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The Lower Extremity (SEA)

   April 9-10th, 2021

Redmond, WA

                         --Instructor Neal O'Neal, PT

     Neural and biomechanical integration of the foot, ankle, knee, and hip is integral to proper function of the lower extremity in the gait cycle. These structures are particularly detailed in their arthrokinematic, fascial, and dynamic force relationships. This course provides the participant with an extensive knowledge of these areas and how to treat dysfunction of the lower extremity as it relates to weight-bearing activities.

     The hip, knee, ankle, sub-talar, calcaneal, navicular, cuboid joints and the first / second versus fourth and fifth rays interact in complex ways to allow the diversity of human stance, gait, and activity. 

Lacrosse Players

This class will provide the practitioner the ability to mechanically assess / observe the patient's movement competence through clinical tests and develop an appropriate manual treatment regimen to optimize and improve that patient's relevant lack of range of motion and aberrant motor programming to return to full function. 

Lower Extremity

April 9-10th, 2021


Pursuit Performance Training

14961 NE 95th St

Redmond, WA 98052

Target audience: Licensed healthcare providers including, but not limited to:

PT, AT, DC, MT, RN, OT, LMT, and ND.

16 contact hours – 16 1-A hours anticipated  


Instructors: Neal O'Neal, PT

Class is held 9-6 Friday and Saturday.


Fees: $500/student, Associates of Autumn Mayberry may utilize a discount code found on her website for a discount code.  Course limited to 24 students.


Learning Objectives: Upon course completion, the participant will be able to-

1) Palpate the discrete structures of the lumbar spine and lower extremity. This includes the hip, knee, patello-femoral, tibial-fibular, Talar, sub-talar, talocalcaneonavicular joint, calcaneocuboid joint, cuneonavicular joint, cuboideonavicular joint, and the intercuneiform, and the toe joints. All the toes of the foot except the big toe have three joints which include the metatarsophalangeal joint (MCP) found at the base of the toe, the proximal interphalangeal joint (PIP) found in the middle of the toe, and the distal phalangeal joint (DP) found near the tip of the toe. The big toe has the metatarsophalangeal joint and one interphalangeal joint. 

2) Ask appropriate patient history questions that take into account new, research-based understanding of lower extremity function;

3) Identify, palpate and test motion or irritation of the Lower Extremity to include joints, capsules, muscles, fascia, blood vessels, and lymphatic tissue.


4) Demonstrate various treatment strategies such as Muscle Energy Technique, Counterstrain-positional release, Neurolymphatic and Neurovascular Techniques.


5) Perform appropriate Global and Regional provocation tests for the lumbopelvis and lower extremity.


Materials Provided: A binder of the course materials will be provided to each student to follow along and take notes during the lecture and lab portions of the class.

Purpose: The purpose of this class is to provide the clinical practitioner with the knowledge of how recent research has changed current clinical treatment approaches to the thoracolumbar spine and lower extremity. 




9am – 12pm              Anatomy and Neurology of the Thoraco-Lumbar Spine and Lower Extremity (Lecture)

12pm – 1pm              Lunch

1pm – 1:45pm          Global and Regional Provocation Tests Lower Extremity (Lab)

1:45pm – 2:45pm     Relation and Testing of LE dysfunction in relation to the Thoraco-Lumbar Spine (Lecture)

2:45pm – 6pm          Somatic Treatment of the Lower Extremity- Counterstrain / Mobilization (Lab)



9am – 9:30am          Current Research discussion (Interactive Discussion)

9:30am – 10:30am   Somatic Treatment of the ThoracoLumbar Spine - MET Assessment (Lab)

10:30am – 12pm      Somatic Treatment of the Lower Extremity-Myofascial  (Lab)

12 – 1pm                   Lunch

1pm  – 2:30pm         Integrated Treatment of the Thoraco-Lumbar Spine - Lower Extremity (Lab)

2:30pm – 6pm          Integrated Neurological Treatment of the Lower Extremity - SNS (Lab)

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