Myofascial Release for the Neurologically Impaired Patient

This practical, interactive two-day workshop for rehabilitation teams will address evaluation and treatment techniques appropriate for soft tissue limitations that contribute to compensated functional mobility and caregiver dependence. This lecture reviews muscular and fascial anatomy tying kinesiology into a discussion that relates specific soft tissue mobilization and joint mobilization techniques appropriate to improving reach and phases of gait. A thorough discussion will relate the impact of immobility and spasticity on mechanical and neurological aspects of the functional muscle recruitment. Myofascial pain patterns are presented and addressed in a treatment approach to limit their influence on functional activity. This course is designed to focus treatment strategy through laboratory application to improve manual skills appropriate for the rehabilitation setting and suggest recruitment and facilitation techniques to improve motor control in the neurologically impaired patient. An informative and focused laboratory component provides PT’s, OT’s and their assistants with basic practical skills in palpation, seating and positioning, soft tissue assessment and mobilization as it pertains both to functional reach of the upper extremity and the gait sequence in clinical practice. The majority of this course will be hands-on application with frequent case study discussion to identify impairments and exemplify the use of manual therapy through myofascial release and other manual techniques.

Course Objectives

Upon successful completion of this course, participants will be able to:

Course Instructor(s)

John Kelly


A graduate of the University of St. Augustine’s graduate Physical Therapy Program. John has over 17 years’ experience with acute inpatient and hospital-based outpatient rehabilitation and currently an outpatient clinical director for Siskin Rehabilitation Hospital in Chattanooga, Tennessee. John continues to balance full time patient care with administrative responsibilities. John is NDT certified and an experienced manual orthopedic therapist working toward his clinical doctorate and manual therapy certification. John is a certified VitalStim® Instructor and has taught orthopaedic and electrotherapy courses across the country. John is an accomplished clinical instructor and consistently is recognized for his exceptional patient rapport and strong evaluations from course participants.

Financial Disclosure: John is a salaried employee for his position at Siskin Rehabilitation Hospital. John Kelly receives honoraria from CIAO Seminars for the presentation of his live courses. He also receives royalties for the purchase of his recorded course(s)
Non-financial Disclosure: No relevant non-financial relationship exists.

Course Agenda

Day 1

07:30 - 08:00
08:00 - 08:15
Introductions and program overview
08:15 - 08:30
Normal and abnormal physiology of the myofascial system
08:30 - 09:00
Topics in motor control and motoric function
09:00 - 09:30
Postural dysfunction and its influence on reach
09:30 - 10:00
Anatomy refresher and kinesiology of the upper trunk and rib cage
10:00 - 10:15
Morning Break
10:15 - 11:45
Laboratory: myofascial assessment and techniques for upper trunk and rib cage
11:45 - 12:00
Case Study
12:00 - 01:00
Lunch Break
01:00 - 01:30
Anatomy refresher and kinesiology of functional reach
01:30 - 03:00
Laboratory: myofascial assessment and techniques for reach activity
03:00 - 03:15
Afternoon Break
03:15 - 04:15
Laboratory cont: myofascial techniques for reach activity
04:15 - 04:25
Case Study
04:25 - 04:30
Questions and closing comments

Day 2

08:00 - 08:30
Postural dysfunction and its influence on gait
08:30 - 09:00
Anatomy and kinesiology of locomotion and gait
09:00 - 10:00
Laboratory: myofascial assessment and techniques for lower trunk and pelvis
10:00 - 10:15
Morning Break
10:15 - 11:30
Laboratory cont: myofascial assessment and techniques for gait activity
11:30 - 12:30
Lunch Break
12:30 - 02:15
Laboratory cont: myofascial techniques for gait activity
02:15 - 02:25
Case Study
02:25 - 02:30
Questions and closing comments

Contact hours pre-approved for:

  • 12 CE Hours
  • CIAO is an AOTA Approved Provider #4119 (OT/COTAs)
  • This course meets PDU requirements for NBCOT (12 PDUs)
  • CIAO is an Illinois Approved Provider for PT/PTA Continuing Education
  • CIAO is recognized as an Approved Provider for PT/PTAs by the NYSE Dept State Board for PT
  • This activity is provided by the Texas Board of PT Examiners Accredited Prov #2502009#TX
  • This activity meets continuing competence requirements for PT/PTA license renewal in TX
  • The assignment of Texas PT CCUs does not imply endorsement of specific course content, products or clinical procedures by TPTA or TBPTE

Course meets requirements for:

  • PT/PTAs in AL, AK, AZ, AR, CO, CT, DC, DE, GA, HI, ID, IN, IA, KS, KY, ME, MD, MA, MI, MO, MT,
  • PT/PTAs in NE, NH, NC, ND, OR, PA, RI, SC, SD, TN, UT, VT, VA, WA, WI, WY

  • The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)