Alex Sapir

BPT (Tel Aviv University)

MaPt (University of South Australia)

Physiotherapist, kinesiologist, practitioner, lecturer.




Lower Quadrant

The main purpose of the course, which consists of three parts, is to show how to integrate
different approaches that are used in physical therapy in order to improve diagnostic
process and to get better results in treatment of musculoskeletal problems.
The course shows how to move from symptomatic approach to real treatment which is
applied to real source of the problem existing in each specific case.
We can improve range of motion, increase muscle length and miofascial mobility, we are
able to diagnose and to improve nerve mobility and we know which exercise to give for
strengthening peripheral and core muscles. But which approach is appropriate for each
specific patient, what is the main contributing factor and what kind of treatment will give
immediate results and the most important how to get feedback from the body which will
guide us in challenging journey with final aim to get the patient back on track.
Combination of well known and new techniques for diagnosis and treatment, opening
wide view on the body, following exact instructions that are presented in many
flowcharts and improving clinical reasoning and manual skills will help physical therapist
to achieve these goals.
In the course we will mention different approaches which are popular in manual
physiotherapy: mobilization of Maitland and Mulligen, Shacklock’s neurodynamics,
Myer’s anatomy trains as well as techniques and ideas that are taken from applied
kinesiology. But this course shouldn’t be considered as a replacement of certificate
courses in those fields.


Lower quadrant
1. Anatomical, physiological and biomechanical relationship between different parts and
different systems of the body
2. Quick diagnosis algorithm of peripheral upper limb problems
3. Overt, covert and hidden problems of the peripheral nervous system.
4. Neurological deficit as common contributing factor for development peripheral
pathologies of the lower limb.
5. How to improve sensitivity of neurological examination in order to detect covert and
hidden problems.
6.Manual muscle testing according to applied kinesiology approach.
6. How to find exact site of involvement in lower limb.
7. Neurodynamic test for assessing nerve’s mechanical and physiological properties.
Understanding direction of nerve sliding during a movement.
8. Myo-fascial trains. Muscle imbalance inside the chain and between the chains.
9. How to combined myofascial and neurodynamic techniques.
10. Central and peripheral joint techniques in lower quadrant. How exactly to choose site,
direction and amplitude
11. Neuro-myo-fascial chains of the upper limb. Diagnostic algorithm.
- Sciatic –SLR- rectus femoris
- Tibial/Sural/–SLR- rectus femoris
- Peroneal – SLR - TFL
- Femoral – PKB – Glut Max
12. Clinical examples

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