\n Internally rotated position release\n \n\n\n \n\nLunch Break           .75-1 Hour/ 45-60 min\n\n \n\n Bilaterals Techniques\n\nThorax Passive\n\nSide Lying Position\n\nSequence 6.2 Intercostals \n\nTransverse-intercostal/Vertebral-intercostal joint c ompression\n\n From posterior externally rotated position release\n\n \n\ nSequence 6.3 Sternum\n\n Sternal/manubrial-costal\n Internally rotated po sition release\n\n \;\n\nSequence 6.4 Illicostalis Line Release\n\n As sess &\; engage mid-illiocostalis thoracicis\n Let your palms rest near the boundary of the illiocostalis thoracicis\, and your superior or crani al fingers curve or curl so the fingertips are on the lateral boundary of the illiocistalis.\n With your cranial hand assess and ‘feel’ the barr ier 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 t he longitudinal line barrier of the illiocostalis lumborum\, where it anch ors at the illium.\n\n \n\n \n\nSequence 6.5\n\nThorax Release: 1st Rib /Clavicle- 12th Rib/Illiac Crest\n\nSequence 6.5\n\nThoracic cage release\ n\n1st Rib /Clavicle- 12th Rib/Illiac Crest\n\n Place hands as shown on th e right\n With both hands assess the ease and bind directions as follows:\ n Both hands move towards illium\n Both hands move towards mastoid process \n Both hands compress towards each other\n Both hands tension away from e ach\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 cl ient cannot perform compound activity\, then ask them to move into bind fi rst at the illium\, then at the clavicle.\n Upon release of the 5-10% cont raction\, mobilize into the bind\, then the ease.\n\n \;\n\n \;\n\ nSequence 6.6\n\nSupine Sternal Comp ression\n\nThe sternal compression is a powerful technique to utilize the breath as the component to create cap acity 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 ’. This is similar to a pin &\; stretch\n Is using compressive force palm and fingertips to ‘pin’ sternum with 5 kg of pressure and utilizi ng the breath to increase compressive force.\n Steps\n Place palm relaxed on sternum.\n Ask client to take a deep breath\n On exhale\, follow the ex halation by taking ‘up the slack’ and pressing slightly stronger.\n Up on inhalation do not yield the pressure\n Do this 3x\n On the third inhala tion\, the practitioner will feel the increased pressure\, ‘like ‘surf ing a wave’\, and the instruction will be for the client to ‘push me o ff’ with a hard in breath\n At the maximum point of inhalation release y our sternal quickly.\n If done correctly\, there will be an audible ‘who osh’.\n At this point\, some clients will appear to hyperventilate\, or have a mild spell of dizziness.\n Once the system settles\, re-assess moti on to the sternum.\n The assessment should show increased movement of the superficial fascia and often greater ‘spring’ to the sternum when down ward pressure is applied.\n\n \;\n\nModule 10 Ten                   1.5hour/90 min\n\nIntroduction to Osteopathic MET Muscle Ener gy Technique Applied to Joints\n\n \;\n\n MET Muscle Energy Technique modification for chronic pain\n JET Joint Energy Technique\n Resistive uti lized for Myofascial &\; Ligamentous structures\n Apply to Scapular Com plex\n Use 5-10% directional resistive based on restriction to motion.\n A pply in all directions.\n\n \nDay three\n \n\nModule 11 Eleven    .5 h our/30 min\n\nReview Day Two Material\n\n ‘Two Point’\n ‘Fulcrum’\ n Static Compression\n Long Lever Compression\n Long Lever Tension\n Short Lever Compression\n Review Cardinal Lines\n Articular Receptor Enhancemen t\n\n \n\nModule 12 Twelve  1 hour/60 min\n\nBalance Between ANS &\; 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 Release ver sus Discharge\n Phenomena\n Integration\n Avoiding Autonomic Exhaustion\n\ n \;\n\nModule 13 Thirteen  1 hour/60min\n\nIntroduction to Upper Ext remity Techniques\n\nPalpation of Superficial/Deep- Front/Back Arm Lines ( Myers)\n\n Ease-Bind Palpation Assessment\n Superficial Front Arm Line\n S uperficial Back Arm Line\n Deep Front Arm Line\n Deep Back Arm Line\n\n \ n\n \n\n \n\nModule 14 Fourteen \n\nSequence 7\n\nTechniques for the Sho ulder Complex \n\nSequence 7.1:  .5hour/30min\n\nTwo Point for Thoracic O utlet-Brachial Plexus\n\nSupine Position \n\n Thoracic Outlet\n Brachial P lexus\n GH Joint\n Elbow Complex\n Wrist Complex\n\n \n\nSequence 7.2\n\n Brachial Plexus Release – Neurofascial Technique\n\nManipulation of the plexus is achieved by first understanding and visualising the branches loc ation.\n\nIf supine position\, Take the arm/shoulder into bent-arm flexion with 60°-90°abduction with about 30° flexion shoulder.\n\nUse your bod y to brace the olecranon process and locate just lateral to the anterior s calene\, 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 will have to ‘hang out’ for at lest 60-90 seconds before you’l l feel a give or release or ‘letting go’ of the cord or strands.\n\n  \n\nSequence 7.3: .5hour/30min\n\nJoint Humeral Levering Long &\; Short \n\nSupine Positions  \n\n Supine Bilateral Humeral Short Lever\n Supine Bilateral Humeral Long Lever\n Supine Unilateral Long Lever Sleeve Assess ment\n Supine Unilateral Long Lever Humeral Compression\n\n \n\n \n\nLun ch Break  .75-1 hour/45-60 min\n\n \n\nModule 15 Fifteen   3.5-4 Hours\ n\nHumeral Vertical levers\n\nSequence 7.4:                      \n\nJoint Humeral Vertical Short Levers\n\nSide Lying Position  \n\n Olecranon crowd into GH Joint\n “Corkscrew”\n Add rotational ease position\n Add rotational bind position\n Tensional Lift versus Compressi on\n Apply active resistive to ‘ease’ direction\n\n \;\n\nSequence 7.5\n\nJoint Humeral Vertical Long Levers\n\nSideLying Positions \n\n Elb ow must in extended relaxed lock position\n No flexion whatsoever\n Use yo ur forearm to lock elbow into extension\n ‘Stir scapular complex around thorax’\n Tensional Lift versus Compression\n Apply active resistive\n\n  \n\nSequence 7.6:\n\nAssessment of Scapula Motion Using Glenohumeral Joi nt\n\nSide Lying Position\n\n Assess three planes of motion restriction fr om neutral horizontal adducted lever position.\n Assess elevation/depressi on\n Assess protraction/retraction- abduction/adduction\n Assess ’sleeve ’ rotation\n Assess internal/external rotation\n Engage three planes in ‘ease’\n Await release\n\n \;\n\nSequence 7.7\n\nJoint Horizontall y Adducted Humeral Long Levers –\n\nActive Resisted\n\nSide Lying Positi on\n\n Practitioner seated anterior to client with humerus placed in a hor izontally adducted position with 90° flexion\, which is also 90° between abduction and adduction of the shoulder.\n Assess sleeve rotational restr ictions: Capsular\, Brachial &\; Supination/Pronation of Radial/Ulnar\n Engage mid-posterior deltoid and assess for bind. Use a static compress t o release GH capsule.\n Assess for rotational restriction and engage ease or bind once again.\n Then ‘stir’ the scapula to mobilize the shoulder complex.\n Engage Low Load Resistive\n\n \n\nSequence 7.8 \n\nSide Lying Position \n\nActive Light Friction ‘Strum’\n\nHumeral Intermuscular S eptums – Neurofascia Technique \n\nMFR Arm Line Release            \n\n(Refined palpation required)\n\n Medial &\; Lateral Septums al ong Brachialis/Biceps &\; Triceps Lateral/Long head\n Slight flick & \;/or movement of the artery\, median-radial nerves &\; veins as they a re adhered to the humeral inter-muscular septums.\n\n \;\n\nSequence 7 .9 \n\nPassive\n\nRotational Sleeve Releases\n\n Static compression combin ed with rotational bind ‘Twists in the Sleeve’ &\; Humeral Compress ions\n From sidelying position place arm comfortably on side of body in lo ng lever 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 positions. That is rotated limb is engaged simultaneously with thora x on the top while bottom hand is placed the same as in intercostal bilate ral position\n\n \;\n\nSequence 7.10\n\nArm Lift Active Resistive \n\n Side Lying Position\n\n Ease-Bind Palpation Assessment\n This is referred to as the ‘teeter totter’ technique\n Ask client to resist with 5% or less force by pulling down with client hand as practitioner pulls upward w hile holding medial brachial aspect of arm.\n Upon release pull superiorly to break collangenous adhesions at axillary fold.\n\n \;\n\n[/spoiler ]\n\n[spoiler title='How to book for this course?']\nHow To Book This Cour se:\n• Step 1: Create an account\; register your details here or click o n the 'Members Area' button on the top menu: we need your details in order to reserve your seat and email you the preliminary materials for the cour se - ps\; please note that registering your details does not book you onto the course - you need to follow step 2 below.\n\n• Step 2: Book your pl ace\; Once you have registered your details\, come back to this course web page to submit your booking below and choose your payment method\; to boo k\, click on the Submit button below.\n\n• Step 3: Choose and make your payment method below\; Payment by Bank Transfer: If you 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 your booking. Payment by PayPal or Credit Card: Click the "Buy Now" Paypal button above to pay v ia PayPal or Credit Card. You are now booked and will receive a confirmati on email shortly!\n\n[/spoiler]\n\n[spoiler title='Course Times']\nView th e 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:Southern Africa Courses LOCATION:club physio jo'burg\, 68 wessels road\, rivonia\, jo'burg\, South Africa GEO:-26.0432649;28.06085669999993 X-APPLE-STRUCTURED-LOCATION;VALUE=URI;X-ADDRESS=68 wessels road\, rivonia\, jo'burg\, South Africa;X-APPLE-RADIUS=100;X-TITLE=club physio jo'burg:geo :-26.0432649,28.06085669999993 END:VEVENT BEGIN:VTIMEZONE TZID:Africa/Johannesburg X-LIC-LOCATION:Africa/Johannesburg BEGIN:STANDARD DTSTART:20150210T090000 TZOFFSETFROM:+0200 TZOFFSETTO:+0200 TZNAME:SAST END:STANDARD END:VTIMEZONE END:VCALENDAR