The nervous system is a complex arrangement of the nerve cells and tissues. It regulates the body responses to external and internal stimuli. The peripheral nervous system is responsible for the transfer of information between the motor and sensory neurons and their effectors in both directions. Injuries to the peripheral nervous system often result in significant deterioration of the regular activities. Many of the peripheral nerve injuries in the upper extremity are often a result of traction injury to the brachial plexus. Such injuries are commonly associated with altered shoulder postures and functional imbalance in the arm, forearm and hand due to pain in the related nerves and muscles. Brachial plexus neuropathy is one of the commonly noted upper extremity pain syndromes. The involvement of the peripheral neuropathies and cervical spine pathologies can complicate the diagnosis of brachial plexus neuropathy. Most of the nerve injuries are believed to arise due to influence of the physical factors that alter the mechanical abilities of the nerve fibers. Nerve mobilization has been projected as an efficient therapy to treat the pathologies of the nervous system. It is essential to know about the basics of the nervous system, the neuropathology, the transmission of pain and movement dysfunction before initiating nerve mobilization procedure. The movements of the nerves or nerve fibers can result in changes in the internal nerve physiology by altering the neural tension. Neural mobilization aims at relieving such changes in the nerve physiology to relieve the symptoms of pain and restriction of mobility. It is also vital to have a clear idea about the principles, guidelines, precautions and contraindications of nerve mobilization for better utilization of this procedure.

Course Description This course will teach myofascial trigger point release concepts. By utilizing the trigger point techniques, patients make rapid improvement in their status. Outcomes have reflected reduced therapy sessions with permanent improvement as well as the patient's ability to self-manage their condition with the home exercise programs. Methods for locating and deactivating trigger points using a variety of techniques and modalities will be explored. After reading the book, you will be able to use these techniques immediately upon return to your practice. Myofascial release involves sustained pressure and graded stretch applied to the soft tissue, which is guided entirely by the feedback obtained from the patient's body. The feedback felt by the therapist while applying the stretch determines the direction of the stretch, its duration, and the amount of force applied. From shoulder disorders to elbow injuries to debilitating hand and wrist problems, quicker improvement and more favorable outcomes are unquestionably dependent on proper rehabilitation technique and individualized, forward thinking concepts, and application. What were previously considered complementary therapeutic methods are now proven, evidence-based techniques and modalities that care for the total patient and are imperative for today's therapist. Myofascial release can benefit individuals of almost all age groups; the release of the muscle tightness (as a result of fascial involvement) facilitates the maximal elongation of the muscles, leading to a decrease in the constant pull being experienced by the tendons and other associated structures. Course Objectives 1. Demonstrate how to identify and correct for the most common factors that precipitate and perpetuate myofascial trigger points. 2. Identify techniques for deactivating trigger points including trigger point pressure release and myofascial release. 3. Interpret client history and assessment findings to ascertain irritability. 4. Utilize self-care techniques for deactivating trigger points. 5. Demonstrate trigger point palpation using STAR palpation. 6. Apply strain-counterstrain techniques and integrated neuromuscular inhibition techniques to deactivate trigger points.