CPDO Programme 2014

Dates / Title / Lecturer / Cost / Deposit / CPD hours
25-26 Jan & 1-2 March / Orthopaedic assessment for massage therapists
Link: / CPDO-Jing collaboration
1 Feb / Integrative myofascial release / Rachel Fairweather & Meghan Mari / £125 / £125 / 7
1 Feb / Managing shoulder conditions using a process approach / Dr. Eyal Lederman / £125 / £125 / 7
8 Feb / Counselling skills for physical therapists / Tsafi Lederman & Jenny Stacey / £125 / £125 / 7
9 Feb / Supporting patients in the process of change / Tsafi Lederman & Jenny Stacey / £125 / £125 / 7
15 Feb / Chronic pain – suppress, manage or cure? / Georgie Oldfield / £125 / £125 / 7
28 Feb & 1-2 March (Start Friday 17.00-20.00) / Functional neuromuscular Re-Abilitation / Dr. Eyal Lederman / £385 / £200 / 20
5-6-7 March / Barral’sadvanced manipulative approach to the joints / Jean Pierre Barral / £625 / £375 / 20
4-5-6 April / Foundation in advanced clinical massage techniques
Link: / CPDO-Jing collaboration
5-6 April / Muscle Energy Techniques in management of spinal, respiratory & pelvic dysfunction / Leon Chaitow / £275 / £150 / 14
12-13 July / Shoulder girdle pain
Link: / CPDO-Jing collaboration
20-21 Sept / Functional stretching / Dr. Eyal Lederman / £265 / £150 / 15
20-21 Sept / Hip & Pelvis Pain
Link: / CPDO-Jing collaboration
10-11-12 Oct
(Start Friday 17.00-20.00) / Harmonic Technique / Dr. Eyal Lederman / £385 / £200 / 20
25-26 Oct / Fascia-related pain and dysfunction: research to practice / Leon Chaitow / £275 / £150 / 14
12-13-14 Nov / Advanced thorax, neck and diaphragm / Jean Pierre Barral / £625 / £375 / 20
14-15 Nov / Pilates & Yoga exercises in management of upper and lower limb conditions / Susie Lecomber / £265 / £150 / 14
1 Feb / Integrative myofascial release / Rachel Fairweather & Meghan Mari
Fascia is the buzz word of the moment and adding myofascial techniques to your skill set can often be the missing link in the treatment of complex and chronic pain conditions including low back pain, sports injuries, fibromyalgia, and ongoing pain from accident, injury or emotional trauma. Fascial work can be effectively incorporated into a variety of therapeutic approaches including osteopathy, massage, acupuncture, physiotherapy and chiropractic.
This unique hands-on workshop will give the manual therapist a thorough overview of the major fascial approaches and will cover:
  • Fascial facts: An overview of the major approaches to working with fascia including direct methods (Rolfing and structural integration) and indirect methods. We will cover the most recent research into fascia – what we know and what’s waiting to be proved!
  • Fascial anatomy: Overview of the anatomy of fascia including Tom Myers’ anatomy trains theory
  • Palpatory sensitivity: Good fascial work is all about developing your sense of touch. We will place emphasis on your palpatory sensitivity and developing a sense of “listening touch” to enable more precise results with fascial work
  • Hands-on techniques: You will gain a thorough hands-on overview of effective fascial techniques to immediately incorporate into your clinical practice including:
  • Cross Hand stretches
  • Direct deep fascial release using forearms, fists and fingers
  • Arm and leg pulls
  • Skin Rolling
  • Focussed stretches
  • Scar tissue release
  • Clinical Integration: A model for integrating fascial work into your existing clinical work for efficient outcome

1 Feb / Managing acute and chronic back pain: a process approach / Dr. Eyal Lederman
This workshop will examine the role of manual and physical therapy in managing patients with acute and chronic lower back pain and disability. The focus will be on the processes associated with these conditions and away from structural and biomechanical factors, shown not to be related to back pain. It will examine the differences between the two presentations and how they can be managed by a combination of manual/physical approaches movement rehabilitation and cognitive-behavioural tools. During the practical part of the course participants will have time to practise different manual techniques and explore the different management approaches.
Learning outcome:
  • Developing a simplified method for diagnosis
  • Understanding repair and adaptation processes in relation to the spine/ trunk
  • Understanding the neuromuscular cost of injury, changes in motor control and motor recovery
  • Understanding the psychological processes associated with injury, pain and how they impede or facilitate recovery
  • Understanding how different techniques/exercise can be used to target repair, adaptation and motor control recovery
  • Understanding spinal sensitisation and how it can be managed in physical therapies
  • Developing new manual and physical skills to provide environments in which recovery can be facilitated

8 Feb / Counselling skills for physical therapists / Tsafi Lederman & Jenny Stacey
What you say can be as important as what you do with your patients. Being able to listen to the patient and communicate in simple, focused ways is an essential part of clinical work. This one-day course will provide an introduction to counselling skills that can be applied in the manual/physical therapy clinical setting.
The workshop will include:
  • An introduction to the relevance of counselling skills for manual and physical therapists
  • Exploring some aspects of the therapeutic relationship
  • Theoretical input and an opportunity to experiment with fundamental counselling skills including: reflecting, paraphrasing, empathic listening, focusing and tracking

9 Feb / Supporting patients in the process of change / Tsafi Lederman & Jenny Stacey
How often do you find your patients haven’t managed to make the changes necessary to sustain their recovery?
The success of treatment often relies on the patient’s participation in the overall management of their condition. However, compliance and adherence to all forms of self-care has been shown to be low in different musculoskeletal conditions. Some patients may need help in changing habitual patterns of behaviour that impede recovery.
In this course participants will learn clinical skills to support their patients in embedding behavioural patterns that can support recovery. There will be an exploration of the process of change and how to provide the necessary environment for sustaining recovery. The participants will be introduced to some basic skills and models used in Coaching (Prochaska Change Model and GROW), as well as exploring the psychological dynamics that can get in the way of change.
15 Feb / Chronic pain – suppress, manage or cure? / Georgie Oldfield
In this one day workshop Georgie Oldfield MCSP will discuss current paradigms of musculoskeletal chronic pain. In particular, she will explore the suggestion that chronic pain may be an adaptive protective response, created by the brain and central nervous system as a result of the environment of the individual. Georgie will outline how to recognise stress-induced chronic pain and some of the evidence-based treatment strategies that can be used to help patients recover.
By the end of the workshop course participants will have a basic understanding of:
  • the neurophysiology underlying stress-induced pain
  • how to recognise someone presenting with stress-induced pain
  • the educational and self-empowering approaches that can be used to help patients recover from chronic pain
  • how to integrate this management approach into manual and physical therapies
This course is open to all therapists.
Georgie Oldfield MCSP is a physiotherapist and chronic pain specialist promoting a pioneering approach to resolving chronic pain through her online SIRPA Recovery Programme and her clinics in London and Yorkshire. Georgie is the founder of SIRPA, an organisation dedicated to promoting the concept that pain can be due to learned nerve pain pathways, rather than a physical abnormality, hence full recovery is possible because these pathways can be reversed. As well as treating patients and training health professionals, Georgie gives talks and writes widely about the concept. For more information visit
28 Feb & 1-2 March (Start Friday 17.00-20.00) / Functional neuromuscular Re-Abilitation / Dr. Eyal Lederman
This workshop explores the natural processes underlying neuromuscular recovery and how they can be applied clinically to improve the control of movement after musculoskeletal injury, pain conditions and CNS damage. This will be used as a clinical model for management of a wide range of conditions such as neuromuscular rehabilitation of musculoskeletal injuries, psychomotor conditions and for movement rehabilitation of individuals suffering from CNS damage.
The approach used in this workshop is based on functional and behavioural approaches using the individual’s own movement repertoire for the rehabilitation process. It focuses on movement patterns that occur during daily activities and which can be amplified to provide the necessary challenges to recover motor control. During the workshop the participants will learn to assess and identify the particular motor losses and develop specific strategies to help motor recovery. The course will move away from traditional models of rehabilitation that promote movement fragmentation and approaches that have little resemblance to normal human movement such as muscle-by-muscle and muscle chains rehabilitation, core training and dynamic stabilization.
The practical aspect of the course will include hands-on approaches as well as specific challenges / exercise to regain and improve control of posture and movement. (See for video clip of Re-abilitation of the shoulder.).
By the end of the workshop the participants will reach several clinical goals:
  • Be able to develop and provide a programme for neuromuscular rehabilitation
  • Learn to rehabilitate movement control after joint and muscle injuries
  • Be able to provide neuromuscular rehabilitation post-surgery (hip, shoulder, lower back and more)
  • Be able to work with cognitions and behaviour in managing conditions associated with psychological distress
  • Treat patients with central nervous system damage (stroke, MS, head injuries)
  • Develop specific exercise and functional activities to support movement rehabilitation
For further information about the course see:
5-6-7 March / Barral’sadvanced manipulative approach to the joints / Jean Pierre Barral
In this workshop Jean-Pierre Barral will introduce his new osteo-articular approach which integrates the structural elements of joints: their muscles, connective tissue elements and blood and nerve supply. The workshop will also explore the relationship between the skeletal complex, the visceral system and emotional connections. In the practical session the participants will learn new manual approaches and clinical management to facilitate integration within these body systems.
This course is open only to participants who have had a basic training in visceral osteopathy
25-26 Oct / Fascia-related pain and dysfunction: research to practice / Leon Chaitow
A weekend workshop exploring the integration and relevance of fascia research in manual and physical therapy practice. The course aims to allow the clinician to work more effectively with fascial functions. Management in this sphere can be used to encourage analgesic, anti-inflammatory effects; enhance tissue repair; reduce levels of fibrosis/adhesions/scar formation; improve circulation, drainage, posture, balance, mobility and function.
A large part of the workshop will explore means of evaluating and treating dysfunctional fascial behaviour (fibrosis, restriction, densification etc), using functional assessments and manual palpation.
Content of course:
PART 1- RESEARCH AND CLINICAL RELEVANCE OF KEY AREAS OF FASCIA RESEARCH
Tensegrity and Biotensegrity: The architecture of cells and human structures provides a conceptual understanding of
  • the hierarchical organization of the human body - explaining its ability to adapt to function, including evolution of scars, adhesions and fibrosis. This area of the course will also include a brief overview of body-wide fascial organisational features
  • Force transmission - how load is diffused; and how distant structures may influence local dysfunction
  • The neurophysiology of fascia: neural reporting stations in fascia and how differently applied forms of load
  • (slow/rapid/shear force/ compression/stretch etc) affect these neural processes
  • The remarkable features of mechanotransduction: multiple ways in which cells respond to different degrees of
  • torsion, tension, shear, ease, compression, stretch, bending and friction, accounting for rapid modification of cellular behaviour and physiological adaptations - including inflammatory responses
  • Fluid dynamics and fascia: Extrusion of water from fascia during compression and stretching
  • Research evidence of optimal means of applying different degrees of load, to achieve specific effects
  • Latest dissection and imaging evidence - exclusive photographs, videos, realtime ultrasound, etc.
PART 2 FASCIA RELATED METHODS: THEORETICAL MODELS, CLINICAL EVIDENCE AND
PRACTICAL APPLICATIONS
  • High velocity manipulation of a/ joints (discussed, not practised) b/ soft tissues (discussed and practised in relation to fibrosis and scars + videos )
  • Low velocity loading: Myofascial Release - different models explored and practised. + videos Muscle
  • Energy models of fascial remodelling: including use of slow eccentric isometric stretching and rapid isometric stretching ('isolytic) in relation to fibrosis. Different models explored and practised + videos
  • Exercise and fascia: methods that induce beneficial fascial change - relevance to ageing and post-traumatic
  • changes
  • Vibration and cyclical loading and the effects on collagen. Different models explored and practised
  • Management of scars via slow loading. Discussion + videos. Different models explored and practised
  • Positional release methods and fascia: counterstrain methods explored. Ligamentous reflexes considered. Different models explored and practised + videos
  • Connective tissue massage/manipulation methods: direct collagen influences and autonomic responses. Different models explored and practised + videos
  • The Fascial Manipulation® method discussed - not practised
  • The Graston® method discussed + videos - not practised. Alternative/similar methods demonstrated
  • Myofascial pain and fascia discussion - plus consideration of other therapeutic models and their mechanisms + videos

7-8 June / Yoga in management of chronic musculoskeletal pain / Anna Semlyen
20-21 Sept / Functional stretching / Dr. Eyal Lederman
Clinical stretching has limited contribution to recovery of movement range in many musculoskeletal conditions - Immediate: 30, short-term: 10, long-term: 00
(Cochrane Database, CD007455)
Find out why and how it can be resolved
Traditional stretching methods were shown to have a limited influence in improving range of movement (ROM) in conditions where there is pathological tissue shortening. These modest outcomes were observed for all forms of stretching approaches.
Functional stretching has been developed over 10 years by Prof Lederman to provide a solution to the limitations of traditional stretching approaches. It focuses on active restoration of ROM, using task-specific, functional movement patterns. This approach is informed by research in the areas of tissue adaptation, motor control, pain and cognitive-behavioural sciences.
Functional stretching can be used to recover ROM losses in various musculoskeletal conditions including post-injury rehabilitation, immobilisation, surgery, frozen shoulder and central nervous system damage. Part of the course will also examine the potential use of functional stretching in pain alleviation and ROM desensitisation.
Learning outcome:
  • Understanding the biomechanical, biological, neurological and psychological-behavioural processes associated with loss of movement range
  • Understanding the processes associated with long-term length adaptation and recovery of movement range
  • Ability to identify the indications for therapeutic stretching
  • Ability to identify and develop a function ROM rehabilitation which is most suitable for your patients' conditions
  • Understanding the differences between therapeutic and recreational stretching
  • Review of various stretching approaches
  • Learning new functional stretching techniques to optimise therapeutic outcome in various musculoskeletal conditions
  • Understanding mechanisms in pain-sensitisation, ROM sensitisation and the approaches that could promote alleviation and ROM desensitisation
Suitability to attend:
All manual and physical therapists (osteopaths, physiotherapists, chiropractors, massage and sports therapists, etc.), trainers and coaches. Teachers of all exercise approaches, including Yoga, Pilates, martial arts, etc.
10-11-12 Oct
(Start Friday 17.00-20.00) / Harmonic Technique / Dr. Eyal Lederman
Harmonic Technique is a passive form of oscillatory, rhythmic techniques that can be applied to different joints and tissues.
Research over the last four decades has demonstrated that passive movement, such as used during Harmonic Technique, has an important role in facilitating tissue repair and adaptation after injury. Intermittent external compression has been demonstrated to improve tissue healing as well as increasing fluid flow and reducing oedema. Passive motion has been recently shown to facilitate recovery from rotator cuff surgery and help resolve pain in frozen shoulder. These studies suggest that passive motion can be a useful clinical tool in the treatment of different musculoskeletal conditions.
Learning outcome:
  • Understanding of the biomechanical, physiological neurological processes associated with Harmonic Technique
  • Understanding of influence of Harmonic Technique on tissue repair, tissue fluid dynamics and adaptation.
  • An understanding of neurological (analgesic influences) and psychological influences of Harmonic Technique
  • Be able to effectively apply Harmonic Technique to most joints in the body
  • Be able to identify conditions which may benefit from passive movement
  • Be able to apply Harmonic Technique to specific conditions commonly seen in manual and physical therapy practice

5-6 April / Muscle Energy Techniques in management of spinal, respiratory & pelvic dysfunction / Leon Chaitow
A weekend course exploring the use of Muscle Energy Techniques (MET) in management of spinal, respiratory and pelvic dysfunction. MET are used to induce either post isometric relaxation or reciprocal inhibition, as a preparation for subsequent mobilization of soft tissues or joints. The workshop will examine the use MET in managing a wide range of acute and chronic conditions related to spinal, respiratory and pelvic dysfunction.
The 2 day workshop will involve approximately 30% theory/ lecture and 70% hands-on practice of the methods and focuses on developing your skills under the training of one of the leading experts in the field.
By the end of the course those attending should have:
  • An evidence-informed understanding of the rationale and methodology of use of a variety of MET approaches, and the ability to apply these in clinical settings to neck, thoracic & pelvic pain – and respiratory disorders
  • Evidence-informed understanding, and the ability to apply a range of functional assessment methods for identification of specific soft tissue and articular dysfunctions, prior to application of MET
  • An awareness of a variety of clinically useful MET approaches applicable to dysfunctional soft tissues – including Pulsed MET
  • An increased ability to justify the choice of MET in the management of soft tissue and joint dysfunction in the thoracic and pelvic regions
Program Outline