1-Day On-Site Seminar
Seminar Overview
This intensive, practical course integrates extremity manipulation and mobilisation techniques with clinical neurology. Part 1 explores how neurologically driven muscle imbalances and poor proximal stabilisation lead to chronic upper limb conditions.
Participants will master targeted extremity adjustments while learning to rehabilitate the cerebellum, optimise proprioceptive afferentation, and improve central processing for comprehensive, system-wide motor recovery.
Date: Saturday, 16th January 2027
Time: 9:30 – 18:30 (GMT)
CPD / CE Credits: 8 hours
Location: Retford, UK
Registration Fee: £210
Course Objectives
- Pinpoint the neurological root causes underlying chronic upper extremity conditions.
- Evaluate cerebellar function to determine its impact on proximal stability and muscle tone.
- Perform precise extremity adjustments designed to optimise proprioceptive feedback and restore movement.
- Incorporate fast-stretching and post-isometric relaxation (PIR) techniques into advanced manual protocols.
- Formulate comprehensive rehabilitation plans aimed at restoring central motor control.
1. The Neurological Core of Chronic Limb Conditions
- Pathomechanics of Chronic Extremity Injuries
- Why local tissue treatments fail in chronic conditions
- Neurological-driven muscle imbalances
- Poor proximal stabilisation: The basis of many limb motor control deficits
- The Cerebellum as the Central Coordinator
- The cerebellum’s role in the genesis of muscle imbalances
- Motor error correction, predictive coding, and feed-forward stabilisation
- How cerebellar motor control deficits manifest as peripheral joint vulnerability
2. Assessment and Neuro-Rehabilitation of the Cerebellum
- Clinical Localisation and Testing
- Low-tech, rapid examination of the cerebellum
- Targeted Cerebellar Rehabilitation
- Rehabilitation of the lateral, intermediate and midline cerebellum through a combination of manual therapy and function-specific exercises
- Cervical Spine Influences on Upper Limb Function and Dysfunction
- Importance of feedforward activation of the cervical spinal muscles during limb movements
- Assessment and treatment of neck proprioceptive deficits
3. Extremity Techniques for the Upper Limb
- Extremity Adjusting
- High-velocity, low-amplitude (HVLA) adjustments for maximum mechanoreceptive afferent drive
- Joint mobilisation techniques
- Neuromuscular Integration
- Fast-stretching techniques with tendon pre-load: to address muscle imbalances driven by hypertonicity
- Modified post-isometric relaxation (PIR): a strategy to downregulate hypertonic muscles whilst improving motor control
- Condition-specific sequential blending of PIR, fast-stretching, and osseous manipulation in a single treatment window
4. Practical Integration – ‘Putting It All Together’
- The Shoulder Complex
- Rotator cuff tendinopathy and impingement
- Thoracic outlet syndrome
- Shoulder instability
- Cerebellar exercises paired with manipulation, mobilisation, fast-stretching, PIR and specific soft tissue techniques
- The Elbow and Forearm
- Chronic lateral and medial epicondylitis
- Median, radial & ulnar nerve entrapment syndromes
- The Wrist and Hand
- Carpal tunnel syndrome, Guyon’s canal syndrome
- Repetitive strain injury
- Chronic post-fracture stiffness and loss of function
Date: 16th January 2027
Time: 9:30am – 6:30pm
Location: Retford Chiropractic Wellness Centre, 67 Grove St, Retford DN22 6LA, UK
Registration fee: £210 (British Pounds) / €247 (Euros)
The seminar will be interactive, and focused on practical clinical applications.
A comprehensive set of course notes will be emailed to you in advance of the seminar.
Videos of the practical techniques will be made available to you after the seminar